HomeMy WebLinkAbout0807 SEA VIEW AVENUE - Health a �07 Sea View Avenue
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' TOWN OF BARNSTABLE
i. LOCATION
SEWAGE # 2�ay-130
VILLAGE ASSESSOR'S MAP & LOT/1.5
INSTALLER'S NAME&PHONE N0. ,SOS- y20- ?nn ,5 ' alae
SEPTIC TANK CAPACITY'\lei 4auff 1000 4aL -
LEACHIN' f type)
(size)
NO.OF BEDR'00MS` _r
BUII.DER:.O �R
P)rRMITDATE: COMPLIANCE DATE:
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 Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facili )
Furnished by
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Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
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Public Health Divbion
Thornas McKean;Director
200 Main Street,Hyannis,MA 02601
Fax: 508-790-6304
Office: 508-862-4644
Installe &_Designer Certification Form
Date: ~
n p
Installer:
Designer•.
Address: Address:
On - o J0 "c� was issued a permit to install a
(date (install r)
G$�d-\/1 P►1 __ based on-a-dwiga drawn y _.
septic system.at
(a
-ddress)
AY 1 IL, dated
�( esig�rte�r)
I to
certify that the septic system rear red above�cinstalledRCIOOrdin
angesas lateralh relocation ratio of the
the design,which may include aPPre
distn'bn"box and/or septic tank-
I certify that the septic system refmmed above was installed with major changes.rient
gr+eaW than 10, lateral relocation of the SAS or any vertical relocatioon PAY �won or
of the septic system)but in accordance with State&Local RegnLa:�:_
ceactified as-bniit by designer to follow.
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tb'
er's Slgnature
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's Signature (Aix Designer s:Stamp Rem)
PLEASE RETURN T D—BARK. BE ISSUED UNTIL SOT$ TL—MffiS 4 AND `�S-
OF COMPLIANCE WII'
BUII,T CARD ARE RECEIVED BY THE BARNSTWE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Healtb/Septic/Designer Certification Form
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i� TOWN OFBARNSTABLE
LOCATION �QVICk /`i� /SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PRONE NO.
SEPTIC TANK CAPACITY I6-00 6,Ak
LEACHING FACILITY:(type) /000 6Q 4 (size)
NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER
BUILDER O O WNE f l C�-JkM C A!l
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BA.RNSTABLE
L r;;ION 0 7 cJ EGA l�i%2Gy 14 V/5 SEWAGE # 00
NI LLAGE (25LILViIII ASSESSOR'S MAP & LOT/15 ,a05'
INSTALLER'S NAME&PHONE NO. SOS- e` er
SEPTIC TANK CAPACITY /DOO 6, af,S19F1 �� u
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS / /
BUILDER OR OWNER / 6Z14Acy_�14 ZIZZ24kt-7 1
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PERMIT DATE: S l/ "0 y COMPLIANCE DATE: D y
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 wetlandi exist
within 300 feet of leaching faci 'ty) Feet
Furnished b ✓ �v��-�i
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Qha/ran`.a
TOWN OF BARNSTABLE
Lt:jCAT bN ;�0'7 S'%!9 Vii,� #V45 SEWAGE # :2aa 51-130
VILLAGE 0.5 rwy,l/r-_ ASSESSOR'S MAP & LOT//3—OOY
INSTALLER'S NAME&PHONE NO. 508= y20— y73S
SEPTIC TANK-CAPACITY 451a 401191f 1000 Lam4 [=+/.idt3
LEACHING FACILITY: (type) /rps2roR�s (size)
NO. OF BEDROOMS'`.-r
�BUILDEROR.OWNER
PERMIT DATE: _Sw //^!��/ COMPLIANCE DATE:
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 facili ) Feet
Furnished by � ��
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No. 30 Fee 52
THE COMMOiV"v'vEALTH OF MASSACHPISETTS Entered in computer. �
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS
ZIppYtcation for Migool *pztem Conotruction Permit
Application for a Permit to Construct( . )Repair Grade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. 807 S/^'!� V/ ✓=. O is Name,Ad#ess and Tel.No.
Osr�,�'✓�/l, ' ' :c�i,�rv1 C�An�,00dr=//o
Assessor's Map/Parcel
o o y a Y;.
