HomeMy WebLinkAbout0028 BAYVIEW ROAD - Health °1
8 Bayview Road
Osterville
= 093-050
f _
TOWN OF BARNSTABLE BUILDING P
ERMIT APPLICATION
Map Parcel�V TOWN
/'��F PARA1,S BLE Application#20150 1
Health Division e..� Date Issued
Conservation Division Application Fee Q
Planning Dept.
P I ,
ermit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
/—
y s
Project Street Address _
Village
Owner U/IlIr,//-- d� Address hol r�� say�f',,r & 2Al
Telephone c3`llo• e/0/7 199 ULP� Ll..- �6� I
Permit Request `P.11 �Q/L F �1 sw bVin ll re.10r' Q au PA-)- ket/hrzz)-)7
B,i &I
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District 4 Flood Plain Groundwater Overlay
Project Valuation O Construction Type
,�1
l-
Lot Size (D I / Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: &II ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing 1;2-- new Half:existing new l
Number of Bedrooms: 3 existing—new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other
`
Central Air: ❑Yes M- o Fireplaces:ExistingNew Existing
g wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size—Pool:❑existing ❑new size _ Barn:❑existing ❑new size_
Attached garage:\,4existing ❑new size_Shed:❑existing ❑new size_Other:
Zoning Board of Appeals/Authorization ❑ Appeal# Recorded❑
Commercial El Y'NoO, _-If yes,site lan review# /� 1- '
Current Use _T�(,lY)/ t4 �—Proposed Use �'l _-Aq, JL4
APPLICANT INFORMATION
(BUILDER OR-HOME-OWNER)
Name P��G(,Yi�� Telephone Number
Address f.Ux I I License# lam—V'I y 5
��� ► �l p �7[0 Home Improvement Contractor
Worker's Compensation# It&
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL E TAKEN TO
SIGNATURE �� DATE 0
AsBuilt Page 1 of 1
G TOWN OF BARNSTABLE
LOCATION ,Z a' /S V ebul A' SEWAGE #
VILLAGE o sTe X, V j"L % -e ASSESSOR'S MAP G LOTS 3-as.
INSTALLER'S NAME fi PHONE NO'. {Q A 6 r� ,y �'e�t Sow
SEPTIC TANK CAPACITY_ •. ,SC.� D
LEACHING FACILITY:(Me) IV_F L r R A- rO K. (size) �
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
3t'OP. OWNER ( Il- IL J,CE c
DATE PERbM ISSUED:
f �
DATE COMPLIANCE ISSUED: Ae —
VARIANCE GRANTED: Yes NoL
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h-ttp://issgl2/intranet/propddta/prebuilt.aspx?mappar=093050&seq=1 11/25/2013
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Town of Rarnst ble P// HV
pF1HE 1pk
o Department of Regulatory Services
HA"STABLB• : Public Health Division Date
y MASS.
cb i639, .200 Main Street,Hyannis MA 02601
prED MAy t
Date Scheduled Time l i Fee Pd.
Soil Suitability Assessment for ,Ste cage„ isposa
PerformedDy: S><t.�¢ Qyso�r
�►? Witnessed By. ^ �
LOCATION & GENERAL INFORMATION
Location Address 2S �a�J ew �e9 Owner's Name -Cs f, o .e. 140.skt tl
Gsfi� �1
Address D5 .
2� f�a ✓tc�.J R �
Y �
Assessor's Map/Parcel:...43'i'3/O-'® Engineer's Name 136"+ , —lJj G
NEW CONSTRUCTION REPAIR `J Telephone#...5a18" 77/ "'7,FoZ-
Land Use d rA.jj16Al a 1 Slopes(%) rt :3 4,-- Surface Stones i4 e);q e-
Distances from; Open Water-Body ft Possible Wet Area"' .ft Drinking Wnter Well ft.
Drainage Way ft Property Line ft Other ft
SICETC11:(Street name,dimenslons of lot,exact locations of test holes&pert tests,locate wetlands in proxunjty to holes)
—.r l,i;Cf a
d'a vry
Sco,... tfi4 ,. Jkcdz�i:
Parent material(geologic) t.n tdl e'.14( 014+10-10,51+ Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles:
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_
PERCOLATION TEST Date 6 0 /.S Tlmc l � OA"
Observation
Hole# �' Tillie at 9"
Depth of Perc y Tillie at 6"
Start Pre-soak Time u w / /D 20 Time(9"-6")
End Pre-soak l d '/ l0i25,
Rate Min./Inch 7
Site Suitability Assessment: Site Passed kooOo Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back--------:--
