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HomeMy WebLinkAbout0087 EAST BAY ROAD - Health 87 EAST BAY ROAD Osterville A= 140-204 1 - I E M EAD i IIFEPING YOU ORGANIZER INo. 12134 2-153LGN WiRmam ti� is = o POSMNS= �w�o • NtADEfnI l5A I OR��AT$�.� � s rd �1 d = r 4 w : r �s 7.[M. _ 9 c. Y A , p: R.# n , •� .R"! , w z lit iA W�4 647 o �{�J�'.�C�-' ��7��,r=-t � C4 �� .���� �:� C�X'= doh v!!�-��� :t• ' ` , _ r r - � r w• J" r � - i � C_ •.[ ate. ,� � .a 4. � i t` s �'�.#��^t` e y�7,.• ''� �'�• 5 c,'�• „•'a. wa .� '-� �Y 4 �S"'4 TF a.+ js `' tk F1L+:-• '' " A ,;• 4�*s:w - .. r- ` t* ... it� ,�� r' - ; {� - xR a `�' , F• f ' �c ^;� -r: ,+°•'.. ;�-��' ,fry � � � '. '�� �e rr• u e! x.,_ ->af, 3 �' r x _ � 'xr •cif w•`•. j a .i, r�• a;. r ,>�, ;.� w .R a� �� . • a�, Rom.,; ,. �,,> t° y F Rr �, `*± •.,,. h .,4~� � rs� C- �� "'k~ •i+ J.r tt • a• - ,}'} �S �a,r ` � � F .N`{� J_ �}� ..F. � �,' 4a, - R f ¢ '�"` t '-}' {ram ais`{ A w�{ '' � a. rtc y S 4 }rt";'^, ;*. .•x R �' ` �s ''..'i8; t w ya- _ - i ,. ' �f." E #4 r. t- 4 J .. '8 ty�•x 4 e e 4 h r b '� `� ��,- 5 '�:• - '"�' j tr'r �� S .� � 3 _. 'Fi, ^rye R a r a rt�� �?--,. No. t ✓ Fee r.— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pphratlon for Misposal Opstem ConstrUttion VPrmit Application for a Permit to Construct( ) Repair(k Upgrade( ) Abandon( ) ❑Complete System A Individual Components Location Address or Lot No. ?-7 LAB GA4 Owner's Name Address,and Tel.No. Assessor's Map/Parcel ' C"cls.= w lK Installer's Name, ddress,and el.No. 50�—4-7 7—g,,8'7 T Designer's Name,Address,and Tel.No. GUp�t 0&� Sc — a eua- cc, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building (l1fW No.of Persons Showers( ) Cafeteria( ) Other Fixtures 'Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) '1l}$fl�rL ��ty� �"�'-(® c 5oa cS -7 r`l� �ZXk7(L tlJ kJ H - 0 0-8-ay GJ L z-& Date last inspected: :Agreement: The.undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed C Date " `d ";L0 N Application Approved by Date Application Disapproved by Date for the following reasons C? inh 60 Permit No. CA 72 { Date Issued No. i / Fee �--- THE COMMONWEALTH OF, MASSACHUSETTS ' Entered;ncomputer: es PUBLIC HEALTH DIVISION'- TOWN OF BARNSTABLE, MASSACHUSETTS Zipplicatlon for BisposaY 6pstem Construction 3permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon'( ) ❑Complete System Individual Components Location Address or Lot No. Owner's Owner's Name Address and Tel.No. , Assessor's Map/Parcel j ��Z' �,G:1 0(X it Installer's Name,Address,and el.No. .7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 121 No.of Persons Showers( ) Cafeteria Other Fixtures (� Design Flow(min.required) Q gpd Design flow provided gpd Plan-• 'Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ` Description of Soil Nature of Repairs or Alterations(Answer when applicable) ni 5m4u_ A j c ], 4 1,(o�.�w' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed C Date =ax.2 IQ TtApplication Approved by i 6-C- Date Application Disapproved by Date for the following reasons . r � } Permit No. Qolq L( ;� Date Issued 67 THE COMMONWEALTH OF MASSACHUSETTS �Y20 , rj -`� f BARNSTABLE,MASSACHUSETTS v (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 04A `T 6 G OyAL O O at Q"�. �" 3"'^ has been constructed in accordance,with the provisions of Title 5 and the for Disposal System Construction Permit N 4 dated Installer Designer #bedrooms • /�}— Approved design floThij, gpd The issuance of this pe it sh 11 not be construed as a guarantee that the sys"tem will fun DateInspector --------------------------------------------------------------------- ------ NoQ0 A 3H __ Fee 75, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at ,/ �, ' !✓ t. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved by ed*4 -F -� QFTfiE Tp� kzftd Town of Barnstable Barnstable WMFmcaCl[y Inspectional Services oil BARNSTABL& NA Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 'Thomas A.MNean CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4988 1302 August`27, 2019 MANNIX, LEIGH E & MARY TRS 47 NEWFIELD.STREET WEST ROXBURY, MA 02132 ORDER TO COMPLY.WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 87 East Bay Road, Osterville, MA was inspected on 08/08/2019 by Thomas Roux, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Conditionally Passes" under the guidelines of 1995 TITLE.V (310 CMR 15.00) due to the following: • Structurally unsound septic tank and distribution box. The septic tank.is leaking. The distribution box is corroded and crumbling, and needs to be replaced. You are ordered to repair or replace the septic system within sixty (60)days from the date you receive this notification. , Failure to repair/replace the septic system within the deadline period will result in future enforcement action. . PER ORDER OF TH BOARD OF HEALTH C - as cKean, R.S., CHO Agent of the,Board of Health Q:\SEPT1C\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\87 East Bay Road Osterville.doc WHEr Town of Barnstable i + BA FrAHLE, '- �A 6 9 Inspectional Services Department lfD MA'S� - Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15,000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. . ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool tructurally unsound septic tank fx ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well . ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems'' (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid_ level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form"-Not for Voluntary Assessments 87 East Bay. Rd. Wd Property Address Michael Bresnahan Owner Owner's Name / information is Osterville / Ma. 02655 August 8 2019 required for every 9 page. Cityrrown State Zip Code Date of Inspection 'µ y ro 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 forms A. Inspector Information on the computer, use only the tab Thomas Roux key to move your Name of Inspector y { cursor-do not use the return key. Company Name 89 Mayflower Lane , reD Company Address East Wareham Ma. 02538 �I City/Town State Zip Code 774-678-9066 S14531 Telephone Number License Number B. Certification I certify that:)am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);I have personally inspected the sewage disposal system at theproperty address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: - 1. ❑ Passes .2. ® Conditionally Passes - 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority., Please note: 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. t5insp-doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) System Conditionally Passes: ® One or more system components as described in the"ConditionalPass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts a - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8 2019 required for every 9 page. CityrFown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑N ❑ ND (Explain below): ® distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): The distribution box was severly corroded. The concrete of the D-Box is crumbling. ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑Y ❑N ❑ ND(Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form +' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8 2019 required for every 9 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: The septic tank is also in need of replacement. The tank was corroded inside and is leaking. There was 20"of water in the septic tank at the time of inspection. 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8, 2019 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 ❑ ® 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 water supply well. ❑ ® Any portion of a cesspool br 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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—IWPA)or amapped Zone II ofpublic water supply well t5insp.doc.rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . 87 East Bay Rd. Property Address Michael Bresnahan Owner Owners Name information is required for every Cisterville Ma. 02655 August 8, 2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: 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? ®' El information 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. Citylrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): No design Number of bedrooms (actual): 5 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail Laundry is connected to the main system. Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form-Not for Voluntary Assessments. 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: No information Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? 'Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8 2019 required for every 9 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 25 years, as-built plan dated 10/27/94. Were sewage odors detected when arriving at the site?. ❑ Yes ® No 5. Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10' feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8, 2019 required for every g page. CityfTown State Zip Code, Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): ' 1 Depth below grade:' p g 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: 8'L x 5.67'W x 5.67'H 1 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 35" Scum thickness Distance from top of scum to top of outlet tee or baffle 35" Distance from bottom of scum to bottom of outlet tee or baffle N/A How were dimensions determined? measured 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 septic tank is leaking. The tank had 20"of water in it at the time of inspection. Outlet baffle is in good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 Au ust 8, 2019 required for every g page.e. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments � 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8, 2019 required for every g page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" 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.): The D-Box is in need of replacement. The D-Box is severely corroded and crumbling. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c� Commonwealth of Massachusetts r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osteryille Ma. 02655 August 8 2019 required for every g page. Cityrrown State Zip Code Date of Inspection D. System Information (font.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No` Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: A pit structure was dug up and inspected. The pit was dry and very clean with no evidence of hydraulic failure. Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts ra Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �n 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma. 02655 August 8, 2019 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): A pit structure was dug up and inspected. The pit was dry and very clean with no evidence of hydraulic failure. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts �= Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form Not for Voluntary Assessments ., .� 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 .. Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. CitylFown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately See t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 r - ;!