HomeMy WebLinkAbout0112 WINGFOOT DRIVE - Health 1{{12 WINGFOgxL"E, CUMMAQVM
1
LOCUS: 112 Wingfoot Drive #39-01-2017 08 m 25
Cummaquid, Barnstable, MA
-V
DEED 'RESTRICTION w�
WHEREAS, Kathleen A. Connors, of 170 Jamestown Road, Leominster, MA 01453, is the3bwner of
the property located at 112 Wingfoot Drive, Cummaquid, Barnstable, MA, as shown on Town
Assessor's Map 349, Parcel 83. This lot is shown on a plan entitled, "Subdivision of Land id'S
Cummaquid, Barnstable, Massachusetts, for Cummaquid Realty Trust, Scale: 1" = 100', January
1970, Barnstable Survey Consultants,.Inc.". This lot is shown as Lot 173 on Plan Book 235, Page
149. The deed for this property is recorded at the Barnstable County Registry of Deeds in Deed Book
29738, Page 274.
WHEREAS, Kathleen A. Connors, as the owner of said lot has 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 compliance 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, E
NOW, THEREFORE, Kathleen A. Connors does hereby place the 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:
1. 112 Wingfoot Drive shall be restricted to a'maximum of three (3) bedrooms.
Kathleen A. Connors agrees that this shall be permanent deed restriction affecting 112 Wingfoot
Drive located in Cummaquid, Barnstable, MA, and being shown on the plan recorded in Plan Book
235, Page 149. 4
w
For title of Kathleen A. Connors, 112 Wingfoot Drive, see the following deed: Book 29738, Page
274.
Executed as a sealed instrument day of September, 2017.
Kathleen A. Connors, Owner
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss J , 2017
On this tul day of , 2017, before me, the undersigned notary public,
personally appeared Kathleen A. Connors, as aforesaid, proved to me through satisfactory evidence
of identification, which was a Massachusetts driver's license, to be the person whose name is signed
on the preceding document, and acknowledged to me that they signed it voluntarily for its stated
purpose.
. L
Notary Public
My Commission expires:
SUSAN B. LADUE rr`� �oUE'
Notary.Public �; v `Tt1Aj, i�• .
CommoNWEALTH OF MASSACHUSETTS 7 �O
My Commission Eires
Februtiry 4, M2
- <t. � `tea � `"•
.
BARNSTABLE REGISTRY OF DEEDS
John`. Meade, Register
Commonwealth of Massachusetts9�
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid ✓�Gt r n M-349 P.-83 3>
Property Address -„
Paula Davison W
Owner Owner's Name
information is P.O. Box 1198
required for everyDennis MA_ 02638 April 27, 2016
page. City/Town State Zip Code Date of Inspection
Me
►+
1a,
Inspection results must be submitted on this form. Inspection forms may not be altered in an
way. Please see completeness checklist at the end of the form.
Important:When filling out forms A. General Information S/ # /I s-44.
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not Troy Williams
use the return key. Name of Inspector
Troy Williams Septic Inspections
my Company Name
19 Hummel Drive
Company Address
South Dennis MA 02660
City/Town State Zip Code
(508)385= 1300 S1682
Telephone Number License Number
B. Certification
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:
® Passes ❑ Conditionally Passes.. ❑ Fails
❑ Needs Further Evaluation'by the Local Approving Authority ,
April 27, 2016
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system 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 DER The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****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.
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
0
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid M-349 P-83
Property Address
Paula Davison
Owner. Owner's Name
information is P.O. Box 1198, Dennis MA 02638 April 27, 2016
required for every
page:,-4 City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® 1 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:
System meets minimum standards set by Massachusetts DEP at the time of inspection only.This
inspection is not a guarantee or warranty on the future working conditions of leaching, pipes,
components or the future structural integrity of said components and only represents conditions found
at the time of inspection only.
B) System Conditionally Passes:
❑ 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.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ® N ❑ ND (Explain below):
t5ins-3113 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection 'Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M 349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is P.O. Box 1198, Dennis MA 02638 April required for every p 'l 27 2016
page. Cityfrown State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired. :
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled-or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
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:
❑ 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
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner owner's Name
information is required for every P.O. Box 1198, Dennis MA 02638 April 27, 2016
f
page. City/Town State Zip Code Date o Inspection
B. Certification (cont.)
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:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
*'This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than %day flow
t5ins-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form .
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M -349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is p O. Box 1198, Dennis MA 02638 April 27
required for every p �il , 2016
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or-privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑. ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. (This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® 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 flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or'no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
El El 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 r 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.
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'< 112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is required for every P.O. Box 1198, Dennis MA 02638 April 27, 2016
page. Cityrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined?(If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑
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:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
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): 330
t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
`t 112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is required for every P.O. Box 1198 Dennis MA 02638 April 27, 2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents- 0
Does residence have a garbage grinder? ® Yes ❑ No
Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No
information in this report.)
Laundry system inspected?
® Yes ❑ No
Seasonal use?
❑ Yes ® No
Water meter readings, if available last 2 ears usage 15=52,000 gals.
g ( y g (gpd)) 14=54,000 gals.
Detail: _
vacated on 12/10/15 with occasional use after. Garbage grinder being removed
Sump pump? ❑ Yes ® No
Last date of occupancy: occasional use
Date
CommerciaUlndustrial Flow Conditions:
Type of Establishment: N/A
Design flow(based on 310 CMR 15.203): N/A'
Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.): N/A
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present?
❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available: N/A
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is P.O. Box 1198, Dennis MA 02638 April 27, 2016
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (coot.)
Last date of occupancy/use: N/ADate
Other(describe below):
NIA
General Information
Pumping Records:
Source of information: Last pumped on 1/20/14 per info from owner.