***If percolation test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least.one (1)week prior to beginning.
Q:HEALTH/WP/PERCPORM
ozo15-U3dt O2
DEEP.OBSERVATION HOLE LOG Hole#_
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
C nsiste c % a e
S&A4 10 YR 3�3 —
loy— .1(a� � • • .LoawY Sa�g4 /D y`� gay
n " Mtdtuwl SeniQ IC
DEEP OBSERVATION HOLE LOG Hole# 2-
Depth from Soil Horizon Soil Texture. Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsistenc %Gravel
J-e ain Sahel 10 Y 12,
"�2Q` C �'I'�.GeJ1L U wl. J4r1 I �11� b Z wU9e
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,° Gravel)
(;-sawAy 10 Y R V/1
`/g`/0$ti C2 M caQtwx SGnA 10 9 R 160
O�✓'9C N�'C.�"t�'JN KJC11
-fts f P t 4
DEEP OBSERVATION HOLE LOG. Hole# 41
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,-Boulders.
Consistency,Yo Gravel)
,r �6 c L.�Zvny �t t b
C/ f YM d I 0 `1 K ylG
Flood Insurance Rate Map:
Above 500 year flood boundary No ✓ Yes
Within 500 year boundary No_. Yes
Within 100 year flood boundary"No= Yes Vol.
Depth of.Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? ye.6
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on P t, jc�q (date)1 have passed the soil evaluator examination approved by the
Department of Envirorunental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Date
Signature
20/S
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Flynn, Judith
From: McKean, Thomas on behalf of Health
Sent: Thursday, May 21, 2015 3:23 PM
To: Flynn, Judith
Subject: FW: 28 Bayview Road-Map 093 Parcel 050
-----Original Message----- ,
From: Susan Kruse [mailto:SKruse@baxter-nye.com]
Sent: Thursday, May 21, 2015 3:11 PM
To: Health
Cc: Brittany Fugate
Subject: 28 Bayview Road-Map 093 Parcel 050
Hello,
I am looking for septic information for 28 Bayview Road, Owner name, Haskell—Map & Parcel referenced
above. Is it possible to email me a copy of the permit for the septic system at this location? I have an as built
card which I found on the assessor page; with a compliance date of 11-10-94. Do you have anything more
current? If you cannot email this information, is it possible to fax it to me at 508-771-7622? 1 know in the past I
have been told the inspection reports are too large to fax. I wondered if it's possible to create a pdf of the
inspection report and email this. Let me know the easiest way for me to get this information without too much
work on your end. I appreciate any suggestions or assistance you can offer me.
Thank you very much!!
Kind regards,
Susan @ Baxter-Nye Engineering&Surveying
Susan Kruse
Office Administrator
B A X T E R N Y E ENGINEERING & SURVEYING •78 North Street-3rd Floor •Hyannis,MA 02601
Ph: 508-771-7502 x10 • Fax:508-771-7622 •email:skruse(a)baxter-nve.com •www.baxter-nve.com
Please consider the environment before printing this e-mail
5/21/2015
G TOWN OF BARNSTABLE LOCATION 0,4 y 1/ {ebL.1 L SEWAGE # 6 , t"
VILLAGE ® S7`e X V/DL ASSESSOR'S MAP & LOT22,
INSTALLER'S NAME & PHONE NO. ,. ,4 L A4 t Ct<
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) IV P-1. 1"R A- fOtt (size)
NO. OF BEDROOMS - ' PRIVATE WELL OR PUBLIC WATER
R OR OWNER �:rLE !'
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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No..2# Ftzs.... ....3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratinn for Di_ripmml Work,i Towitrnr#inn ramit
Application is hereby made for a Permit to Construct ( ) or Repair IKX) an Individual Sewage Disposal
System at:
2.8...2a_.&ay..v.Lex..Raad..Qatemy lle................. ......................................................•...........................................
Location-Address or Lot No.
.........---••-----------------------•-----------------
Owner Address
W J.P.Macomber Jr'
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling X-No. of Bedrooms..................3---------------------.._Expansion Attic ( ) Garbage Grinder (Nd
Other—Type of BuildiiigRaRQII............... No. of persons.......Z.................. Showers ( ) — Cafeteria ( )
Q' Other fixtures ................................................... ... .. ..
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Ix Septic Tank—Liquid capacity___-______-gallons Length________________ Width................ Diameter-----_..._..._. Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 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. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
444 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a .--• .............................••-•---------•-•--•------••-----•----•-•-•-•.......---•----•--••----------•-•-•--••---•...--•-...........-----••-•---------.
O Description of Soil_._....an!d...&... rayel.•.............•..........__..___.___._____
V ....•-•-••••-•••------•----•----------------•••---•-•-•-•••-•••-----•--------•-----••••----••••----•----•-••----•-------•--••-••---•-------_.....