� -AsBuilt Page 1 of 1 LUCAT10 C S 'V SIWAGE ( PERMIT N0. ILLAGE t T f INSTALLER'S N ME i ADDRESS V\A asv nit . -c-)-D34 BUILDER OR OWNER DATES PERMIT ISSUED r� QLl DATE COMPLIANCE ISSUED fib' y http://issgl2/intranet/propdata/prebuilt.aspx?mappar=140204&seq=1 8/7/2019 Commonwealth of Massachusetts j Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: below 106" feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Dug a test hole onsite below the depth of the pit to ensure that the pit is not in the groundwater. See attached soil report. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August 8, 2019 page. City/Town State Zip Code Date of Inspection E. Repoft Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Commonwealth of Massachusetts City/Town of Osterville y` Form 11 - Soil Suitability Assessment for On-Site*Sewage Disposal A. Facility Information Michael Bresnahan ` Owner Name 87 East Bay Rd. ' 'Street Address Map/Lot# Osterville • Ma. 02655 City State Zip Code B. Site Information 1. (Check•one) ❑ New.Construction ❑ Upgrade ® Repair m 2. Soil Survey Available? ® Yes ❑ No If yes: Website 252B . Source. Soil Map Unit , Carver Coarse Sand Soil Name Soil Limitations Sandy glaciofluvial deposits • Outwash Plains ' Soil Parent material Landform 3. Surficial Geological Report Available? El Yes® No If yes: Year Published/Source Map Unit Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? . ❑ Yes ® No 5. Within a velocity zone? ❑ Yes ® No - 6. Within a Mapped Wetland Area? ❑ If yes, MassGIS Wetland Data Layer: Yes ® No Wetland Type 7. Current Water Resource Conditions(USGS): Range: ❑ Above Normal ❑ Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: t5forml 1 87 East Bay•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5 Commonwealth of Massachusetts City/Town of Osterville - a` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DTH-1 ' Aug. 8, 2019 8:00 A.M. clear Hole# Date Time Weather Latitude Lonqitude: residential laen none 3-8% 1. Land Use (e.g.,woodland, agricultural field,vacant lot,'etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: 2.. Soil Parent Material: Sandy glaciofluvial deposits Outwash Plains ` Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body +100' feet Drainage Way +50' feet Wetlands +100' feet Property Line +25' feet. Drinking Water Well +100' feet Other feet 4. Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit _ Depth Standing Water in Hole Soil Log Redoximorphic Features` Coarse Fragments, _ ; Soil Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume Depth(in) Soil Structure Consistence Other /Layer (USDA Moist(Munselq Depth Color Percent Gravel Cobbles 8� (Moist) Stones 0"-7" O/A Sandy Loam 10YR4/3 7"-15" B Loamy Sand 10YR5/8 15%106" C Coarse 10YR7/6 Additional Notes: t5form11 87 East Bay•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 5 Commonwealth of Massachusetts City/Town of Cisterville y` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review(minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation.Hole-Number: - - Hole#` Date Time Weather. Latitude Longitude: 1. Land Use: g ) s ( 9 ) P (° ) (e.g.,woodland,agricultural field,vacant lot,eta Vegetation Surface Stones e. cobbles,stones, boulders,etc. Sloe /° Description of Location: 2. SOII Parent Material: Landform Position on Landscape(SU,SH, BS, FS,TS) 3. Distances from-. Open Water Body feet: Drainage Way feet Wetlands feet Property Line feet Drinking Water Well feet Other feet 4. Unsuitable Materials Present: ❑. Yes ❑ NO If Yes: • ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5.. ,Groundwater Observed:❑ Yes ❑ NO If yes: _ Depth Weeping from Pit Depth Standing Water in Hole -Soil log Soil Matrix: Redoximorphic Features Coarse Fragments Soil Soil Horizon Soil Texture /°b Volume Depth(in) y Soil Structure Consistence Other /Layer (USDA) Color-Moist Cobbles& (Munsell) Depth Color Percent Gravel (Moist) Stones Additional Notes: t5forml 1 87 East Bay•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts City/Town of Osterville - y` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#. Obs. Hole#- ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches • ❑ Depth to soil redoximorphic features (mottles) inches .inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches .(USGS methodology) . . Index Well Number Reading Date Sh'= S.—[Sr.X(OWE—OWmax)/OWr] Obs. HoleMell# Sc Sr OWC Ow. OWr Sh 2. Estimated Depth to High Groundwater: inches E. Depth of Pervious Material _ 1. Depth of Naturally Occurring Pervious Material - a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ® Yes ❑ No b. If yes, at what depth was it observed (exclude A and O Upper boundary: 15" Lower boundary: 106" Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches ' t5forml 1 87 East Bay•rev.3/15/18 Form 11 -soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 Commonwealth of Massachusetts City/Town of Osterville y` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification certify that I am currently approved by the.Department of Environmental'Protection pursuant to 310 CMR 15.017'to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. August.9, 2019 ;. = ; Signature of Soil Evaluator. Date Thomas Roux/SE2703 June 30, 2022 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License 4 ` Name of Approving Authority Witness Approving.Authority Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,-and to the designer and the property owner with Percolation Test Form 12. Field Diagrams: Use this area.for field diagrams: / 014 t5form11 87 East Bay•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5 As oor 1 Parcel J� Permit# j b cp@ its nn wo. ' Date IssuedNo- Engineering Dept. (3rd floor) House# 1 '1SisTtic $LSD STA TO 7 WN OF BARNSTABLE Building Permit Application Project Street Address 7ReLJ Village Owner -14 dress Telephone Permit Request YaT d �- i Lev • � `I First Floor j square feet Second Floor /t% Al",5 square feet Estimated Project Cost $ 5- Y U V , ' Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use .j iI,t214f!' C'ii,,45T t41)If5. Proposed UseSU/✓IME�j C S �{ccSC Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House -Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor , Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU ��- _ D BUILDIN RMIT DENIED FOR THYFOLLOWING REASON(S) p �,- I Li'o, - "Ao q q 9 -�-3 G L, , CAT10l S SEWAGE PERMIT NO. _ ' j I L A G E vv\.C, I N S T A LLER'S NAME i AD•DRESS I �� , was L4-11 -0 B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED f� � ' s� Sg Oo 0 el, F 1 No. FIz .�i� $ ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Di-nVo ial Work,i Towitriartion jJgrmit Application is hereby made for a Per to Coristruct ( ) or Repair an Individual Sewage Disposal System at: �� led Location :\ die s or Lot No p 4 -------------------•------------------.....-------------•----------------•-----........--------- Owne ddress a C `' .,, ........ � � ..- ................. hnc�: �1f... ....................... �Y 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 ( ) 04 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........................................ 0 Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__:................... 04 ........•• --- .. ----------------------•-------•----------------------..._..---------- Description of Soil.................. ._._ U ......._ V Nat re of epairs or Alterations Answ r when applicable._-. s___________________CXS�� CeSt -- - - ------- ` s � �� , Agreement: � �•�c...-� 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 CompliMe has been issued by the board of health. Signed ... +. Dace Application Approved By : ... ^ Date Application Disapproved for the following reasons: .............................................................:....................... Date PermitNo- -------------------------------------------------------------- Issued .. ...�.(,2....-.`-. ..' ........................ Dare 4�O - No..!.t ?OLT C e l ao FIzs.............................. THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diupuuttl Worlai Tunutrnrtiun ramit Application is hereby made for a Per to Construct ( ) or Repair an Individual Sewage Disposal System at: ` .....�..�Q S ...... `1.............` �= ���.....--.. . ---- Location . dre s t or Lot No. \ Owne V ddress �,..�c, r t 11'lc�� y S SN. •-e-, Q C�2C.y�1. -•-••-• ....................•-- Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms._........__ ____Expansion Attic ( ) Garbage Grinder ( ) _--------_------- — Pk Other—Type 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-------------_.......... f-14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groun(� water........................ RS ------- . Description of Soil--------------•-•• ------•--••••--••-------•-•••-------------------•---•---••••--------------------------------------------------------- U -••••-•••-•-•••-•••••••-•••----••••••••-•-••-•--•••-•-••-•••••••-•--•••-••--••••-•.............•-•--•••-•-------•-••••••••••----••-••••-•--•-----•-•...••••-•••-••••--•--•-•-•--••------•••.......... W i UNat re of Repairs or Alterations 1 Answ r when applicable ......... ........ x_f_s _� � U C� Ow rvT �..:...........�.S ° = S = . .._Q.........--•--------------- �(' � ............. Agreement: Li 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 Compl' nc,5e has been issued by the board of health. Signed ...- -----!�-- -\ ............................. ..© .-.�........... ..... Dare Application Approved By ....._..\/r- . , C�✓ .J -..... ......................................------..........-----------'------- Dare Application Disapproved for the following reasons: .............................------------------------------------------------------------------------------------------- ........... .................................................... .... - ............. - ----- 7 `( Dace PermitNo. .........................------------------------------------ .. Issued ........;1.(.�----..----`5.�----------------------- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ( U��Ertifirate of Complianre T S`IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by-----....� C�--(�.�.- -a.!.-- . .............1 .1..� Yam. ���j.. -- ��_s.........t�. ... .5 .---------------- � -.... 0 cam. ..,r_.J.. .... - at ----------------------- ---------~ `� has been installed in accordance with the provisions-df TITLE 5 Cof The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..._....I......---..--- dated ._._............................._------._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... _... .. � � ,�,,�� Inspecto ...... -�-- -P. i��--------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 3o,O No......................... FEE............---- �iu�>aun� ,fur � �unut��rtiun �rrut�t , Permission is hereby granted....... -,. '.`__......•_.``-._._...__� `�•-:--C�S'.S...............•••.._....•••..........---.. to Construct ( ) or Rair Individual Sewage Dispos yst 7 ,, (( - atNo. - 5{ --------------------------------f- --------e------••------.-.- Street O as shown on the application for Disposal Works Construction Permit No._ _�.���. Dated.._.�.__._._.�7...__�.`C_.._. ..,. _.'-----------------------------------------•----•----.------- of Health t llV�/ DATE_.:-�•-n--------•-------------•------.