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system es or no) (if es, attach previous inspection records, if any)
( Y Y Y
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is p O. Box 1198, Dennis MA 02638 April 27, 201E
required for every - p
page. City/Town State Zip Code Date of Inspectio:l
D. System Information (cont.) t
x
Approximate age of all components, date installed (if known)and source of information:
D-box and leaching were installed to existing tank on 7/9/98 per compliance.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
18"+
Depth below grade: , feet
Material of construction:
® cast,iron ®40 PVC ® other(explain): orangeburg before tank
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Flushed lines and found clear at the time of inspection.
Septic Tank(locate on site plan):
Depth below grade: feet
Material of construction:
®concrete" ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 5'X9'X6' 1000 gallon
Sludge depth: 4„
t5ins•3l13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is required for every P.O. Box 1198, Dennis MA 02638 April 27, 2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 21811
Scum thickness none
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? probe/measured
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Inlet baffle and outlet tee were found present and in working order. No evidence of leakage or
damage was found. Tank was not in need of pumping at this time.
Grease Trap(locate on site plan):
grade:below Depth
N/A
p g feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions: N/A
Scum thickness N/A
Distance from top of scum to top of outlet tee or baffle N/A
Distance from bottom of scum to bottom of outlet tee or baffle N/A
Date of last pumping: N/ADate
t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid •M -349 P-83
Property Address
Paula Davison
Owner owner's Name
information is P.O. Box 1198 Dennisrequired for every MA 02638 April 27, 2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade: N/A
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑',other(explain):
Dimensions: N/A
Capacity: N/A `
gallons
Design Flow: N/A-
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level.' N/A Alarm in working order: ❑ Yes ❑ No
Date of last pumping: N/A
Date
Comments(condition of alarm and float switches, etc.):
N/A
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is
required for every P.O. Box 1198, Dennis MA 02638 April 27, 2016
for
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert level
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.):
D-box was found level and in working order.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
N/A
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
bins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form.
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaquid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is P.O. Box 1198
required for everyDennis MA 02638 - April 27, 2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type.
❑ leaching pits number:
® leaching chambers number: 3 cultec 330's
with 3 stone
❑ leaching galleries number: 23'X 10'X 2'
❑ leaching trenches number, length:
❑ 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 ponding, damp soil, condition of
vegetation, etc.):
Soil was sandy. Checked stone and found dry and clean. No evidence of hydraulic fai°ure or problems
in the past were found at the time of inspection.
Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration N/A
Depth—top of liquid to inlet invert N/A
Depth of solids layer N/A
Depth of scum layer N/A
Dimensions of cesspool N/A
Materials of construction N/A
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid M -349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is required for every P.O. Box 1198, Dennis MA 02638 April 27, 2016
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
N/A
Privy(locate on site plan):
Materials of construction: N/A
Dimensions N/A
Depth of solids N/A
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
N/A
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
it
Commonwealth of Massachusetts
lugTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid M -349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is p O. Box 1198, Dennis MA 02638 April 27 required for every _ p �il , 2016
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
o
O 1 13D
3 'PAD '
a8r
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
Commonwealth of Massachusetts
uvTitle 5 Official Inspection Form
� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid M-349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is p O. Box 1198, Dennis MA 02638 A nl 27 2016
required for every p
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 15'+
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
® Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
® Accessed USGS database-explain:
AIW 247 Zone C 23.4' 3.6'adjustment
You must describe how you established the high ground water elevation:
Hand augered 4.3' below bottom of leaching with no water found at a depth of 10.0'. Groundwater
adjustment at the time of inspection was 3.6'. Bottom of leaching at 5.7'was found not to be located
in the high groundwater elevation at the time of inspection. USGS maps estimated groundwater at
36.5'.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
112 Wingfoot Drive, Cummaguid M -349 P-83
Property Address
Paula Davison
Owner Owner's Name
information is P.O. Box 1198 Dennisrequired for every MA 02638 April 27, 2016
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
f
. 4
}
t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
TOWN OF BARNSTABLE � J
LOCATION (A/i Att c4- (-q A,4 SEW✓✓AGE # l '1430
VILLAGE 4W14'Xh ASSESSOR'S MAP & LOT
INSTALLER'S NAME APHONE NO. CG/1
SEPTIC TANK CAPACITY /w a
LEACHING FACILITY: (type) 330 Cv4 e (size) /O
NO.OF BEDROOMS ,�
BUILDER OR OWNER �V'e ORS e vier
PERMITDATE:_ COMPLIANCE DATE: -7
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
t � �
� ��
� � �
., h`�( _�
r .,
o �q
� z�iny
�� �
q�l �`�
� V
Fee
No
THE COMMONWEALTH OF MASSACHUSETTS /
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pplicatiou for Mizpaoat bpotem Comaruction Permit
i
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No.
io
Installer's Name,Address,and fel.No. Designer's Name, ddress and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder
Other Type of Building/low; ',ZAaC�`'No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Descripti n Soil '
Nature f Repairs or Alterations(Answer.when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the co ction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Titl a Environmental and not to place the system in operation untl a Certifi-
cate of Compliance has been iss is Board of Health.
Signe Date
Application Approved by
w�
Application Disapproved for the following rea s
Permit No. Date Issued ! ��
b�
No. 1e_ ��� (((/ •• Fee �
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS j
ZIpplicatiou for 30igaar *pgtem Cotte;tructiou Permit
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. j Owner's Name,Add r ss and Tel.No. '
Installer's Name,Address,and fel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms 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
Descripti n of Soil --'� =3 A— yvL_1 aU t^_
6V-L ,.--•C1 t-
Nature "f Repairs or Alterations Answer hen applic ble) J�'C�Q C t+ by A-A-i--;A
3 3 u e-� WA eAvo .5
Date
Date last inspected: 61/
2
Agreement:
The undersigned agrees to ensure the co ction and maintenanc of the afore described on-site sewage disposal system
in accordance with the provisions of Titl �We Environmental V and not to place the system in operation until a-Certifi-
c to of Compliance has been isstf ,+-tis Board of Health.
