Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0778 PUTNAM AVENUE - Health
778 Piltn""aML Avenue _ ---— ---- -- A=039—077 , Cotuit ,I C 0 { s� { Nlb RECEIPT Printed:07-21-2009 ® 9:25:28 BARNSTABLE LAND COURT REGISTRY JOHN F. MEADE, REGISTER Trans#: 174220 Oper:CAROLF Doc#: 1119393 Ctl#: 190 Rec:7-21-2009 ® 9:25:22a BARN DOC DESCRIPTION TRANS AMT s--- ----------- --------- 1 ANDRZEJEWSKI, KRISTINA A RESTRICTION County Fee $30.00 30.00 Surcharge CPA $20.00 20.00 State Fee $20.00 20.00 Surcharge Tech $5.00 5.00 Total fees: 75.00 Doc#: 1119394 Ctl#: 191 Rec:7-21-2009 ® 9:25:22a BARN ', DOC DESCRIPTION TRANS AMT --- ----------- --------- s. 1 ANDRZEJEWSKI, KRISTINA A DECLARATION OF HOMESTEAD County Fee $30.00 30.00 Surcharge Tech $5.00 5.00 Total fees: 35.00 *** Total charges: 110.00 CHECK PM 147 110.00 n� BARK-STABLE LAND COURT REGISTRY Deed Restriction WHEREAS, Robert J.Andrzejewski and Kristina A.Andrzejewski,husband and wife, of 778 Putnam Ave, Cotuit, Barnstable County,Massachusetts, 02635 are the owners of 778 Putnam Ave, Cotuit, Barnstable County, Massachusetts, 02635 located in the County of Barnstable and said Commonwealth of Massachusetts, bounded and described as follows: SOUTHEASTERLY by Putnam Avenue,one hundred twenty-five (125) feet; SOUTHWESTERLY by lot 5,one hundred sixty(160) feet; NORTHWESTERLY by portion of lot 1, one hundred twenty-five (125) feet; and NORTHEASTERLY by lot 7, one hundred sixty(160) feet. All of said boundaries are determined by the Court to be located as shown on subdivision plan 36319-B (sheet 2) dated December 21, 1972, drawn by Thomas E. Kelley Co., Surveyors,and filed in the Land Registration Office at Boston,a copy of which is filed in the Barnstable County Registry of Deeds in Land Registration Book 455, Page 71 with Certificate of Title No. 56751 and said land is shown thereon as Lot 6. WHEREAS, Robert J.Andrzejewski and Kristina A.Andrzejewski,husband and wife, as the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction or renovation of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed or renovated on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, r P„ a. NOW,THERFORE, Robert J.Andrzejewski and Kristina A.Andrzejewski, husband and wife,do hereby place the following restriction on their above referenced land in accordance with their agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. 778 Putnam Ave, Cotuit, Barnstable County, Massachusetts, 02635 may have constructed upon the lot a house containing no more than three (3) bedrooms. 2. Robert J.Andrzejewski and Kristina A.Andrzejewski,agree that this shall be a permanent deed restriction affecting 778 Putnam Ave, Cotuit, Barnstable County, Massachusetts, 02635 located in the County of Barnstable and said Commonwealth of Massachusetts and being shown on subdivision plan 36319-B (sheet 2) dated December 21, 1972,drawn by Thomas E. Kelley Co.,Surveyors,and filed in the Land Registration Office at Boston,a copy of which is filed in the Barnstable County Registry of Deeds in Land Registration Book 455, Page 71 with Certificate of Title No. 56751 and said land is shown thereon as Lot 6. Executed as a se led instrument this day of �Z4 ( 2009 wner's gna ur 0 ner's Sign ure COMMONWEALTH OF MASSACHUSETTS (� ss lJ �� 2009 Then personally appeared the a ve-named Robert J.Andrzejewski and Kristina A. Andrzejewski known to me to be the-Arson who executed the foregoing instrument and acknowledged the same to be _free act and deed,before me, o ti • �i ' tart'Public My commission-expires V r �•. No..... .......... Firm ...I............... THE ®COMMONWEALTH�F�ASSAC�u S —0 HE fX\ .....----...OF......... ...... .. ............. .................................... Appli.ration for Mopmat Works Toustrurvan Frorutit pplica.tion is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at:` ...................................................... . tion.- d ss or of o. Owl�Er Add ss W . . .... ......... ........."ew. • -- -_Z_ ............................. ............. Installer Address d Type Building Size Lot..4;�%&.............Sq. feet V Dwelling—No. of Bedrooms._.._.... Expansion Attic ( ) Garbage Grinder ( ) -------------------------- Other—Type of Building ............ No. of persons............................ Showers — Cafeteria aOther fixtures . -------------------------------------------------------------- W Design Flow................. ....................gallons per person per day. Total daily flow.........7f1Z:.-?....................gallons. WSeptic Tank—Liquid capacity/gallons Length---- ._.. Width..-....._... Diameter................ Depth................ x Disposal Trench—No..... ........... . Widtl .. ............. To Al Length.___.___..__._ .... T al leaching area.....3..01, _-sq. ft. Seepage Pit No �n a . . ,LDe iwQia �_ otal leaching areas �- sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � "A "� Percolation Test_.Results Performed by.......................................................................... Date---------------------------------•----- aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (� Test Pit No. 2................ per inch Depth of Test Pit....................fDept}to roundter.............._.t----- P4 ---- ------------------------- •------- ... ----- _ ........: :.�. O Description of Soil. ._..._. _ , U •------------------•-•.............._.....•----••--•-••-------•---....... --------•--------------------------------------------------- ... . . ........... ...... W -------------........................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •--- ------ ------•---•---•-•••--•-•...--•.....--- .... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 and of h lth. ---3 /------.......... Sig �. !e.._ .._._: .... Date Application Approved By_� .__ :. .. 1� >< �� F` � - --- .......... .. ---- �° " = Date Application Disapproved for the following reasons:.....................s____._._..... .._...... .................................................................................................................................................. _ ------- -- ----------------- .T�-Date Permit No. ... Issued..........•... 2................ ...... Date —A-1- _ 1 No.... ... --.. FEE .. ....... THE COMMONWEALTH OF MASSACHUSETTS B®AR .... .. �' H A l-H ...------..OF.. :.......................... Applira#ion for Bitipaval 19orks Tonstrurti n Punfit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at " .....A ew'r ---- -- � - .................................................. . L tion Address or Lot No. Owner I �+� Ad1drryess ..........1�r {,. -s:!?..£�..�....! Y—i d Installer Address d Type of'Building Size Lot... ;_ :f....Sq. feet U Dwelling—No. of Bedrooms.......... ----------------------------Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ ShowersF( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------------------------- W Design Flow............. ....................gallons per person per day. Total daily flow......... A ....................gallons. WSeptic Tank—Liquid capacity, gallons Length.... ...... Width__(n.......... Diameter................ Depth................ x Disposal Trench—No. ....._..... W>dt ... .............. To al Length..............j' Total leaching area....." x ...sq. ft. Seepage Pit No...._._._. pia '`�er�'' , De Jt i bel n1 ------— otal leaching area.......... sq. ft. Z Other Distribution box ( ) Dosing tank ( Percolation Test Results Performed by .................................................................. Date........................................ aTest 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 zround Vider ................. ..------------- R'+ .......................... .......... `` ,+ V w `.......2 v JAL*, , ODescription of Soil--- ................ -•----------------------------•-------------••-•---------------------=----------------.._... U ----•................................. ----•----------------------------.....----•----------------------•---•-----•---•-------•---.----- W UNature 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 Article XI of the State Sanitary Code—The undersigned,ftirther agrees not to place the system in operation until a Certificate of Compliance has been issued by the,k oard of health , Sig d--- �.._...._..,�: � .._. ... ..................... ....... Date Application Approved By.:) _. .... ` . :-----.................. ...... Date Application Disapproved for the following reasons-------------_------ --------------------•------------------•-------------•--•----•----•-----------.......... -•--....-----•----------------------------------•-•-----•••----------------------•----•--•---....-•--------•--------•------------------------------------------•----------------•---•------•-------•.... { Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEA •T r.� OF :................... ...:.:................................... fit wrrtifiratr of Toutpliattre THIS IS TO CERTIFY, That tl�I dividual Sewage Disposal System constructed (4,�-)or Repaired ( ) by........... . -- ---------------------•--------------.-_.-------------- Installer has been installed in accordance with the provisions of Axtitle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit N * _ --------------------- dated------ ""�_ ,tr"'"_ ""�"......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS E® A UA NTEE THAT THE SYSTEM WI FUNCTION SATES ACTORY. DATE.......... ........................... ZJ..................... ----• Inspector---- --- -•--•-•---••-•---------•--- --•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..... >��f t t ................ `.. ¢.a✓! /t.,�� .----...........----......... Nam,,,,.•. N ....--..1••• �/...... �: FEE ................ 43;apagal Works To �$r "I rr�ti Perm is hereby granted....... - - J .......... to Construct (% oar Repair ( ) n Individual Sewage Disposal System atNo , -• ..... .........f� � ..I =-----. -.---•--•--1----------------------------•....---.....---- Street as shown on the application for Disposal Works Construction mit N " �� Dated 4 .................................. oard of Health DATE..... .:...... ' 1'J / --.--=... ............................... . .r FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ; ' f t t ZO 000 G "r I i 42 � � r,� ) I AV i 71-1r c-, CERTIFIED PL OT PL.