-----------.....--------------...-•---- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 87 East Bay Road Osterville, MA 02655 Two Bedroom Guest Cottage Die Test. I Thomas Roux witnessed a die test performed at 87 East Bay Road in Osterville MA on 11/15/2019. The die test has confirmed that the bathroom in the guest cottage does connect to g g the existing system in the front of the house. Sign X �Xw-zot Thomas Roux Lic #: SI4531 Fnis.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appfiratiou for Mirpinial Works Tawitrurtion Frrmit Application is hereby made for a Per to Construct or Repair �an Individual Sewage Disposal System at: , , . I 1�1_ r7 f-V-- ...60'at........ V.........I_--------------- ...... ...........................................----------------- Location dre s or Lot No. ­ --------------------------------------------------------------------------------------*-------- S�dd I ress -----—---------------- ...YYw ....................... --------------------- -------- `f* �.�. C, —.......... Installer Address Type of Building Size Lot............................Sq. feet U, —No. of Bed 44. .......... 0-4 Dwelling rooms.........n ____________Expansion Attic Garbage Grinder ( ) �1 Other—Type of Building -------------­------------- No. of persons_______ ________•-__---_- Showers Cafeteria ( ) Otherfixtures ---------------------------------------------------------------------------------------------------------- ....................................... Design Flow............................................gallons per person per day. Total daily flow---- .......................................gallons. 04 Septic Tank—Liquid'capa6ty------------gallons Length________________ Width---__--_____--_- Diameter__._._-_--__-_- Depth___- ____---- Disposal Trench— No. ..................... Width---------------------Total Length..................... Total leaching area....................sq. f t. Seepage Pit No........ ...... Diameter-------------------- Depth below inlet__._............._.. Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 ninutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. I.................i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..___...............___. ��­,i............I ........................................................................................................................... 0 ............................................................................... Description of Soil................ ...... .. ................................... U ...................................................................................................................................................................... ................... ................................................ ............................. ............... ......... --- ----------- - . . ..............V........... U Nat re of jZepairs or ALterations Ans,,,vTr when api3licable................. ---------------------------­ ... .. ..... --------------- ................ ............ 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 CompliMe has been issued by the board of health. Signed ...( -7 .......................... ........\VA ...................................... Application Approved By ....... ........................................ Dare Application Disapproved for the following reasons: ..................................................................................................... -------...... ...........:............................................................ ..... ........................................................................................................................................ ..............7:- ----- PermitNo. ................................................................... Issued ...... Commonwealth of Massachusetts Title 5 Official Inspection dorm - Subsurface Sewage Disposal System Form. .Not for Voluntary Assessments J` 87 East Bay Rd Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma: 02655 August 8, 2019 page. City/Town 3 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 A. Inspector Information filling out forms on the computer, use only the tab Thomas Roux . key to move your Name of Inspector cursor-do not use the return Company Name key. 89 Mayflower.Lane Company Address East Wareham Ma. 02538 Citylrown State Zip Cade 774-678-9066 S14531 Telephone Number License Number B. Certification I certify thata am a DEP.approved system inspector in full compliance with Section 1.6 340,of Title 5 (310 CMR 15.000);I have personally inspected.the sewage disposal system at theproperty address listed above; the information reported below is true,accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection:I have determined that: . the system: 1. Passes 2. Z Conditionally Passes 3. ❑ Needs Further Evaluation by the.Local Approving Authority 4. ❑ Fails I snI pectors Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the systern 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 DER The original form should be sent to the system owner and copies sent to the buyer, if applicable, and.the approving authority. Please note: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 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 t5insp.doc•rev:7l262018 P 9 Po Y 9. Commonwealth of Massachusetts VMTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan - Owner Owner's Name information is Osterville . ... . .. Ma. 02655 August 8, 20.19 required for every page. ICityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1;2, 3, or 5 and all of 4.and 6. 1) 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: 2) System Conditionally Passes: ® One or more system components as described in the"ConditionalPassl'section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by: the Board of Health, will pass: Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements If"not ' determined,".please explain. The septic tank is,metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits.substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. .. ... . .. . Y ❑N . . ❑ ND(Explain.below): t5insp.doc-rev.7Q62018 Title 5 Offic-al Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection form - Subsurface Sewage Disposal System Form-.Not.for Voluntary.Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owners Name information is e required for every OStervllle Ma. 02655 August.8, 2019 page. Cityfrown .. State Zip Code Date.of Inspection C. Inspection Summary (cont) 2) System Conditionally Passes(cont.): Fj Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): El broken pipe(s)are replaced ❑ Y ON ❑ ND (Explain below): obstruction is removed ❑ :Y ON ❑ ND(:Explain below); ® distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): The distribution.box was severly corroded. The concrete of.the D-Box is crumbling: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s)..The system will pass inspection if(with approval of the Board of Health). .. broken pipe(s)are replaced ❑Y :.ON ❑ ND (Explain below): ❑. obstruction Is removed OY ON 0 ND(Explain below): 3) 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. a.. 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: t5insp.doc•rev.7126/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form I- Subsurface Sewage Disposal System Form Not for Voluntary Assessments J� 87 East Bay Rd Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. . . 02655 August 8, 2019 page. CltylTown State .Zip Code Date of Inspection C. Inspection Summary (cont.) 0 Cesspool or privy is within 50 feet of a surface water E] Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. 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: OThe 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. OThe system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has aseptic tank and SAS and the SAS is within 50 feet of a private water supply well. OThe 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.. . C. Other:. The septic tank is.also in need of replacement. The tank-was corroded inside�and is leaking.There: was 20"of water in the septic tank at the time of inspection. 4) 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 sewa9e into facility or system component due to overloaded or 0 . . 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 Title 5 Official Ins ec6on form:Subsurface Sewage Disposal System•Page 4 of 18 t5insp.doc-rev.7l2612018 P 9 Po Y . a9. Commonwealth of Massachusetts Title 5 Official Inspection Form k' Subsurface Sewage Disposal System form Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner.'s Name ' information is e required for every Osteryille Ma. 02655 August 8, 2019 . page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid.level in the distribution box above outlet invert.due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow ❑ ® Required pumping more than 4 times in the last year NOIT 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 toa surface water supply. . Any portion of a cesspool or privy is within a Zone 1 of a public water supply El z 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 1.00 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 2000 gpd- 10,000 gpd. ❑ 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. 5) 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 CA. Yes No ❑ ❑ the system is within 460 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-IWPA)or a mapped Zone ll of a public water supply well t5insp.doc•rev.712 612 01 6 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts IR Title 5 Official Ins ection Form i' Subsurface Sewage Disposal System Form Not for Voluntary Assessments .. / 87 East Bay Rd Property Address - Michael Bresnahan Owner Owners Name information is e required for every Osterville Ma. . . 02655 August 8, 2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont,) If you have answered"yes"to any question in Section C.5.the system is considered a significant threat, or answered "yes"to any question in SectionC.4above the large system has failed. The owner or operator of any large system:considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes".or"no"for eachof the following foraH inspections:. 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 slte7 Z ❑ 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? Wasthe 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: Q ® 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)] t5insp.doc•rev.712 612 01 8 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection form r' Subsurface Sewage Disposal System Form.-.Not for Voluntary Assessments 87 East Bay Rd... Property Address: Michael Bresnahan Owner Owners Name information is Osterville , ' required for every. Ma. �26 55 August 8 2019 Zip Code Date of Inspection page. Cltylrown State ' D. System Information 1. Residential Flow Conditions: No design : 5 Number of bedrooms(design): Number of bedrooms(actual); DESIGN flowbased on 310 CMR 0 5:203{for example: 110:gpd x#of bedrooms): Description::.:. _.. . 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes: Z No. s No Does residence have a.vuater treatment unit?:: .: ❑ :Ye. .. If yes, discharges to: . Is laundry on a separate sewage system?.