Installer's Na5ie,Address,and Tel.No. Designer's�ame,Address and Tel.No. �rp�-$3 51- 7
i 'W, r sr
Type of Building: S ,
Dwelling No.of Bedrooms Co Lot Size - sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
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)
(� /, &Zi-L 41e4,,5 L��
yl
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 Certifi-
cate of Compliance has been issued by this Board ZA"4�
Signed /? Date
Application Approved by 4A 0, a Date Y
Application Disapproved for tht following reasons
Permit No. ago U Date Issued 1
No. — U Fee _
THE COMMONWEALTH MASSACH,[JsETTTTS Entered in computer:,/
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
application for Mi000.5ar *pztem Construction Permit
Application for a Permit to Construct( )Repair(G, grade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Sol S:�¢ tf//sue A✓/ Owner's Name,Ad Tess and Tel.No.
Assessor's Map/Parcel ,
/3 .-. o v y y07 5c xin V_,
Installer's Name,Address,and Tel.No, Designer's Name,Address and Tel.No. �r p�-$33- /77
Type of Building:
Dwelling No.of Bedrooms 4 1 (A/ Lot Size sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day.,Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title (�
Size of Septic Tank Type of S.A.S.
Description of Soil, i
Nature of Repairs or Alterations(Answer when applicable) /
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 Certifi-
cate of Compliance has been issued by this Board of Health.
Signed Date
Application Approved by //I- .. .� a - Date c_!A/tt
Application Disapproved for the following reasons r
Permit No. -2 c�_02 Z U Date Issued C` r r i L/
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( e—).Upgraded( )
Abandoned( )by ,��s�,d1, 42e
at !(� S�%� ��i=�i� 2i/f= _ f�srG 1ii/i/�� has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. JW U-.��v dated
Installer h,<C'/ /� _/i Designer ?A ifi�/ //lam /9
The issuance of this permit shall not be construed as a guarantee that the sys em will:unction as designed.
Date S f+.���/.iu Inspector �1 A w ,,1leS.
---------------------------------------
No.'PflUu-2?0 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Migoozaf *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair Abandon( )
System located at %
f9s�;=r�/�l/.=
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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 nol,
rmin. ,
Date: l f ! �>y Approved by �r r. .
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WINDOW SLIDER SLIDER SLIDER SLIDER SLIDER WINDOW J Ll NEW 6068 CW14 2W14 NEW 6068 CW14 w CW14 NEW 6068 CW14 w
Q SLIDER SLIDER o,I SLIDER a a
> NEW BF
3 DOORS
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GREAT ROOM DINING z MAST R
BEDROOM 2 BEDROOM 3 oW
__ BEDROOM
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NEW 5 1/4" SO. PSL POSTS & AB66 < 'm
POST BASES ONTO GIRT BELOW/PROVIDE -
3 1/2" LALLY BELOW.GIRT ON NEW
3 2' x 2' z 12" COL PADS NEW IF "w - 21'-2 1 2" - DOORS. NEW
2666 L^o
WIDEN -- — ---------- DOOR wc�
EXISTING OPENING
SLIDER _ NEW(3) 1 3/4" x 14" LVL BEAM ABOVE
NEW W/(2) 13 1/2" x 5/8 STEEL FLITCH PLATES
♦ yme O O a o
NEW FLUSH FRAME EXISTING JOISTS AND BEAMS - _
INTO EACH SIDE "
LAV. I DOOR - n BATH NEW MASTER REPLACE Z y "
FAMILY OO FOYER U 2666I DOOR BATH vnNoow om �
KI CH N BEDROOM 4 NEW BATH N -
OFFICE DOOR '❑® �ie
PKT.
