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HomeMy WebLinkAbout0384 LAKESIDE DRIVE - Health 384 Lakeside Drive Marstons Mill's A = 102 035 1 i i TOWN.OF BARNSTABLE c� r I _ LOCATION ,3a� 1..+�6R-S"oe:0i\, SEWAGE # 02 VILLAGE �`I/ n ��11 ,t� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 1 acr—/ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ,�oO�F1�('ys�a1 -i �02 (size) NO. OF BEDROOMS ' BUILDER OR PERMITDATE: , ' 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 facility) Feet Furnished by a 1 l/9 NO. ��� �� THE COMMQNWEALTH OF MASSACHUSETTS FEE d v� l r BOARD OF H EALTK r "' 149 WA OF lei-RAI—S 91-0 APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a P&r it to Construct X Repair ( ) Upgrade Abandon ( ) - Complete System ❑Individual Components Locae��tCn✓ V✓ �4 L�4kgSr2E P Map/Parcel# SD Address 20 - Lot# Telephone# v .bo��E .Qss6c�.47�s " IS* ,-- AV, S95 Gl/. �Dz Designer's r1 7-1-1 4257�- Address Address 3_/99!0 Telephone# 6 Telephone# Type of Building: Lot Size 20 000 Sq.feet Dwelling—No.of Bedrooms _3 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures / Design Flow min.re uired - P p�dCalculated design flow.3-3y d Design flow provided✓4 d g ( q ) gP g gP g P gP Plan: Date (i - Z Z- U Number of sheets _ Revision Date Title� AO/�9 /=412 /i- - �4�C/��5"®/1� Description of Soils $35 4,VA 40&t 7 `-� ��L, S= 3 ,� �` GW IVID P ( ) � � 4����cc����so 36 �i z� 5�9✓v� Soil Evaluator Form No.MdfWI e. Name of Soil Evalu for .✓Q8AJ A d`,)U 6- Date of Evaluatio � - Z 3 - y DES RIPTh)N OF REPAIRS OR ALTERATIONS C9�r The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu er agrees of to plat system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections ? FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 000 .3 G9 _ 1•�„'s x u i y' N=-�a.t �� �y'-..r.r_ }' .. ,.i.,.r - a .,_ -•••� ..'_-n a No# d THE COMMONWEALTH OFM:ASSACHUS;EETTS FEE, ! yy t3 . 3 P T wn/ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct X Repair (' ) Upgrade ) Abandon- ( ) -.X Complete System ❑Individual Components ,�$4 Location . Owner's Name ' Map/Parcel# Address 3-S� �. $-0 ZO- �j - -?5' t Lot# Telephone# . .bOYLE AssaGiR�rs Installer's Name Designer's Name !k, S9s41 . L rr�o u T� Address Address Telephone# Telephone# Type of Building: Lot Size 20 006 Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ) ( )Cafeteria Other fixtures �/o Design Flow(min.required) gpd Calculated design flow3.30 gpd Design flow provided.34-19gpd Plan: Date G 2 Z- h Number of sheets Revision Date Title S�rJ5 AW 1 C'dr9/z S� Description of Soil(s) Q 8 MAIJ 40��1 �`-� L� S- 34--PL G oAZ5,6 j�4"JU ��20 S9,vp Soil Evaluator Form Nohl dA114', Name of Soil Evaluator -/0f/AV A DAL� Date of Evaluation � - 7-3- 03 . n I DES RIPT N OF REPAIRS OR ALTERATIONS��� (��� — � ,O gQYr S� lef-w✓l T The undersigned agrees to install the above described Individual Sewage Disposal System n accordance with the provisions of TITLE 5 and further agrees not to plat the sy tem ink ope ation,until(a CerFifiuite of Compliance has beemissued by the Board of Health. Signed Date prC -0,3 l; Inspections FORM V-'- APPLICATION FOR DSCP DEP APPROVED FORM,5/96 � 3 -3Cog � No. O`,00 3— THE