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0018 PARKER ROAD - Health
18 Parker Road Osterville. P A =_117 106 O A �1 I Y TOWN OF BARNSTAB E BUILDING PERMIT AP ICATION Map Parcel Vs' Application # ' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address / R; — Village Owner ���In (� �w`.,� Address Telephone g�d z? a�L�csrc�ugll, Permit Request ,� � i o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /Y4j7M. Construction Type &4, Lot Size Grandfathered: ❑Yes ❑ N ' yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Fa ily W nits) Age of Existing Structure Historic House: Yet. o OI Ki s 4way: ❑Yes ❑ No Basement Type: XCrawl ❑ ou it i Basement Finished Area (sq.ft.) f, Basem n nish d rea (sq.ft) Number of Baths: Full: existing c� \nw H f: xisting new i Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ,❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Telephone Number Address ,� kO? License # a Home Improvement Contractor# I Email o eOr—ACKOAS AeV (00CC) L�Q Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r viS v` SIGNATURE DATE 1AI 1p� DATE 3124106 PROPERTY ADDRESS 18 'aakea Road ohteay.iiie Mazz 02655 On the above date, the septic system at the address above was Inspected. This system consists of the following: 1. 1-1000 gaUon zeRt.ic tank.- 2.! 1- Diata.igut.ion Box., / 3., 3- Zn�i2taatoas., 28'X11 ' 00/ R Based on inspection,.1 certify the following conditions: 4.- 7h.ie .ins a 7.itie Five ZeRt.ic .system. {'. 5., Septic zyztem .i-6 .in RaoRea woak:iag oadea at,� the RaeZeat time. SIGNATURE Name: Robert A. Paolini Company: Joseph P. Macomber & Son Inc—. Address: P. O. Box 66 Centerville, Mass 02632 Phone: 508-775-3338 or 508-775-6412 JOSEPH P. ACOMBER & SON, INC. Tan ksesspools-Leachfields Pumped & Installed Town Sewer Connections P:O. Box 66 Centerville, MA 026.32-0066 775.3338 775.6412 ' COMMONWEALTH OF MASSACHUSETTS 6: EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS � a DEPARTMENT OF ENVIRONMENTAL PROTECTION V TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PARTA CERTIFICATION Property Address: 18 Pa/tkea Road 0�st e2v.�.P.Pv Owner's Name: Ea gLP o 71?ij At Owner's Address: Date of Inspection: 3124106 Name of Inspector: (please print) Robert A Paolin Company Name: 2. 1) macomIp- Son Inc. !, Mailing Address: Cen ezv.c 7a, a s.s. 02632 Telephone Number: 5 0 8-7 7-5-3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on Site sewage disposal systems.I am a DEP approved system inspector pursuant to Section.15:340 of Title 5(310 CMR 15:000). The system: XXXPasses Conditionally Passes Needs F valuation by the Local Approving Authority Fails Inspector's Signature: Date: ZIN The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner.shall submit the report to the appropriate regional office of the DEP.The original should be sent to-the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments 3 This report only describes conditions at the time of inspection and under the conditions of use at that ~. time.This inspection does not address how the system will perform in the future under the same or different.". conditions of use. Title 5 Inspection Form 6/15/2000 page 1 ,r_ f Page 2 of 11 OFFICIAL INSPECTIONYORM—.NOT- FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 18 Pa/zke2 Road Oht v.i_Ue Owner: Eagze /Zuh Date of Inspection: Inspection Summary: .Check A,B,C,D or.E'/AL_ =AY��omplete all of Sectioh:D A. System Passes: a(SS NO I have not found any information which i idieates'tha#any of the failure criteria described-in 3 to CMR 15.303.or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: SeRt.ic i3yztem .i-6 .in 122o12e2 woak.ing o?delt at the /2zeze.nt time., B. System Conditionally Passes:. NO One or more system components as described in the"Conditional Pass ection-need to bc. replaced:or repaired.The system,upon completion of the replacement or repair,as approve by the Board of Health,will pass. Answer yes,no or not.determined(Y,N,ND)1n'the for the following statements.If"not determined"please explain. NO The septic tank is metal and,over-20 years old*or the septic tank(whether metal or:not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is'imminent.System will pass inspection if the existing tank is replaced with a complying septic tank,as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: N. Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass.inspection-.if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled"or replaced ND explain: NO The system requited 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)�re replaced obstruction is removed ND explain: M., 1. Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 18 %)¢ake2 Road O�.te2v�.2.2e Owner:. EageQ 7icu-3t Date of Inspection: 3124106 C. Further Evaluation is Required by the Board of Health: NO Conditions.exist which require further evaluation by the Board.of Health,in'order to determine if the system is failing to protect public health, safety or the environment.. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the system is not functioning in a manner which.will protect public health,safety and the environment: n o Cesspool or privy is within 50 feet of a surface water a 2 Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water-Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: no The system has a septic tank and soil absorption system(SAS).'azid the SAS is within 100 feet.of a surface water supply or tributary to a.surface water supply. n o The system has a.septic tank and SAS and the.SAS is within a Zone 1 of a public water supply. n o The system has a septic tank and.SA&and the SAS is within 50 feet of a private water supply well. n o The system has a septic tank and SAS and the SAS is less than.100 feet but 50 feet or more frorh a private water supply well".Method used to determine distance viztLai "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5.ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: J 3 f Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 18 !atike) Road O�ste�v.i�.2e OWner:EaC/ie 7,zu,3t Date of Inspection: 3124106 D. System Failure Criteria applicable to all systems:. You must indicate"yes"or"no"to each of the following,for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than.6"below invert or available.volume is less than''/2.day flow X Required pumping more than 4.times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface wader supply or tributary to a surface water supply. _X Any portion of a cesspool or privy:is within a Zone 1 of a:.public well.. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes.if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from.that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form,.] NO (Yes/No)The system fails.I have determined that'one or moreof the above failure;criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner.should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10100.0 gpd to 15,000. gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 206 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sentitive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant.threat,or answered n "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner,should contact the appropriate regional office of the Department. 