(include laundry-system inspection information in this report..} ❑ Yes No Laundry system inspected? Yes. D No Seasonal use? Z Yes ❑ No Water meter readings; If available._(last 2 years (gp Osage d .)) Detail : . Laundry is connected to the main system. Sump.pump? ❑ Yes No . . unknown :.. Lastdate of occupancy:: Date t5insp.doc•rev.712612018 Title 5:ofriaal Inspection Form:Subsurface Sewage Disposal System•Page 7 of.18 Commonwealth of Massachusetts Title 5 Official Inspection Form �r Subsurface Sewage Disposal System Form,-,Not for Voluntary Assessments :87 East Bay Rd. Property Address Michael Bresnahan owner Owner s Name information is r 02655 Auust.8 2019equired for every Osterville . ... . .. _. . .. Ma. g , page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) .. . Commerciallindustriall Flow Conditions: Type of Establishment:: . Design flow(based on 310 CMR 15.203). Gallons per day,y(9pd) Basis of design flow(seats/persons/sq:ft,'etc:):.: tra .Grease resent? - p P . ❑ Yes ❑ No :: 4. .. .. Water treatment unit present? El Yes ❑ No f i :yes, discharges to: :: Industrial waste holding tank present? ❑ Yes ❑ No i i Non-sanitary.waste discharged to the Title 5 system? ❑ Yes ❑ No .: . . . . . . . . Water meter readings, if available: Last date of occupancy/use: Date Other(describe below); 3. ..Pumping Records:. No information.' _. . Source of information: i t Was system pumped as:part of the inspection? ❑ :Yes Z No t If yes, volume pumped: gallons. How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7126/2018 Titfe 5 Official Inspection Form:.Subsurface Sewage Disposal System Page 8 of 16 r" r Commonwealth of Massachusetts 1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 87 East Bay Rd. Property Address Michael Bresnahan Owner Owners Name information is required for every Osterville Ma. . . 02655 August 8, 2019 page. Cltyr own State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: z Septic tank, distribution box,soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy Shared system (yes or no),(if yes, attach previous inspection records,if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ . Tight tank.Attach a copy of the DEP approval. El Other(describe): Approximate age of all components, date installed (if known)and source of information 25 years, as-built plan dated.1.0/27/94: Were sewage odors detected when arriving at the site? El Yes N No 5. Building Sewer(locate on site plan): Depth below grade: -feet Material of construction: El cast iron M 40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10' feet Comments(on condition of joints, venting, evidence of leakage, etc.); t5insp.doc-rev.7/2620,18 Title.5 Official Inspection Form:Subsurface Sewage Disposal System.Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form (� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd Property Address Michael Bresnahan Owner Owner's Name information is required for every. Ostervllle Ma. . . 02655 August 8, 2019 page. Cltylrown State' Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 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 8'L x 5.67W x 5.67'H Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle :. 35 Scum:thickness Distance from top of scum to top of outlet tee or baffle 35" Distance from bottom of scum to bottom of outlet tee or baffle measured 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.): The septic tank is.leaking. The tank had 20 of water in it at the time of inspection. Outlet baffle is in good condition. t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not,for Voluntary Assessments 87 East Bay Rd., Property Address Michael Bresnahan Owner Owners Name information is required for every Clsterville Ma, 02655 August.8, 2019 page. CityTrown State' Zip Code Date,of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: . :feet. Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or:baffle Distance from bottom of scum to bottom of outlet tee or baffle Date.of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 8. Tight or Holding Tank:(tank must be pumped at time of inspection.)(locate on site.plan);, Depth below grade: i Material of construction: . . El concrete El metal [],fiberglass. ❑ polyethylene . El other(explain)::. j I l Dimensions: Capacity: gallons ( I Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 j+ t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-N.ot.for Voluntary Assessments J, 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Cisterville Ma. 02655 August.8, 2019 page. Cltyr'rown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. 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.ofbox, etc.): The D-Box is in need of replacement:The.D-Box is severely corroded.and crumbling. i5insp.doc•rev.7126/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection :Form Subsurface Sewage Disposal System Form-.Not.for Voluntary Assessments 87 East Bay Rd. . Property Address Michael Bresnahan Owner Owner's Name information is required for every Osterville Ma. 02655 August.8, 20119 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan)' Pumps in working order: ❑ Yes ❑"No* Alarms in working order: ❑ Yes. El No* Comments(note condition:of pump chamber, condition of pumps and appurtenances,etc:):. I i *If pumps or alarms are not in working order, system is:a conditional pass. 11. Soil Absorption;System (SAS) (locate.on site plan, excavation not-required): If SAS not located, explain why: A pit structure was dug up and inspected..The,pit was dry and.very clean with no evidence of hydraulic failure. p - s. Type .. ® leaching pits number: 2 ❑ leaching chambers:.; number:El " " I leaching galleries number:; ❑ leaching trenches number, length: ❑ leaching:fields number,.dimensions: ❑ overflow cesspool number: i Innovative/alternative system I Type/name of technology: t5insp.doc-rev.M612018 TtUe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page.13 of 18 Commonwealth of Massachusetts �d Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-.Not.for Voluntary Assessments .� 87 East Bay Rd... - Property Address Michael Bresnahan Owner Owner's Name information is Osterville Ma: 02655 August.8, 2019 required for every page. City/Town State Zip Code Date:of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): A pit structure was dug up and inspected. The pit was dry and very clean with no evidence of . hydraulic failure. i 12. Cesspools (cesspool must be pumped as;part of inspection) (locate on site plan):.. Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool . Materials of construction: Indication of groundwater inflow ::: .. ❑ Yes.: ❑ No Comments(note condition.of soil,signs of hydraulic failure,level of.ponding,condition.of.vegetation, etc. i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:SubsurfaceSev✓age Disposal System•Page A of 16 i I Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1� 87 East Bay Rd. Property Address Michael Bresnahan Owner Owners Name information is required for every Osterville Ma: 02655 August 8, 2019 page. Cltyfrown State Zip Code Date.of Inspection D. System Information (cont.) 13. Privy(locate on site plan): . Materials of construction: .: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic.failure,.level of ponding,.condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form h Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - 87 East Bay Rd Property Address Michael Bresnahan Owner Owners Name information is Osterville Ma. 02655 August 8,.2019 required for every page. City[Town State Zip Code Date.ofanspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, in6uding ties to at least two perrrianent 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 ® drawin attached separately: - P _ . . l5insp.cloc•rev.7126/2018 Title.5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 As3uilt Page 1 of l LC CATLOti,� S SEWAGE PE R MIT NO. oczK - 1llACE _.. . INS7ALLE.R'5 N ME a AOO,RESS C. 5-k rnnaSV vn L-1-7034q BUILDER DIt OWNER GATE PERMIT ISSUED DATE COMPLIANCE : .ISSUED E I + � 1 aa� ,� oh t httn://issgl2/intranet/propdata/pre.b*uilt.aspx?mappar=140204&seq=1 8/712019 c � Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 87 East Bay Rd. .. Property Address Michael Bresnahan Owner Owner's Name Information is required for every Osterville Ma: 02655 August 8,.2019 7.page. Cltylrown State Zip Code Date of Inspection D. System Information (cost.) 15. Site Exam: Check Slope ® Surface water Check cellar ® Shallow wells Estimated depth to high.ground water::. below 106" feet. Please.indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record If checked, date of design plan reviewed: Date Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain:: . ❑ Checked with local excavators, installers-(attach documentation), .: Accessed USGS database=explain; You must describe how you established the high groundwater elevation: Dug a test hole onsite below the,depth of the pit to ensure that the pit is not in the groundwater. See attached soil report. Before filing this Inspection Report, please see Report Completeness Checklist on next page.. t5inep.doc•rev.7/26120 1 8 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 17 of 18 4,"\ Commonwealth of Massachusetts Title 5 Official Inspection -Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments LJ/l 87 East Bay Rd. Property Address Michael Bresnahan Owner Owner's Name information is required for every Osteryille Ma: 02655 August.8,.2019 page. Citylrown State Zip Code Date:of. _ . E. Report Completeness Checklist Complete all applicable sections.of this form inclusive of:., Z. A. Inspector Information: Complete, all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked Z C. Inspection Summary: 1, 2, 3, or 5.completed as appropriate 4(Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached :. For14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: [Explanation of estimated depth to high groundwater included q. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:.Subsurface Sewage Disposal System•Page 18 of 18 Commonwealth of Massachusetts - City/Town of Osterville - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information II _Michael Bresnahan Owner Name 87 East Bay Rd. Street Address Map/Lot# Osterville: Ma. 02655. City . ... State Zip Code • I B-Site Information 1. (Check one):: . ❑ New'Construction ❑ Upgrade ® :Repair: 2. Soil Survey Available? : Yes M No If yes: .. : Website 252B Source. So e. Soil Map Unit Carver Coarse Sand Soil Name Soil Limitations Sandy glaciofluvial deposits Outwash Plains _:.. Soil Parent material Candform 3. Surficial Geological Report Available?