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Home My WebLink About0836 BUMPS RIVER ROAD - Health 336 Burps River Road- '-Centerville A = 167 008 /Aftik L) X))+�fo rd. N0. 152 1/3 OR4 ,G.� 10% t , YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required bylaw. _ s'r;'•; :;;;�;:�',Y; a DATE: Fill in please: L- sA ��GK�ERS�vJ APPLICANT'S YOUR NAM E/S: ".`-' 'a:`r:•%�'" "i'' BUSINESS YOUR HOME ADDRESS: S 3L t- QM PS R 1V E P, I�D ,. -�.. „r "J-0&ZS-7(oZZLI- L E KITE k\J l LL_�, M C92 Co 3Z s �`=`.... =+� TELEPHONE # Home Telephone Number -CoZ2 �. :i ❖lisvii�J% .'� OR EIN #: 1 NCO ! a,;;ak,: sn" •; ..:, E—MAIL: NAME OF CORPORATION: TUF- MERM416- S�4L-F NAME OF-NEW BUSINESS -1✓ TYPE OF BUSINESS E5TA-i E. SAI- IS THIS A HOME OCCUPATION? YES NO M 0 2-co��a- ADDRESS OF BUSINESS 8-3 LP 11251 oMP 5 RIVER Pb ) CF-QTE9\& .E MAP/PARCEL NUMBER �� -' ��C� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth ' Rd. & Main Street) to make sure you have the appropriate permits and licenses,required to legally operate your business in this town. UST COMPLY WITH HOME OCCUPATIO- 1. BUILDING COMMISSIONER' F' RULES AND REGULATIONS. FAILURE TG This individual has b en ' r e f an r r uirements that pertain to this type of busi ess. COMPLY MAY RESULT-IN FINES. Authorized Signature** CO MENTS: ' 1 2. BOARD OF HEALTH This individual has beO infor n ed f the per i equirements that pertain to this type of business. Aut orized Signature COMMENTS: I'' S, 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to tgL4 type of business. Authorized Signature** COMMENTS- . � -L V fi ii V1 LKl 11U 4.6L RJiV Regulatory Services 3 x o Richard V. Scab,Director Building Division ' Paul Roma,Building Commissioner i639 .� �'rEo►aa+a 200 Main Street,Hyannis,MA 02601 www.town.barnstable ma us' Office: 508-862-403 8 Fax: 50 8-790-6230 Approved: . Fee: • Permit#: — A Z HOME OCCUPATION REGISTRATION Name: S A' l n�1 K(-_'�5 b�� Phone k 508 8 -7- Z 2-I Address: Name of Business: T�E ME:R M A I C_',S `E)A Type of Business:' t-STA 1 F_ SALE' Map/Lot [ q -O O 5 RiTFNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be.discernible from outside the dwelling. there shall be no increase in noise or odor,no visual - alteration to the premises which.would suggest anything other thana residential use;no-increase in traffiaabove normal - ------ - —- ---- residential volumm;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single fmmily residential dwelling unit,located within that dwelling unit' • Such use occupies no more than 400 square feet of space. • There are no external alterations to,the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic w>11 be generated in excess of normal residential volumes. • The use does not involve-the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,.glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess . of normal household quantities. • Any need for parking generated by such-use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • ibere is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indica.0jag the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included_ • No p on shall be loye ti Gbstomary Home Occupation who is not a permanent resident of the dwe unit. ; I,.the enders• a ve read an eeabo a restrictions for my home occupation I am re ' Applica� Date: 2 Homeoc.doc Rev.06 0/16 136L �� ,�� G e.izt-Zc,.G, �p �� a z2'a��:-e� �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuii for Diupu3ul Wurk,6 Toustrurtiun 11amit Application is hereby made for a Permit to Cortstruct ( ) or Repair an Individual Sewage Disposal System-at- .............. 9 tDer ........ -----•••-•-•-------•---•-••-•------•-------------••----------•---•......------•--.....�� `� Icatio :\ddn•ss or Lot N ..................... W Ow er rlm .......��_....-------�-----•---1 'c4 c .�S. fgS rn �`�' S ..._ �.�026 Installer Address g Size Lot............................ d ype o Buildin �jSq. feet U Dwelling No. of Bedrooms _.-.Ex.--Expansion Attic "-t g— .----•-•----------•------- P" ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures .----••-------------------------- Design Flow................................ 111ons per person per day. Total daily flow-------------------------------------,------gallons. WSeptic Tank—Liquid capacity 11Ions Length_.._.--______- Width................ Diameter---------------- Depth................ x Disposal Trench—No. -------------------- Width-------------------- Total Length..--_-__----__-_-_- Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by---------------- --------------------------------------------------------- Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit---.---------------- Depth to ground water........................ P4 ........................................--................................................................................................................... 