319 Septic Inspection Form 2008 y(9,12/e.ttoA 47::t
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Properly Address
Greg Jaff,ams
Owners Name
Leeds
City/Town
Ma 01053 10/10/08
State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
A. General Information
1
Inspector
Tom Martin
Name of Inspector
Turkey Hill Field Services
Company Name
140 Easthampton Rd.
Company Address
Westhampton
City/Town
413-527-5311
Telephone Number
Ma
State
S14199
License Number
01027
Zip Code
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
I ,IN• 10//0/05
Ins"'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 DEP.The original should be sent to the system owner
and copies sent to the buyer, if applicable, and die 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.
Cony of 15nsn de'.03/08
Pile 5 Official IntPocton con:Sub wrtx Sewage DityamI System.Page l of 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
City/Town State Zip Code Date of Inspection
B. Certification (coot.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
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.
Answer yes, no or not determined (Y, N, ND) in the ❑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.
ND Explain:
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
Copy a w cep do<•aan`b Tale 5 Official Inspection Form:Subsurface Sewage Disposal System•Pape2 of 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greq Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
City/Town State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont.):
❑ distribution box is leveled or replaced
ND Explain:
Copy of fsnsp.aoe.03/08
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
ND Explain:
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
2. System will fall 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.
rtes Official Inspection Farm.Subsurface Sewage Disposal System•Page 3 of 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
Ckyftown State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ 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 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
O ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
O ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
O ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
O ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than %day flow
❑ ® 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.
0 ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
roe 5 Offid Inspection Form:Subsurface Sewage Deposal Systen•Page 4 N 15
Copy dtsnspm°.awe
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
Cdy/rown State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cunt.):
Yes No
❑ ® 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.
❑ 0 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 tails.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
❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"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.
Copy Gnsp Ooc.0399 Tie 5 Official Inspection Form.Subsurface SLAWS Disposal SYiW^•Page 5 of 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
City/Town 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
Copy of I nsp.d%•03/06
® ❑ 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)]
Title 5()Magi Inspection Form:Subsurface Sewage Disposal System•Page 6 of el IS
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma _ 01053 10/10/08
City/Town State Zip Code Date of Inspedion
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):
Number of current residents:
Does residence have a garbage grinder? ❑ Yes Z No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)):
Sump pump? ❑ Yes ® No
currently
Last date of occupancy: Date
Commercialilndustrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per clay(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
330
1
Water meter readings, if available:
Last date of occupancy/use'
Other(describe):
cncy of ISn p.ECC•0.1W
Date
Title 5 OIAtlaI Inspection Form:Subsurface Sewage Disposal Systen.Page 7 or 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owner's Name
Leeds Ma 01053 10/10/08
City/Town State Zip Code Date of Inspection
D. System Information (cons.)
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection?
If yes, volume pumped:
How was quantity pumped determined?
Reason for pumping:
Type of System:
❑ Septic tank, distribution box, soil absorption system
❑ Yes Z No
gallons
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)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):
Tank with Leaching Galleys
Approximate age of all components, date installed (if known)and source of information:
Certificate of Compliance issued 8/2/06
Were sewage odors detected when arriving at the site? ❑ Yes Z No
•
Copy at ISnpdC•OMB ide 5 Official Ingeclwn Fun Subsurface Sewage Disposal System Pape 8 ot 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds
City/Town
Ma 01053 10/10/08
State Zip Code Date of Inspection
D. System Information (Cont.)
Building Sewer(locate on site plan):
Depth below grade:
Material of construction:
❑ cast iron
Z 40 PVC ❑ other(explain):
11
feet
20
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
joints and venting fine, no evidence of leakage
Septic Tank(locate on site plan).
Depth below grade:
Material of construction:
Z concrete
.75
feet
❑ 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:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
Copy of tSnsp.6x 03S8 Title 5 Orfitlel Inspectton Fans Subsurface Sewage Oigos System*Page of 15
10' x 61 5'
1 inch
30 inches
1 inch
7 inches
12
measured
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
City/rown 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.):
integrity fine, liquid levels appropriate, no evidence of leakage
Copy of tSinsp mc•Owe
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
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:
Material of construction:
[' concrete ❑ metal
❑fiberglass ❑polyethylene ❑other(explain):
Tile 5 Waal In5pedion Fain SNURxe Sgwa a DI sal System'Pap 10 al 15
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owner's Name
Leeds Ma 01053 10/10/08
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
Dimensions:
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order ❑ Yes ❑ No
Date of last pumping:
Date
Comments(condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached?
Distribution Box(if present must be opened) (locate on site plan):
❑ Yes ❑ No
Depth of liquid level above outlet invert
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Pump Chamber(locate on site plan):
Pumps in working order
Alarms in working order:
❑ Yes ❑ No
❑ Yes ❑ No
Copy of ten p dc.03106 rkes Official hxptia,Fmn:Subsurface SeaagepiWX<l sHa^•Pip 11 of 15
Owner
information is
required for
every page
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
City/Town State Zip Code Date of Inspection
D. System Information (cons.)
Copy Cl tansp.me.0108
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number
❑ innovative/alternative system
Type/name of technology.