COMMONWEALTH OF MASSACHUSETTS try r FEE y�ao I�"I^, tYr_/7I . BOARD OF HEALTH CERTIFICATE OF COMPLIANCE i Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify tha the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) '• yy by:TM (Uce at has been installed in accordance with the provisions of 310 MR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.0 03-�. kated I 1 A proved Design Flow (gpd) Installer Designer: Inspector • Date 12 The issuance of this certificate shall not be construed as a guarantee that the sy?gym will function as desigried. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED4FORM 5/96 No c)c 3 --3 THE COMMONWEALTH OF MASSACHUSETTS FEE 00 \ IQ BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT l Permission is hereby granted GoLCo truct ( i+�) Repair ( ) Upgrade ( Abandon ( ) an individual sewage disposal system at. ,� t�tt, s Dn� - { /as described in:'the application for Disposal System Construction Permit No. � —�to� /dated 7 G Provided: Construction shall be completed within three years of the date of mi l conditions must be met. Date O I7/� 3 Board of Healt �----� FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN'M _PUBLISHERS- BOSTON i • TOWN OF BARNSTABLE ir' �C� SEWAGE # d LOCATIO VILLAGE Mom- •�li j ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 9,9 55a9 SEPTIC TANK CAPACI'I�' �� ��• `` LEACHING FACILITY: (.type) S000el oy-94Y (size) NO.OF BEDROOMS BUILDER OR OWNER �� � �•hse✓� PERMITDATE: P _© 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 facility) Feet Furnished by y r J�l/ 4�i��i� i✓�'� l a9', P�C� �06 1 i7eCl� r f Bk 17419 P9209 091706 08-07-2003 & 12=02P SAMPLE NOTICE: The Town of Barnstable recommends that the applicant seek legal advice to prepare a properly worded deed restriction document. DEED RESTRICTION WHEREAS, 1Z_ Q AJ 1 (owner's na j - (address) is the owner of f �(dESin� located (addrgss) 1`-1 S MA (hereinafter referred to as and being shown on a plan entitled "Subdivisi n of Land in �•��-�{o s h-t I f S MA, Property of ill I_ p et al, �� � �ti� 0 duly recorded in.Barnstable County Registry of f s 4 � as �bL�I ��� Cie ` 13 , Deeds in Plan Book Page ohs Or on Land Court Plan Number fit, �e� WHEREAS, - Te as the owner of said lot has (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a. pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compiance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this. document, deedr Aug-07-03 01:46pm From-BARNSTABLE REGISTRY 5083625065 T-221 P.02/02 F-290 NOW, THEREFORE, `�'J does hereby place the (owners name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors In title: ay have constructed (adaress) n the lot a Ouse o 1inin no r th 3 (3) bedrooms. p �ilf�fllr that this shall be permanent deed (owners na restriction affecting _located on MA, and being shown on the plan recorded in Plan Book Paged Or on Land Court Plan For title of see the following deed: Book , Page Or Land Court Certificate of Title Number Executed as a sealed instrument Y day of a0q"4'_4A"_ Ow is signatur ivy 0 es n Owners signature COMMONWEALTH OF MASSACHUSETTS -gas 24rJ '� Then monall appeared ®XIIIA(M ove- amed known to me to be the person who executed the