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NEW Z
26 6 2666 NEW �.. - OF;
UNDRY Z
' DOOR DOOR 3668 /i \ EATING - ,--- VIDE SRELVES -
DOOR > w
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TRANSOM TRANSOM 3668 TRANSOM 3668 �o \ W' D'
EXISTING 0 CW735 CW135 CW135 - LESTI�NG
ABOVE ABOVE DOOR ABOVE DOOR SPIRAL'STAIR z J. SPIRAL
TRANSOM TRANSOM CASED 3 w"
ABOVE ABOVE . -
PORCH \ ' OPENING Z L—_I__J
CW16 CW76 \ __�__p__�
/ STORAGE z
NEW 5' WIDE NEW CASED CW15 CLOSET w
FIXED WINDOWS NEW OPENING NEW 5' WIDE U w _j
IN EXISTING 2668 u> FIXED WINDOWS : I
OPENINGS - GLASS GAS FIREPLACE W/ c3i IN EXISTING z 5. a_
VERTICALLY -TV ABOVE OPENINGS W
Q VERTICALLY o Q "o
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TV ROOM J
PROPOSED SECOND FLOOR PLAN o � w
FUTURE Q a
CLOSET SCALE: 1/4" = V-0" O
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CW15 z \y�ERED AR, � LQL
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PROPOSED FIRST FLOOR PLAN No*s387 _ U)
LGLASs
W 9R STABLE
SCALE:' 1/4" = r-o•' BATH �� MASS' HLISETTS
LEGEND OUTDOOR PC'�J SHEET
EXISTING WALL CONSTRUCTION TO REMAIN /j SHOWER - OF MP.C>5 �I�
NEW WALL CONSTRUCTION 3
CW14 SOUARE OFF
CORNER FILE#: JDS18058
DATE:10 01 18
PROJ. MGR. JDS
C.M. N/A
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ASSESSORS MAP :
I TEST H0 _ E LOGS —
FQ �� PARCEL :
FLOOD ZONE : A101 pro IL G� SOIL EVALUA-� VAS/ FES:
� WITNESS : V-� t✓ C 3
REFERENCE : ��Ep��- G �3J`f _ DATE :
�G�/ ypl f1�d PERCOLATION F Che installation shall comply with Title V and Town of Barnstable Bc f
'� Z �/ �� ._ L- 21'�'11 I Health icegu,atia�?s.
\ o �� } 2 ' .�, �� I �(/ fhe Installer shall verify the location of utilities, sewer inverts and se
TH- 1 f TH-2 components prior to installation.
�U p, !�� 5 o All septic piping to be 4 inch Sch 40 PVC at 1/8" per foot-
,./i�ti/� / `1'` / , r This plan is not to be util' -d for property line determination nor an)
purpose other than the pr f used system installation.
G,, L
All septic component- ust meet Title V specifications.
, 6) Parkin; shall not t,,- structed over H10 septic components.
LOCATION MAP(�fi,5) /o �if ?
/� 7) The property is h- �d by property corners and property lines a- ,�icted.
�f �/ 8) The property r all review design considerations to appro, i total number
of bedrooms f considered for design. Receipt of payment f plan and
installation on the plan shall be deemed approval of the n !r of
bedroom'
9) Th- ,ng leach pits shall be pumped and backfilled per Til `,bandonment
I i
10 T- g se e a minim, 1000 al. and in
10)r ag septic tank to be evaluated and must b g
- - - condition meeting requirements of Title V.
I
SEPT i , SYSTEM DESIGN
5 u,A C FLC ESTIMATE
rd0ct ISM 'J BEDROOMS AT PO O GAL/DAY/P OOM - D GAL/DAY ����`� KOOK
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INN ;P
► 'gD2� - deb .8 h,b ,� ST BT I C. TANK �6b-,/ �� --�
�f --
\ �3AL/DAY x 2 DAYS - " GAL -(( � X Z
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USE 45)0GALLON SEPTIC TANK
jVt- \ �/ / 6 J S011- ABSORPTION-SYSTEM ✓
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SIDE AREA: 2 X -r lD
80TTOM AREA: x5OY, 0 _ 6
exI5<1H
SEPTIC SYSTEM SECTION
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^� [ _] G -- L ivwc- mac- _- M�/S43 M
GAL �7 o
q SEPTIC TANK
S8 ,
/� •, r,A►�, X 10�83 �
�orm� of r.N. 9 ��r
�� ____ _ '—i' _ a+ ��"'�� III• t. SITE AND SEWAGE PLAN
I� �A '` -Y L0CAT 1 ON . 807 �5cA4 VicW )q YC
03 cis T?zk14, -1E
PREPARED FOR :
0
SCALE:
z DAV I D B . MASON ,R5 DATE : /o 03
DBC ENVIRONMENTAL DESIGNS
W EAST SANDWICH . MA
W DATE HEALTH AGENT ( 508 ) 833- 2177
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