>-s,3 7-7 LO CAT B0f4! 1 SCALE .I. .5c:>.`. . DATLE M.�.:1: PLAN REFERENCE 171 f• a.. ,J �f R L' )f)U T P t• 9_ _ t o r•,L4/t`b I CERTIFY THAT THE .FC'U. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND + AS SHOWN HEREON AND THAT IT CON FOi IMS TO I WED R FA TY r�� U:�iJ" THE ZONING LAWS OF THE TOWN O W i ULi I�t� L•. DAZ EY ) r hU S i E; C' WP1 EN CO,N5fit+JC'I aU Y —, S -�J 'C 'r- //9/ f 'r aka✓' f yN.1 !!,11- ���\_` � i REG. LAND TOWN OF BARNSTABLE LOCATION / /O TNA SEWAGE# VILLAGE COT cJ► T— ASSESSOR'S MAP&PARCELS INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY I no S i LEACHING FACILITY:(type) LeAch P i r (size) t'oX�O ( �' S-bne— NO. OF BEDROOMS .3 OWNER PERMIT °� .DATE: �� 5 COMPLIANCE DATE. Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 5 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leachingfacility) 6/ �') A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /A Feet FURNISHED BY &A(z4 CA6E'SR— Ti+1 aZ s�cfibr � bar t XtoL R��-- A 1- I as a � �3_ 34'6,, O Nm- Tt 5CrAL : __5EW_QC;E PERMIT M0. -- 1 --1-I�1ST-ALLER�S-1JL�,P/lE��--ADDRESS- _ - ___ -= .BUILDER 5-_1`I-LLAAE-�_AD.D-R.E.SS -----D.QTE -PERMITT LSSUED-_�' f% i le- L �. No....... ....... Fix.../..ti.................. THE COMMONWEALTH OF MASSACHUSETTS B®At OF H ALTH OM '7� r4w, o .... .....-...e------------------------------------------------ �� Appliration for :13hip al Worku Cron r-urfiott Vantit Application is hereby made fora Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ✓ ® _.4Zd.1.. ... ....... ............... .................... ocati --Address -2 or L o. ................ .......�'......-----=....t .. �� . .. .......................... Owner , Address Installer Address Pa t`,.,; Type of Building Size Lot._:7?-..6V+`a..__Sq. feet aDwelling—No. of Bedrooms.............`.............................Expansion Attic ( ) Garbage Grinder ( ) p-, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures •-------------- ----------------------------- W Design Flow...............-......_..............gallons per person per day. Total daily flow------- t.ov...............gallons. WSeptic Tank—Liquid capacity/-�T.-P.gallons Length................ Width................ Diameter---------------- De th_............... x Disposal Trench—No. .................... Width............. _ . Total Len ...-.............. Total leaching area...._v$�.._sq. ft. Seepage Pit No---------- ------ Diamete ° ve Total hi area..................sq. ft. Z Other Distribution box ( ) Dosi g tank Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to,gr Ind water........................ O �� - Description of Soil_..... " _.. -• •. .Inn, ���,..........a......... -- x -- V --.---- .••-•-• ---•.------••----. --•-•----•------------------ ----------- - ------ -- W -------------------------•-------------------------•---------------------------•-------------------•-------------------------•---------•--------....................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued both board of health. Signed. 1 °..------ >f-`--------�------••---•-------•• ----------i`1 Date Application Approved By.............. . _1` 1� 'p.� ----�$......-1-4.. ............... Date Application Disapproved for the following reasons:----•-----------------------••---------•--------------------•--•-----.......................................... -•--••---•---•--•--------------------•-•--......--•-•-••-•-•---------------•---••------•--•-•---------....---------------•----•-•----........-----------------•-•----•-----........---------•---------_.. PermitNo..............................:......••-••....... -•---- Issued.....(..------•-•----------•--•-•. a...... Date ----------- .ot No.......LOY....... Fmm_/ ................. THE COMMONWEALTH OF MASSACHUSETTS BOA R:?F OF � H F:;.ALTH 54 0.................... ................................ Appliration for Dinposal arks Cons union Vamit Application is hereby made for a Permit to Construct '®r Repair an Individual Sewage Disposal System at: ..................10-7or...../w#.... ......ja'm.................................................. ,y ocatiXAddress (orNo.tr ......4-.T.;.............. ....................... .........................._ own , ess ---------------- .......... . ............. ........... .... ---------------------------- *........... 'U Installer Address Type of Building Size ...Sq. feet Dwelling—No. of Bedrooms_.____._ ""______________________________Expansion Attic Garbage Grinder ( pi Other—Type of Building ............................ No. of persons__...______.________..__.___ Showers Cafeteria ( Otherfixtures ...................................................................................................................................................... Design Flow............. ......................gallons per person per day. Total daily flow_____.__._._..__ _t ...............gallons. IY4 Septic Tank—Liquid capacityA%tQ.gallons Length________________ Width______________-_ Diameter_____--__-_-____ Depth__-______.___... Disposal Trench—No..................... Width............ 4 Total Lengh ... Total leaching area___._..Sg ..sq. ft. Tota I ......sq. ft. Seepage Pit No___________6�_ -Dian'-ietv eM bel' .......... I h area............ "W Z Other Distribution box Dosing tank Percolation Test Results Performed by______________ ------------------- ---------------.... Date_._......_._......................__.._. 1.4 Test Pit No. I................minutesperinch Depth of,..Test Pit_.._.______:........ Depth to ground water____._______...________. �4 � ',`_ (_, Test Pit No. 2................minutes per inch Depth 6f-", est Pit..................... Dept togrAnd water.__________._.________.. ................................. 0Soil---- ......... ........ I.......... -------------- - Description of Soil..... i'R..............IN �011`.. ....... J............ U ............................................................................................... .................. .... ............................................................................. ....................................................................................................................................................................................I....................... U Nature of Repairs or Alterations—Answer when applicable--------------------------------.............................................................. ............................................................................................................................................................................. ..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System it`accordance with the provisions of Article XI 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 th5board of health. 'n Awl Signed.I-lia, ------------------ 'Kdr Date .44.0 Ad,-Application Approved By............/..... ................................. ..... Date Application Disapproved for the following reasons:..........V ............................................................................................. ....................................................................................................................................................................................................... Date PermitNo. ........................................ Issued........................................................ Date THE COMMONWEALTH OF MAS SACHUSETTS BOARD 9F HEA . TH ..........................................ORL... ................ ............................................................ Aft THIS IS TO CERNIFY, That the Individual Sewage Disposal System constructed (t--�or Repaired by--------------------------------------- ........................................................ I at g taller . .................................14&�44 . .... ............. --------------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated.-.1".. ------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH- ............................. ........ OF...... No..........- 'r ......... .............. Permission i§ !yreby granted__-_-- I......... . ................................. ................................... ------- to Constrj#t rior Repan' (' -an V 'U�ndi i Cewage D*spos m , at ...... Street IDated... lil-'73" as shown on the application,for Disposal works Construction Per I No. . ................................. r I ""'I--- Por) I X ......................... 71 Board f Health DATE_..........l �5 ................................................ FORM 1255 HOBBS & WARREN, [Nr-,/ PUBLISHERS M _ L LcT 13 E Ic5 .o0 � i t L c-'i- I O g ` ! I F + I nil ZZ <1~r rrrr? } } 3 -.�- X z I y rlv G�c>' r:' z..��. vvn�� CERTIFIED PLO-P PLAN 1 LOCATION O.—i`C. .O`r'. SCALE . . 1. -. cr'.'. 0ATE AA re`; °9 PLAM REFERENCE . . try G T . . . . . . . . . . . . . . . . . . . . . . . . . !. I CERTIFY THAT THE .F��'.ti�nA?�c�f SHOWN ON THIS PLAN IS LOCATED ON THE GROUND W C D REALTY TK U a-T- AS SHOWN HEREON AND THAT IT CON FORMS TO THE ZONING LAWS OF THE TOWN OF 1 W i LL M . E CA c e Y i'RV 5 T E- 73 A qA) ,:Tf?,-t:� ' �'.. .�sr.. . i H E i�!,.00MST14UCTED. E 7 0 W E 5T MA I kJ L==1 ST K E T" DAT EA 14'.`J s G' � PETITIONER .' N r,� 6 n�A.S 5. Rk. LS,ND SUPVEYOf I COMMONWEALTH OF MASSACHUSETTS f EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION � W TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION �D a r-:D 4:-n Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA 70 Owner's Name: Arlene Spooner ✓� r� Owner's Address: 778 Putnam Avenue 7' c. Cotuit,MA 02635 "'y? Date of Inspection: March 14,2006 Name of Inspector: Gary J and/or Jane E Rabesa Company Name: Rabesa Subsurface, Inc dba Warren Cesspool Service Mailing Address: PO Box 2302 Teaticket, MA 02536-2302 Telephone Number: 508-540-7143 CERTIFICATION STATEMENT 1 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: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature Date: March 26,2006 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: One thousand gallon septic tank and precast leach pit in good condition. House has one occupant. The tank was pumped after inspection. "'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. Title 5 Inspection Form 6/15/2000 page 1 i Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit), MA Owner: Arlene Spooner Date of Inspection: March 14,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: YES X 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: There is 24"of stone around the leach pit. B. System Conditionally Passes: NO 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. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced 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): broken pipe(s)are replaced obstruction is removed ND explain: Warren Cesspool Service 508-540-7143 i Page 3 of I 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 C. Further Evaluation is Required by the Board of Health: NO Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for 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. 3. Other: Warren Cesspool Service 508-540-7143 T41. c 1-...t:.... V..r...A/I;/1AAA 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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.1 NO (Yes/No)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: N/A To be considered a large system the system must serve a facility with a design flow of 10,000 iwd to 15,000 20. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria 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 surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped Zone 11 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. Warren Cesspool Service 508-540-7143 Trio c ►,�„o *:.., U,.r.,,A/1 cilnnn 4 Page 5 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 778 Putnam Avenue Barnstable(Cotuit), MA Owner: Arlene Spooner Date of Inspection: March 14,2006 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 x_ Were any of the system components pumped out in the previous two weeks? _x — Has the system received normal flows in the previous two week period? x_ Have large volumes of water been introduced to the system recently or as part of this inspection? n/a 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? _x_ Was the site inspected for signs of break out? _x_ Were all system components, including the SAS, located on site? _x_ 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 ? _x _ 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: Yes no _x_ _ Existing information. For example,a plan at the Board of Health.. x_ _ 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(3)(b)]. Warren Cesspool Service 508-540-7143 r;*io c ►.,�.,o *;.., 17,.E A/I ciInnn 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): three Number of bedrooms(actual): three DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):330 Number of current residents: one Does residence have a garbage grinder(yes or no): no Is laundry on a separate sewage system(yes or no): no [if yes separate inspection required] Laundry system inspected(yes or no): n/a Seasonal use:(yes or no): no Water meter readings, if available(last 2 years usage(gpd)):2004: 71 gpd; 2005: 107 gpd. Sump pump(yes or no): no Last date of occupancy:occupied. COMMERCIAL/INDUSTRIAL: N/A Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:(owner)no known pumping. Was system pumped as part of the inspection(yes or no):,yes If yes, volume pumped: 1000 gallons--How was quantity pumped determined?Tank size. Reason for pumping: recommended maintenance. TYPE OF SYSTEM x Septic tank, NO distribution box,soil absorption system Single cesspool _Overflow cesspool Privy _no_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(if known)and source of information: 1975 permit on file. Were sewage odors detected when arriving at the site(yes or no): no Warren Cesspool Service 508-540-7143 74io c 1 G,..,,,Aiici,)Ann 6 Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 BUILDING SEWER: (locate on site plan) Depth below grade: 28" Materials of construction: x cast iron _ 40 PVC other(explain): Distance from private water supply well or suction line: town water line 26'. Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: X(locate on site plan) Depth below grade: 30"(outlet cover raised to 6" below grade) Material of construction: x 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: standard 1000 gallon septic tank with concrete tees Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 27" Scum thickness:3" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 15" How were dimensions determined: onsite Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The tank has no failure criteria. The DEP recommends pumping every three years,depending on use. The tank was pumped after inspection. GREASE TRAP: NO(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Warren Cesspool Service 508-540-7143 T41. 