Signed , Date !/
Application Approved by
r `r"
Application Disapproved for the following reasons
Permit No. tf^ 44 7 Date Issued 41
" -
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance --�
THIS IS TO C)Mli-s
that the On-site-Sewage Disposal System installed( )or repaired/replaced( on
by 7o;o for
as h s en construc m a rda ce "
with the provisions of Title 5 and the for Disposal System Construction Permit No. 0dated
Use of this system is conditioned on compliance with the provisions set forth below
f 57
/
No. ,/ , -3,0 Fee SJ
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Zigoar *p6te�m Con5tructiou Permit
Permission is hereby granted to f 7
to construc( )repair( fan On-si a Sewage System located at
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.
All construction
must be completed within two years of the date below.
O i'r" �J "P
Date: � ?� �1 Approved by
t
kin to 39 c1 O 10/9/97
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A
DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT
ENGINEERED PLANS)
1 / ' &f/, hereby certify that the application for disposal works
y °fY PP
construction permit signed by me dated / �— , concerning the
ro erty located at !/v/J+l 7� ZI
(U
pn
PP " meets all of the
v
following criteria:
• There are no wetlands located within 100 feet of the proposed leaching facility
• There are no private wells within 150 feet of the proposed septic system
• There is no increase in now and/or change in use proposed
• There are no variances requested or needed.
• If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the
proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation.
Please complete the following:
A)Top of Ground Elevation(according to the Engineering Division G.I.S.map)
B)Observed Groundwater Table Elevation(according to Health Division well map)
SIGNE : � DATE: 7-
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
q:health folder:cert
���
�'� �
. 'L�
i
.:� ' �
�,�' � � �
3 ---�--�
� �
to,Arfr-�0p-c
6 �v
i
t
TOWN OF BARNSTABLE
LOCATION J I_� (n/l�' d�c�C/¢" Lc�n-It SEWAGE # C1 '14
VILLAGE rw&0� ASSESSOR'S MAP & LOT I '
INSTALLER'S NAME HONE NO. 13 far CG�t��• CO,
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) -3 -330 Cu4,22 EC (size)
NO.OF BEDROOMS
BUILDER OR OWNER (A.,
PERMIT DATE: -- 1 `1 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well an d 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
No. ......^�--•--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD QF HE TH
Qv --------OF..... =
Appliration for Disposal Works Tour rur#ion ranfit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
&C0`2W,4"
............ _ � (r..... .... .... ... .......
owner d ss
w . ...� .. ....�..... ....... i ....... . ........• -•-......F..
nstaller Address c $r Lai
UType of Build*i „ Size Lot............................Sq. feet
Dwelling No. of Bedrooms.................. i Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
a YP g-- ................•---•-- -- ( ) ( )
d Other fixtures .
D�-sin Flow..........................I�� gallons per person per day. Total daily flow.....--.............._! _�� _..-.gallons. .
W g - -�•-• g P P P Y• Y
W Septic Tank—Liquid capacity ._.__....gallons Len h................ Width................ Diameter--.----.--..---- Depth................
x Disposal Trench—No..................... Width.....�,_� TotaI Length.................... Total leaching area....................sq. ft.
?� Seepage Pit No.-..�......... Diameter /((.........._ Depth below inlet.........oea....... Total leaching area....40.!/tsq. 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.............tminutes per inch Depth of Test Pit.................... Depth to ground water.---.--.-------_.----_-
.........
- - -- -----
O Description of Soil----= .
w
VNature of Repairs or Alterations--' Answer when applicable................................................................................................
---•...............................................................................................:.•---•-•-••------......••---...-•--•---•----••-•••-•-•-•---•...-------•---------..............•-----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary 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.
Sign! ............. ....--------•-•---------------
ate
Application Approved By---- ,l. - ......jc,- -----•--••- � �-7:?✓•-----
Date
Application Disapproved for the following reasons---------- ---------------1 l
-------------------------------------------------------• ------......-•--•-------.......
Date
Permit No. ...................................... Issued. 2 �- ?�
---° -- - -- �.____�.------ ----------------�------ ---- --Date--/--------------------------- —
FE it.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE TH
Appliratiott for Diopooal lVarka Tomitrurtion Prrutir
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at; `6 A
•(t{_4 .�.....f-y.�. .. r.. X&�
?^->r�' ......._... -"." 3 _7 s�+s.rEe3"ts.L�.� a ��rCw�- w+.ram _ .on• V' �o t
qwy. ty IAt/'.0 t .. t... .._ ............. _.:._ .._ _ 44.=r - 6'/r•=="1.�.`.. d
''p J 44
Owner j... d ss i,, r- ------
u 4
sta ler- •. Address � +�
Type of Building Size Lot... Sq. feet
�. Dwelling- No. of Bedrooms...............'./........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of building� YP g •---••-••---••---•••-•-••=-- No. of persons...................:........ Showers ( ) — Cafeteria
dOther 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.... Asq. ft.
Z Other Distribution box.O Dosing tank ( )
aPercolation Test Results Performed by. ......................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--_---_-___-______--___.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Description of Soil--- "- -� •• /- `�" " ' + � �' "" ..' '' -
x
V ................................................7-.. =:..:.......:..._:......:........................... --•------------•-----.-----------------......................••-----------......
W
VNature of Repairs or Alterations—Answer when applicable...............................:............__._..__.._.............._..._.._..._.._...........
......-••----------------------•---••••••----------•----._..._..._.................----
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary 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.
f Signe f r r a .......
ate
Application Approved By....:�'. ° - t€ �''.. •-----•-•------- <° D.
ate
Application Disapproved for the f ollowiri y reasons: `..... --••---•-••--••--•------•--•-------------------------------------
--•--•..............................................................................................•.........................-------- .........-........................................................