4 Page 5of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 18 Paakea..Road . G.a.t eltv.i.2 ee Owner: Eagee 72ui3t Date of Inspection: 3124106 Check if the following have been done.You must indicate"yes"or"no"as to each.of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system.received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected foi.signs of sewage back up X _ Was the site inspected for signs of break out X Were all system components,excluding the SAS,located on site? X Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the_baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes — _ Existing information.For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] y ti... , ' 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL�SYSTEMJNSPECTION FORM PART C SYSTEM INFORMATION Property Address:18 .%a�zke2 Road . O.steay.i.2fe Owner: Eagee 7,zu.6t Date of Inspection: 3124106 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 .. Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 3 3 0 Number of current residents: 1 Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no):no [if yes separate inspection required] Laundry system inspected(yes or no): n o Seasonal use:(yes orno)f20 2004= 75, 000 ga e.eorz- g10D-205., 48 Water meter readings,if available(last 2 years usage(gpd)):2 0 0 5 8 6, 0 0 0 qa e g o rz s g/ . -2 3 5., 6 2 Sump pump(yes or no): n o Last date of occupancy: u n k COMMERCIAL/I1�USTRIAL Type of estab,'..iment: NIA Design flow(timed on 310 CMR 15.203): d A, Basis of design�'flow(seats/persons/sgR,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ ;.•, �` Non-sanitary waste discharged to the Title 5 system(yes or no): Water.meter readings,if available: Last date of occupancy/use: . OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: NIA Was system pumped as part of the inspection(yes or no): n o If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping:. TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative,technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): r Approximate age of all components,date installed(if known)and source of information: 10-13 `yeaizs Were sewage odors detected when arriving at the site(yes or no): n o 6 f Page 7 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 Paakea Road Owner: .Eagee au�s Date of Inspection: . 3124106 BUILDING SEWER(locate on site plan) Depth below grade: 19" Materials of construction:_cast iron X40 PVC other(explain): Distance from private water supply well or suction line: 2 0 t Comments(on condition of joints,venting,evidence of leakage,etc.): Joint-6 a,?i2vrr.7 tight Ain 6 j u a Vented thicough house vent SEPTIC TANK�ES(locate on site plan)'1000 gai eon's Depth below grade: 6" Material of constructionK concrete_metal_fiberglass__Solyethylene —other(explain) . If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8' 6"X4 '.10"X5 ' 7" Sludge depth:_ taace Distance from top of sludge to bottom of outlet tee or baffle: t it a c e Scum thickness:t as ce Distance from top of scum to top of outlet tee or baffle:t a a c e Distance from bottom of scum to bottom of outlet tee or baffle: .t as ce How were dimensions determined: m e a z u a e d Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): PUMP Iniet 9 outlet tees aae .in Riaca.i lank z,3 .s auc ua&f ey Zoand GREASE TRAPA O (locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,+etc.): Gaeahe taa/2 not 12ae-6ent 7 Page 8 of 11. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Addressl8 %¢akea Road O�s�ezv.i.0 e Owner: Date of Inspection: 3124106 TIGHT or HOLDING TANK: n o (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass__.Polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes.or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): Tight o2 ho eding. no.t 122ezent S DISTRIBUTION BOX:ILLS (if present must be opened)(locate onsite flan) 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.): Pox hnA 1 Pn to ar, C�, No Aniir/ ra Yo2wa , 4 0 ea akgse in, e; ea6t e� �OX., PUMP CHAMBER: rzo (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): l umI2 chamPkez not Raesen.t I 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 %a2kea Road O.6teay.ir ie Owner:Fag.ee 72uz;t Date of Inspection: 3/2 4/0 6 SOIL ABSORPTION SYSTEM.(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Located see /gage 70.1 Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: v leaching trenches,number, length: .3- -in ei p f)7 a f n A A leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system -Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of pondmg,damp soil,condition of vegetation, etc.): oamII-4a-de N �s o -ign,6 $' 4a.iivae oa Rond.ing V�fJefnfinn i4 Ib049agr CESSPOOLS:no (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes'.or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Cee s12ooiz ate not /2ze•3etn PRIVY: no (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): . a.ivy .ins n04 P/Lezent y 9 Page 10 of 11 OFFICIAL INSPECTION P`ORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE-SEWAGE-DISPOSAL SYSTEM INSPECTION FORM PART C: SYSTEM INFORMATION(continued)' Property Address: 18 %a k e g a o a f O.3te2v172e Owner: Ea.gee 74u,6.t Date of Inspection: 3124106 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. . : •. .'. -..... .. ;::<:.:-.:. � __...ram. i • 0 • � �lvY 1 �o makes' rd ©s�-e Kv i I Lt,. II; io I .10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: .18 %¢2kez Road O.s t e2 v.i'tee Owner: Ea q ee 71tu s t Date of Inspection: 3124106 SITE EXAM . Slope Surface water Check cellar Shallow wells Estimated depth to ground water 40-fe;t Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: y e z Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain:a. tI a 'P _ ralLd no Checked'with local excavators,installers-(attach documentation) e 3 Accessed USGS database-explainA t tp:t o wn., a z n z.t a .fie.,mya. u s You must describe how you established the high ground water elevation:';,,., Uzed. : Cape Cod Comm.izion !datea 7aa.ee Coritou2.s And iugiic 1Jate2 Suppey Oei2 head paoteet.ion aaea� map., Sept 1995 Wate2 nehou2cez o,f-lice cape cod comm.i.s.ion.l Top of Grouna Leaching Pit 01. ,eet GroundwatevFeet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method 'Iperefore,the vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet: '' s I1 •rRInTM rRt'f�.�.'-'—•gp�JrRq-7•Irr�'•11rr 1.�A7tf�'At�IAI �771R!�(Zt,r�••� TOWN OF Z34R#S7413rF BOARD OF 11RAI,TII SUBSURFACE REWAUK DISPOSAL SYSTEM Ifl8PFCTION FORM - PART D•r CERTIFICATION ••••re9^r•:{s�ntllRtT771Afl111•RIIRITIAAr�Ml1�R17�—aR � N9r'•!R�•1'+�r1r r A -TYPE OR PRINT CbE6R1.Y— PROPERTY INSPFOTFD STREET ADDRESS 18 Pazkea Road ' ASS-ESSORS MAP, BLOAK AND 'PARCEL 117-106. OWNER's NAME Eay2e. 7aust PART` D CFRTIFI CATZ0N ; NAME 'OF INSPECTOR RoA.e,4t Pa.o"n.i COMPANY NAME 10-Wh P 1., Nacomi ' Son Inc ' COMPANY ADDRESS. Box 66 Czna 9,%v.1_Uz Plazb 02632 ' Strei,V Town-or City. StaL� LIP COMPANY TELEPHONE 1508, )� . 7.5 - 3338 FAX 1' 508' h90 f 578 CERT-ITICATIQN. STATEMENT �. h certify that I have personal' .ins-pected ;:.the aewage 'diar'04 . system at this address and that:tird' information reported .Ili true,. aoe(Jra•te•, and omplete as of the time .aP�inspection..