foregoing instrument and acknowle ad b he same to free act and deed, before me, ir aQ � Notary mph My commission expires: IL �¢Q x �� a5=d, ,�'.kz;F��7 t� ,;` (date) �.. ra . z EUZA$ETH s.cALLAHAN ... . s NOTARY PUBLIC ON. 4 C N�b�` �C, ay Ccorassen E'*va AL 7, to BARNSTABLE REGISTRY OF DEEDS - i S L S E S SG/ EL. 82.39 O T T /?E G75 E E S , S W.46 Y57- ` PR0 jC l L C 2,SY 414 LOA/W A _ a 8 G94,0 n/� M/ sLo�E oF' 2 :, 7 sYR /4 g 6 MAX 9: Mlt►t. Sig N� s , Bo h/ G SUMP "MAX.. G x• '.L)/ T X � � A 9 Mtnl - W /?DOTS. ii / �/V. 4 2 / ; /n/NER EASlJR / 3�- 6� . 7 3. 3 / MN M E 36 _MAX_ _ 1 2, covER of /4. /2- Sr,pnlE; S[H, 40 PVC � ?s. ScN. 4-0 Lloulb ` LEVEL PVC / .. VE.fy / ♦ VEG ---�- IAIV' 0 78, ; ,, � 73.9Z N✓ 8 .l7 MIN y 3.32 `/• 7 o .� t� 1� � /DyR !�G GOAiE'SE ` B ED 6t= .•.:�. -..: S Nc SToN L E . a(' o r� d O AGt-I GHf� 8 E2 S cRusHED CL)S G.L�- M p • ,Z �Fi. JIIEPTN - s,�ND 0 STo N E s o r� G' » _Q >� C1. o o v u v a 6 o 00 GAL _ , ., , G . C1SE �9 P>�ECA T.C NC. /5 -� — 4 !b _ ' 4 u o c SEPTIC TANK W H INLET TL T 2I O c OA�sE ,rEEs coNsrevcr�D �� 3/ocMR t5•z2� s � Q oYR l a / C z oN s S ., So/L-S ABSOR PTI Y TEM E E SEW GE SYST M D SlG/�/ Cf�LCcJLAT/dNS/4 ` ,607-MM of TES- "PI T /20 /. DES/GN .bfl/Ly GLDY�/ . GROCJ�SIQ lvAT�i� Ak5 T ZCWCO 41,1V 1� 3 6EDRUDMS X //0 Gf'� 330 'G R v /J07-E• dal/sT/NG CESPDa�.S 5N/ILL 8E P MPED AN-.D 2. ,RE U/,2 45Z s'OR /O n/ ARC-A , _ Q AB PT Wl SA D © 2EMOVEI� p ,q TN N , R s l4 s E v L �/A TO.P DGPD :- 0.7 SF DAY - S_F. , 33 4 1_ / � L=XCAVA OR. BRIDGE C/�L 5 T M 3. USc Z -I-A/O -600 GAL.. LEACH 0-1,9A40CFES W T A sHED 5"T N'E OF , W D 4 WASh/E� TY�//CE STONE .4LL A/POvN - . P�. sec. � EPA!-� • 3�• sz , ,BS ,.pid /aN A,eEA I°Ko v/s/4w: 4 /->r C T 2 Soa Ek s G _1z /o � � G HAMi3 SD/ S T�X .C'AL' GGA �S. ONE 3 4 S/AES• �ZS. GGt•5o>x Z - / S/ S.f 4• Gc/Asr/ED 57oI�E TOT4L AREA = 47/ 5-F. L N E O S A. S. P A _VI W F SCA1-6 . l - 10 ASS�SSoRs MAP /�z PARCEL 3 S 3 Z'L, - 79. 33 y'j s v p ND 90 (L 0,5 i G -� 1'-'u•a JS � � or G . n JQiiN /t/ BG Z7 40 f y I 8 --.—J UOY[_E.tfi „ 200. OO , �+ N0.33589 ARC w s B y D 2 4 o 7 / I o SUM Z Q . 0 ? A o avO S. h 0 2 _ 8 _ E N / o �rT 0 PRoPo � sCD �Ec EX/S 7- � N • .DEC p 4---2 8 - - o OCUS MAP C/9L- 0 +✓ r � S E' l .30 O 5 r� M s P ,�► ST N p n D J B S/TE AN.D SEW.9GE F'GAN J NX s 0p EGsY PR E n t• j4K F, L1 E �1 a A, 3 �C01 <--- 9 8 ---- o; - S/-10 J•v/ivG ;Tf/E PieD�o�'E d SEWA 6 E '" sYS 7-EM vPG.Pi41�E he V97t 3 8 4- � .4,�cE si.o� .D AL/ Y E �f �o 90 /S t t �� BA RN5 7-�q.BLE MA . slo. Y SCALE: /"=20 Uti/E Z Z, ZO03 y 204.00- ,,-' SCALE /A/ FEET 27' g-d kV 0' 20, 40' ✓.DoYLE /�ssocYATE•s S"08-,SG.3-/99¢ P.o-Box S9S' LY. �•9.c..NIo U T/� oz s 7¢ CL05 . 20'_6li EXISTING CLO5 BEDROOM 2 3 NEW ET DECK a STEPS BATHpe ------------ ------------------- ER EXISTING LINE OF UPPER DECK ® BEDROOM L L L L L L x x x x x x N N N N N N BLOCK UP EXISTING WINDOW II II � I I II II STAIRS AB VE I i EXISTING b b b x x x x x x x x it LINE OF KITCH E N N IV N N N N N a r-1 I F 1 --- C 4`-F= ==I==1 I REINF. CONCRETE FOOTING BELOW I CR,05f, BRJD IN I '-4" C I j 5 Ai 5 ------ -- „ 2X4 16 FOOTING BELOW O.C. F - ------ — 20�_4�� +- - -� - HANDRAIL 0 ---- - - 372"X " STAIRS U NEWEL POST EXISTING 