Date
PermitNo......................................................... Issued....------. -----------------...........................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A it
OF........ � y ... :....................
Trrutirate of Tootpliaurr
T IS I RTIFY, That file Individua ewplge Disposal System constructed ( ) or Repaired ( )
. .. !'
by
y Installer " 1 "
at._ :.. !.I ..--..... Via:� -.. .....
has been installed in accordance wite6e'provisions of Article X1 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No_________________________________________ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................................---...........---------....--,---. Inspector... .... .
t: ..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............OF........
. ✓ .
�._.«.p
NO ° FEE.. ...............
Permission is.hereby granted.-.. . „ h.....,.... �, •- � ::. ........ '. ......................................
to Construe ( or Repair ( ) n IhdividuaapSewa "Di 1al System r
at I\To... .....i ....... . . .. . r 4 ..,,
¢ Street
as shown on the application for Disposal Works Construction Per_3 No... k.. _ D ted"o
...':.
„r
-----------
. .................
L'oard of health
DATE........:.........•••--•••-------------.:_......---------
FORM 1255 HOBBS Lk WARREN, INC., PUSLISHERS
e
Z �a
ae
REMOVE EXISTING CHIMNEY
A
p NEW ASPHALT SHINGLE ROOF
12
417, NEW ALUM GUTTER AND DOWNSPOUT
REPLACE ALL EXTERIOR TRIM
El❑❑El❑Elgo �
Y BORAL TRIMBOARDSEl DY�1 1EIIII ® NEW WC SHINGLE WITH BLEACHING OIL /z
I NEW VINYL SHUTTERS F/y
DHP1104{ TWZ44 E
W�44{ TW7M{ TWN4
I x 4 WINDOW TRIM
❑❑❑❑❑❑�❑ �� i x 6 CORNER BOARD 7 - T
IST
' 11 JI II JI lul lul NEW OVERHANG f BRACKET B'S0 POLYCLASSIC POST ~
N!"'I BY SPECTIS MOULDING f TUSCAN BASE AND CAP
ROCK EDGE
NEW GRANITE STOOP. BY TURNCRAFT
' - -
FRONT ELEVATION Llel 0 Q
BASEMENT Q�--__ __ __ __ __ __ __ __ __ __
a z
NU
7
0
NEW BOX BAY -
IT
EXIST
+ +M NI P5015 C - P 35 1 e
m - TW715 OHP31057TW2452
t-
IST -
NEW AZEK DECKING AND HANDRAIL
CN EXISTING ODUTSIDE SHOWER
NI P5015 CN TO REMAIN1111 till 11
:m.Ie mm..a.:ion�Wm
r N P5095 "NI
..
BASEMENT 0--- -- -- --77777T77--
L ELEVATIONS °
REAR ELEVATIOI`I
A-l
D - PLANS SUBJECT TO CHANGE
�CO-GIT-II i xwREN B.KEhIDTONJt+C.
LVL RIDGE BEAM
12 - 2 x IO AT IC O.C.
R-30 BATT INSUL
EXST'G 2v6 RAFTERS "
FOAM
INSUL -CELL
r FOAM NSUL R33 POST UP T
RIDGE...
- 1.3 STRAPPING AT IC ATTIC
• FLUSH LVL BEAM
OC W/I/2'GYP BRD
VEN_PEAS FIN
• EXST'G 2dOil�16'O.C.
. R HEIGf®—__ __ _ __ Ie HEIGV�
16'_2 1/4"
4, y
NEW OVERHANG Y BRACKET
LIVING RM
:,..
EWIVAULTED CD
�4AEFOND
IH G
�7 210'H.WALL
IY
SE CABS
IST FL
I5T'FL. -- -- - NEW GRANITE STOOP, ^ - fXST'G 2d0 IC O.C.- -
F`' ROCK EDGE �.,. - ..
', fi
: a
. a
: + 0-1
BASEMENT
t
.: : ..
,w _ _ . .-
'n
-
'BASEMENT -.- ... -- - ..._�_ ,. :. `_ --. __ _- __ � - -.' __. .. - BASEMENT Q�—.__
O
i
V
s
28 i
,
- SECTION A.
^
,
LEFT ELEVATIC)1`I
y
>ws.
N�
_3
,
^
•
w 7
,
«
x ,
U
, y
,
x.
• : ' TW24 W2 31
m
R/►STWAR�
IST FL.�
_LOX BAY-EDETAIL
E 1/4—V-0"
BASEMENT
RIGHT ELEVATIOI\I
p -
A-2
y
• >s PLANSSUBJECT TO CHANGE
,. (c�CO—GHr:ooa,-REN S.MMPTON INC.
,
1.
a
4 z` !'z
x 0
23'-0"
7 7'-8e 7'-8• 7'-8
' - t 12'OIA SONOTUBE FORMED- U
• 4 ° ,_, Apt 2 x/O CONC.FND.48'BELOW GRADE _
- [4ecx4iN Sr taN Iro lov er*oes9 T�aW v 6• -10'DI SONOTUBE WITH BIGFOOT
' OOPA rN MA.srAlre eeelll«<eo LLLrororo bbb ai N�
I T EN NG NOY ALL _D I I
---{ {___ - ___ _____________ _ TO BE REMOVED « /
• v F I TYPICAL ECK NOTES `
Dt 2 x 10 DGER W/LEDGER-LOC. ;� LINE OF EXISTING DECK
III 1 I I I I I J I I I I I ,'OC STA GERED
o LUSZ JOIST HANGERS 70 LEDGER
PROVIDE P SITIVE CONNECTION TO FBI O
POST BAS AND POST/BEAM -
v I I (2)2.5A HU RICANE TIES AT EACH
I
a
i
-----------------------
- $ETWEEN J ISTS.SOLID BLOCKING
- I ABUK Z-M X POST BASE W/
III At ;x 141 EA.4'!OC III I ( I 5/e'DIA A CHOR BOLT W O Q
SIMPSON D T2Z HOLDOWN 7 1/2'DIA
WASHERS
E DED ROD NUTS AND - '
CN 5 N145• F 5045 CNI Is i CN235 CNI45 - P5045 CNI45 a
I O
I � UP
I Z
I _ M
NkEXISTING BEDROOM EXISTING BEDROOMNa
° EXISTING BASEMENT --- M
• - Q Apt_ -
EP
EXISTING BASEMENT `
- SEPTIC
• - wlNGow aenEw: .