• The inspection was Performed and any recommendations regarding upgrade., .ma•intenAnce j- and repair .ate. eongis'tent with my trainixig and exP.erience in the proper fuhcti,•on- ,and maintenance of on- site sewage dtsposal systems- • 11 � I I1 jll t, Check one; :r •� XXXX Systenf PAS SID 1 The inspection which •I have conducted has .,n•oat Pound any information . which indicates that the systom' fails to ' adequately. protect .public health or the envi.ropment as defined in- .310 CMR. I5'i30.3•s Any failure criteria trot -evaluated are as stated in the FAILURV CRITERIA .section of this. form, ' System FAILED* t The inspection which I have eon ted 'hae 'found that the system fails to rrotec.t the public health and the enV4ronmen•t ' in a000*rd•ance with Title 61 310 CMR 15 , 30s1 and is - specifically noted on .PART' C -� . FAILURE CRITERIA of this inspec'tion,Iform. Inspector Signature' . •D�t$ ne copy of this eei ti,fioat•iofi mu'et •be rovi'ded 'to the .QWN R, the.:BUYER where appli:aa.ble) and tht I3PARD OF HEA z'H- * If the inspection FAIL•E.b.1 the .owner' .oxrboperator -whei3 . u,pga?ade'•the system. within one year of the date of thei.napectionl unless. allowed car• required - ^thr+rwfse as Provided in; sy10 CMR 16 , 3051, Mar-21 -03 07 = 15A P.02 Daniel C. Hostetter 770 A Main Street Osterville, Ma. 02655 March 21, 2003 Thomas McKeon Director of Public Health Town of Barnstable 200 Main Street Hyannis, Ma. 02601 Dear Mr. McKeon: In response to your letter dated March 19, 2003, I hope the following explains any confusion: 1. The new storage area will NOT be finished and or heated. It will be for storage only. 2. We have decided to finish the floor over the kitchen and eliminate the "cathedral ceiling" in the kitchen. This new room will be a bathroom to accommodate the adjacent bedroom. 3. The opening will be a minimum of 5 feet and there will not be any doors in the opening. 4. We will call you when we are ready to sheet rock the building so that you may inspect the building. I hope this clarifies any questions that you might have regarding this dwelling. If you have any other questions, please do not hesitate to call me at (508) 420-0644. Sincerely, Daniel C. Hostetter �IKET Town of Barnstable snxpsrAar,�, Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr. Daniel Hostetter March 19, 2003 770 Main Street, Osterville, MA Dear Mr. Hostetter, On March 18, 2003, I received your revised floor plans in regards to 18 Parker Road Osterville. The following information on the floor plans need clarification: 1) The second floor"storage"room located adjacent to the "new bathroom number three." Will this be a finished space or an unfinished space? If this private space is to be finished, it would be considered as a"bedroom"according the Massachusetts Department of Environmental Protection and the Board of Health definition which reads "dens, study-rooms, finished attics, sleeping lofts and similar-type rooms are considered bedrooms." 2) The first floor plan indicates that this space would be "open" above the kitchen. How would this opening be possible with the second floor plan design as submitted with a new bathroom and storage area above? 3) Will the opening to the "office/den"be a minimum of five feet wide? Will the doors be permanently removed at this doorway? 4) When would the new office/den doorway opening be available for inspection? If these issues cannot be clarified or resolved, a three bedroom deed restriction should be recorded at the Barnstable County Registry of Deeds. Please submit clarification on these issues listed above (#1-4) on or before March 25, 2003. Recall that the buildingpermit p application was revised sed sometime after the approval was already granted by the Public Health Division. Several attempts to reach you by telephone were unsuccessful. Originally, according to your building permit application, the two bedrooms on the second floor were to be combined into one bedroom. That language was crossed-out by someone and new language was added as follows: "change first floor bedroom into den." This property is located within a nitrogen sensitive area and is restricted to one bedroom per every then thousand square feet of land. According to the assessor's information this parcel is 0.21 acre, which calculates to less than 10,000 square feet in size. It is apparent three bedrooms have pre-existed at this property for many years entitling the owner to that number in the future. Floor plans for this property shall be designed in such a manner to show no more than three (3) bedrooms total at this property. Dens, study-rooms, finished attics, sleeping lofts and similar-type rooms are considered bedrooms according to the MA Department of Environmental Protection. If you should have any questions,please feel free to telephone me at 862-4644. Sincerely yours, Thomas A. McKean Director of Public Health GENERAL NOTES,NEW CONSTRUCTION l � qua CO :he oasauca'on shell mim pin 4 LNS ce eutrevt smndord building wde is Iha ere J FRAMING. M are in access 01710 is 0 be feet,wood ored ard metal ridghsPerim land stale eod" _ - Misr—the floc system,�c�s of I O feet,wood or metal 6ridgiog shell be used w Care sbaB be mkw W double or triple m necessary,the floor joists u locatf- - shown on the plain and ooy location below load beariog walls.Use dedlemedjoim DRAWN BY or bloeldng st points where first and second floor walls fail bemeenperad joists Cf+.a Z a4N t THE BUILDER shell arify on dimessiom•note; esso.+•,.ols of..gb oprobsp 2 . for widows n vdows and dos end verify all site eoodidom Pleam notify the design.of - toy diserepaneies Prim to beghmin8ssnspuetioa . THE DESIGNER is available to Quist the build.with any questions Call the ' � � phone numb.on this phm. o 3 --------------------------- Ir fl n d: Elf I I -�H'ti 4'1d�S�- —lP —_. e7Y•�J.y:'_. __-_ _____ 55 y'- ., ' __ _ ow I N r bra_'.` �•r,-> - — I ' _' STenn a _-TSmocw�_-F+rH: -. LE . . ?£xG-8 =S-o:E�6r08'i2. a2 GQvrt. RIGHT-ELEVATION--_ _...... _..___— -E�Ei+AcT�ON— F 8 F=b I< ER S-IF E. Re/ I ALE PROPOSED ALTERATIONS tj r K, u) t � � a�o 0 iOff, Iq 1 ST. FLOOR �Dv1Tjor.� I'- r_�C-_+._^.4:.�T_tF� .-5'-�-P•S.eR.`-�Cia+No"a^no.i r -—--_ - e.G4 w 6.w•.+A'111�� I I ± T �u�a � 1 p . .. I .i IB':x.lb'•Fco ..\fe�.D(W�1?FPIY�'C I R. •'I I p• 4 m I —_-- !Y 6Y I.q zsP�tA �• _I i`IM:CI:VN:GT•%�P6h�Gvc%6 ifl'_.--' g n _ I- _. - - 1 I _ y- L 1 -s r It' 'Pu.sy5�;e4S I — G-er I BEDROOM. U I rc PLAN O PLAN A 4. St.p. a.9.. d:p' ¢'.p' ti=0'• p, N I cl�6T3 RVISoi�. J '. jlr— . .�.rrsv,n'Swex'.c-mrre�:..a^.frU'aT tsSoe_. _ '-"--F.OUNDATION PLAN `.-. 'a'! •' - •-"SECOND-FLOOR'PLAPI' _------ - 'i� �€�� A y�R-PxCC+�'' , 1_0. 7$Tff[E11FNS-:__ �io-RRF•2zS BAN, -p• -..� y �g -_�i �•� -_- - _ --- __ _ _ _ .. _.._ (P ' .. „,r--• .�..y I� R.A�'.orL y_. � azl-a,a eN�y � ... !I I:I,` —_ _ — ��I'""®I� 4�-,. ' l_ 1 �C �Y�J CN•O.G _ - '4Wp .P. - N I-r° 4• >-e ce -xie, __ .—_ _..._. ___J---_..-. -- _ — LFx-Sri2 - I - � 1 T 3 �IF1 MID _ o EL _ _ •aG -axle F?dNT.