3'-O" M I FIREPLACE TEEL COLUMN I I I EXISTING LIVING ROOM I I I WINDOW ROOM I I I CLO 5 i B FOYER 20'-01, +- VIF I 2 NEW ENTRY 4'-0" CL. OPEN'G SLIDING IDOORS - - - WINDOWa In - - - ------------- n v I IN ILIN ALIGN W / EXISTING DECK FIRST FLOOR PLAN ALE 11211 PROJECT ADDITION TO HOME OF MR. t MRS. PETER ATCHIESON FE S- ER ADDRESS STEPS 5TA I R5 VIF +- VIF DRAWING NO. SCALE AS NOTED A 2 DRAWN BY BK 37'-211 +- VIF ALIGN WITH PEAK OF NEW ROOF DATE 2-8-03 �— THESE DRAWINGS ARE TO BE USED FOR DESIGN CONCEPT ONLY 20'-G" C 2 UPPER DECK in I I I I I I I TOILET SIi�K I i I WINDOW j LANDING I FOYER IO O -------- I BATH - ------ - ---------- - TUB / \ i / -------- I � I j I III j5HELVE5JIL I -I III 8 2 0 -4" 2 III / I I iil I I I I I I --- I I I I I EXISTING I III r I I III I FIREPLACE I III I I I I I KYLITE �I I I I I Ili i i ROVE i i WINDOW I I III III I III I I I III I I I� II / 5h� F t ROD MA5TER BEDROOM / I I j Ilj i / I I I I I I III � I I I III I I ' I III I I I I I I I III I I III I --- ,I L I WINDOW WINDOW SECOND FLOOR PLAN LINE OF ROOF7 5CALE 112 J A 2 PROJECT ADDITION TO HOME OF MR. * MR5. PETER ATCHE50N 20-0 ADDRE55 SCALE A5 NOTED DRAWING NO. THESE DPWAVING5 ARE TO BE USED FOR DE51GN CONCEPT ONLY DRAWN BY BK DATE 2-8-03 A4 RewFORceo coNcREre FOOTING PIER FOR DECK /91 mxji 211 X 411 6" OC. REINFORCED CONCRETE i EXTERIOR SIDING FOOTING � TO MATCH EXIST 2" X I O" FLOOR JOIST 16' OC. ANCF70RE BOLTS REINFORCED CONCRETE FINISH GRADE SLOP AWAY ZQ11 OC REINFORCED CONCRETE FOOTING 3000 P51l FROM STRUCTURE FOUNDATION WALL USE k4 REBAR USE #4 REBAR AA21-011 I i - - - - - - - - - - _ - - - - - _ — ice TERMIT GUAR • ' i Tfl 1�1 I I EE I I I I III=III=IIIIIIIII=IIIIIIIII=111- i i ' 1 I11 I11I11I11I I-1I I a � 11I1=1I11I11 I1=1I I-1I11I1=1I1= �wFORceo coNCR�e �-2'-0� '11 111 111 11=1 I I—I 11=1 I I I 11 111 11=1 111 111 11=1 111 11= FOOTING wnL L 11=1 I Itti I I 1=1 111 111I 1EI I IEI I I I1=1 I I=' use a4 REBARi � i I I 1=1 11=1 11=1 111 111 I ° ' g�� I I 1=1 111 111 11=1 111 111 11=1 ' I El I 1=1 I 1 11 1=III=III=III=III=III=III=11 ' MI I I I 1 � � III=III=IIIIII=III=III=III: � I1=1I1=1I1=1I1=1II 11IE1II—II11I1=1I1=1I1= 111III11 " . I-1TI-1TI—I111I1=1I1=i EXisrwc FouNonrioN WALL i �� i 11 111 111 111 I I I = 1 111 111 111 I ' '-0"Z ''-O" l I11 111 111 111 I • ' �' I I—III 1 I I-1 1I- 20 -44 � III=IIIIII—III I —III—III - - � =1 I II 111 I I-1 I I �„ 1=1 111 111 111 I I_ z' Po�rroAM wsuvnoN � � � 11I11I1=1I1=1I II1=1I1=1II 1I1=1 I- -'r--�21_011 �� � �� I III=III�III=III • ' a, � • . 1=IIIIIIIII1 II 1=III=III=III— a� , IIIIIIIII=I REiNF. coNczEre FouNOAnoN WALL EXisrwe FouNoarioN WALL ICI �i �� I I I I I I ' III III= 11=asnNc srRucnoN i i � "°� d s000 Psi I I I—III Of � III=III=I A A I III—I I : ' _- _ ___ � i i I I _I I 11 I I I_�I I Ed 1 1=1 I III �'"F. CONCRETE FoonNG I IIIIIIII 11 s000 Psi - - - - - - - -i - - - J 2 -011 I /2" DIA. REBAR #4 21-011--1 REINFORCED CONCRETE A VERTICAL SECTION FOOTING PIER i 2J SCALE I " = I ' - 011 za-GilPROJECT ADDITION TO noble of MR. . Mrzs. PETER nrcnesou all )i LL sC^LEws uoreo rAq FOUNDATION PLAN VIEW FOR DECK ADRAWNeY K vnrvc ry 2 scn�e iiz• = i ' - a' TI1E5E DRAWINGS ARE TO BE USED FOR DESIGN CONCEPT ONLY DATEz-e-os 5