LOWER LEVEL PLIA1`I �A,,U
rw.a 1/4-V-0"
- - - FOUNDATION
PLAN
A-3
PLANS SUBJECT TO CHANGE
�COaVRIGNT 1008/xAREN B.xEMPiON WG.
j
A 1e
z
- 1 O 9
z
tt ��
Contractor to provide precut,pre-drilled 7/1,C'lmrn✓Ul5P '
!or each unit myth attachment hardmere per table below.
/ Fasteners to be Installed at ciopos/ng ends os pane% -
Penels to be lobled!or each unit meth --' --------- ----::_ : -- --- '- ---' ------ ---'-------- -----'-::::-------'
epproprIate hardware attached to each pane/!or storage.
23'-0" LINE OF EXISTING DECK
IABLIL I WAV 1.g - TO BE REMOVED' ..
WINDBORNE DEBRIS PROTECTION FASTENING SCHEDULE
FOR WOOD STRUCTURAL PANELSawaa
FASTENER SPACING e • TW24310 TW21310 I _
4famt< at..t< - NEW DECK r,j
FASTENER Pa`I mean pwrl Wan pelmlapan w
TYPE s�faat safwl sSfeel AZEK DECKING AND
No.B wood semw based + _ RAIL SYSTEM
- -
w E
t . �7 9•_6. 8._8. 1 _3, 7-0'
anchor with 2-mch - 16 10 B •. -
.. r RI35 P3 5 R15 SALVAGE I IT R SINST ILL
mibed
No.lO wood saewbased .i _ ___ -- _ _---
anchorwith 2-fi cb '16 12 0 - ;}' .-- -- _ CNI4 S' D 'T 52 P 10 TW2452 CNI35 5 P5045 CNI45
IQ-inch lag scmvbased , -Or j' � I DW NEW TOP o .
ub
i
anchor with 2-inch L6 16 16, - O'��c>0.1: ____ _ _ EXST'G VANITY
r embedmem lea th e - _ I 0 P, I VELUX I I V LUX I w UP TILE SHOWER Imm1 > ,
O I F606 I I _I ,
Far SI: Iioths25Amm,Lfom=306.8 mm.l poumt=4.40g N, � • � � i t�G� �' i i� FIREPLAC AANDCHIMNEY//�R s . , 3'O
1 'Ie per lgm'v 0.447 M6. ' "• + �i. I I I / I I. - '
e.7fiis mbleKbatedon 130mph•indspeedsandaJ}hotmean tomfheight - 1 ,_____, ___T-/__ Q
h Fffiema dndl be mwalkd ffi opposidg cads of the wood elNefmlal panel
EXISTING GARAGE NEW POST 8'SLI-- GAS --
IN WALL.TYP. ___ ______________F ____H__ __ _____ ____ ________ _ _ d
- Favtmcs shell be locateaeatioimum oflLacb fmm Uxalgcofdxpanel.,. ` •°- �{;
c.Anchors dWI Penetrate through the estaim weU cowing with m - _ 1 NE•RIDGE__ __ G
emhedolem @agm oft ioeha minitlimn inmtleb fl&gftame.Fasteners - Pq 3'6 z 8 13LANa 7^o VAULTED -7n -
iii
_3 "x 22" ---- //��
EXISTING BEDROOM IJ
s shall beluamdemitimwo oft'/,inches fmmtheadgeefcmaet bI.&tm +� __,___ 1 __ _____ ____ ___s____ _ _ tt ______________
-d.Wbee paods ere ett d.d to—My ut tinwlmyAM—They s5a11'.Oe '.� q�q4 1
u' vroyelmnimumal6marewith- QO KITCHEN B S O
mtaclmd vag vLbrmwtu4mmenchmsN. I
drswal capacity of I WPoutlds. - - VAULTED -----; I \
. BAR
o! K - O
i 14'-1' -8" 11'-10' �L7�
'
WINDOW ANO PATIO DOOR SCHEDULE ? r r7/e'LVL FLusy W '�_ o im DN Q
;NEW BEAM ABOVE NEW BEAM ABOVE
Ragh Opatmng 6mmarma sham ere M/NIlIUM!r Ngoar mete//aura e�maq nesD to ba txraawC to t,----- -------------- ---_--- ---_-----__- -_ __--ii UII e/kv wv d brea�dng srepa!/esN a•�r w-pen!/rsMnga enehwng brx,Eeta a-erne.aeeenei SITTING RM - I I .y r
Aawt�rngh W daenawv eeeta these metene/a the reymnb/ty d the maid/en 1 ANE ED S7 L - V-- --
- CEILING I Ij I
UNIT DIMENSIONS R00014 OPEN/NOS FLAT CEIL qn m/BASE CABS
Re! Dsarnpbon +. -mMeh Naght [yidth Neight - - I Py1. - _
' EXIS7AS70RMDDOORNSTALL i e O I -----� .I O• EXISTING BEDROOM L•
DINING O
t - NEW GRANITE STOOP I �� I b FLAT CEILING6. g�
U t Type A ?'-/S/B' f'-B 7/B' ?'-?"//B' �'-B 7/B' ROCK EDGE I ti I a II 1 N r 1
- f - v BRACKETED OVERHANG T .,,.0,....
400 7/y1041 Ti/t-0/eah Berc• " � � ?'-/5/B' •/'-B 7/B' '- � ___ - 7W2432 - r.
