HomeMy WebLinkAbout0012 QUAIL ROAD - Health 12 Quail Road
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APPROVED THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
//—&- 3 TOWN OF BARNSTABLE
Appliratio for Diripwi tl Wurlui Tnntrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ()() an Individual Sewage Disposal
System at: r
f
^ 'Location- .\ddress o Lot NoUZ
Oa•ncr A .ress - / I / -
a ..._. IY`!�� 1� •-•-------•............. E ��iJ R Address A? ...- 5 ....... ..........
� feet Type of Building Size Lot...........................S q.
Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ------------------------------------------------------
W Design Flow............................................gallons per person per day. Total daily flow........................
....................gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter---------------- Depth................
x Disposal Trench--No- -------------------- Width.................... Total Length----------,......... Total leaching area....................sq. ft.
Seepage Pit No-------------------:. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ ---•---------------------------------------------------------------------------------------------•--....................-....................................
0 Description of Soil....................? ...---------•-•--•-----•--------------------------------•----------.-------••-•-•••----•-••-•••••••---•-•-------=---•-•.........................••.
---- ---- . -- . -_-- --- - .
rr r ..
U Nature of Repair or Alteration Answer wh pplicable._._ }��.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ... . .... /3 Gf ............................
L, Application Approved By ................ / Dve
7.�.'�,✓�
Application Disapproved for the following reasons: ..... .......................:..........................................................................................-----
..............'--.........---..................................................................................--......................._..----.._..........--.-----....................._................ ................Date..................
PermitNo. .........9.3...- --6> 3—L f.......... ....... Issued. ................................................... ............
Due
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No...... FE . ? ...............
s THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
,Appliration for Diripwial Works Tonstrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at: tf a a
r....... -^::
+� Location-:\ddnss r No�
Lot -
� C� �,Ai . I r�
..._... :•. o 1. ....----••-
owner Address �-
F �,1 c 0 c�kuk .111- ()C•1S
V Installer Address
UType of Building Size. Lot............................Sq. feet
�. Dwelling— No. of Bedrooms.______...5--------------------------------Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—Type of Building No. of ersons____________________________ Showers
g -------------------•----•-•• >P ( ) — Cafeteria ( )
d Other fixtures -------------------------------------------------
----•• ------------
W Design Flow............................................gallons per person per day. Total daily flow........_..._...........-___,_._..._....____gallons.
1:4 Septic Tank—Liquid capacity............gallons Length................ Width................. Diameter................ Depth................
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........................................
a
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....._..................
94 ----------------------------------------------------------------•---------------._...----•--._...............................................................
0 Description of Soil........................................................................................................................................................................
W ••--••••--•----.-------•-----------•-...••-•----•-----•...••--------••-----••....---•--...--••-----•----••••---• -- -.
U Nature of Repairs or.Alterations:Answer when-applicable__-_Ji 114
'"� -.._...f X1•) i'a�_: o._... ,r ;, .__ ._..� _�1 .......... _.__._. . .......................... ..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued
by the board of health.
Si ned ... - . ..... .....1�...... � l/faa
g � ............................. ......
.....1..�: ..:.
�Da[e
Application Approved By ..............` *' R-�.�.tea.�- ...;1..-. -.� 1. ..
........................................................................... Da[e
Application Disapproved for the following reasons: .................... ....................................... .......................... .................... .. --
........... .......:................................................................................ ... . ...... .. . ... ........ .......... ..... ...............-...-....................
Da[e
PermitNo. ........ .�.J y-------------------- Issued ........................... ..................... ..............
• Dace,e
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(gQrtifirate of (gamplianre
THIS IS TO ERTIFY, That he Individual Sewage Disposal System constructed ( ) or Repaired (,)( )
by ...................................----
.-----------------------------------..........
.....i
at ...................-.. ,............. _..- .... -----.� -
has been installed in acc rdance with the provisions of-TITLE LE 5 of The State Environmental Code as described in
p y ._....... .............._...-
the application for Disposal Works Construction Permit No. -._--_.------ .-�._�.......... dared �i
THE ISSUANCE OF THIS CERTIFICATE SHALL'NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
t `
DATE.......-......1..L'. :..�....'_ � 77.. ..__�.�......:..........__---...._ Inspector .......... .........
-,------- --•---- ---_--,-.--.__� --- ,- ---- ------•,-_-------------------- ---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No... ......L FEE...._..,_
Dispooal Work,5 Tomitrurtiort Vrrmit
Permission is hereby granted ?”►-- '� 1. 1 't! ..........................................................
to Construct ( ) or Repair ( ) an Indio du l Sewage Disposal System
d `Street
as shown on the application for Disposal Works Construction Permit No._�3__��� Dated...........................................
------------------------•---•••-•--------...................
d�� Board of Health
DATE / v 7---,- -
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
,/ _ _ ;;aye � r .. '`;• a'"'
•v .TOWN;OF F-ARNSTABLE
LOCATION SEWAGE # 9,,.f'"�s ,
VILLAGE. . OS e�;, �`�c _ ASSESSOR'S MAP & LOT , 112
INSTALLER'S.NAME & P;HONE NO VO
�,t. SEPTIC TANK CAPACITjY Igo o ksr g
LEACHING FACILITY (t�pe). n /�� d�21' (size) ,
NO. OF BEDROOMS < + '. rPR1YATE WELL OR PUBLIC WATER
BUILDER OR.OWNER' 3'X'i
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED;
VARIANCE.GRANTED-.. Yes = %' No `_
ss �
Acc `
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-- --' GENERAL NOTES E7�fRF.N1E CARE must be faker to avoid damage tb interior finished space,by
water and wind conditions.Cover open roof areas with tarps to prevent water
ALL CONSTRUCIION shall conform to the current standard building code for intrusion to finished space below.Cover and protect the existing oak floors,carpet
the town of Barnstable,MA. The builder shall inspect the existing conditions in etc.,with particle board or a similar product.. f
all areas of remodeling or construction changes to existing parts of the home. FRAM NG. Sub-floor plywood is to be glued and nailed per local and state code.
Where Joist spans are in access of 10 feet,wood bridpng shall be used to _
REMODELING reinforce the floor system. DRAWN BY
Most walls to be removed are shown as dashed lines and notes but on site THE BUILDER shall verify all dimensions and measurements ofrough openings q�
inspection will be necessary to determine all demo walls. for windows and doors,in the field. ^tut�'�
New walls are shown as shaded
THE DESIGNER is available to assist the builder with any questions. Call the
phone number on this plan. 1 Y
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S'Ei-CQND-F OOR-PLAN SECTION NEW ADDITION GARAGE