❑ Yes®_ No If yes: Year Published/Source Map Unit Description of Geologic`Map Unit: 4. Flood Rate Insurance Map Within a regulatory,floodw,ay?, ❑.;Yes ® No iq 5. Within a velocity .:. zone?:: ❑:Yes: a No 6. Within a Mapped Wetland.Area?.; Yes ® No If yes; MassGIS Wetland Data Layer: Wetland Type 7: Current Water Resource Conditions(U,SGS): Range:. ❑ Above:Normal. ❑ Normal ❑' Below Normal :Month/Day!Year 8. Other references reviewed: t5form11 87 East Bay rev.3/15/18 Form 11 Soil Suitability Assessment for On=Site Sewage Disposal •Page 1 of 5 Commonwealth of Massachusetts -� City/Town of Osterville s` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DTH-1 A�cu 8,.2019 8:00 A.M. clear Hole# Date: Time Weather Latitude Longitude: residential _ lae_n_ __ none_ _ __ 3-8% 1. Land Use (e.g.,woodla.nd,.agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,,boulders,etc.) Slope(%) Description of Location: 2. Soil Parent Material: Sandy:glaciofluvial:deposits _ Outwash Plains : Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body.. :+100' feet: Drainage Way +50' feet Wetlands. +100' feet. Property Line +25 feet Drinking Water Well +100' feet Other, feet 4. Unsuitable Materials Present ❑ Yes -® No if Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock :5. Groundwater Observed:❑ Yes NO If yes-, Depth Weeping from Pit Depth Standing Water,in:Hole Soil Log . Redoximorphic Features Coarse Fragments Soil Depth(in) Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume oil Consistence Othe /Layer_ (USDA Moist(Munsell) Cobbles& 3 Structure Con nce r, Depth Color Percent Gravel (Moist) Stones T-T O/A: Sandy:Loam_ 10YR4/3 T-15" B Loamy Sand 10YR5/8 15"-106" : C' Coarse - 10YR7l6 Sand Additional Notes: t5form1 1 87 East Bay•'rev:3115/18 Form 11'-Soil Suitability Assessment for On-Site Sewage'Disposal •Page 2 of 5 Commonwealth of Massachusetts -- City/Town of Osterville >` Form 11 - Soil Suitability-Assessment for On-Site Sewage. Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: _ Hole# : Date Time Weather Latitude Longitude: 1. Land Use: (e.g.,woodland,agricultural field,vacant lot,etc:) Vegetation Surface Stones(e.g.,cobbles,stones,:boulders,etc.) Slope(%) Description of Location: 2. Soil Parent Material: Landform posifion on Landscape(SU,SH,BS,FS,TS) 3. .Distances.from: Open'WaterBody • . feet Drainage Way feet ..: Wetlands feet_:. Property Line feet Drinking Water Well feet Other feet 4. Unsuitable Materials Present: ❑ 'Yes ❑ No If Yes: ❑ .Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5.. Groundwater Observed:❑,Yes ❑.:NO If yes: Depth Weeping from:P:it Depth Standing:Water in Hole Soil Log Redoximorphic Features Coarse FragmentsSoil Co se Depth(in) Soil Horizon Soil Texture Soil Matrix: %by Volume it St Consistence /Layer (USDA) Color-Moist Cobbles& Soil Structure . Other,' (Munsell) Depth Color Percent Gravel stones (Moist) Additional Notes: t5form11 87 East Bay•rev.3/15/18 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts City/Town of Osterville y` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole# Obs. Hole# :Depth observed standing water in observation hole inches inches ❑ Depth weeping from side.of observation hole inches inches ❑ Depth to soil redoximorphic features (mottles)' inches inches" ❑ Depth to adjusted seasonal.high.groundwater(Sh) inches inches (USGS methodology) Index Well Number Reading Date Sh S.—[Sr z.(OWr—OWffm)/OWr]'. Obs.:Hole/Well# Sc Sr p OW, ; OWmax O.Wr Sn 2. Estimated Depth to High Groundwater.: inches E. Depth of Pervious :Material 1.. Depth of:Naturally Occurring:Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil. absorption system? ® Yes ❑ No b. If yes, at what depth was it.observed(.exclude A and O Upper boundary: .15" Lower boundary: 1.06" Horizons)? _ _ inches inches c. If no, at what:depth was:impervious.material observed? :. Upper boundary: .Lower boundary: _ inches inches 15forml 1 87 East Bay•rev:3/15/18 Form 11 -Soil Suitability Assessment for On=Site Sewage Disposal •Page 4 of 5 Commonwealth of Massachusetts Gity/Town of Osterville - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F..Certification I certify that l.am currently.approved by the Department of Environmental Protection pursuant to 310 CMR 15.01.7.to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15017. 1 further certify :that:the results of my oil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. August 9, 20:19 Signature of Soil Evaluator Date: _Thomas Roux/:SE2703 June 30, 2022 .Typed or Printed Name of Soil Evaluator/,License# Expiration_Date of License Name of Approving Authority.Witness Approving Authority Note:In accordance with 310 CMR 15.018(2)this form mustbe submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12...: -Field Diagrams: Use this area for field:diagrams:: 7 � ut t5form11 87 East Bay•.rev.3/15/18 Form 11 Soil Suitability Assessment for On=Site Sewage.Disposal •Page 5 of 5 { A Thomas Roux 89 Mayflower Lane East Wareham, Ma. 02538 RE: Title 5 inspection conducted at.87 East Bay Rd. Osterville, Ma. Title 5 inspection and report...................................................................... $350 Soil Evaluation and report ............................................................................$350 Machine to dig the test hole and locate the system ....................................$350 Town fee to submit the report ......................................................................$25 Total amount due was .................................................................................$1075 The above due amount was paid in full on the day of the inspection by check. Thank You, Thomas Roux I O leSlte Underwritten Com:Midvale Insurance Program Underwritten by:Midvale Indemnity.Company A Wisconsin Stock Company The Grande Ins Agency Inc PO Box 5316 Binghamton, NY 13902 844-288-7998 . Information as of:09/28/2018 POLICY DECLARATION This document and your policy contract define our insuring agreement. In retum.for payment of premium and. subject to all the terms of this policy;We agree to provide you insurance as stated,in the policy. Policy Information Named insured: THOMAS ROUX Policy Number GLP1029346:: E-mail Address: Policy Type: Commercial Portfolio TROUX.MAIL@GMAIL.COM Policy Period 09/28/2018 to 09/28/2019 12:01AM Phone: (774)678-9066:. Standard Time at Primary Location Location Information Location#1 (primary location) Address: 89 MAYFLOWER LN EAST WAREHAM,MA 02538 Coverage Information (limits&deductibles shown are non-stackable across locations) General Liability Limit Per Occurrence Limit - $1,000,000 General Aggregate Limit(other than products/completed.operations) $2,000,000 Products/Completed Operations Aggregate limit $2,000;000 Personal and Advertising Injury limit $1,000,000 Damage to Premises Rented to You(limit per premises) $100,000. . Medical.Payments(limit per person) $10,000 Deductible Liability Property Damage Deductible. $250 Per Occurrence General Liability Premium $314 BID CMP 100101 18 Page 1 of 3 f - i Inland Marine Limit Deductible. Unscheduled Tools and Equipment(per occurrence) $10,006 $500 -$1,000 Max Per Item Iniand.Marine Premium. _ . .. _ $285 Policy Premium $599 Discounts Applied to This Policy Full-Pay Loss-Free . Policy Forms and Endorsements CG 00-01 .04 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 03 00 01 96 DEDUCTIBLE LIABILITY INSURANCE CG 21 01 11 85 EXCLUSION-ATHLETIC OR SPORTS PARTICIPANTS CG 21 06.05. 14 EXCLUSION-ACCESS OR DISCLOSURE OF CONFIDENTIAL:OR PERSONAL. . . INFORMATION AND DATA-RELATED LIABILITY-WITH LIMITED BODILY INJURY EXCEPTION CG' 21_47_12_07 EMPLOYMENT-RELATED PRACTICES EXCLUSION . CG 21 49 09 99 TOTAL POLLUTION EXCLUSION ENDORSEMENT CG_21_51 04 13 AMENDMENT O.F LIQUOR LIABILITY EXCLUSION-EXCEPTION FOR SCHEDULED . ACTIVITIES ENDORSEMENT CG 21 67 12 04 FUNGI OR BACTERIA EXCLUSION CG 21 70 01 15 CAPON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG 21 86.12 04 EXCLUSION-EXTERIOR INSULATION AND FINISH SYSTEMS: CG 21 96 03 05 SILICA OR SILICA-RELATED DUST EXCLUSION CG_22_24_04_13 EXCLUSION-INSPECTION,.APPRAISAL,AND SURVEY COMPANIES 'CG 24 26 04 13 AMENDMENT OF INSURED CONTRACT DEFINITION CG 77 04.02 15 LEAD LIABILITY EXCLUSION CG 77 14 02 15 ASBESTOS EXCLUSION CG 77 24 02 15 DAMAGE TO PROPERTY OF OTHERS ENDORSEMENT CG 77 44 02 15 MULTI-UNIT AND TRACT HOUSING RESIDENTIAL.EXCLUSION CM 00 01 09 04 COMMERCIAL INLAND MARINE CONDITIONS IH 00 68 12 13 CONTRACTORS EQUIPMENT COVERAGE FORM IH_68_02_07 99 MISCELLANEOUS ITEMS BLANKET COVERAGE IL 00 17 11 98 COMMON POLICY CONDITIONS IL_00_21_09_08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT(BROAD FORM) IL_09_35_07_02 EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES IL 09 52 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM IL.09 85 01 15 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT BID CMP 100101 18 - Page 2 of 3 In witness whereof,we have caused this policy to:be signed by our authorized officers. Home Office MIDVALE INDEMNITY COMPANY 6000 American Parkway Madison,WI 53783 C Andrew A. McElwee,Jr. David Holman President secretary BID CMP 1001 01 18 Page 3 of 3 LOtCAT ION �j n S E G E PERMIT NO. � "' f7 r . VILLAGE OST-Lku 1 l 5- M Aq� _ INSTA LLaE�R'S NAME & ADDRESS B U I'L D.E R OR OWNER ?CA Am t1-s -F )6 , DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED .-- 2 o-7 f ' s y r � �� .. N � ��� J No.._„31l.............• FEE....S'...A...CJ... THE COMMONWEALTH OF MASSACHUSETTSy BOARD PF HEALTH _OF- . ----------------------- ,A.Ppliratiart -fur Bilivulitti Works Tons rtiott Vrrutit Application is'hereby`made for a Permit to Construct ( ) or epai Individual Sewage Disposal System at = ` ................... ........•--•-------•-•----••-•----•-----•-- ••--• •-•••------•-•----.........•-•-- . Locati n-Address or No. 41-0 Owner Address /�r J-------------------------------------------------------- .z-. 1� . Z&I------ -------------------------- Installer Address Type of Building Size Lot-------------------- Sq. feet ., Dwelling—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 Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth--------_...... x Disposal Trench—No-____________________ Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No./49.Q._.. Diameter____________________ Depth below inlet.................... Total leaching area.._-_---.._.__....sq. ft. z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by................................... Date Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water...___-.____.._-.-.-- !� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ --------------------------------------•--•-•---•------•---•-----------•------------••-•-•••-•---••-...................................................... ODescription of Soil -------------•----......----------------------------------......--------------- _-_-.-.----------------------------------- x W U Nature of Repairs or Alterations—Answer when applicable._.___ __ _ _ . -----_______________________. ---------------------------------------------------•------..._......----------...---••-•--••••-•-•-. CG%� Agreement: The undersigned agrees.to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The un ersigned further agrees nXopl, e the system in operation until a Certificate of Compliance has ee t d of health. Signed... ..--•-----•--------- � .. --------- D to Application Approved By---....-- --- ----•---------------•-••------------•-------------------.._......._----- _.;_.._..---•-------Date--------------- Application Disapproved for th following reasons:................................................. _-.._ ._... .--------.-..---...Dat e---•-..-__---- ..............•-•-•---...----...............-•-----------•-•----•---......---------------------•-----------------•-•---•--•--------•--- ----4--------------••-•-----------•--- .. Permit No......,.�__�,............................=.......... Issued.------ �� ` 7 ff// Date No.._SA...•-••••... Fs$..