+YM1.. _— � QEM1'CT U FRON T ELEVATION A — AZ2KGE =--� :NEW GARAGE ADDITIONDETA7L� �, : • t N 'Y (A_� I s4o R � cq 2 ND. FLOOR 8 Po R V I EXISTING. CONDITIONS y v S l?o G 1q . 1 S T. FLOOR I °FINE rgyti Town of Barnstable Regulatory Services yBAMMASS�'� Thomas F. Geiler,Director 1619. �ArEO.19 .39 MA'S `� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 17, 2003 Mr. Daniel Hostetter 770 Main Street, Osterville, MA Dear Mr. Hostetter, It was recently brought to my attention that your application for building permit regarding 18 Parker Road Osterville was revised after the approval was already granted by the Public Health Division. Several attempts to reach you by telephone have been unsuccessful. Originally, according to your building permit application,the two bedrooms on the second floor were to be combined into one bedroom. That language was crossed-out by someone and new language was added as follows: "change first floor bedroom into den." However, according to the Massachusetts Department of Environmental Protection and the Barnstable Board of Health"dens, study-rooms, finished attics, sleeping lofts and similar-type rooms are considered bedrooms." Therefore, such a revision to the application form simply would not be approved by the Public Health Division Office. Please provide the Public Health Division with floor plans showing both the existing dwelling and the proposed addition on or before March 25,2003. The floor plans shall be designed in such a manner to show no more than three bedrooms total at this property. Dens, study-rooms, finished attics, sleeping lofts and similar-type rooms are considered bedrooms according to the MA Department of Environmental Protection. If you should have anquestions, 1 -y y please feel free to telephone me at 862 4644. Sincerely yours, mas A. McKean Director of Public Health 2 -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTALTROTECTION TITLE 5 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM "OPOtCEIVED PART A CERTIFICATION SEp 2 5 2002 Property Address: 18 Parker Road TOWN OF BARNSTABLE Osterville,Mass HEALTH DEPT. Owner's Name:Roger Morse Owner's Address:Same � Date of Inspection: 9/11/0 2 Name of Inspector: (please print)_Joseph P.Macomber Jr. CompanyName: ,T P MArnmhPr & Scan Inc. Mailing Address: Snx 66 - Centerville,Mass 02632 Telephone Number:5f1R-77c;_333g CERTIFICATION STATEMENT I certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as'of the time of the inspection. The inspection was performed based on my rrainine and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: i(,A/Passes • Conditionally!Passes Needs Further Evaluation by the Local Approving Authoriry Fails Inspector's Signature- fA� Date: The system inspector sha ubmit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall'submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments "'This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. - - Title 5 Inspection Form 6/15/2000 page 1 f I y DATE :9/11 /02 PROPERTY AD'DRESSI8 Parker-Road . Osterville,Mass. ------------------------ 02655 ------------------------ On the above date, I inspected the septic system at the above address. This system consists of the following: 1 , 1 -1000 gallon septic tank. 2. 3-infiltrators. ':111X11 ' Based on my inspection, I certify the following conditions: 3 . This is a title five septic system. ( 78 Code ) 4 . The septic ssystem `is in proper working order at the present time. - _, I 5 . The leaching area was dry at time of inspection. SIGNATUR Name : J . P . Macomber Jr . Company :Joseph Pam_ Macomber Son, Inc. Address :__BQx _E_�------------- - . -_C-eR-t-eryt 1e,,_Ma-_2?632-0066 Phone : 508-775-3338 THIS CERTIFICATION DOES NOT CONSTITUTE ,A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachflelds , Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 Pape 2 of I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 18 Parker Road Osterville,Mass. Owner:Roger Morse Date of Inspection: 9/11 0 2 Inspection Summary: Check A,B,C,D or E%ALWAYS complete all of Section D A. S stem Passes: VI) 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: The septic system is in proper working order at the present time B. System Conditionally Passes: 1W One or more system components as described in the"Conditional Pass section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined" please explain. t. Ad The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ' ND explain: �d Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced , obstruction is removed distribution,box is leveled or replaced ND explain: The system required pumping more than 4 times a year.due to broken or obstructed pipe(s). The system will . pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND exp lain: 2 r Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART A CERTIFICATION (continued) Property Address: 18 Parker Road Osterville,Mass. Owner: Roger Morse Date of Inspection:_9/1 1 /0 2 C. Further Evaluation is Required by the Board of Health: Ad Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: ,1J4 Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh- 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: Wd 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 feet or more from a private water supple well"".Method used to determine distance � "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 I Paee 4 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 18 Parker Road - nstPryillP�Ma�s _ Owner;Rngpr MnrsL- Date of Inspection: -9,/11—,/-02— D. System Failure Criteria applicable to all systems: You must indicate "yes" or"no" to each of the following for all inspections: Yes No 1 ackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharee or ponding of eff}ueni to the surface of the ground or surface waters due to an overloaded or / clogged SAS or cesspool d Static liquid level in the-distribution box above outlet invert due to an overloaded or clogged SAS or esspool �'quid depth iin o%&peofis less than 6"below invert or available volume is less than IA day flow quired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number — Iof times pumped Q I ny 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, y portion of a cesspool or privy is within a Zone I of a public well. v portion of a cesspool or privy is within 50 feet of a private water supply well. J-1 Anv portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile or compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) (Yes.Tio) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000 gpd• You must indicate either"yes" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ = the system is within200 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 11 of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered ..yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I I OFFICIAL INSPECTION FORM - NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION`FORM PART B CHECKLIST Properry Address: 18 Parker Road clGtervil3 P-Mates Owner: Roger Morse Date of lospectioo;9L1 1 r02. Check if the following have been done. You must indicate"yes".or"no" as to each of the following: i Yes No 1/.Pumping information was provided by the owner, occupant, or Board of Health, — Were anv of the