A
Umt rype B 5. - + 4'-//5//L" 4'8 7/B' 4111 7/B' 4-8 7/B. _re �� � D. .. .�
-400 OHP>/O•/L Pctura 1. '1'-//5//L' •/'-B 7/B' _ ..: v DHP41096 _____ __ _______ ___________ - - +,
i . .k *TW2496 T 2144 TW2144 - TW2446 TW2416
FI EO.VEO.
Im yPe'C =2-5 3/B' 4'-B 7%B' 1'-L//B' •/'-B 7/B.
400 TI!/?49l 7/t-lyash 8eac - "#. 7'-5 5/B' 4-8 7/B' -
LEGEND
EXISi'G WALLS 70 REMAIN POS�BY TURLASSIC
l/t rypeD _ ?'-55/B' 3"1.:716" - ?'-!//B' 3'-4-7/B- -FIRST FLOOR �.,� NEW WALLS -
-EX15T'G TO BE DEMOLISHED I/2 POST AT EACH END
400 T/I/?13? Tdt-4/ea6 Bavc 1'-5 5/B' 3'--•f 7/B' - r -- OF PORCH -
REPLACE ALL /U/NDONS"e/ANDERSEN 400 SERIES' I. F.V. -FIELD VERIFY
l/t rip,E 9'-O 3/B". 4-O' 9'-O 7/B' 4'-0//?'.. - - .t• - ...
400 C/4 Bevc ?'-O I/B' 4'-0' - -
NOTE
400 P5040 Prctore 4'11 7/B' 4'-0' - - CONTRACTOR TO CONFIRM ALL D/HENSIONS IN FIELD AND CONTACT -
DES/ONER Br/TH ANY DISCREPANCIES. • _
PROVIDE THE M/N/HUH NUMBER OF FULL HEIGHT STUDS A EA END OF HEADER "
Umt Type F - ?'-O//B' 3'-4 l3/ll' ?'-O 5/B' 3'-5 3/B' ` EQUAL r0 NOr LESS THAN HALF OF THE NUMBER OF STUDS REPLACED -
400 C135 Beec ?'-O -
waerinv:
U t Type O ' B'-10/14V 5'-4 7/B' B'-I/3/B' S'-4 7/B' - -
400 DHF-41052 Petrre " J-//5//f' 5-f 7/8' �W�D
400 rW2452 Tilt-W.0 Berc - ?'-5 5/8' 5'-4 7/B'
3 rn.a sore muam u ama
0m-t�tSaI4=p0�.
U t rype N - 7-/I//4- L'-7//?' B'-O' l'-B v4'
t/t Type/ 5'-/O 3/I[' 3'-4 13//!' 5'-/O 3/4' 3'-5 3/B' -
400 CR/35
400 P3035 P tore ?'-///5//L' 3'-4/3//f' - _ 1/4-1
•a••
t/mt rype✓ ?'-5 5/B' 410 7/B' ?'-!//B' 4'-0 7/B' • + - - -
400 TlB?4310 7)k-B/eah Beac ?'-5 5/B' 4'-O 7/8' {. FIRST FLOOR
PLAN
Umt rype'K r ?'-5 5/B' 3'-B 7/8' ?'-L I/B' 3'-B 7/B' -
400 Tm?43[ Tilt-/Bash Bear 1'-5 5/B' ._4-8 7/B'
Umt Type L T-5 5/8' 4'-O 7/9' T-y I/B' 4'-0 7/B' n^�
400 rrB?43/0 7lt-/Beak Bear ?'-5 5/B' 4'-O 7/B' j - A
t
4
PLANS SUBJECT TO CHANGE
. Q COPYNIGMT a008I KMEN B.KErmioN INC.
1
S
a _
a 85
y�0.1 s�-fie
a
REMOVE EXISTING CHIMNEY 'u
NEW ASPHALT SHINGLE ROOF .
NEW ALUM GUTTER AND DOWNSPOUTEm
W
'3 •• ., � - - _ s REPLACE ALL EXTERIOR TRIM
"• a❑❑❑❑❑❑❑ Em ®� !BORAL TRIMBOARDS Y�1
❑❑�❑❑❑❑❑ ®a NEW NEW SHINGLE WITH BLEACHING OIL VINYL SHUTTERS z I'f
DHP1K)1i [111244 TWZ1 W711i TWIN TW7 W
❑a❑��a❑❑ 10 a ®� 1.1 WINDOW TRIM$ l .1—77�-*
I.i CORNER BOARD w
157,FL.Q�--__. __ _ __ _ _ _ _ __ _ ----
RACKET e'$O POLYCLASSIC POST-
Q �
mEw G A SPECTIS MOULDING' BY SCAN A S
NEW GRANITE STOOP, Y TUSCAN BASE AND CAP
'ROCK EDGE -
F'RONT ELEVATION lid. 06
BASEMENT —__
IL
a z
F Z N0
a _ NEW BOX BAY
Z HEIGI�—__ __ _ __ - __
•j ,
N P5O15. C -WRE1 irml
0 P8O35
uo T U00
' wmBow Bcviex:
IST FL�—__ __ __ _ __ _ _ _ _ _
MUM
Nvac:
NEW AZEK DECKING AND HANDRAIL.
SYSTEM
EXISTING ODUTSIDE SHOWER
NI P5O45 CTO REMAIN a�: p�
r Ell
I
'Ylb
IIIRM
..... ... ..
ELEVATIONS
REAR ELEVATION
rt:,
A- 1
PLANS SUBJECT TO CHANGE
. - B C GHT moe i rwnBN B.NBNoroN INC.
i
z
a
` LVL RIDGE BEAM
n 2 x 10 AT IC O.L. .. A...
R-30 BATT INSUL
EXST'G 2xL RAFTERS
/S.CLOSED-CELL -
FOAM INSUL-R33 POST UP T
.. _ RIDGE
Ix3 STRAPPING AT IC ATTIC .