--�....Gl.. :... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH OF.... r ........................ ApplirFatiun -fur Bi-quiff al urkii (Tour rtivaa na t Application is hereby made for a Permit to Construct ( ) or epair-.. Individual Sewage Disposal System at .. ....... ...................... Locat in Addr or No .r Owner Address aWa . ... ---------------------------------------- _: - .. -- Installer Address Qa Q Type of Building Size Lot----------------------------Sq. feet V Dwelling—No. of Bedrooms--------------------------------------.-----Expansion Attic (' ) :,Garbage Grinder ( ) p-, Other—Type of Building ____________________________ No. of persons............................ .Showers ( ) — Cafeteria ( ) Other fixtures •-------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width--------......... Diameter______----_-_- Deptlt-_.-_-___----_. x Disposal Trench.—,NO. ___...................Width-------------------- Total.-Length_._,___:.............Total leaching area-_------____--._____sq. ft. Seepage Pit No, J040_40... Diameter.............. ..: Depth below inlet....................Total leaching area--___- -_________-sq. ft. Z Other Distribution box ( ) -Dosing tank ( ) WPercolation Test Results Performed by-•_______________........................................................... Date------------------------------------:- -. Test Pit No. 1_______________minutes tier inch Depth of Test Pit--------------------- Depth to ground. water---------:-_:_--_-.-_-.- fiq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-__-___-_____-_____--. 9 ..............-----------.........-...............----------------------------•••----•-•--••••--••......................................................... ODescription of Soil--- ---------------------------------•-•------_______-•---••----•-----•-•-•--•-----------------------------------------•------------- ---------------------------------- x W U Nature of Repairs or Alterations—Answer when applicablew.d--- - -- ------ - - ------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI„of the State Sanitary Code—The iin rsigned further agrees not to'plqce the system operation until a Certificate of Compliance has bee t of health. Signed -: r .. ....... •••-•--•-----•...................... D�f Application Approved BY_ ----------------- --- .Pate Application Disapproved for the following reasons:--•--•--------•-•-•-------------•-----------------------------------------•••-- ---•-•------•--•--------------•-- •--------- ••-•--•.........................•-•-------•---------•••--•-•-----------••--•-----•--------._._..._-_.....-----------------------------------...........--- ----------------------------------- (z Date Permit No......311.-----•-----------------------•---.... Issued.._ ........ --------�f(7 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................./c...... ..............OF.......�+�.*14A.(:r/y .C........................................... Trrtifiratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) at----------- °'{ � � �...... � -__ -___ __ nstallerJ gyp•_____-_ fe� �,t ___.. .f rG _ �_______________________ has been installed'in accordance tary with the provisions of Article XI of The State Sani ode as described in the application for Disposal Works Construction Permit',�l,o. __/__ ________________________ dated.-_.._._ -c __w ...._....__�_.7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--- ` ............ .............. -- ............ Inspector... T -- ----------- {£• �rortgt THE COMMONWEALTH OF MASSACHUSETTS L ark `BOARD OPY HEALTH talc do , OF............... *•4.Aj?f*i�4.4.-------..--..-..-----..-.-...... �.,u^ FEE T �f•- No. ° . _'r°��.,� a.;-r .' �i��u.�ttl urk,� �un�traartivat rrmit Permission is hereby granted--------4s__s________ _` ' ? ._ to Construct or Rej)air (L.-, n Individu 1 Sewage Disposal System at No..-- --- 7 ' L'/s S i�'. ' Q' - �' /t �, - Street .q as shown on the application for Di pdsal Works Cons tritcton,Permtt No-_--^�_---r______- Dated..... R Board of Hh DATE--------- �'.. .. a"'< ..------------= ..�.. r N � FORM 1255s HOBBS & WARREN INC TPUBLISHERS � r '�� � � '4 � �1'P"Itiui✓x fi. _._.. . � •.ram _.,. - L., GENERAL CONSTRUCTION NOTES GENERAL DEMOLITION NOTES GENERAL NOTES GENERAL FRAMING NOTES DIM0,15ONS:PIMENS101,16. SHOWN ON THE PLANS ARE TO THE CENTER OF THE FINISHM PARTITION SCOPE:DEMOLTrION Rctl E6,NF 15 NOT UMrna>TO.FIOORM6,GEL010-11 PARTITIONS,WALLS ALL GGN517RLYTION 5FW1 GOPFORM r0 THE MASS STATE PLIP6.GGDE 9th ®frION ALL CONSTRLCTION SHALL 6OI1FORM TO THE MASS STATE BLDG.GORE OR WALL,UNLESS OTHERWISE NIOTEP.DO NOT SCALE PWN510145 FROM THE DRAWING AND FINISHES AS INDICATED,COORDINATE EXTENTS m Pma rrm WITH CONSTRUCTION PLANS, &LOCAL RE15 LATION 9th EDITION&LOCAL ReeWTION AD PERFORM DEMOLITION AS NECESSARY TO COMPLETE THE NEW WORK ALL BEAMS ARE TO W_fi..11".PHE FRAED I1Id.ESS NOTED OTHERWISE. WORK:PERFORM ALL MINOR CrrTIN6,PATCHINl6,DISCONNECTION'S,REMOVAL AND REPAIRING DO NOT SCALE DRAWINGS FOR DIMENSIONS,ALL elk D APPROXIMATE ALL HEI6HT5 NECESSARY TO COMPLETE THE WORK IMICATED IN THE CONSTRI.GTION DOCUMENTS. INCLINE MINOR VERIFICATION:FIELD VERFY THE ACCURACY OF THE E(16TIN6 CONDITIONS SHOWN IN THE TO BE GONPIRmEp WITH SITE CONDITIONY WORK NOT USIALLY SHOWN OR SPECIFIED,BUT NECESSARY FOR PROPER 6ON5TRWTION AM CONSTRUCTION DOCLpj=NNrS PRIOR TO McINNNNG DEMOLITION WORK. IMMEDIATELY NOTIFY THE ALL HEAPER5 TO BE 2'XId'WITH}CDX PLYWO(A SPACER TYPICAL COMPLETION OF ANY PART OF THE WORK WHERE ETR DOORS ARE LOCATEP WITHIN AREAS OWNER AND ARCHITECT O`ANY DISGREPANCITS. UPON COMPLETION OF THE DEMaTrION WORK, epNERAL.COMPACTOR 5114L FIELD VERIFY EXISTINe COW[TIONr.PRIOR TO UNLESS NOrm OTHERWISE RECEIVING NEW MOOR FINISHES AND THRESHAPS,CHECK DOORS TO VERIFY DOOR BOTTOMS DO NOTIFY THE OWNER AD AI;zMffECT TO ALLOW THEIR INSPECTION AND EVALUATION OF C6N5rR.LTVR EXISTING CONDITIONS SHOWN ON PANS MUST BE VERIF®PRIOR TO VERIFY ALL FRlNMRNG ELEVATION PRIOR TO SETTING TOP PATES. NOT BIND,DRAG OR SCRAPE NEW FLOOR FINISHES.GUT DOOR BOrrOMS TO CLOSE PROPERLY. COMIra is PREVIOUSLY CIVzA-ED.PROVIDE A COMPLETE LIST OF ALL VISIBLE WATER ANY WORK BEING PERFORMS BY THE CONTRACTOR,NOTIFY ARA(MITECT/DE516hFR DAMAGE LOCATIONS. OF ANY ISSUES PRIOR TO CONSTRRTIONI. PATOIM6:PATCH NEW OONSTRLGTIRN INTOIXISTRNG-rO-REMAIN AREAS TO AGHIIEVE A GONYSTENT - Al WALLS TO BE 2"x6"®Ib" o.c.TYPICAL LN_E%NO�s OTHERWISE MATCHINe APPEARANCE OF THE A IACFM PARTrrCN5:WHERE 5TUp-FRAMED DRYWALL PARTITIONS,SITS AND CELINGS ARE WIGATED _ ISLE SITE PLANS(6Y OTHERS)FOR&RARING AND UTILITIES. SEE SITE PLAY OY TO W REMOVED,THIS SMALL MEAN DEMOLITION AND REr1OVAL OF TIE ENTIRE ASSEMBLY OTHERS)FOR ALL 51TE LAPSC, G&PROPERTY LINE LOCATIONS Al 5LIB FLOORS TO BE 'T86 PLYWOOD,6LUPD;AM SCREWED TYPICAL. FINISHES.PROVDE SMOOTH TRANSITIONS BETWEEN NEW AND EX5TIN&-TO-RFMAR PLANES OF INGUAME,WALL FINISHES,FiRAMMe, BLOGKMe,A6CE550RE5,TRIM,FIXTURES,ELECTRICAL - I ..,� MATERIAL.AVOID CREATING LINES,CREASES OR.bMTS WI-ERE THE NEW AND D(5TIN6 FINISHES DEVICES AND cONDUIr/WIRW MAINTAIN ETR ELECTRICAL DEVICES AT OTHER EM LOCATIONS MILLWORK SELECTION BY OWNER PROVIDE HEAVY DUTY SIMP..OPL JOIST HANBERS AT ALL BEAM,MOOR,AND MST. SERVICED BY REMOVED 6ONDUTrS. DECK CONNECTIONS. FIRE ALARM DEVICES&LOCATIONS FOR NEW&EXISTING TO MREVY.PFD& �-- PATCH AD REPAIR FLOOR%AB SURFACE TO PROVIDE CLEAN,LEVEL SURFACE FOR NEW FINISHES. SALVAGE WORK CAREFL LY REMOVE/125AS5EMBLE ALL ITl9415 INDICATED TO BE SA_VA6®. APPROVE BY LOCH_FIRE DEPr.ADD FIRE AARM5 IN ERSTIHNB BEDROOMS PER THE PROVDE H LIRRIGAE 0.11-5 AT AL ROOF TO WALL. INTERSECTIONS AND TAKE PREGAUrIONs TO AVOID DAMA&M6 THE fTEMM PLRHO THE RE)ACNA_OR DSASSEMDLY MASS MLDMG COPE,HARD WIRE AL SMOKE AND CARBON MONOXIDE DETECTORS FLOOR TO MOOR MTERSEGra'15 CAWVNG/5EA_ANr:PROVDE CALKING/SEALANT AT ALL GAPS AM JOINTS CREATED BY THE NEW PROCESS.PER OWNER DIRECTION,STORE ALL SALVAGED ITEMS IN A SAFE,SECURE AM PER MASS GODS ll CONSTRUCCTIO'N.PROVDE PACKER RODS AND/OR CLOSURE PIECES WHERE THE&AP SIZE EXGE97r ENVIRO ME111TA LY PROTECTEP AREA PROTECT ITEMS FROM DAMAGE DURING E STORA6 PROVDE PATE WASHERS AT AL ANOIOR B0.T5 AT SILL ELECTRIC OUTLETS 51WITLHES&LI611TM6 TO THAT RFLOM ENDED BY THE CALKING/5EA_ANT MANUFACTURER.ALOW FOR POSSIBLE THERMAL RE-INSTAL 5ALVA6ED ITEMS A5 W16ATE> IN THE CONSTRLGTION DOO.MQNTS. , BE APPROVH7 BY OWNER AND SrRllGTLRAL MWEh1FNr OF ARWAWr G0N5TRU:TIONS.USE PROPLYTS REOCOMAENLED BY THE PLYWOOD S'•�T5 MUST QU CONTINUOUS F FROM WI TO PATE PER THE IS `- MANLFAGTURER FOR EACH SPECIFIC CONDITION. USE. TEMPORARY DISCCON�EGTION OF UTILITIES TE�,IPORARLY DISCONA€CT ALL ETR UTLfrIES ���TEL.DATA&GABLE CURETS LOCATION TO BE APPROVED 9Y OWNER WAL9thL EDITION FRAMING REQUIRFJ+ffiNTS FOR HI6fi WINID LJNES AND CARE£ PAINTABL.E ACRYLIC OR BUTYL SEALANT AT INTERIOR VERTICAL JOINTS. TO PERFORM THE INDICATED WORK COORDINATE THIS WORK WITH THE OWNER WA1 CPENRJCf. PRIOR TO DSCONNEGTMG UrLrTIE,.56'EAA.E THE WORK AS NECESSARY TO MINIMIZE THE AL LUMPIER SHALL BE NO.2 OR BETTER WO f REPETITIVE VALLE OR BETTER( ALL LON�EGTGRS IN CONTACT w/PRESSURE TREAT®LUMBER OR ROU6t1 CARPENTRY:COORDINATE,FURNISH ADD INSTAL DRvff-NSIOWL LUMBER FOR Dl1JOKRJ6 M IMPACT TO THE OWNER.RE-CONNECT UTILITIESQ�Qv871ATELY AFTER(COM1PLErION OF THE KIW DR®) CONCRETE MUST BE HOT DIPPED STAINLESS STEEL NEW AND ErR WALLS,SOFFITS AM 6ELIN65 REWRFP FOR THE SUPPORT OF ALL EWIPMMENNT, WORK RE-ROUTE UTLITIES/Ca4-EGTIONS AS ALL INTERIOR FNr*U=S ARE TO M APPROVED BY OWNER PRIOR TO INSTALLATION MILLWORK,CASEWORK,RALS,ACCESSORIES,FIXTURES AND DEVICES MICATIEP IN THE REQURED TO PROGRE%ARaM NEW GON5TRLYCTION.PROVDE BLANK COVER PLATES AT Da,BLE JOMST UNDER AL PARALLEL WALLS ABOVE,AND Al.TIUBs, � GONSTRUYCTION DOCUMENT5.U-SE PRESSUIRE-TREATEP WOOD WHERE IN CONTACT WITH CONCRETE RECEPTAOFS IW16ATEP TO M A6ANDOJED IN�LAECE. ALL NEW WINDOW!' TO BE TIT-WASH,FOR EASY GLEANING.AL Wl ARE - SHOWERS.AIP TOILET FIXTURES OR DAP CaVITIONS . PROTECTING ETR UrLITIE5:VERIFY AND PROTECT AL ETR CHASES PRIOR TO BEGINNING TIE•. BASED ON AN AF SLX5 N 400 ARCHITECT16A SERIES WINDOW.CONTRACTOR SEAL PRwDE Sap BLOCKING AT MID—SPAN 6r AL MOOR JOIST SPANS AND � _L PROTECTION&CLEANUP:PROTECT AL NEW CONSTRU:TION AD INSTALL®WORK FROM DAMAGE, DEMOLITION WORK PO NOT DAMAGE OR'DISCOMEGT D(5TRJ6 UTILITIES,U/rLESS OMERWISE NOTE`! (,E IN 0=SUBSTATION 5 MADE AND OWNER MA15r l.ND6R5TAND THE - AT AL CORNER WALLS DIFFBREENGE IN Elf G'IANC£ STAMIN6 AND DIRT.A5 PART OF THE PRO,FLT 6R.05EO1T:REMOVE ALL EXTRA P LAMA_5 MRGTA NOW.LRATt MAINTAIN PE AND PROPER OPERATION OFT O K)R MG FIRE ALARM SYSTEM FOR THE Al LUMBER EXPOSW TO THE EXTERIOR OR POSSIOLE DAP THESURFACES SITE;CLEW ALL 6L.ASS,WINDOW P FLOOR FI BLINDS,FIXTURES,META_AND LA CLEAN PEMOLP%.OF Tt£DEMOLITION (AND CONSTRUCTION)WORK R3MLrATE TO DES WITHIN A66ORAGTGR 70 VERIFY ALL SITE GRADES AO NOT E&IN EZA WALLS ENVIRONMENTS MUST M PRESSURE TREATED. SURFACES;SWEEP VAGl11M AND/OR MOP BOOR FMIr...t'ES ADD LEAVE THE SITE M A OF.NN AND DEMOLISHED WORK:AT WALLS,PARTITIONS ADD CASEWORK INDICATED TO BE DEMGLI5HIFD, - AClCORDMGLY WtT7'1 SITE PLANS BY OftERS DO NOT BrSW EWCAVATIOJ UNTIL.ALL I ORDERLY CONDITION. DI56ONWZT AND REMOVE AL PIPING,60WUIT AND WIRNe BACK TO A POINT or SITE ELEVATIONS HAVE BEEN APPROVED BY A CIVIL EN&INEER.ARCHITECT NOT CONGEALMENT.PROPERLY CAP