system components pumped out in the previous rwo weeks _ Has the system received normal'nows in the'previous two week.period /Hive 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 a5 N/A) / Was the facility or dwelling inspected for signs of sewage back up ?, iz — -f/- — Was the site inspected for signs of break out ' x J/_ Were all system componentsf eluding the SAS, located on site? r z— Were the septic tank manholes uncovered;opened, and the in of the tank inspected fo'r the condition of the baffles or tees, material of construction, dimensions;edepth of liquid; depth of sludge°.and depth of scum?., — Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal-systems The-size and location of the Soil Absorption-System (SAS) on the site has been determined based-on: Yes no Existing information. For example,.a plan.at the Board of Health: _01� Determined in the field (if any of the faili re-criteria related to Pan C is at issue approximation of distance is unacceptable) (310 CMR J`5.302(3)(b)) 4 5 x. Page 6 of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 18 Parker Road OstervillefMass- Owner:gnrrer Mnrce Date of I snI pection: 9/1 1 /0 2 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms)• XJId=3 6'l�� Number of current residents: 1 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system (yes or no): e [if yes separate inspection required] Laundry system inspected yes or no): �, Seasonal use: (yes or no): S Water meter readings, if available (last 2 years usage (gpd)):2 0 0 0—8, 0 0 0 ga 1 Ions=21 . 92 GPD Sump pump(yes or no): 2001 —1 9, 000 gallons=52. 06 GPD Last date of occupancy: COMMERCL4L(INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): _---~���/ gPd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):4/9 Industrial waste holding tank present(yes or no):, Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER (describe): GENERAL INFORMATION Pumping Records Source of information:None available Was system pumped as pan of the inspection(yes or no): _ If yes, volume pumped: _0 gallons-- How was quantity pumped determined? ,P Reason for pumping: TYPPOF SYSTEM Septic tank,distribution box, soil absorption system la Single cesspool cd Overflow cesspool Privy Shared system (yes or no)(if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) .! Tight tank :WM Attach a copy of the DEP approval Other(describe): 49�O FA pto im to age ocomponents, date installed (if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):-10 6 Page 7 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 18 Parker Road Osterville,Mass. Owner:Roger Morse Date of Inspection: g 11 1 /f12 BUILDING SEWER (locate on site plan) Depth below grade: If // Materials of construction: . cast iron aO PVC Wither(explain): Distance from private water supply well or suction line:lp* Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight -No Pvidencp of 1 akagp T_he yystem is vented throu h the house vents. SEPTIC TANK: (locate on site plan) /eve Qrrr�� Depth below grade: Material of construction: oncreteA)d meta l,<jQfibergl ass ilooIye thy lene 4)0other(explain) If tank is metal list age:W,16 Is age confirmed by a Certificate of Compliance (yes or no):.4/0(attach a copy of certificate) 1 Dimensions:ya—Z� /I� SIudee depth:�.� Distance from top of-sludge to bottom of outlet tee or baffle_A4W_-< Scum thickness: Distance from top of scum to top of outlet tee or baffle: . Distance from bottom of scum to botttoJ!ILDf outlet tee or baffle: How'uere dimensions determined: -Mze s Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): . Pump the septic tank every 2-3 years. Inlet & outlet tees 'are in place.Thp tank is strIleturAlly sound and shows no signs of leakage.The liquid level at the outlet invert is r 11 GREASE TRA (locate on site plan) Depth below grade: Material of construction; concrete,ggmetaL6&fiberglass,44olyethylene,4i 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: Z�W Date of last pumping: 1411� Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease trai is not present 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:1 8 Parker Road Osterville,Mass. Owner: Roger Morse Date of Inspection: o f 11 /02 TIGHT or HOLDING TANK4�We,(mrik must be pumped at time of inspection)(locate on site plan).' . Depth below grade: Material of construction: AOconcretemetal jafiberglass �polyethylene444 other(explain): Dimensions ,Q Capaciry: gallons Desien Flow: 4119 gallons/day Alarm present(yes or no): Alarm level: _ Alarm in working order(yes or no): Date of last pumping: 444 Comments (condition of alarm and float switches, etc.): Tight or holding tanks are not present DISTRIBUTION BOX: Z(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: .[ Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box has one lateral.No evidence of solids carry over.No evidence of leakage into or out of the box. PUMP CHAMBEI4/e (locate on site plan) Pumps in working order(yes or no): .f�/� Alarms in working order (yes or no): � Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Ptimn chamber is not present 8 Page 9 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address.-1 8 Parker Road Osterville,Mass. OwnerRoger Morse Date of Inspection: 9/1 1 /02 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required) 3-infiltrators in series. 28'X11 ' If SAS not located explain why: Located: See Page 10 Type ipeaching pits. number: D leaching chambers, number: ivIX47•4TarS 28 'X1 1 ' leaching galleries, number: leaching trenches, number, length: a AQ leaching fields, number, dimensions: overflow cesspool, number: Q innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Loamy sand to medium sand to fine sand.No signs of hydraulic failure or ponding.Soils are dry.Ve etation is normal. CESSPOOLSJ�e-(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: (9 Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum laver: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): AH Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Cesst2ools are not present PRIVYA"Locate on site plan) Materials of construction: Dimensions: ,yfq x Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy is not present. 9 Pagc 10 of I I OFFICLAI INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWACE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INRORMATION (conlinvcd) PtopCrty nocfc,I ,1 8 Parker Road 0stervi e ass. O-ocr:R.Qgej MnrS� 0I1c of Inlpicli00:911 1 102 SKETCH OF SEWACE DISPOSnL SYSTEM P 0"Of I I%mh of,hc Icwlfc dilpoIll Iyltcm inclvding 11cI to 11 Icut two permtncnl rcrcrcncc Ienc✓nt,u, oI^crmvk, loch( III .