17..r.,,All ciInnn 7 Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 TIGHT or HOLDING TANK: NO(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: NO(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.): There is no distribution box. PUMP CHAMBER: NO(locate on site plan) Pumps in working order(yes or no):------- Alarms in working order(yes or no):-------- Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Warren Cesspool Service 508-540-7143 T41. c 1—...t;,.., C..r,,,All r,nnnn 8 Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 778 Putnam Avenue Barnstable(Cotuit), MA Owner: Arlene Spooner Date of Inspection: March 14,2006 SOIL ABSORPTION SYSTEM (SAS): YES (locate on site plan,excavation not required) If SAS not located explain why: Type x leaching pits,number: one 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.): Viewed by remote camera,the 6' by 6' precast leach pit,with 24"of stone around(verified onsite),had two-thirds of total volume available with no higher signs of staining. The cover is 41" below grade and should be raised in the future for access. CESSPOOLS: NO(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: ---------- Depth—top of liquid to inlet invert:-------- Depth of solids layer: ---------- Depth of scum layer: ----------- Dimensions of cesspool: ------------ Materials of construction: ---------------- Indication of groundwater inflow(yes or no): no Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: NO(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Warren Cesspool Service 508-540-7143 Page 10 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:778 Putnam Avenue Barnstable(Cotuit),MA Owner: Arlene Spooner Date of Inspection: March 14,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM NOT TO SCALE 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. nQIVF-Wpd 3V'6" Warren Cesspool Service 508-540-7143 Tiro C Innnunlinn T.'nrw,4/1 CMAAA 10 Page I l of OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:778 Putnam Avenue Barnstable(Cotuit).MA Owner: Arlene Spooner Date of Inspection: March 14,2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water is greater than 15 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: x Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: previous inspection on file Checked with local excavators, installers-(attach documentation)Engineer's certification Accessed USGS database-explain:town topography maps USGS survey maps You must describe how you established the high ground water elevation: From onsite transit reading,the bottom of the leach pit,is over five feet above the wood lot across the road from 778 Putnam Ave. 3r Ito1 eve Warren Cesspool Service 508-540-7143 Ti In G Innrnn4inn P^n At cnnnn 11 ` s' e7�_ Li0 L1,TIONDD - - SEW/J,6_4E PERMIT QO. L WST LE 5 ►J& AFZ 6 ADDRESS -BUILD F2 tJh1.�lE ADDRESS Dt.'*TE PERMIT _ ISSUED DATE COMPLI-&MCE ISSUED ; �, , �'1 i � ._ `�"�� t� (� ti LOCQTIONA 5EWO,C,E PERMIT kJO. WST ALLER S 1 &t AE 6 ADDRESS . BUILDER'S -Q &V AE ADDRESS. Dl�►TE PERWT ISSUED DATE COMPLI WACE ISSUED ; a Gnu ,et,L 55 S41, -Z v.0c, No......................... Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. 'T .. ......0F.......GI ..n� 'A M L,tc ................................................... Appliration -for Uhipoottl Workii Tomitrurtion Vrruiit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...................................... ...••-------•-••-----•-••--------•--•-------•......--•--...•--...-•-._...........•-----....•--•-- Location-Address or Lot No. - ---•------•-------------------•---------------------- O - wner - -- - Address W �Sr. - u' Installer Address UType of Building/ Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ..... - - ------------------------------ W Design Flow.......................................... allons per person per day. Total daily flow------------------------------------------..gallons. WSeptic TankLiquid capacit G �o..gallons Length................ Width_....-......... Diameter................ Depth--.----------- x Disposal Trench—N _____________________ Wi tli___. WtaLe th....... _.___ otal leaching area._.._._...__._...._.sq. ft. 4erSeepage Pit No.._...�_____________ Diamete ._ ............... l ___..__.__.cTotal leaching area....---...........sq. ft. Other Distribution box Dosing tank Z ( ) g ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date.------------------------............... a Test 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--..-.-.-_-----.__:_.... f� ---•--•------------ ----------- ---- " O Description of Soil----------------------------------------" -- E,t x W x V Nature of Repairs or Alterations—Answer when applicable._.P b©1 XG...Ttl �12�t clV i- w�5`�EA -------. --------------------------------------------------- ---------------------------------------=----------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued by the f health.VLW, 1_ Sig ed...... 1- --- �� c�'L ------ Date Application Approved By ------ -- ---------------- —---- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ---------"-----------------------------------------------------------------------------•------------•-......------------------------------------------------------------------------------------------•-- Date / Permit No. � ...... '�. Date 7S No......................... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiott -for Uhipoiittl Workfi Totwlrurtton Vane t Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. 1`V4\LTC-i-Z,. Dr-tzA,- .0 (Z ..--•-------------------•--.....................--•------------•----•-•--••---••••-••-•••-••••-•-• •--...-•••••-------•.......•-•.....•--•••-•-•••••-•---•-••--•-----••-••......-••-•-----••......