AM/OR RAO TERMINATED ETAS.MARK LOCATIONS Of' RESPONSIBLE FOR GRADE HE.I6HT5, INVERT HIEI6HT5,OR ANY CWL ITEM - Al EXTERIOR WALL AND ROB SHEATHING MST BE}CDX PLYWOOD DOOR HARDWARE: INSTAL HARDWARE IN ACCORDANCE WITH MANiFAGTURER"5 INS546TIO1,15 AD TERMINATED UTILITY LINES AND WIRES.REMOVW SAFETY ELVIPMIENT AT MAOLISI-M WORK: LPL.ESS NYIr®onrRWSE RECCGMVflNIPATIONNS,USING PROPER TEMPLATES.ACCURATELY AND PROPERLY FIT HARDWARE TO AT WALLS,PARTITIONS AD GASEWORIK IMVATIP TO M DEMOLISHED. PROVM CONTINlUC1S SILL,SILL INSULATION AD TERMITE PROTECTION ARaW DOORS AD FRAMES.REMOVE DFOSED PARTS AND R`_-INSTAL AFTER DOOR AND FRAME FINSHINIEi ENTIRE PRRMETER OF FOUNDATION WALL AL LUMBER MUST BE Pap-t AS FIR-LARCH #2.GRADE WITH A MIN FIBER 5 COMPLETED.FIT PARTS SNUG AND FLUSH.ADJ)ST OPERATMG PARTS TO MOVE FREELY AM PERMIT&DISPOSAL:OBTAIN Al NECESSARY DEM0.ITION PERMITS AM-APPROVALS PRIOR TO - STRESS OF 1,100 PSI,UN_E%NOTED OTHERWISE OR LUESS ENEINTERED SMOOTHLY WIThmr BIMIN6,5T1GKINe OR WITH E(CE%NE CLEARANCE LUBRICATE BEARING PROGEEPING WITH THE WORK DISPOSE OF ALL DEMOLISHED AP REMOVEP MATERIALS N A PROVIDE I LAYER OF rATK BUILDING PAPER OR EQUAL-ON AL EXPOS®WALL LUMBER , SURFAEB Or Mo/ING PARTS.vj-6T LATGHIN6 AD Ha-PiNe,DEVICES FOR PROPER FUNCTION. L.F6AL METHOD PER APPLICABLE REbUATIONS. IMMEDIATELY NOTIFY THE OWNER AND THE SURFACES PRIOR TO SDMG,TAPS AT AL JOINTS AND SEAMS. DI LPhe INSPECTOR OF ANY MATERIALS THAT ARE SU5PECTED OF CONTAINING HAZARDOIS - .. ALL COLAR TIES ARE TO M YXb"®W..c.UNLESS NOTED OTHERWISE PALATINE:PREP AL AREAS AND MATERIALS TO RECEIVE PAIMT�AND 57AINlED FINF51f5,PER . AL IN WAIL.PIJ.PMBMG.FLE(TORAL,A�D HN/AC COMPONENTS PASSING T11RU SRD MANLFACTU.RER'6 RECOMMENDATIONS.TEMPORARLY REMOVE ALL E(ISTINle COVER PATES, MATERIALS WALLS TO BE COVERED WITH A META_SHIED PLATES TO PREVENT P.NGTURE ALL MARINEI��1�.A_IGN WITH BEAMS BELOW DOWN TO HARDWARE,516NA6E,ETC..FROM SURFACES INDICATED TO BE PAIMTE97 OR STAINIT.RE--INSTALL5TRWT1PZ TAKE PREGAITIONS TO PROPERLY SUPPORT STRUCTURES MfWTPP 6Y DEMOLITION PROVIDE GORE VENT AND VENT7�SOFFITS w/AIR 1>AFFiES AL"ENTIRE RIDGE, - tiT AFTER NEW FINISHES ARE GOMPLEII-D AD DRIED.REPAINT ETR WALL AND 5OH=1T PLANES FLUSH WORK CEASE DEMOLITION WOW AD NOTE`(AROCI1TrEGT AND OWNER IMMEDIATELY IF THE FACE OF HOUSE AND ENTIRE RUN OF RAFTERS.GABLE LOVERS ARE NOT PERMITTED PROVIDE OENFRAL WALL BLOGKINE,FOR ALL MA IPRALS,TOILET l ' WITH NEW AND/OR REPAIRED WALL AND SOFFITS IN THE SAE PLANE THAT ARE SAFETY AND/OR SrRUGTURE APPEARS TO M EWANOEREP DO NOT RES lvE OPERATIONS UNTL WITry T E.15E OF A 64NTIN M RPOE VENT SYSTEM. ACCESSORIES,MILLWORK,AND ANY OTHER MSG ITEMS TO BE PANTED. - •SAFETY 15 RESTORED. _ STR.IGTLRAL MEMMRS SMALL NOT BE MODIFIEP OR CUT WITHOUT THE APPROVAL_Or TI-E � FURNISH AND INSTALL CGNCEA EP BLOCKNB AT ALL OW BARS,5HELVME�STADARRDS,AND OTHER AR, CT AND STRUG7IRA_EN61If.�. - ALL ROOF 5HIN6LE5 MIST BE A'MIN Gf YEAR WARRANTY.ARCHITECTURAL CONTRACTOR RESPONSIBLE FOR AL EN6IFJFFRED FLOOR.WALL,A.D RDOF WALL MOUNTED ELEMENTS.BLOCKING AM ATTACHMENTS 5H0.1D BE SUFICIENT TO WITT'STAN7 SHIWOLE,AL 5HINELE5 MUST EE WAlID PER MANUFACTURES RELOvBMFADATIONY, MRAMM6 AND BEAMS,Al 6TAMPS REgAW BY THE LOCAL BULDRN6 . LOADS PER COPE, M0.LDIN&NOT LESS THAN 250 PO.MS FOR GRAB BARS. MOOR PREP:REMOVE D(15TM6 FLOOR FINISH AND A7HESIVES IN AREAS TO RECEIVE NEW '. NOT TO VOD WARRANTY PLANOFFV L LLALL DE PROVIDE BY A cazHOP STAMPED LENDER COMPANY PLAN OR LUMBER COMPANY FRONDED SHEOP DRAWING AT CONTRACTORS . "OR FINISH,U1E55 OTHERWISE RWSE NOW.PREP REMAINING SUBMOOR SURFACE TO COMPLY ALL WALLS gJRRAMM6 TU06,SHIOWERSS,LA WRY AREAS MUST HAVE DR-O ROCK - DFENSE.PRAMIN6 PLANS AND BEAM SIZES 6FTERATED PER THESE PANS WORKMANSHIP:AL WORK SHALL BE DONE BY TRADES PEOPLE EfPFRIFNGFD IN EACH 5PECrIG WITH MANUFACTURER'S RE6,01WA NDATIONS. SfEETIN6 INSTEAD OF GYP BOARD. - ARE EASED ON GENERAL LOAD DESKAJC' FORM MANIFAGTURES CATALOG V I TRADE,AND TO THE 1 I116WET STANDARDS OF PRACTICE AND WORKMANSHIP FOR EACH TRADE. - - - AND ARE S;.®,ECT TO 6M49E BASED ON LUMBER 66WPANES ENEDIN D CLEANUP LPCN COMPLETION OF THE DEMOLITION WORK,REMOVE ALL DEMOLITION DEERS. ARCHITECT/DESIONlER IS NOT RESPON511U FOR EXI5TING STRLGTTFRAL GOWTON5, PLANS - FIE.D VERIFICATION:PRIOR TO BE&MINE TI-E WORK,THE COMRA(TOR SMALL VERIFY ALL MATERIALS AND TOOLS FROM THE SITE DO NOT LEAVE ANY UNSAFE CONDITIONS RESILTINI6 OR STRUCTURAL ANALYSIS GF E(SING FONDATIOU EXISTING STRUCTURAL \S E)(5TIN6 FIE LP CONDITIONS AM 12IMEN510N5 AND IMMEDIATELY NOTFY RE AROIITFLr.GF ANY FROM THE DEMOLITION WORK SWEEP AD LEAVE THE SITE IN A GLEAN AND ORDERLY - CONDITIONS ARE ASSU,IEJ�TO BE ACGIRATE, IF CONTRACTOR FINDS DIRERFNT, DO NOT GUT,NOTCH,OR DRILL TbRa"FLOOR&ROOF FLAMING I GONTRADIGTIONS,ERRORS OR GM155ION5 CONTAIN® IN THE CONTRACT DOCUMENTS.• GA.DrrION. PLEASE NOTIFY ARCHITECT /DESKRFR PRIOR TO CONSTRUCTION,FAILURE TO tm ISO MEMBERS WITHOUT VERIFYING WITH MASS BI1fl..DRN6 GCDE FOR ALLOWABLE R LEVE5 ARCHITECT/DE516N€R OF ANY RESPGNSIBLIT'Y.A CERTIFY SrRWTURA. PARAIE ERS. SITE SAFETY:THE CONTRACTOR SHALL BE RE5PON51CCE,FOR THE DURATION OF THE WORK,FOR EN6REFR WILL BE HIR13>AT OWNERS emj!x P REQUIRED BY LOCAL mAP N& THE PROTECTION OF ALL MATERIALS AND GONSrRUGTION (USER AD E�FROM DAAA6E;THE WIND NOTES �ICV'L ENERGY NOTES SAFETY OF AL WORKERS,EMPLOfTES AND OTHERS ON Elf JOB SITE AM SITE SECURITY.. ALL LONSTRLYCTION SMALL,CONFORM TO THE MESS.STATE MPG.GORE 9th EDITION&LOCAL RE15 LATION FOR W5 MPH WIND REQARE 5NTS.WFM6-ONE AM TWO FAMLY MWN14L FRA£D SHEATH®, ,ANCHORED, FRAMING LINTEL SCHEDULE ALL CON5TRiUCTION SYA_GarP1_Y w/MASS BULP OR IN6 GE& EGG 2O5 MAINTAIN F_6RL�5 REQ11REvENTS AT Al TRUES,FOR THE DURATION OF Elf WORK AD FASTENEP PER THE WIND ZONE EXPOSRRE W CRITERIA ENERGY CODE WITH MASS STATE AME�R.�TS PgNDAT10N OPBNRI6 F'a1WAT10N OPENING 15Y LICENSES.R1.HIDP R,FIRE PROTECTION, R ENTLYAL D Tl IN THEIR WORK PEAL BE PERFLRM® - WOOD SPTe. ONCE STORY TWO STORIES SPANS IN 6ARA6E OR WALE WALLS AROLM HEATED SPACES SHALL BE 2x6®W" o.c. BY QUALIFI®.DPEERIETYED FEt50NS CURRENTLY LIGEJEf� IN 11fIR RESPECTIVE TRADE FOEREXTERIOR SFEATHTH r0 BE A MINAC O �STR.YE 2 I PLYWOOD SFEATHT IE }OPS APY IG HEADER ROC` ABWE ABOVE NOT S°rG.FLOORS OR ROM WALL.TO BE R%LATEP w/6"FIBERGLASS MSILATION'R 20'&VAPOR S_ � FIBERBOARD 5FPA1HPI6 AND ATTAC#ED TABLE 2 M THE WFGM OHIART WREN SrrDS ARE SPAGtD ARCHTECT NOT RESPONSIBLE FOR E(16TIN6 SITE 66WrrIONS,OR EXI5TIN6 SITE 065rRL.ICTow, 16"o.c.OR LL-f.THE MIN REQUIRED PERGENTA6E OF fUL HEIGHT SHEATHING IN WALL LINES 5 PROVIDED. 2--2"x4" 4--0" CONTRACTOR AM OWNER TO FIELD LOCATE-AY AM AL 065TRUCTIONS,AM NOTIFY ARCHITECT IN TABLE 10 AND II AND MUST DE FOLOWEP.TO MEET THE REQIIREM8NT5 FOR THE PRCENTA6E FUL 2-2„xb" a-O" 4'-0' - - r ANY ITEMS IMPACTS STRwTURE.ALL SITE INFORMATION TO B£COMPLETED AND VERIF®PY HEIGHT SHEATHING.FULL HEKPHT WALL SEEAi SHWL NOT BE LESS THAN 27-1/Y IN AN 6 WALL,9r' M 1�t"x8" S'-d' b'-O' - 10-d' EXTERIOR DOORS TO BE IM�I.LATI�META_& R.I�,LATI�6LA65 w/DEAD GNL EEJ6R�EFR A 9'WALL OR 94" IN A Id WALL E(T6LIOR SEATHM6 5FVNL BE COINTR�.bUS FROM THE BOrrLM PATE 2-2"xl0 I", ev-O' b'-d' IY-d BOLTS&WEATHER STRIPPING TO Ca PLY w/MA65 BUILDING GODS&EGG � O TO THE UPPER TOP PLATE,WITH AL PANG®6E5 OVER FRAMING. _ 1-1"z12" 12'�d' Id-!1' 8'-0" I4'�d' 2015 ENERGY LODE=U.� AL NEW POCKET PCORS TO HAVE 600�IA_GRADE TRACK AM HARDWARE. ENERGY NOTE: EXISTING CAVITIES NAILING REQUIREMENTS W SMALL BE VINYL COMPLY D WA w/ Pfl U 6I�GUESS& WFAT1fR�TRPPIN6 TO GGTPLY w/MASS BW.DING CODE=U-9O ` \ AIR BARRIER NOTE: AL EXISTING EPOSFD WALLS ROD,16 60N15r TION TO HAVE EXISTM WALL CAVITY MWP WITH ROOF BLOCKING REQUIREMENTS: NEW ll` I TON NSUATION MIST FLL ENTIRE CAVITY WITH AS Myft INSI.LArION THAT THE EX16TM6 CEILING TO EE MS-�LAT7>7 w/SPRAY FOAM INSULATION'R 46'AND VAPOR CONTRACTOR TO INSTAL OOINTIIS.GIY�PLYWOOD OR DRYWALL TO COMPLETELY ENGAPSI.LATE Elf FIRST TWO RAFTER BAYS AT 2'-0'OC SPACINe WITH 2-BD COMA40N NAILS/2 10D DOX NALS EACH END. CAVITY WILL ALOW.ALL NEV WALL CONSTRIJ✓TION MUST M1EET THE REQIR]MENT5 SET FORTH IN BARKER ALTERNATE MIETMG IS T FPE26LA55 GATT w/RD6ED BOARD IN INSULATION IN AL WALLS,MOORS,GELM65,AND RAFTERS. THE STRETCH E ER&Y CODE CONTRACTOR TO PRO✓DE DOGIUMENTA m TO LOCAL NWECTOR OF AL THE STRAPPING CAVITY. ROOF 0-115ATHI1,16 REQUIREMENTS: FINAL CAVITY THICKNESS AND INSULATION VASES AGHEVED DURING CONSTRUCTION GABLE E IPWALL RAKE WITH GABLE OVERHANG PP COMMON UAL/IOP DOM NAL b"EPEE AND b"FIELD MOOR INSULATION TO BE b'FVE OLA55 NSU.ATION"RSO' WAL SHEATHING REQUIREMENTS: SLAB PERNETFR IN SLLATION TO BE'R Id'4'-,0'DEEP OR APPROVED SLAB WOO>STRI.GTLRA-PANELS STUDS AT le 04 8D COMMON,NAL/IOD DM UAL b"W6E AHD W FED ON 6RADE FLOOR INKUATION GELMe=WT(AIR BAFLES ®EVE5),MOOR 1;00',WALLS='RZO' -. �4 CELN&r0 BE INKLATM w/BLOWN INSULATION R49'AND \ VAPOR BARRIER ALTERNATE METWA K f MERa Arf BAr r w/RrP HARD IN THE STRAPPRJb CAVITY. PFOVLE WOOD STUDS—MLOW TO MATCH THE EXISTRNb WALL CAVITY. \� FOERGLASS 5HINOLES ON REVS . O WM OF THE 15EAK THEN �\�FL SHED AN3L}CDiX PROVDE ONE STUD aN FLYWCCD CA. BTMt SF BHA"' O EACH SDE TO PREVENT rxW RAFTERS®W*o/c General Notes CALLLATIONS FOR 51� AND PLANS FOR LlKATION 1512m TW15THb. Standard Details T"w BOLT STUDS AO. EXI5TM6 I'OM FRAMMb RIM BOARD AR DAfTfi _ 6'xir PRESSLFZ TREATED POST ON p ww'BEAM w/}6 � FQUAt.TO��A N51 TION A SUPSSONt 5TRON6 TIE AEU ARWARZ THRU BOLTS AS REQUIRED \ rxb"CONE.WOOD NALBR Plans For: POST DASE WITH A r STANDar Zia,BaT PER SIZE Cr DFANL -a 87 East Bay Road INTO A LONYCREfE PM 4-+!P MR DEAN ON GRADE AND 0(IS M HONE NUM.DRIP f�GE'�1 - 6RAPE d FATe� Osterville,MA hPf ON srxGNb TE RFCR¢TDATUONS FOR ` _-- I Plans Prepared ey: o q�,o n x'f SfRAPPRJ6 51�S ®W o/c DEPTH 6F ANam 06L.T NAL STUDS TOOETHER a ° 8�83'8A'o�W� � }6YB BD GELM6 i U.ccNTlwas ALUM eUM PRH Wo/c.STA65EtED OR A ° ��, 2"xld CELRJb JOISiT a w"o/c x8"FASCIA APPROi@.1ATE OfUM SG.D 4"x6"VERTICAL O O �SOFFIT y Architectural Design S EDGE DEVPiM&T IP r0 1905rINb Fa"ATTON WAL w MALw'l a"CONCRETE SONOIIAE w/BEN_Fa7rMb / 2-1`x6"DEVNRRN6 PATE j Whitman MA GYL'r82 ! }"6RA.W DATE SFIET NO. 0.20 V E DOArtN TO d d BfloW GRACE 6"F0ER6LASS MSAATTONN IXNEW sv SFfaATmHRJ6 SAS N POST TO FOUNDATION DETAIL 2 BEARING BEAM DETAIL 3 DETAIL @ SLAB ON GRADE &I> SH ICITHM 11311 `\1\1 1111 Al SLOE r=r•-a PRaFsr: A, �r=T� a RAFTER / CEILING JOIST DETAIL �� Al SGAE r=f-d' Al SCALE:r=r-,e °NAV' PRY1 I aP 5 EDSTNE,RV6E ELEVATION EOSTIN6 R®eE MEVAT1ON FLASHING NOTE: Ay�NE-y PL ROOF U.MTO STEP TAB I,EW�gDZZ * WALL AAMIN OF r�LD TO RUN tP SOLD SOFFIT A-UA.eUrTER&DOWN &SOLD SOFFIT NJ.M 6UrrHt DOOM * DWW MOOR ELEVATION Exar 6 MIT TO SPAY Ix8 PASGA w/ALLM DRIP PROVLE e1,RRIOAPE 0.PS® � -—-— AG91r10N o WIM Ef15TW6. ROOF&WALL RdrE SE(MON SPAJf 1".FASCIA w/ALLM.DRIP EJOSrNE,RATE -- IXISTN6 PLATE ELEVATION ��pky 'L� 1n+....;.1;- 1..,;L .t; HEVATILN r T .. r Xt� LVM� �L � 41 t1..17 ti :1,._ I 44 Lil. ii it i ,{ .. -... , ., n L�..,'',i,... _.t.:..�,�! �',!t ......- ,Ill,_ .,.,t.,i_ .+-,�, I. 1 ' - i f 77777-77 ..y. .,:.�.,. , : N:IVin I. ' i L4 _�.`� f`, i i lt. -I +, _ _ :.. ,..Il�.ly.ter.,. .".3'L=L ...-.._ ..,,,._ J. ..y .ti.,. F](15TN6 RLKR HEVATION t '�Ihl 'T'• 1 y'. " i Df5TM6 FLOOR HEVATION !I:: .� i _ � -. ,: .-.- : ., -ti'�-,1--:;•-:�:1, Imo;.,, I I�.