W
..--••-•---•-----------------------------•------••••------------------------------------------••-••-----•-••---•-----------------...•-------•----••--••......----•-••---•••......-••--•--••-............
U Nature of Repairs or Alterations=Answer when applicable.__-_Omit---ee.s.s pia e_l.s......ln s.t.all...i.-. 544......
0-allan---tank...1.-IdAistxibut-ian--- ------------------------------------•-------------------••-----••--•---.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has be n i ued by the b rd of health.
Signed ..... .... .. . . f ��%. . ................................... .............Q�.!_ . .4.
.. Dace- -
Application Approved B ........ �......-�`°
.......................................... .............'----'-- ..................-......—...... Dace
Application Disapproved for the following reafons: ..... ....:.'......................... ......................................... . ............
- - ------- ------------------- -------------
......................................
Permit No. ..._.
....................................... Issued � ................' '..
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
t'J ertifi ate of Co nytian-CP
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX )
J P.Macomber Jr.
by------------------------------------------------------------------------------------------------------------ ------.......------------------- -------------------------------....--- -----------------------.
I nstanrr
28 Bayview Road Osterville
at ---- -- ----------------------------------------------------------------------------------------------_---------- .. ......................... . -- ................-...-
has been installed in accordance with the provisions of TITI. f The StateEnvironmental Code as des ribed in
the application for Disposal Works Construction Permit No. 1- ..F-� -------- 1`.�'._- -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---- ""' f /r ..... ................. .. Inspector.'... /..' ................. .........................
I
------------- ----------------------------------------------------- L-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE $ 3000
No.....:...........1,� FEE.........................
rrn if
J P Macomber Jr.
Permissionis hereby granted............................................................. --------------------•------•-----------•-•------------------....................
to Construct ( ) or Repair (KX) an Individual Sewage Disposal System
at No....28...Bayview -Road Osterville
- - - -- .
Stre
as shown on the application for Disposal Works Construction Permiv Dated_ /. .. Xf'.......`-;.
�j / f� �J� Board of Health
DATE......
J
FORM 36508 HOODS&WARREN.INC.,PUBLISHERS
No J
4/� Fss....$....30.00
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diti-pitittl Workii Tomitrnr#ion ramit
Application is hereby made for a Permit to Construct ( ) or Repair gX) an Individual Sewage Disposal
System at:
2.9.... .................. .........•----------------.....----------------------------------....----------......---•-........
Location-Address or Lot No.
Charles-- Haske1I............................................................ •••----•-----------•---------------------------•......--------------------•-......------....--....
Owner Address
W J.P.Macomber Jr.
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling x-No. of Bedrooms------------------
3-_-_--_--______-_-_----Expansion Attic ( ) Garbage Grinder (NO)
aOther—Type of Buildingy aMft............... No. of persons-------2---------_-------- Showers ( ) — Cafeteria ( )
dOther 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........................................
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground Water.-.-_.-._-.-_-_-_-_._.-.
4r Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
W ----•-•...................•-----•--------------------•---•-------------••••......------....---------.........................................................
0 Description of Soil......Sand...&... ravel
U --------------------••--------------......------------•-------•-----------•-----•-----------------------•--••----•----••-••••---•---------•-----------•-•---••----•----...----------.....------------.--
W
UNature of Repairs or Alterations—Answer when applicable..._.fttt...C.essDool.. .....•I_n.stall.__1=1500...__.
gallaz __tank_-1--di-stribut-ion box -6-infiltrators .
Agreement:'
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental 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.
1 13 94
�JC�' 0 / .
Signed ......<t. w.pp (/�, --.... - ...... ..................
Dare
Application Approved B �!/. ........ .................f.................. ............. - ......
� .
X Dare
Application Disapproved for the following reasons: ................................................... .. --- ............... ................... .............-- --
........--- - --------------------------------------------- - --- ...............................................................................................
....................................... -- .-- -....-----------------*.................
Permit No. �y
/.. / .. .............. Issued ----- ��....'Dare
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TOWN OF BARN STAB LE. ,
Health Division— 200 Main Street - Hyannis, MA 02601
FAN • Op THE>p�
Nov y�
t BABNSTABLE," Date:
Number of pages including cover sheet:
ArFD MA'S�
TO: FROM:
Town of Barnstable
Health Division'
Phone: Phone: 508-862-4644
Fax phone: 65 0 E— 7 71 _ 74-z a Fax phone: 508-790-6304
CC:
REMARKS: ❑ Urgent ❑ For your ❑ Reply ASAP ❑ Please comment
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