5
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
no signs of hydraulic failure, observation port of galley opened and stone dry
rue s Official hapedinn Porta SWwlace Sewage Disposal System•Page 12 of 15
Owner
information s
required for
every page. City/Town State Zip Code Date of Inspection
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd. Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds Ma 01053 10/10/08
D. System Information (cont.)
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool -
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Copy of LtinsploG.03Ne Title 5 Official Impen4on Form''Subsurface Sewage Disposal System Page 13 d IS
Owner
information is
required for
every page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds
cay/lown
Ma 01053 10/10/08
State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
✓ 1.1, 614, its 67/ »14.4 1 iw :1 Frcn
l7'4/t
Copy of Snsp.aoc•C3Fe MS 5 Mod Wpticn iwm:SDsNam SewO nl
•Page 14 al is
Owner
information is
required for
every page. City/Town
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
319 Haydenville Rd Leeds
Property Address
Greg Jaff,ams
Owners Name
Leeds
Ma 01053 10/10/08
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:
Copy of l5np.doc.0.3/0e
60 inches below grade
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:
reviewed 1018/08
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:
You must describe how you established the high ground water elevation:
Perc test data on system plans obtained at the Northampton Board of Health indicate perc test
conducted on 8/2/06 by Mike Lavigne and witnessed by Ernest Mathieu.
Title 501etlel hegWOn Form Subsurface Swage D'appeal System Cope 15 of 15
HAYDENVILLE ROAD - NORTHAMPTON, MASSACHUSETTS
Plan view
Scale: 1" = 20
Pumping manhole ('0')
Existing /
Existing 3 bedroom
garage /—
house
/ 0 o
/ // /
/
of /
Existing 4' pvc solid pipe
Existing septic tank
Inspection port (D)
( 1 / galley )
8ft
Of
8
Inspection port - center of last galley
As—built dimensions
A to C = 15' — 0
B to C = 27' — 0"
A to D = 32' — 9"
B to D = 35' — 8"
Date: August 29, 2006
As—built plan
319 Haydenville Road ( Rt. 9
Northampton, MA.
For Paul Mardus
319 Haydenville Rood
Northampton, Ma.
Contractor:
JC & Co.
Northampton, MA.
Tel: (413) 527 — 5232
08/03/06 12:57:42 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 06 -038-001 319 HAYDENVILLE RD PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER/ADDRESS ZONING: SR NEIGHBORHOOD ID: 4.00 FINAL VALUE FLAG: MARKET
MARDAS PAUL A & LAND DATA
CHRISTINE S PARMENTIER - ASSESSMENT INFORMATION -
5-7 EAST ST TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 11250 79,280 PRIOR COST CURRENT
NORTHAMPTON MA 01060
LAND 79,300 79,300 79 300
BLDG 70,200 66,900 98,600
TOTAL 149,500 146,200 177,300
DEED BOOK: 7997
DEED PAGE: 351 SALES INFORMATION
DEED DATE: 2004092441019 TOTAL ACREAGE: 0.258 TOTAL LAND VALUE: 79,300
DATE TYPE PRICE VALIDITY
19900201 LAND + BLD 85,000 0
LAST UPDATE/COST: 20041019
ADDITION DATA
X DATE:
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
OFP 20
ENTRANCE CODE: UNOCCUPIED EFP 156
INFORMATION SOURCE:
DATA COLLECTOR: AD
DATE: 19991102
DWELLING INFORMATION
STYLE: RANCH
YEAR BUILT: 1952
STORY HEIGHT: 1.00
ATTIC: NONE
Basement: FULL
TOTAL ROOMS: 5
TOTAL BEDROOMS: 3
FULL BATHS: 1 ADDITIONAL DWELLING INFORMATION
Half Baths: 13
BASEMENT GARAGE(#CARS) 1 ADDITIONAL FIXTURES:
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 1110 REMODELING DATA 12 c21
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS/OPENINGS: 1 / 1
METAL FIREPLACES: KITCHEN REMOD(Y/N)) vg is
HEAT/CENTRAL A/C: BASIC BATH REMODEL (YIN)
HEATING SYSTEM: WARM AIR
FUEL TYPE: OIL
QUALITY F
INEIXRN SAEAGE
COND/DESIRABILITY/UTILITY FR INTERIOR/EXTERIOR AVERAGE
OUTBUILDINGS & YARD ITEMS PERMIT DATA
TYPE QTY YR SIZE1 SIZES GRD COND DATE PURPOSE PRICE 25
29
NOTES:
BEIGE COLOR
27
5
4 O.e
15