�,iti �`Ir _ 4r L 1I_I I TI1 L t DE ry* UQ L ELL] I I I_ :71I I, ,J il 1, J _ ' I r FxlsrnJe FLOOR atVArHorF -.: - "_ _ _: ...._,. ._,....,, t . :..,., :,-r. .: , �,� n� I � . ., :. I: .1. i' SLA$AJ ELEVATION �,..,;I 1: I. ['I: GRADE ._�il� -:-_ I `II EaerN6 GRADE ';-: - ' - - .µ I S�'AFAR WILL 6AA"TIOW AM wo DY --IL --- SFEAR W ORsl FOR REAR WNL Pesm Daro pr OTHER MRMR i CONTRACTOR NOTE --- `-----`---T'-----------...------.-...--------------'-r ----------------------------------------- r' ---------AVR WALL-EESISW CMVALTOR TO F$D VERFY ALL ------- FXISTM CONPRI'NS PRIOR TO j FOONDATIONNOTE CONTRACTORNOTE: FOWIDATWNNOTE -fwW[lie_R9-Ace AW-AW_Al -- REAR ELEVATION CONTRACTOR TO VER"ALL SITE GRADES CONTRACTOR rr NS P TOR T ALL SIDE ELEVATION CONTRACTOR TO VERIFY ALL SITE 6RADE9 ....P _- -OR .uinm� oNntALTOR NOr TO LPDHtM►E MorN6 FRAM B CEJALA(E A PRIOR A - CONTRACTOR NOT TO LWEROC EUUTNb - . ..... ....._ _.. ....-_._ __..__ ._._.... FRMIPF6,RFPL.ALE MA'AND ALL SCALE 9/16"d'-Cl F~ATION WITH N5V FQ7RiT MD DAMAE�OR RORID Ll►ADER SCALE-9/IO'd�P FLI.WATON WITH NEW FA7TPYf ND FAtDATILTI. F MATM - SEE SHEAR WA,L CAL LATIO S ADD MO DY OTHER FOR SEAR WALL PESW DUSTING ' ATTIC FULY AP ERID RLOPE R ' ROOF A8v.IDRAPE.SLOPE ROOF WITH MP!nLA - . 1 POMA5 FIR AM Z-xV ROM EISTNE,PLATE ELEVATION PROVPE HLPAVIAPE 0.P9 a - ROOF&WALL MfER-l.TION :TRBLE 2)0 ---___ -H RfWAINMENF HALLWAY BATHROOM =C1------- HALLWAY ROOM 2"x 6"Snps a W—w/a FIBE26Ll WSLATION&I/2" IXISrPFb FLOOR EVATY.N CPX PLYWOOD SWATHPIb fl = REVISIONS UP.FLOOR J9W RECE66M FLOOR Exterior Elevations T&O PLYWOOD RYWOOD& DEAM TYP FAR ALL 9"PIDH26LA>S PlSLLATION BOOR DF11A��L5T®. DAME„� & Cross Sections N NEW LEAC�Ht w/ arCHEN OWNG Exis - I Sam Plans For: X 21Yxi"P.T.6tL w/r%L KITCHEN em 87 East Bay Road PORCH reN&12'0 MYAIOR DOSTRdS e1F.ARR�e WALL Osterville,MA DA_r5®hd'o/c. TO CC REVY W FOR = SHAD ON GRAPE ELEVATION NEW BOOR DT1AM ApOrE. F- Plans Prepared ey: ---- _ PRH CLEANS��& Architectural Designs Id ccrrRETE FROST wal PERe N�uT�N OWNG W h it man MA pZ38Z ON 2exW FCwnW.x-v O AN RIO To RLN FLLL CRAWISPACE DATE SHEET NO. DB.OW MAWVERTICAL AND HORVONrA-A D.'W 1 CROSS SECTION ter." SCALE.1/4"4-e 9 ' 2OF,s PRti EP sH'Xt WALL 3' rF. .1. .. D( eP R sI,.WALL.T F11d- W'LL - ----------- ____.__--______r- --- b o L--- ----- IX.04 EP DO lMMud' ew x MASM BATHI� .. Ob NALS O ROOMEl - f i ITCHM 1 5'o.c ett�e DETPLTCR ROOM Ext� --------� � -- ; 1 ��EP 0CDom Wom PAti1RY 4dx7d. t. PeTW... � '. A' � VLTELTOR; �WW.'I'.. ... DP Or ___-- OP .:O � _ :.: SrENt.WALL$` CPiFIRPi EP L.I pp:. -__-_ W..A III AD :K ASNrL ` „ ,;- ----- :M-d . •- i0 tft'-d_ .. � V VeTEGTOR• IXI oeT>yrae ,� : Ex BEDFXM 2Txb1Y.. 1=d T-V PM" � T sAol e fWCHEN �}� .• BATHROOM ex ex ex LIP. y iCLDS O LOW ROOF BEYOND ex EwnwG eA T'r.ti ex of SMS ROWd O e' N I BATH Ex ells Lp '.�fIS71NG: Btb'TiNG PORCH PORCH raR ez DOSTiNG Ex 1 B _ IX FAMV ROOM o I as EX�iORi SHEAR WALL NOTES: S�YOo. ems+ - Ex E! 1. PASIC WIND SPEED; IX Vu I t = 140.Neti' Ex IX: ( _ 2. SMEAR WALLS ARE TO HAVE 7/16" ex: Ex 4 d. MINMN WOOD STRLr-TLiRAL PANELS d. ON ONE 51DE OF THE WALL ST Lvs DOS7MG (LAESS:NOTED OTMERMSE) AND PORCH THEY ARE TO BE:ATTACHED'WITt9 0.113 DIA erER NALS (Sd) AS ' LOWROIWBEYOND a Ex: 'FOLLOWS 04LESS NOTED!OTHERWISE), G"' o.c ®'PANEL ED6E5 . 1.2" o.C. @ FIELD ex'' -ex ex ex; . ALL W00,P STRUCTURE PANEL ao15T5 SECOND'FLOOR:PLAN �"DA a`,'-1 g ARE TO BE BLOCKED 50LID FIRST FLOOR PLAN S n 17d5 g ,,b•.�-d rorAl L e LflC 5d ,2 %ALE'1/A"-(-d - AOpttlAt-4W 5P EP-EW,R a FO SCABN PORCH-W X - TOrAL.LILrt&-2A55 5r A. �EAGH END r'IF TF1E SHEAR.WALLS ARE. eP=er.D POST FOR seAR�wAu> �:SP . DP mARrtr,'POST. SGAEEN POROIL-AT5.5r TO•HAVE-..b xe, 5PF END.POSTS •--•,SMAR WALL,:WGATL" C�� �� l•SFb'(1,-N1�c= '�Ul EP eAc Posy FOR 5>f a wul ,P (LNLESS NOW OTHERWISE) WRTMCIDRH07E: (Y, i" 1 •-- S-M WALL LOYATI46 CCWRAOTGR TO-rely WRIFY ALL O(61`1J6 40WW AS PRIOR TO : 5. .REFER TO ATTACHED DETAILS FOR FRAMEW R PLAea.AWM AW ALL_PAMAL®OR ROPTEp uxem R4 �Q 5 ra+rRAc TO rEIy v>R�r ALL rmsru F,cavmas PRICK ro. MIGLD DOYVNS BET YVEEN 1 ODORS & AT' '= wAu:cucuArw-,*v—w mw-R,roR smAx wALL. i Yt . .. ._�� � ! .., iI 'p15.SO19. Rb`vl sedPerOwner Lhonges MAA+w9.-Mn_46C AW AW ALL PAAIAMP OR ROfTEP L)4M 70P OF`FOINDATION.WALLS. t %y} SIM SMAR WALL OALL{UiplS AND_MO DY OTHER MR S'EAR WALLpesm .. � � - 11 First Floor OF°'��s Second Floor Plan ° R�CHarzo Plans For: o DEMPSEY 87 East Bay Road `STRUCiURAt "" Qstervilte;MA. p; O,2.4 0— Plans Plans Prepared by: :a4 mr PRH �O'cFSG ST£P U�I� Architect urol Designs n Q�J7�4,.� Whitman MA OZM -DATE: �9EET NO. . SCALE:- /� M. hLOrED (P ( I PRAEGT:till PRtI PARTIAL SECOND FLOOR FRAMING PLAN. PARTIAL ROOF FRAMING PLAN � -� r -_. WAL.L LMATlgys :� � BEAM #1 (Floor'Beam) BEAM #2(Floor Beam) W:-DeNLPYi POST :OP-Mwfi o POST .. E.-erY.POST FOR<EM WALL CONTRACTORNOTE L=SPAN=:w'-o' L=:.SPAN=:i-O' CONTRACTOR NOTE: (. NM46TOR TO FBA VERF'y ALL MQSrM CO MW45 PAM,TO �.-T MPLACEAW-�o �PATEP t To snd rtmr;..tAAv= LW_Low-'w e� end eLc�I.ow= Lrve tL9iA ." 0 IPW rRN.1p�6,RIPLAGE'ANY AAD ALL vMfAEED OR ROrr®IJI.&FAZ DEAD LOAD a 10 P� PEAL.LOAD= lO'PSP See 5 e1R WALL-A-TWOS AW...WPOOY OrK rarsfARc WALL. TMAL LOAD=40 PSF TOTAL LOAF-40 Psr !RE 9YAR WALL OLaLATM5 AW W DY ORER rat&EAR W/LL. pesen - ve6row 2v-cr : 7p-(/. .. 40 ne.x T-6" 'vv PLP, 40 P.° x I-C=WO PLF . . - - P5 L,'Znd FLOOR'YOAD LW LOAD-W P5F Znd ROR LOAF LNE LOAD L =WY Fp (Z)2 K6"PLATE ley" _.. .ly' tZ)-!2`xb"PLATE..pEYOfO :GEAR:.LOAD.'=IO,PSI° PtV LOAD j 61 PST: 1 r L ( 40 P5F x a•-o•-uo ice. 49 P51 x s d -U0 PLf I. Arr AD= Z"x J75 D05TINB FLOOR- i'x RLY.P s I IG-LO LNE LOAD-.'.b P5P ATTIG LOAD. I.PiE LOAD= W P5F I 'K oc. 1 �rRNA3J6.TO M AIN 1b oh. ! 4 I _ Dr1P LVAD'-10 P5r LEAD LAW 10 P5F- /. �:� T 7OTAL LOAD,_4D P'� TOTAL LOAD AO P5F' gEF RCLP L.OAA'= Lrrt LOAD.-P 5 PSP, ` ROYfiIDAD- TLNE LOAD x � _ x N5 Mj` 1 .k` _ _ D. ®- AN 1 .DEAD LOAD 15�P5F. PEAD'LOAD- I5 PSP 1 e7wnN&STAR I - I I TOTAL LOAD 40 PSr .TOTAL LOAD-40 P5f i 4o PSF'x W-o•-sro:ar 40 PSF.x.W-e=Sao 1v 1 - t ROOF LOAF OA -:..:- LIVE LD. 25 Mr MM WV- UOAD.-15 P5r PW..LOAD-�Fp FS .. DEAD LOAD-= K P5F Tor' ,. Ao:= r __ AL 40 F5F Z)kw RN DOI(LP L 0) -- P�cz'T-B•..9 aOo:.Rl' 40 P5h-'k 7-s"`-.:VV PCP arr-.DAGK FI.WR veAM #,I REGESSEP : PLOOR-DEAM /2 : rt XR rRAMM rat: .FLG�R pFN.f_p I I rlsnR FRAwlMe rat WR)L IUNEERs 'f wrrn rew Recesev eel � FLMR,RECESSED Wrtli i. +75 PLP PAt2TRilN(SNOW DRPT). +75 RP PARTLI7LN(StIOW DRY: ,Kw REU!SSEP M": +.Ill.PLE PARTTtM(Vid) +is PLP PART.MON OfI5TP6 nLCR tIN�RS j f_ �:. FRAMwe,TO RDMIN t 11 TOTAL LOM- wv kf TOTAL LOAD-W PUP 1 f _ / M V.RGl1iNt:_ MI:Rq.LAN1 j EfISTALb FLXRJ II :/-e7taAdli,TO R@MW _. .. .. ._ 5.1/A` x $`--.g 14�'?a LD00 RP �5 I/4' x 7:.1/d x-:W71e--2,187.PLF /. I TO-Ri3.lAM I i I. _ : - �FRNAN6-TO'REMAN 11 e>�STARi e%l5TL45 5TA9t .BEAM #3 Floor Beam .ALL ro RPAIAPI------ rD:TAR c 1 Arn6 Lev'- LNE.,WAD=r W P5P'. MAD LOAD- W P5P rout LOAD- 40'PSF' RMr;LOAP:;m' LNE�L.ov—:.%s.P'SP ceAD LOVP K.PSP omnati rwawm, 70TAL.LOM- 40 P51'' -----------------------------.. - 40.P5r x k=d'=:5W.R1 C 7 -- Y -... ...? T .. IAP11.♦(A'1 WAA - LNe LOAD- PW ROLP-.LOAD'' 25 _ m `"S VERi1UL WOGP PEAV LOAD= P Psi' i { N radxe(e rnasr wAi 00 wr niOaRe POST - .TMZKM!S TOTN.tDAD:-AO P5F. eM+o.iC eAnM.4-0 OaSrND tYtMgrYN _ '. . i i caaw:M�. rnrMr)eN rwLwAm° �' _ ,. _ _. - ,SUP-AN-rO{p••GD51;¢. 5/b`0 6'xi'.�!`ew POST. AO PT x T-*6 -.WO PIr ice. i SMAR WALLS. P: p. I :K :+75 Ftf PARTITION,(SNOW"PRM < mess tE TReAns) h ° ° .liMRReIAD --1 . i ax MOM 1 t5 L-PLATE' 1t�p'fl,GtiR. ° y •. 5}FJR.WALLSAr#1'.6' , h a,. � 5M 0 TtKEADeD.ROD' -- RLt�R.,g57 SET EFIXYTOTAL.LOAD--.L175.PLF t �jb: w/T E).CEDABdC.IN .�,�,,,,1 :5 vIGRCLl.Adt 1/4" x K70- =IA0 _F t - , AT tVW rO TFRAL� ----------------- SMx�orL � anx MLY.KNf� itm FULICAID 193®hBIT w IAr.Mx a v f l M M"WAn SP.PE:LN-SET PPORY TM eQrr.Tw � � .. Ar fL M'ft'LD' • -Tm• . GGwr�: VERTICAL HOLD'DOWN AT FOUNDATION HOLD DOWN BETWEEN FLOORS �'� iYl4 CovC2ciS 1eoa '_ f . . FOUNDATION FLOOR PLAN L!!86>� u rctzrlar:ru+GAL UKtY./M ut6d nao.Aa[a 1Lrt RpglA,fa6: E AL 40V=rOJVRLM wAA.B erxl CC H MILK�/KtWatL V F/TOP•:0?"Pj ea:rnaue•/=0 xrn w.ats - 1 '.ILTLTLYJ Reviead Qer.Owner:-Onari ea P Gfi S OR) ORME.fL'ILR.GOLM I iOa/e 7 1 eAoeea Illb 6 RNgrGCF Al i171CwT1R1 Tea. RE4510N5 M�te�M MWAN OPAW clt woo ngµhr ass w¢nJ ff9 erAi ,iw°� Framing.Plans. 00 t ea M C44WYW e7w6iU A ru Ca.rae f9S AL exrataa:ep�rsee 01*1 a CI W•K"e W?4-0 xiow�CRXC T,WrT/4. o\ .& Beam CalCs�. o QEM R©Um nvr. J.R{CH nat.nL erwL wT er rtrtta AGVGrrTVpira�ww lxL9d i1CY A'te-eAaedr tRA® � to - V M R Mcm MM M races PSEY ;; Plans -For-'. na:AsaaM WWVtMi t dnr M a egacm Ar n!eo 0' wars Ow.ee.Aav POA V STRUCTURAL, ' $7 East Bay Road / � � NO` 29lT3: Q Osterville;.:tilA em we"1CR IRUrY ILY_daet fliOveL eG�Le 1qt ULfC.T"nw5 , . LRIAL� nwrm e�eat.ne 3M wrw n NAA*e cae"M maw MA"a TMAMPAO1F`r�`'"°°fi"�el+tnoxres ��'. +� rxaierao�uguaYxafeane.ermcww,vrmrNe. 17'c�,FQI.uSTEP� �.�I� Pfans PreparedBy= - PRHI oATOIE QMAi Architectural Desighs cacxALrM ra esP Y9tIr u eosn4 Am1wc ecm ra eAAwa evuce Awr wo u OaAro,cie.K7neo uAset IZkIWM TO MR-wl,we e"V%.vo cm 10"am.. � W h i�tmon -MA 07.351 W4L6 ter. ' .DATE - St T NO. _ 9 5C.ALE; FFAPGT.. A Z312 PM:... AOF5 PRh IX EX IX IX EX EX rX ____.-._____.__.__-__. i DIISTiNG MUD --- °C DOSIING ROOM BEDROOM �c� i i r EX `o• J EX . EXISTING SUN x ' ROOM IX LIP LOW ROOF BEYOND IX rBA7H DWNG LAUNDRY - - EX EX: EX Exi ICi( I' __._____ i E'r: ILX X _.1L ______x____�` _____ _ ___ EX r--7-ram�— ----- i- 3I; IIEWTING ,". BATHBATHBATMDOSNPi6EX EWN6 IN-TAW IX BEDROOM _----- _ pGy71NG - ` FJOSTBrG - ---- ----- BEDROOM IX IX IP q n. IX IX � /�• , :. LOW ROOF BEYOND fl IX '+ 'X`ill y `` ex ` `r EX IX COOS JCLOS " ! EX OLDS OWNG IY - Ex SITTING ROOM PANTRYBaSTING °C EWTING Ex IX BATH EX EX CLOS LP' / DOSTING DOSTING CLOS r PORCH PORCH IX IX DBSITNG EK IX BEDROOM EX EXISTING DN EXISTING DINING ROOM BEDROOM " IX EX IX IX IX IX EX EX EN FXISi1NG Ex PORCH " LOW ROOF BEYOND IX EX IX IX IX EXISTING CONDITIONS PLAN EXISTING CONDITIONS PLAN SCALE:114"=r-d FRSr FLOOR PLAN SCALE:114'=ram' SELOW FLOOR PLAIN! . CONTRACTOR NOTE CONTRACTOR NOTE CONTRACTOR TO FHD VFRFY ALL IX1511M6 OOWIilONS PRIOR TO Ca"LACTOR TO FIELD VEREY ALL IDUSTM6 C4WI`raS PRIOR TO - fRAMM6,REM-ACE ANY AW ALL DANV6W OR ROrrED LIACER FRRdM6.REPLACE ANY MP ALL PAMA OR ROBED LIMER EX IN EXISTING FIRST FLOOR FRAMING TO BE ALTERED. CONTRACTOR TO FIELD VERIFY ALL EXISTING ° 1 11.15106 lRevised Per City Cartnenta CONDITIONS PRIOR TO CONSTRUCTION.CONTRACTOR TO TEMP BRACE EXISTING FLOOR FRAMING TO Tm R ALLOW FOR WALL/CEILING REMOVAL AND THE ADDITION MASTER SUITE EXPANSION. Existing Conditions o ex « Floor Plans Dam «OS Plans For: Will EX 87 East Bay Road Osterville,MA OEM G ITmRDOu Plans Prepared TSy: PRH KMM Architectural Designs _ Whitman MA 023M a a DATE SFEEr cNO. 0.2IJ 5"4-F D(ISTING CONDITIONS PLAN Al N %&L�/IPdd eieer rlace PROP4T W tEN wow TO re PaE N TM.YEA Wr INAR091Err5 scLPE or Wawc Emi'm TO RBMw 5 OF 5 PRIi PLAN OF LAND IN OSTERVILLE, MASSACHUSETTS 6 87 EAST BAY ROAD 116. 0 SHED CO C. PA 0 C� ��� �av PROP SED 92 2' 2 STORY DDITION DRIVE ' HE 28.0' 17.0' 0 48.4' EXIST. HOUSE PORCH W N cn 35,852sq. ft. N o, 0.82 acres N DRIVE 161.0' !— 116.00' -_ OF Nq f fq� EAST BAY ROAD y� HRISTOPHE �+ o S. KELLEY y o. 3705 . �9Nll GRAPHIC SCALE 30 0 15 30 60 120 C.S.KELLEY LAND ( IN FEET ) t SURVEYORS ry 1 inch = 30 ft. ! 81 -294-4454