--- Owner Address Installer Address Q Type of Buildings Size Lot............................Sq. feet U Dwelling V—_No. of Bedrooms............................................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. WSeptic Tuck Liquid capacity'`/�: f�gallons Length................ Width...... Diameter................ Depth..............-. x Disposal Trench—No.----------.......... Width..._......._.i'�TotaI L th.._.._ ........ . Total leaching area--------------------sq. ft. Seepage Pit No.._.-_._..•.__- _-_----. Depth bel w Inlet._.. .•�. Total leaching area......._.....----sq. ft. � _-- Diameter/%� �•-,. 2 ���GG--s Z Other Distribution box ( ) Dosing.tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...._____........_...... ri Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........._.............. t� .................................................•..... ;=...............I•...................-•••---- ................... ............................ O Description of Soil------------_------- ------------------- -(t=r'�� '�'`l �r-�'� '--------------------------------------------------------------------------- x U -----------------------------------•-------------------------------------------------------------------------------------------------------------------------------------------------------------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.. ° ?- . . ..... ..p!2-x ..`-'..(_NT..5,Y5 _E.?��......... -----------------------•----......._.....-----------..-----------------------------------------•-----------------------------------------------------------------------------------------------------... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. Si ned.----(4/.• .�...:'f.'_.. �� '`, t + 1 kt- ► I Date Application Approved BY E=,G x.: I'`'- �,- .-- he a ..................................... Application Disapproved for the following reasons:............. __............................... ......•-••........................--..Date.............. .................................•--------•-•---------------•--•------------------------ Date PermitNo......................................................... Issued------ --------------- -------••--•-••••••--•- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH is . J Trtif rate of f�outpltattrr f `THIS IS TOdC/�RTIF.Y Thx�(thh�!je Individual Sewage Disposal System constructed ( ) or Repaired ( ) /V n. •t,�nP, ` i_ , lei*-• t t . -----~".. by..,•-- . --------••-•. (I V Installerr j._ 1 tS r�-1P / F�,l ,y. /,r1 / /--�-d/ L4�.�. /' �----�P..lt<.islJl_..__ has been installed in accordance with the provisions of Article`XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...1�7 ............ dated../O- ;�.'..7.:A.-:.............. THE ISSUANCE OF THIS CERTIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........f-•- -�- - -----...--•---•-•------------------- Inspector----i� i THE COMMONWEALTH OF MASSACHUSETTS / f^ ' BOARD OF HEALTH .............OF...........t t ............... No......L_�----- -.. FEE>s-` i� >a tt ork �o.�t tr trtiogt �rrm t - �. /• r Permission is herebyranted^� �. c-..raE= ' r...... .. ��- -.•.=:.f `-... to Construct or Repair ( ) an Individual Sewage Disposal System- - at Street f _. as shown on the application for Disposal Works Construction Per t a No.lf:._f._..!/� Dated--(.G.— —' J i ---•-- . r_ ✓ d DATE- ..--�--77------(�/--------------------------------------------------- Boa of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r STAMP: i9 12'-4' 14'-0" B ' EX. BULKHEAD NEW COMPOSITE DECK ON A5 P.T. FRAME AT NEW STOOP PVC RAILING SYSTEM ° REUSE EX. WD EX. WDW. EX, WDW. EX. WDW. + __EX._PR c c FIRST FLOOR ® ADDITION. x 00 ====----------------- = = X BATH 00 DINING Rrl, OFFICE 000 GARAGE NEW OPEN C EX.. WDW. LINEN RAIL^ ZUI N ( ( \1 KITCHEN/BREAKFAST EX.117 N o w PANTRY w CL. CO 14 DN. DN. U iZ EX. DR. Z _I7 ______----_ _______ Q______ X 0 CL, 5TOR. CL O i EX. WDW. EX. DW REMOVE DOOR I A5 i i LIVING RM, ILLJ Ex. wow- EX. BEDROOMI DEN I AY"c N U w a OPEN RAIL EA. SIDE 14 0° 110 MPH EXPOSURE B WIND ZONE GENERAL NAILING SCHEDULE zp Lu O X 1-- w NEW COMPOSITE DECK ON Number of Number of Box Q W Q Z P.T. FRAME AT NEW STOOP Joint Description Common Nails Nails Nail Spacing > fy v PVC RAILING SYSTEM Roof Framing O Y Z EX. INDIA. EX. wow. EX. wow. Blocking to Rafter(Toe-nailed) 2-8d 2-1 Od each end O r� Rim Board to Rfater(End-nailed) 2-16d 3-13d each end f— EW COMPOSITE DECK ON 66 LL1 :D I— .T. FRAME AT NEW STOOP Wall Framing z ) � O LU PVC RAILING SYSTEM Top Plates at Intersections(Face-nailed)- 4-16d 5-16d at joints- O = � U Stud to Stud(Face-nailed) 2-16d 2-16d 24"o.c. Z 42'-O° Header to Header(Face-nailed) 16d 16d 16'o.c.along edges Q Q -Floor Framing Q LJ.1 Joist to Sill,Top Plate or Grider(Toe-nailed) 4-8d 4-1 Od per joist Blocking to Joist(Toe-nailed) 2-8d 2-1 Od each end 0 INDICATES EXISTING WALL CONSTRUCTION TO REMAIN Blocking to Sill Or Top Plate(Toe-nailed) 3-16d 4-16d each block ROMMMMMM INDICATES NEW WALL CONSTRUCTION Ledger Strip to Beam or Grider(Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam(Toe-nailed) 3-8d 3-1 Od per joist Band