<II, ..;,h;n 100 fccc Loccic whcrc pvblic wcltr Ivpply cnlUt the bviloing. I i i I i '. II 0` / 1 / $ �o maker rd Ogre,u I Lt to Page I 1 of I OFFICIAL' INSPECTION FORM,— NOT�'FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C x SYSTEM INFORMATION (continued) . Properry Address: 18 Parker Road ` Osterville,Mass... Ow❑er:Roger Morse Date of lospection: 9/11 /02' SITE EXAM , Slope .Surface water Check cellar Shallow wells - Estimated depth to ground water19 feet i Please indicate (check)all methods used to determine the high ground water elevation: NO . Obtained from system design plans on record - If checked,date of design plan reviewed: NA YES Observed site (abutting property/observation hole within 150.feet of SAS) Checked'with local Board of Health-explain: NA YES Checked with local excavators, installers- (anach documentation) y_FS Accessed USGS database-explainT•,ttp: //town.barns table,ma:us. - You must describe how you established the high-ground water elevation: )sed: Gahref R M; 11Pr Mod -1 - 12/16/94 Ground water elevations above sea l e-ve3 )sed; USGS;Observa-gran. wel ata Tune 1 992 Ised: USGS! sae }el i Q2-000-1P1 atp#� Annual" .rancTecz of around water elevations. January 1992 Leaching Pitt :cet Groundwater. reef Be'low Bottom of Pit` f High,Groundwater Adjustment 1.8 ft.per'Fnmpte,r Method Therefore, the vertical separation distance between the botto ` of the leaching pit and the adjusted gToundwater table is feet. f y"rrnr+.—rtrr—.T+rarnrsrr.•nmrr•rtrrt.rert.rrr,:•.�.-'eraar:�rrT-�m nrnty*rai-rcr.rar TOWN OF Barnstable [BOARD OF HEALTH SUIISURFACF SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CER`fIFICATION I•••r••:•T•'.''.'1—T.t,t.�.--rtr.nn•rtT r�TremrZTrr:r-.•r+•9TR-ssrnlvr•'Tmr*+eVRV RTSRRTSTTTr7 isrr,n'T*TrRfssv-TT'r.•rr•m.•..:rrr•r-�. .—..^ -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESSI8 Parker lZoad Osterville,Mass. ASSESSORS MAP , BLOCK AND. PARCEL # 1.17-106 OWNER' s NAME Rocrer Mors PART D - CC,I? TION I NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J-P.Macomber & Son Inc%,,* COMPANY ADDRESS Box 66 Centervi.1le,Mass. 02632 Street Ton, or City Statq LIP COMPANY TELEPHONE (508 1 775 '-3338 FAX ( 508 ) 790 - 1578 . R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaj system at this address and that the information reported is true , accurate , and omplete as of the time of :inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Chec one : System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* The inspection which I hAve con `acted has found that the system fails to Protect the j)ublic health and the environment in accordance with Title 6 , 3.10 CMR 15 , 303 , and, s specifically noted on PART C FAILURE CRITERIA of this inspection f rm . , JInspector Signature7xx Date copy of this tification must be provided to the OWNER, the BUYEROne Where applicable ) and the BOARD OF HEALTII. * If the inspection FAILED, the owner or."operator shall u d within one year of the date of the inspection , unless allowed ortrequiredm otherwise as provided in 3.10 CMR 15 . 305 . partd . doc TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE 7e;;72,le, ASSESSOR'S MAP & LOT 8 Z INSTALLER'S NAME & PHONE NO. b SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -gin 'jT-,j es 1' (size) ,3— Il`tJ NO. OF BEDROOMS J PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �rt' DATE PERMIT ISSUED: DATE COMPLIANCE.ISSUED: VARIANCE GRANTED: Yes Noi l PVT I XY TOWN OF BARNSTABLE V LOCATION -/� �O4`�� SEWAGE # VII,LAGE ASSESSO ' MAP & LOTIh/06 DO( INSTALLER'S NAME&PHONE NO. 0 . SEPTIC TANK CAPACITY DOD LEACHING FACILITY: (type) (size) NO.OF BEDROOMS -3 T ) -Dt OWNER o / PERMITDATE: COMPLIANCE DATE: o� D Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Roger'-gorse 18- Parker Road Osterville,Mass. 02655 t,7 < I � � i$ ?o.Ike r O4m i I Lt TOWN OF BARNSTABLE LacATION SEWAGE # 13�C VILLAGE O5 e,/1 ASSESSOR'S MAP & LOT Z (© INSTALLER'S NAME & PHONE NO. B -2�0v-s SEPTIC TANK CAPACITY 006 LEACHING FACILITY:(type) -�n��'�I rns (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT.ISSUED: 19 PY-9s DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes 7 ••A .1 v � � 06 r _ No............A pgWED ............ Barnstable ConeWatWS HE COMMONWEALTH OF MASSACHUSETTS y` BOAR® OF HEALTH g; 9mts TOWN OF BARNSTABLE Aliptiration for Diripoinl Workii Tomitrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (Pan Individual Sewage Disposal System at: ^..... ,Q,7, + . r ti.n-Address or Lot No. fe-------------------------------------------- ------------------------ ----------------••--•---•-----•--...---•--......-•-- a (Jy1 n //�� Owner (C' Address............. ...................................... ._...._.....------•--............................................................................ staller Address Type of Building Size Lot............................Sq. feet Dwelling 12:N o. of Bedrooms.3-________•-----------------•___.-_-_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons--_--___-___-___-.._-__.__-_ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------_------------------------------------------------------------------------------------------------------------------------------ .............Design Flow ...............................gallons per person per day. Total daily flow............................................gallons. W W Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---............. Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY----------------------- .................................................. Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' -•------•----------------------•--.......------------•-••----•-----•-•--•-•---•••-----...----................................................................ 0 Description of Soil........................................................................................................................................................................ x V ... .----------------------------------------------------------------------------------------------------------------------- ------•-----------------------------........... ----------••--- W -----••---------------------------•--...--•--•-----------------------•------------------............----------- / --------------•--•----------------•-------•-•-------- -------•---.._. . UNature of Repairs or Alterations—Answer when applicable._.-_T�}i./.r- �1 jj Q4OS [ . 2 . _.._-. 3 �t.X-,. .�&......z ...............•-•-••--••--- 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 Complian has been is ed by th dof health. Signed ...................... t... G/ >� Application Approved BY ..^'����... ----- ---------------------------- /....c ..ML. .-.. Application Disapproved for the following reafonf: .. ................................ .......................................................................................... ............................ .............. . ..................... ............. .....................--- --- ................ e Permit N � . Issued .....:�3 ... Uare \� ' NO.9�-......0....... FEB.�O............. THE COMMONWEALTH OF MASSACHUSETTS 3BOARD OF HEALTH TOWN OF BARNSTABLE .�}��lirtttiun fur .3�iu�uuttl �urlt,� C�u>tt,��rnrt"tun �C�ermit Application is hereby made for a Permit to Construct ( ) or Repair (P-�an Individual Sewage Disposal System at: l ... . . l f�� l L`,,,1 tion-:address or Lot No. ! Owner 4 Address .............. ....................................... ........•------•---•--------•- .....---------------........--------•---... f staller Address Type of Building Size Lot............................Sq. feet Dwellin 4�o. of Bedrooms.._.?___________________________ ."