' OC W/I/; Gyp
BRO
VEN PLA5 FINI It lilt 11 lilt I Ili FLUSH LVL BEAU
_ _ - .r _ B HEIG
..REtlQF.F.IS4SUBL�J.xIRfd......
.... ExsrG2ao IV O.C.
_ _ 2 1/4'
It IFNEW OVERHANG 7 BRACKET } ,1
- -- - LFO R`, U
LIVING RM 5EI 01
P EW VAULTED CIL
10'S0.P057
I till,III,YII,III,I till,III,I III]I III,thil III
IM G z
- i.- F K ✓BASE CABS 30'H.WALL
IST FL. _ _ _ _ _ _ -
NEW—GRANITE STOOP, �— -
ROCK EDGE - - - EXST'G 1,10^Uf O.C. - > -
BASEMENT u'w LLO C
BASEMENT—__ __ __ __ __ :_ __ __ __ '. .___ a BASEMENT Q� —__
. 26'-3'
SECTION A
'LEFT ELEVATION
III Hill III It I I I
r
o of .
0 O O
Till II, 0 - O O
If lilt It It lilt till 11 11 lilt I 1 11 11
IST
F-T
#ZBOX BAY DETAIL
ELEVATIONSIP
.
RIGHT ELEVATIOI`I
A.2
PLANS SUBJECT TO CHANGE
t
-.s
a .
a »
-
ti 7-8
• :�' ..,
_
CONCA NDNOB UBE�FORMED
F .,. '- „ " `, � in S•At 1 r/O F BELOW GRADE -
,
y4'� IyIyoo �Fp�@'Ic
"' `I I .Ial arAlrtkoc erN cAb�tt sa r 6"
a ,•.. -` � �{I`�Y'� BF20 SONOTUBE WITH BIGFOOT .. -
Q�I I
:
_, � �_I_ }, -F �__�._+__� _�.__�___� A __1_ _- E K NOTES ,
y ^ , ! I I I I -------------------------
TYPICAL
4' 2 x.KJ LEDGER WY LEDGER-LOC. LINE OF EXISTING DECK
o-.
- � I� I I � I I i. �I I o I I I I -I I I I •LUSZ JOIST HANGERS TO LEDGER
TO BE REMOVED
PROVIDE P SITIVE CONNECTION TO
_______________________ I. POST BAS AND POST/BEAM,
" - (2)2SA HU RICANE TIES AT EACH
- JOIST TO AM SOLID BLOCKING
..e ° BETWEEN J STS. -
` A,. Z-M X POST BASE W/ '
..
,
,
../ A /P•OC;. i/B'DIA A CHOR BOLT : Q
>o SIMPSON D 72Z HOLDOWN T 1/7 OIA _
HOG T14RE DED ROD NUTS AND
.,IIIIIIILI � IIIIIII _ r
O
" - CN 5 •N145 045 CNI 5 CN235 n` CN145� s P5045 CNI45 O -
:
:
,
,
UP
F
A
EXISTING BEDROOM � � EXISTING BEDROOM
�� ----- 7 U
EXISTING BASEMENT
s --
>r
m
'
I
I .
"
.-----------
�4
EP
rB A
c
EXISTING BASEMENT
\ / SEPTIC `
L C:)WER LEVEL PLAI�i es►sryvn�
I
o FOUNDATION
• � PLAN
A_3
PLANS SUBJECT TO CHANGE
- a ®COPIRIGM]008,-EN B.NENVlON MC.
a
a yl
A 6'
f x 3
m � 6
z sl
1 x
Contractor to provide precut,pre-drdled 7//L'/minJ L(/SP
Aor each Unit meth attachment hardmere per table belam. -
Fasteners to be fnatelled it cppoang ends as pane/
Pamela to be/ab/ed Aar each unit meth --- _-' -_.c _______ _c-v-- -_ ------ ______ _ _.: ._:c___:__c_. ,
epprlponate hardu/ere attached to each panel for storage.
2S•-0" LINE OF EXISTING DECK
p/10LE TION .[ -
YNIDSORNEOEBRIG PRO7ECTON FA6IENIIIO SCHEDULE TO BE REMOVED', _
FOR MIOOt)6!TRI)CTURAI MMH.B•a�a I'' p 1
FABTEIER SPACING TW24310 TW24310
4%w. eftw< - ' NEW DECK -
FASTERM Frrl 6" 1p 'A q— Pm+V aMn _a -
TYPE S411m sa fit ssfas AZEK DECKING AND
No.8 wood screw besot _, S RAIL SYSTEM
{� awbw with 2,hwh 16 10 B - u 9'-,6" 6'-6" L 1 '-3" L 7'-0'
en16Ed1DdU m _ I
,
No.lO wood aemw based RI P I SALVAGE REINSTALL ---
.. EXISTING SLIDE _ _ ._T 52 10 TW2452 NI35 - CNI45 'P504S CN145
anchorwit62-inch 16 12 9 - -_-_ ___________.__�.__._ ------
.___-_ _ _ _ ___ -
-.. 1/,4wh lag we Eased _ _ O ! ® ON _ NEW TOP
�' .
eocba with 2-mdt 16 16 16, � ' _ EXST'G VANITY W
letnbedmmt 1 UP
l' SL Imcb-SSA aa4lfoq-306.6 nmLl P'uodva.448 N, O OP 'VF106 i EMOVE ASON .i V LUX w - TILE SHOWER
rGQ' FIREPLAC AND CHIMNEY I I BI�S -
!ms.' - I 1 i I I ____
'kpehma-0.447 M
a.TDintaNebbmdoe 130tophwind speedtmda3lfama>renrodheiybL _ 1 ._____, _. _ _� . 30
R Fnaeaas d.0 be Ltd a epposipg endnofma Wood—awal p-L - EXISTING GARAGE NEW POST 18'SLIMUNE GAS FR.