Joist to Joist(End-nailed) 3-16d 4-16d per joist Band Joist to SIII or Top Plate(Toe-nailed) 2-16d 3-16d per foot TITLE: FIRST FLOOR PLAN Roof Sheathing Wood Structural Panels FIRST rafters or trusses spaced up to 16"o.c. 8d 10d b"edge/6"field ® INDICATES SMOKE DETECTORS paced over 16"O.C. 8d 10d 4"edge/4"field rafters or trusses s FLOOR PLAN CO INDICATES CARBON MONOXIDE DETECTORS gable endwall rake Or rake truss w/o gable Overhang 8d 10d 6"edge/6"field gable endwall rake or rake truss w/structural outlookers 8d 10d 6"edge/6"field gable endwall rake or rake truss w/lookout blocks 8d 10d 4"edge/4"field Ceiling Sheathing DATE ISSUED: Gypsum Wallboard 5 d coolers 7"edge/10"field 06/14/09 REVISIONS: Wall Sheathing Wood Structural Panels studs spaced up to 24"o.c. 8d 10d 6"edge/12"field 1/2"and 25/32"Fiberboard Panels 8d* 3"edge/6"field 1/2"Gypsum Wallboard 5d coolers 7"edge/I IY'field Floor Sheathing Wood Structural Panels DRAWN BY: 1"or less 8d 10d 6"edge/12"field greater than 1" 10d 16d 6"edge/6"field PROJECT#: a� DRAWING NO.: *Corrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. Nails-Unless otherwise stated,sizes given for nails are common wire sizes. Box and pnuematic nails of Al equivelent diameter and equal or greater length to the specified nails may be substitutued unless otherwise S prohibited. �s L r STAMP: A AS 42'-O° B AS 12'-2" 4'_4:: 4'-2' 48"x36" _____- 5 SHELVES SHOWER ______________________________ Ir__________________________________� w/GLA55 IN LINEN CLOSETS ENCLOSURE PED SINK 36"x36" DOOR SCHEDULE II'-2° 60'z36' TUB N O LINE N �' SHOWER a c w/GLA55 �++ ENCLOSURE DOOR SIZE BATH NUMBER Manufacturer Model NOTES WIDTH HEIGHT M. BATH o S • 01 DOORS TO MATCH EXISTING -- ?• LI EN a v �i - 02 DOORS TO MATCH EXISTING -- 2'-4" M BEDROOM 03 DOOR5 TO MATCH EXISTING -- 2'-4° 6'-8" 5 '�ti, -- r} CO04 DOORS TO MATCH EXISTING -- 2'-2" 6'-8° 12' 0° OS DOORS TO MATCH EXISTING -- 2'-2° 6'-8" -- o 06 DOORS TO MATCH EXISTING -- 2'-4" N h o a BEDROOM 07 DOORS TO MATCH EXISTING -- 2'-4" ATTIC �i PULL DN. --- ------ -- ---- 1I 08 DOORS TO MATCH EXISTING -- 2'-6" 6'-8' -- w vi N STAIRS i 09 DOORS TO MATCH EXISTING L____J 10 DOORS TO MATCH EXISTING -- 2'-2" 6'-B° -- = m O m U n OPEN C II ROGUE VALLEY (OR EQUAL) 412VAD (IG) 3'-0" 6'-B' FIR DOOR RAILING AS 3 O s CL. �i CL. m CL. SH 4 ROD 514 R ROD N SH 6 ROD WINDOW SCHEDULE SIZE W Manufacturer Model TYPE NOTES f1) U o WIDTH R.O. HEIGHT R.O. O W ANDERSEN 24310 DBL HUNG 2'-6 1/8" 4'-0 7/8" -- ANDERSEN 2446 DBL HUNG 2'-b 1/8" 4'-B 7/13" Q 5'-4' TYP. 6'-8" 6'-O° 6'-8° 6'-O° 5'-4" ANDERSEN C245 DBL HUNG 4'-0 7/8' 4'-5 3/8" -- O Z ANDERSEN A21 AWNING 2'-0 5/8' 2'-0 5/8" O 42-O° WANDERSEN 24210 DBL HUNG 2'-6 1/8" 3'-0 7/8" -- H o2S W NOTES: z LU = cc) I. ALL WINDOWS ARE ANDERSEN TILT WASH 400 SERIES OR SIMILAR `f -WHITE W/ PRE FINISHED INTERIORS O Q 2. ALL WINDOWS TO HAVE (1) - STANDARD SASH LOCK 6 KEEPER WHITE SECOND FLOOR PLAN FIN15H ~ Z 5CALE:1/4"-I'-0" _ 3. ALL WINDOWS TO HAVE (I)- CONTEMPORARY SASH LIFT WHITE FINISH 0 Q 4. CONTRACTOR TO VERIFY ROUGH OPENING ON WINDOW SCHEDULE PRIOR TO ROUGH FRAMING. W "NOTES: _ ~ FINAL WINDOW TYPE t 51ZE PER OWNER DIRECTION. SIDING �/ G.C. TO PROVIDE EGRESS WINDOWS IN 2ND FLOOR BEDROOMS , INSTAL (2) 2x HEADER AS REQUIRED BY - "TYVEK FLEXWRAP° STOOL CAP SPAN TABLE 750 CMR - THU: 1. POPLAR TRIM COPPER FLASHING ONE SECOND 2x2 PVC DRIP CAP- TYP. FLOOR PLAN (FRONT ONLY) BLOCKING jx5 PVC HEAD TRIM Ix POPLAR CAULKING - (FRONT ONLY) TRIM ALL OTHERS Iz5 STOCK Ix POPLAR APRON DATE ISSUED: 06/14/09 CAULKING 2x2 PVC 5UB-SILL REVISIONS: _xxm SIDING / CAULKING SIDING. DRAWN BY: Ix5 PVC TRIM BOARD PROJECT#: INSTALL 'TYVEK FLEXWRAP° AT ALL WINDOW OPENINGS ADHERE INTO.ROUGH}� DRAWING NO.: - OPENING ACROSS AND TYP. HEAD DETAIL B SILL DETAIL GJAMB DETAIL UP JAM85 (MIN. 6') � A' SCALE:6'•I'-O' SCJ.LE 6'•I'-C SCALE:6'•i'-O 2 � g� R� L=u r STAMP: "c Iz-a" 6° THK CONC. PAD AT BOTTOM STEP FOR RISER SUPPORT B 5 A5 A 8° DIA. CONC. s AS SONOTUBE-TYP. 7'-6" CONTINUOUS 0°x4'-O° CONC. CONTINUOUS 2x6 P.T. WALL w/4" SHELF SILL PLATE/SILL INSUL. ON VOW CONC. FTG. w/5/8" DIA GALV. A.B. ® 44" O.C. MAX 12" FROM CORNERS d ----- DRILL 6 GROUT w/3°x3"x}" PLATE WASHERS 2-P.T. 2x8 GIRT 2-tt4 DOWELS @ 12° O.C. Z v� 0 w �� 4° CONC. SLAB 6 MIL POLY VB m 6° COMPACTED GRAVEL = m i3!d d- ------ - --------- - -- m Z --------- -------- to EX. 3 DIA. LC N EXISTING GARAGE @ 38'-4" O.C. �c W U z z ---- —a--- -- -- --- ------ --- -- O W �--- Lu LEX. W5x28 ___________________________ ___ \ U O Q 2 GAS METER C Lz � EXISTING BASEMENT AS � O ~ W F— )Lu Q— O O12f cc) U z o Q W WATER METER ELEC. METER Q 4'-IOJ° CB PANEL in 8".DIA. CONC. _ SONOTUBE-TYP. TITLE: 2-P.T. 2x8 GIRT ANCHOR BOLT SCHEDULE PER WFCM 110 MPH EXPOSURE B 6" THK CONC. PAD 1.) ALL BOLTS TO BE J" DIA. GALVINIZED AT BOTTOM STEP - FOUNDATION. FOR RISER SUPPORT 2.) ALL BOLTS TO BE SECURED w/HEX HEAD NUT5 w/3"x3"xq." GALV. PLATE WASHERS PLAN 3.) BOLT SPACING: MAX 44" O.G. MAX 12" FROM CONCRETE CORNERS OR END OF PLATE FOUNDATION PLAN MAX 7" FROM END OF PLATE AT SOLICE DATE ISSUED: SCALE:v4'='-0 4.) BOLT EMBEDMENT MINIMUN 7" DEPTH 06/14/09 REVISIONS: DRAWN BY: PROJECT#: _ DRAWING NO.: A6 LP