--_E�Expansion Attic Garbage Grinder g�i ------ P' ( ) g ( ) If a Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures --------------------------------------------------------------------------------------- ------------------.............................-•••....... ... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W; Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. 'I Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------- -----•-------•-••---...-•••-••--•---•-•-•----••......-----•-•--•- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0-4 L Test Pit No. 2................minutes per inch Depth of Test Pit.._--__--_-____-••- Depth to ground water........................ -----------------•--------------•--•-----•----•---•----•-•-••---...•-••--•-••................_...-•-......................................................... 0 Description of Soil........................................................................................................................................................................ 0 =' ----•--------------•------------------------------------------- -----•------ --- i V Nature of Repairs or Alterations—Answer when applicable.__..fA�7-- / ��� /�....�!J:?.Q l��T <.h �?-%-"��------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with j the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the -o rd of health. -- L �+ Signed �.� -. ' fir'- P'� ..................... .:...... r(�..g/- - 1. Approved B ._ /... ..-../......-._I..: ,ApplicationPP y ............. .R^^. - Dam 3 j Application Disapproved for the following reasons: ......._..............._..........................- ... - .................................................................... ................... .......................... ...............- Permit No �-9..3........ .. ..... . Issued ......................................................... fe.... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �lertifirate of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �� by ........r?Q.fto�.n.�jc..... nc.�------------------------------------------------------ _-..._.. .._........_ ...... -- ......... --' .................................. ' Installer i at ........�.�� �� Ix I��2... i........... �_�.c------- ---- - .............................................................•........................................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ---------.��� .21)--------- _ -�f. dated ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................I... L.... -- .3........ - ---- ------ - Inspector --- _......__...... .. .............._. - ...._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH g TOWN OF BARNSTABLE No... .... FEE..Sr-:?............ Riyuutt1 Workv ��untriun rrutit Permission is hereby granted GO.2Dv:1 ....A-O`�-I............................................................................................ to Construct ( ) or Re air1(�n Individual SewlIage(Disposal System � A \��=.... ? -c�� (_t�--•--------------------------I' at No..................... - street e� /�//� as shown on the application for Disposal Works Construction Permit Nd.3'I_?_�?�7.-_- Dated........................................... Board of Health DATE.............. ................................. FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS (• q•,on F 3=0• 1 . � I _f�wa e>�.off=. _.�3;a`cu::a-gin.-:..-.. ... ,�^ r-��I Z a•g' f.. KeEv �T 2lc-+i a� S'-E�ea- G-o�.•\o 'r— c �-S:.. .ST�KDATFI', I I T t.l�s! � I O ' �B!'_tit\�`•Fo?T.j�,•bELa1?F9-aT � � - I V R B''1 I p �-4 - I m I �' I = I , �}-a 6� 5',..n.�..e.I •1 _ �-6 DRAWN BY NJi Got1eRG'C '.�iltn.L°Of`{:'C1:FJ+ti I _3 \0 I / -1 i l8a,Clktrtl.C:Twwp G;Gvc�vrS.�,-"...- I, -N.;Sm IV F• _ I 10-6 fiI II -I +- -..... W\I WH rla�V I -4- If I I _ BEDROOM- PLAN A I I O PLAN B o- - —, I I I y n , a I _ P, I, _ � o Y�9i l:,b 'I PTOSt,O.. �_p�. 6:p' -p' S D• �aq n,cRsr_fl.azol2 .. ._ - - —• _ _ .u' Ul . • 84:on � R 1 ._.._..—_ - .. � , SF.G i�srN FF sG. ....1✓,arrT \ �. ---._... ....-------- --' �.'r1=JrlD-Gvt6LC-tYciuti_' B° �`� . _._F.OUNDATION ELAN`.:.. m -'SECOND FLOOR PLAN:' -_. ! •I-1 i I __-_—=-_ .... - YG'(>f.TGI GF1'tNfaG-�i I(a C. - - 1 r"_f- E •� I_b.\ Ko R.'1�?oA 7�6" R )'G✓tN-64 o11L.. -- ._. ....-. _. i'--_ - = I' '- ..._ ....._ �}� Rom• R -- -- }/ r'6 :0 E•• .96t.ax M - JF • C6\UN(e d' a -- o.QCr\ I'U FWk+•L:FY.Y7fYl'_:. .. _ I �L31--1:CLN'b.OS�S.� WEB _—_-.._.. --' a+ �_ qT<i�iT.{lu•V3... II III III _ - II _ I •h �' I .W h,IL 0 b-9 F_4 ; . a•S � - U W •- � � - \•FF+St� �cp\t.sJ B.Fwofz. I a}tir'3oisT5 =�1ESIDENCa _ CPNG• 2 CA7R GlIIIIARAGE, _ --11 -r,J y r^ i ? F Wk LSCJLaj _ -- L — 13 I =j 3�t- I I •I o i - �J � _ � _ 'zSL.c[3o '.:.._ � .D Op � I � 1 I- - -- - I - ..q-o^.x,2`-i;• � I i I �.o„x�.-G,. - _ — _ _ rrcoN�col���:_�.. I� •� I I � I 1 g-axfn kD¢.'. ..__— � a.a�-- - - —e� __ -�=_-� -�=_-._._�T--___�...•_,,....T v 'Lo.�t� --'- � 9- • --Lx�:b:rr2oxT'w'4w ax[>F/11iNY wain - � UFJ•LT T? - f� m w FFITI El A;r' ow ge nw>... FRONT ELEVATION I _J g J. :NEW GARAGE ADDITION _SECTiONDETnzr.GARAGE ____ OSTEFRN/ UL- LE PROPOSED ALTERATIONS - V m Q o � - r �0 K ur Off, �eN o {e k- A -- _ - -- i s 1 ST. FLOOR. �DD)T)on) or � � jj cqi t 2 ND. FLOOR - J o 'X n 17'-0" 8=_6n N �— 11 8 6 TW 2442 N 2 DN GAS DN I i RO 30 1/8"x52 /8 I5R FIRE NCHOR BOLTS I ; 8 PLACE 8 14R )DED T � D 32" O.G. I I 2 DM CORNERS � � � !RS 30x3"xI/4' I I °o ao I i VELUX .I co AND N D SLRs :4F506I I SO6 SKY RO 3'- 3/4"x82 7/8" NfiW CONCRETE WALL I I SU700M I LIGHT ITINUOUS FOOTING I (3) 16" LVL MDR J L J�OF BELOW GRADE 1 � ALF WAL .:.: _ NEW 1 I I FAMILY ROOM (4) TW 2 2 TRAILING f (4) T 244 i RO 30 1/8' 59 7/8" I VAX RO 1/8', x sob 1 1 1 REMOVE 3 j I I I 10 13, 2__ — _ SKY EXISTING — m m 3 -1 13'-2" I LIGHT I �: I BULK HEAD ; I co co — — TW 2442 a0 1 - 1 I I RO 30 1/8"x52 7/8' UP , SUNROOM=0 1 GROSS L AREA- 380 of GLAZING EA_ 198 of 14R REMOVE GLAZING EA_ 52X WALL ---- LNL HDR i r---- _ ABOVE rI I . 2k 3Q < jj I; INEW � O O FCC I ST I NG U TDOOR 00 KITCAEN EXISTING BATH 11 NG ° - %R REF. V I,•I 11DA7 10N PLAN. F i R57- FLOOR- PLN�-�, SECOND FLOOR PLAN. SCALE: 1/4" = I'-0" SCALE: 1/4" = I'—O" Setbacks Zoning RC Barnstable; Front ZO i=T Minimum Area 43,560 SF MA Side 10' FT Minimum Frontage 20' FT Rear 10' FT Minimum Width 1 00' FT h s LOCUS o f $a 5v�t / Map 117 Parcel 106 a f s' ffi CL ,r � .a'� o► � a� House#18 SITE LOCUS r. Q�V. I 3 Bedroom f, Map 117 Parcel 104 NOTTO SCALE s;Addition �� �� -posed ' References: 1.)Assessor's Map 117 Parcel 106001 Garage 2.) Deed Book 20872 Page 163 Pedestrian 3.) Plan Book 556 Page 91 ir} Easement 4.)This property is in a Zone II of a Public �� Water Supply and Ground Water Protection District " I� Lot 2 y' �` �' Town of Barnstable 5.)This property is not in a Flood Zone 8,933t SF. / I Municipal Parking Lot g� 0.21 Acres N 6� v0e Map 117 Parcel 179 SITE PLAN For Map,l7 Parcel,07 .. .� PROPOSED ADDITION , Prepared For John Kaminski To the best of my information, 18 Parker Road knowledge, and belief the Osterville MA buildingshown on this Ian rr , P Scale: 1 = 30 Date: August 2 has been located on the ground '�NOFMgs�c 9 9, 2 016 9 as indicated. o=� STEPB : YHE tiN Prepared b GRAPHIC SCALE ""ooR a y All Cape Septic LLC 30 0 IS 30 60 »o 618 Route 28 Step' en B. Moore Date S"` West Yarmouth, MA 02673 (IN FEET) 1 Incn=30 alicapeseptic@gmail.com (508) 771-4200 ------------ F:;tfrCEFZ RDo OST R\/ I I I I PROPOSED ALTERATIONS � 1 4C�C. �— - - - T- - - - - - - - rn_ Al 1 - 1 S T. FLOOR _. .. .