Fpa�saMUbelopfMa�aimumdlUxhfianUleed¢ddapmel.... IN WALL.TYP. ___ ----
___ _____ ____ _ _ - -
'
.?� EXISTING BEDROOM taN Q
c.Andlw d&U pemnra d—Sh the exterior well eoMiag with m - NE RIDGE_ _ _ G -. .r .
_
emha0mml of2b.b.mtnlromn IMthebuildhwftaae.Fmletrts - .• •..iP 36 x B ISLATID 3 m VAULTED
Ono be km the cdpofvwwr=bl4ck,or _____ __ ________
Wb-p4 h oe awded to maaoary at -on jto<ilma d y 9W1 be' em drcdamgrtLmioa,otbmmearLas6avMa.aunimum ulamauwitA- POS I',,K TCHEN . _
dmwW
- e'-
W
tgrcrty of 1500 P-14 - - - z VAULTED 'WE7•,BAR i '
i 14•-1' 2.-g.: 11•_10• 7. 2' I r a
m Fly O /'k
WINDOW AND PATIO DOOR SCHEDULE 2,/3i4 7/B"LVL FLUSb -r_�y_
Rengh Opmraq daenyw door ors N/N/MUl7 qow matd6rm mM aqr tread to bs arrsewJ to - _,___ NEW BEAM ABOVE I__---! "" I NEW BEAM ABOVE-------_ _ i=
y ti
a/ko farm or b/�xepa NeaMra.ad/w-pen I/sshngs ex/rcmg brackets ar otber mtane/a ______ ____ __
Aen taq rngn�t.,g a>msnema a aeeemmwz6ta t/aae mtsr a aka raePara�heg d tM mata0er. - n' SITTING TM ! -- -- 1 1 I Ip'ITEPST
------ 11 PAN
_ - FLAT CEILING 1 13 30'H.WALL _
Rs/ Osornpercvr UNIT O/dENSHaght hGH OPEN//NOt EXISTAS70RMDDOORNSTALL i O P� ------' ""'D-FI�LA—TCEILING
.--• �af a/BASE CABS EXISTING
a
NEW GRANITE STOOP,,_ i Urot Type A 1'-/5/B' 1'-B 7/B' 1'-1//B' •1-B 7/B' ROCK EDGE1BRACKETED OVERHANG 1 ,1 T400 7W.201O.Ti/t-Wah Bane 1'-/5/B' 1'-B 7/B' t .. - - TW2432 ... .,r
�.
.k
z ..
a i&t Type B r. 4-//S,U'' 118 7/0' .4-//7/8' ,18 7/8' - ----------- -----------
--- ------ �I
00 DA'P•//01s Rct— 1'-//P'1V" 1'-B 7/B" - - - DHP11096 -2 ------
1 -
TW446 TW2446 TW2446 TW2946 TW2446
e
//t Typa C 215 5/0' •f-B 7/8' 11s//B" -4-B 7/8' - • Ell. EO.
100 TW7145f Tdt-Wes6 Bane 2-5 5/8' 4-8 7/8' -
V t Tape D �'-55�8' -3'-,>/B• �•-��B• 3'-, /B' FIRST FLOOR PLAN - LEGEND WALLS TO REMAIN - - P05T0BYO TYURNCRAFT
f®' KEN WALLS
1/2 POST AT EACH END
100 rW9?37 Tdt-Weab 0- 1'-5 5/B' 3'-I 7/B' = � ._: 1 .___,____., 'EXL9T'G TO BE DEMOLI6HED OF PORCH
4 - REPLACE ALL W/ND0145 e/ANDE(RSEN 100 SERIES I F.V. -FIELD VERIFY-
Urot Typa E ,. 9-0 3/8' 1'-0' 9'-0 7/B' 110//Y
loo FF040 Pctwe 1
CONTRACTOR TO CONFIRM ALL D/HENSIONS/N FIELD AND CONTACT
• DESIGNER W/TH ANY D/SCREPANC/ES.. � - -
PRO✓/DE THE H/N/HUH NU H NUMBER OF FULL HE/6r STUDS A EA END OF HEADER - T -
v t Type f T-O I/B' 3-1 L3/Is' 1-0 5/8' 3'-5 3118- - EQUAL TO NOT LESS THAN HALF OF THE NUMBER OF STUDS REPLACED
Uw Typa O B'-/O/3//L' S'-1 7/8' 6-11 3/B' 5-f 7/0' -
100 DHP3/0f7 Pt— 31//5/K 5'-1 7/8' -
100 TW21S2 Tdt-Wad Bpac 215 5/8' SI f 7/8' -
aw rype H T-////1' l'-7//?' B'-O' d'-B//1' �. ..
400 FWOSOVS Bay, 7'-p//1" d'-7//2'
t/t Typa/ 51/0 3//s' 311/3//11 5'-/92 3/1, 315 3/8' P - _ -• - - ,
400 CR/35 Da- /'-S' 3'-1/3//C' � -
100 P3035 Rctoe Y-/I/Sits' 311/3//d' ! - - 1/4
a t Type✓ 2'-5 5/B' 1'-0 7/8" ]'-f//B' 1'-0 7/0' It `
100 7-wl310 rdt-Wad eawc 11s sie' r-o ve• FIRST FLOOR
PLAN
1/.1 Type K 2-5 5/B' 318 7/9' T-d//B' 3'-8 7/8' -
Y' 100 7W913s rdt-Wad Bare T-S 5/8' 318 7/8' '
t/t Type L T-S S/B' 110 7/8' ?'-s//B' 1-0 7/8' - - - /♦,'^ /F
4
100 r020/0 Ti/t-Wad Bevc 21S 5/B' 1'-O 7/ HB'
.PLANS SUBJECT TO CHANGE
. { O covralanT zone 1H e. .mTOH wC.
1
1