__.. . ... . .{T_Te3'iD-K:'{n--_ �.-6. g_or, L 3 0• �. . CA I II l arr•_�•.'�.•_G.'�:F:So -f5=��ce��<_Fes,�e0.�r o.i 'r-- _ e G-6.. �_t`ATFI i I I � � urw�•l �8 1 O .. 7g�_+c1t�••�nT"�t,r 0Et_DW F4DST _—-- _ 1 '_4 - ^a I— r n, , DRAWN BY - cTLC-_T�: 1.•�+OT�.UvE-�'EI I �0 :L• p I Et''�=tl__ 5 � ,���•• ( '-j e^Mamas-.I _ --5 • •'• I t`i4:41hrH_'.G T,.•.wp�C;Grr'.�ir�•l'_-_-.-__ e . • _{. I - -Ye-Io6G_-!-'I e�-6 I I I � I 4L}.—. 14-10• �i.�.�Eh� I q.�.��{� .�xs•-rra�- fFa"5a•,r�r LI, N Ate 1- � I a-ar Zd B I , 1 I I EDROOM. N_(V I rt PLA B I , PLAN A I I I O —I " n — rr61 .. f-I9i - `t •I :1- �� � T ,ti-'off fiv 1a,1 .ScYY rID F�'wiBtc=TrGi�--B°. `R s: ! x. =OUNDATIONPLAN=-• ' - SECOND FLOOR PLAN yG'o2 grr("o'i.a" 1 I_Du ;dS66EGEe•rZ--_ __ __` -- ^+ . I - •— II _ nFa JI. -� - d 1 I \� ,�;�t.��.,�- _ III�' I� _ I II .� �nn_F_�mr•Fi✓+�IrtC•re azs �••t:1 �'==r�T Ff - � If�•:.II I � I 1 i �Ga..��-u•1�_- , • -- C }Y-ID LF1'O.L .._ _ •- —.-—1 I �__— r --r—Ta, .. -- - �L—. - I a}Tra-3o1 sT5 G L?i lJ a •-- —_ I I ��•�-C��.Z�_• I•�F+Se,r3 :-(CE'SIDe.+[s Corte• 2 CAR AR.10E 7 5Zo[' y J I I I 5/BEree � .n I— _Q �✓�l- I I I e �1.Jo �- 'i = I I� � � _ `�'J � _ -Est c:u�:s'._._._ I�7 .L ap I � I ..�';!�d1 s I '7`6 `I _ - _ _ _ �pjr:l,•roliL4— I� •� I I 1 � G • -- I I I I o I I I I I I' - 1 _ - I ue��t I I I I � � �",� 3-�xw Ii Imo — � �. --s.;i�- --�—�� •. — -. 1.sUCFi 16'aC. lu'wµss •rs� 9 C •E%1STIrlC>> A _-!�cru: oC� FRONT ELEVATION - e I GARAGE ADDITION SECTION DE Ii+,Z�GA�2tTGE '-- 8 F>ARfr� ER RDv OST RN/ I' a LiE PROPOSED ALTERATIONS I-- .. - - - - - T- - - - - - - -�CQrn- 00t2- - - - - 1 i Off,2� jqj 1 S T. FLOOR AEY 1T')oN I� ire � 2r cW 2 �N p0l - 2 ND. FLOOR 1T A A A 1� ' N _ PROPERTY LINE 4. r• ---- - TW 2442 it pN 2 GAS ION Id-6• M-O' Id-0° I ;� I I I NOTE' I -^ I _ w I/b Xw /D I6R FIRE 14R O $ _ II 6/a'ANCHOR BOLTS I $ PLACE $ EMBEDDED 7' - I I SPACED 82'O.C. I .. m m m 1._________l � I 12•PROM.CORNERS I of m m I i SEPTIC I ;i I I I WAaHERs 956'xl/4' I I AND D SLRS / I TANK I 11. ' RO ' 9/4'xa2 Ire' WALL I I 1 -5. 1 I 10x S'-Id CONCRETE WALL� L---------J :: I ;. (S)IG'LVL NDR RAILING m PROPOSED :o I i WATE CONTINUOUS FOOTING : I u . T : WATERPROOF BELOW GRADE Z ,ADDITION I Tylp pal �_ I I - J - I LLER BEARIII� --� I I - NEW (5)TIN NEW (3) 2M2. ADDITION - ADDITION I Ro so+re' z Tre° Ro re°xa2 Tre' 13:_2e m m 3 B,-2, ISQC. I I I I Up I EXISTING I I o ao o I I ISR BULK HEAD I ;� I 'IW 2412 l EXISTING RESIDENCE i '•. 3 I ` i Ro so veSlaz,'/e UP ^ ` M I4IR AXr UNDERCUT BUFFER iv o _r, E_-___ ---_—_ II 2A NEW 1? I I I S OR 00 EXISTINGLI wro O O KITCHEN EXISTING BATH �I di FRONT IXISTING - !`( ENTRY CELLAR ■�Q�/ • � REP I it O II PARTIAL SITE PLAN ADDITION FOUNDATION PLAN FIRST FLOOR PLAN ' SECOND FLOOR PLAN �O SCALE: I/B" 1'-0" _ SCALE: I/4" _ I'-0" SCALE: 1/4" V-0" SCALE: 1/4" I'-0" - 2dole•16,O.C. R49 P.G. INSUL./ fire•PLYWOOD SHEATHING/ ASPHALT SHINGLES RIDGE VENT • _ �r OG• ^ ?rgOa. PAFTER/ AT ALL d�E / I.\ if.O TOP PLATE JUNCTIONS TYP , S•W O.CNDIffiIIIIIIIII ` E TYP_eAVFs W MATOI EXISTING TRIM faNiINUOUS VENTING SOFFIT . EXISTING m / //// O O \\\ O Ixe FRIEZE SO.W/BED MOULDING _ Z Q 7 SECOND FLOOR o - \\ Q < LO g W^' Iti W MATCH EXISTING SECOND FLOOR / __ MATCH IXISTING SECOND FLOOR li< W 7F&.14' ' --- - --- -- (3)16'LVL ADJACENT TO STAIRS TO BECONTINUOUS 2K FROM FIRST SUBPLOOR TO TOP PLATC BEARING /�plALL P_ TWALL Z LL- Z FFIIRSTEXISTI FLOOR ^� m 2d EXT.aTUD9•li'oc./VZ•PLYWOOD SHEATHING/R FINISH FLOORS TYVEK WRAP/FIBER CEFIENT CLAPBOARD SIDING Q ^ MATCH EXISTING FIRST FLOOR I'7ATCH EXISTING FIRST PLOOR__0 `Y% U- . —_ _____________________________ 9'RSB F.G. INSUL. 2xtd9 Y16'O.C. - , O PLATFORM 'db TYP.FOLMpATION 41AL IXISTING o - a CELLAR BEARING P.T.SILL ANCHORED 32'O.C. "' WALL 9'x8'-IO'CONCRETE WALL 4JI� m DAMP PROOF BELOW GRADE Io'xlb'CONTINUOUS FOOTING LATFORM tr' ry SHEET 2 OF 3 y , SECTION "A" SECTION "B" SCALE:,1/4" - I'-O" - SCALE: 1/4' - r-o" JOB: 16�1 DRAWN BY: KW DATE: 8/26/16 RAFTER® 16" O.C. ep° H2.5 6 EA. RAFTER - TOP PLATE ry 1 pq RAFTER TO PLATE CONNECTION O SCALE:N.T.B. 14 ° WIND ZONE WALL COMPLIANCE, DOUBLE ROW WIDTH. 43% OF EACH WALL RUN STAGGER NAILIN - VERTICAL SHEATHING WITH INTO BOTH PLATES - Sd NAILS 3" EDGE/12" FIELD - 2.6 DEL TOP PLATE ,. (4)16d NAILS PER FT BOTTOM PLATE • LENGTH- .43% OF EACH WALL RUN - VERTICAL SHEATHING WITH 9d NAILS 3" EDGE/1211 FIELD r (4)16d NAILS PER FT BOTTOM'PLATE cF VERTICAL STRUCTURAL PANEL *' L' NAILED Sd COMMON B 31 O.G. EDGE • - AND 12' IN FIELD tM xtTt o r 5. JOINT DESCRIPTION NUMBER OF 'NUMBER OF NAIL SPACING VERTICAL COMMON NAILS BOX NAILS - - STRUCTURAL PANELS - - - - DOUBLE ROW BREAK ON SECOND FLOOR INTO B R NAILIN - RIM JOIST ' INTO BOTH PLATES - - ROOF FRAMING a 2x6 DEL TOP PLATE BLOCKING TO RAFTER(TOE NAILED) - 2-Sd 2-I0d EACH END - _� W RIM BOARD TO RAFTER(END NAILED 2-16d S-16d EACH END _ U WALL FRAMINGLu TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-I6d 11-16d AT JOINTS STUD TO STUD(FACE NAILED) 2-16d 2-16d 24'O.C. "' - S Pj L-1 SECOND FLOOR HEADER TO HEADER(FACE NAILED) 16d I6d 24'O.C.ALONG EDGES VERTICAL ' •* RIM JOIST > VERTICAL — . � Q FLOOR FRAMING STRUCTURAL PANPL �'�°� STRUCTURAL PANEL NA!LED Bd COMMON y- �`. Sf'R NAILED Sd COMMON , LL.I ®3"O.G. EDGE : * $ ®3"O.C. EDGE yioc n/ JOIST TO SILL, TOP PLATE OR GIRDER(TOE NAILED) 4-Sd 4-IOd PER JOIST AND 12" IN FIELD 5 AND 12" IN FIELD ?. 'qi KLu - BLOCKING TO JOIST(TOE NAILED) 2-Sd 2-IOd EACH END -' BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-I6d 4-I6d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-I6d 4-I6d EACH JOIST �� L JOIST ON LEDGER TO BEAM(TOE NAILED) - 9-Bd 9-IOd PER JOIST . •-1 fu ., r BAND JOIST TO JOIST(END NAILED) 3-16d 4-I6d PER JOIST ' l — SAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-160 9-I6d PER FOOT ROOF SHEATHING DOUBLE ROW G "W •krd DOUBLE ROW WOOD STRUCTURAL PANELS STAGGER NAILIN �• �_,.-``y �''' �c`�t.' STAGGER NAILING INTO BOX AND SILL bx SFfe._"'` INTO BOX AND SILL RAFTERS OR TRUSSES SPACED UP TO 16"O.C. Bd IOd 6'EDGE/6" FIELD •'.���.p„+,y RAFTERS OR TRUSSES SPACED OVER 16'O.C. Sd fad 4° EDGE/6' FIELD it \ `�?�'4; it �i'• I n GABLE ENDWALL RAKE OR RAKE TRUSS w/o GABLE OVERHANG Sd IOd 6'EDGE/6" FIELD GABLE ENDWALL RAKE OR RAKE TRUSS w/STRUCTURAL 6d IOd 6'EDGE/6'FIELD OUTLOOKERS GABLE ENDWALL RAKE OR RAKE TRUSS w/LOOKOUT BLOCKS Sd IOd 4' EDGE/4' FIELD ii it CEILING SHEATHING II GYPSUM WALLBOARD Sd COOLERS - 7° EDGE/IO'FIELD 4 �� SHEET 3 OF 3 WALL SHEATHING WOOD STRUCTURAL PANELS > - STUDS SPACED UP TO 24"O.C. Sd IOd 6'EDGFA2" FIELD AND 'FIBERBOARD PANELS Bd - 9'EDGE/6" FIELD ° Yp°GYPSUM WALLBOARD Sd COOLERS - 7" E0GE/10" FIELD , FLOOR SHEATHING [I-D STRUCTURAL PANELS CULL HEIGHT SHEATHING -SINGLE FLOOR FULL HEIGI-IT SLIEATHING -'I lULTI FLOOR RLSd IOd 6'EDGEA' FIELD SCALE:N.T.S. SCALE:N.T.S. ATER THAN I' IOd I6d 6'EDGE/6' FIELD - - JOB: 1609 DRAWN BY: KW $ Flo erGEV FR,D - OSTC FR V I L— L. E 2 . thiST'ING CO NDITIONS D ITIONS 1f ID Jo ° Cie o� 1 g i 1 S T s FLOOR r c ° v _ E LLL i G` _ l 4 i • 2 ND.r FLOOR