0 Description of Soil......... .. v ------------------- ' ----------------- .._._. x --------------------------------------------------------------------- -------------- ----------- ------- -•------ --- U Nature f Repairs or Alteratio s—Answe when applicable. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Com lance has been issued by the„b rd of health. f. Signed --------- - ----- ------- n.`-.. t------------ ---------------------------------------- Application.Approved By - ----- --- -- - .0...... --- -- - --------- ------------------------ --- Dace Application.Disapproved for the following reasons ----------------------------------- -------------......:.... ......... ..-- --- ----------- ----------- ------------------------------------------------------------------------ Dace Permit No. g, _.-..._ Issued ......:C�. 9 Daze 1 . 1 j4 'No.... _.. Q�c I y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applird intt for Di_tipmi tl Wnrk.6 Tonstrnrtiun rrrmit « •. Application is hereby made for a Permit to Construct ( ) or Repair (1--) a n Individual Sewage Disposal Syst t LYncatiu19 :Add ress or Lot No00 .......\Cr ..... .. IY\t \W... 1�1 crTi Installer Address Type of Building Size Lot.................... Sq. feet I—I Dwelling— No. of Bedrooms.......... ____---------------------- ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.-.._------_----_--_--___--- Showers ( ) — Cafeteria ( ) d Other fixtures -------------------------------- -----•-•----------------------•------------- ---•------------•-----------------------•--•-•••---....•-•-•- WDesign Flow..................................._,e P, z_,,gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity -----_.•___g✓gallons Length---------------- Width---------------- Diameter---------------- Depth................. x Disposal;Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area.....................sq. ft. Seepage Pit No-------- Diameter-------------------- Depth below inlet._......_......`.... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by--------------------------------........................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test-Pit------------------ Depth to ground water-,. .................... Gr. Test Pit No. 2................minutes per inch. Depth of Test Pit-------------------- Depth to ground water...._.................. a --•--•---••------------------------•------•-•-•----•-- '-••-----------------•-----------•------••-•-... •-------- •----------------- ...... •----- -..... .-------- .. D Description of Soil........ '* i° � 1. ---- ---------•-------------------------------------------------------------------------------•-•--•------. x V -------------------------------------------------------------------------------------------------------------•-•••---•••----•-----•-. ---•----------- ---------------------------------------------------------------------------------------- - --------4.....--••--•-• . At Nature f Repairs or"Alteratio s—Answe when apptcable. --. ?..:S %wY.___.. - 0o1 _ �bf'trOty, t' % A'1."x'e -e nt: 'he undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com dance has been issued by the board of health. g ,/- Si ned - � .�� .f. te Application Approved BY r ® "a e .. .. -- C, f ... � .... .y- ! � 4 Application.Disapproved for the following rearons. ------------------------------------=' '* '+ - - 11 ....... ................... - ._.... . ---------- , ... ....---------------------------------------------------- --------------------------------------. - ----- Permit No. .......-t.. { /�.'. ..... Issued ........... - .-- Q t. - ate...... - Dare THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH TOWN OF BARNSTABLE d Cer#ifirate of Tomplian e HIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ' ) or Repaired by - r�-�o•r- �..1 � C V_S ---------- �. ©© (� -------------------------------------------------------------------------- Install, at ....._.....Q.. �. Y`?. ._�...--...F+.� �- has been installed in accordance with the provisions of TITL - o The StataR ,,.ronmental Code as described n the application for Disposal Works Construction Permit No. .__-.... ." ... . .. dted .......__. ::......THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �` DATE '-•" -.;�+'�l.._ Inspector,.-'...�`s �C�c�'�" w THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH ,�� TOWN OF BARNSTABLE �Q No...... ......... Permission is hereby granted._._ b In, ........... ` 1 `I'_ 5.. ------------------------------------------------------- to Construct ( ) or epair ) an Individual ewage Disposal System �,e ! at No................. 00---•--.. `� .. ... Y BCD �� "�'r '{tc �11� .b. v` --•---------^-----•------•----- -- �� i as shown on the application for Disposal Works Construction P�ihit NO '----;� 1l- Dated_.�� ...t -5 c�. DATE. ^ ^ 1.� Board of�IIealth ��° FORM 36508 HOBBS a WARREN.INC..PUBLISHERS 9. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated , concerning the property located at g j(o & nes Vf-V Ink meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED _ DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 3 [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. ^ TOWN OF BARNSTABLE t LOCATION 4 vv,,0 S SEWAGE # l 5 —1 10 l 1 VILLAGE q*G . S 4SOR'S MAP & LOT —008 INSTALLER'S NAME&PHONE NO. CqrYA-r,e.5 kel�%CILS 034q SEPTIC TANK CAPACITY 15 0® CAbiQ LEACHING FACILITY: (type) �� (size) 14X Afo NO. OF BEDROOMS BUILDER OR OWNER GtV'v\ W i �C;,r 6 b i:� �} �--� PERMITDATE:9 A3- 75 COMPLIANCE DATE:je � 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 T, f 1 c ohing facility) t� �- Feet Furnished by l 1 6® f�Id No....kj.�f...... Finm..�L................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ✓ J>� --------- f ZO.�_ ..........0 F........... '06-a-44�- _-_ ---_------_---_---- Apphration for 43isposal Workfi Towitriartion tirrutit Application is hereby made for a Permit to Construct or Re a* an Individual Sewage Disposal System at, ................. .............. ...... . .................... . .its .. ...... .. . .... ............................................................... tion.;Add or Lot No. . ....... .......... ................................................................................................. Own Address Installer Address Type of Build Size Lot----------------------------Sq. feet U Dwelling l/N/oof Bedrooms............................................Expansion Attic Garbage Grinder ( ) Pk -Other—Type of Building ------------------_-------- No. of persons------------_------------- Showers Cafeteria ( ) P4Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow_________________________________ 'llons per person per day. Total daily flow............................................gallons. . ........ a Septic Tank—Liquid capaci--V W- gallons Length________________ Width._---__-_.__ Diameter__._._........_. Depth.-.-_-.----.---. t,.10-L -�otal leaching area------_-----------sq. f t. Disposal Trench— o--------------------- -Wid1h............ L - -------/ of Seepage ...................... D _�ep 0.: iameter/.eW. ...... Depth Total leaching area------------------sq. ft. Other Distribution box Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit--------------7..... Depth to ground water_...__-___-._-_-__-----. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.........__.____.... Depth to ground water---_-________________._. ............................................................................................................................................................. 0 Description of Soil---_---------------------- ------------------------------------------------------------------------------------------------------------------------------------------- x U ......................................................................................................................................................................................................... ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature 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 he ardpOf health. Signe -- ------- ........ . ... . .................... ..................... ............Date----------- Application Approved By-------- ............... U_L4. .... ...... ------- .......................:---------------- Date Application Disapproved for the following reasons:.............................. ............................................................................ ........................................................................................................I............................................................................................... Date PermitNo......................................................... Issued........................................................ Date ----------------------------------- ----------- F "°"...� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : �o a:...-......OF........... ,e; Appliration for Biiipao al Works Tottotrnrtinn Vrranit Application is hereby made for a Permit to Construct ( ) or Repai an Individual Sewage Disposal System at: J , d•�- `" y ... =- '' ,Z. ---...•----•----• ... . ------ ---------------------------------------- Ly tion Add ss I or Lot No. W Ozw.%'' Address . -................................................................................................. Installer Address Type of Buildi7 Size Lot----------------------------Sq. feet U Dwelling No. of Bedrooms______________________________ _____________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ----------------------•__ _-_ ___--_ W Design Flow___________________________________________gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacit/41 _-.-__gallons Length................ Width................ Diameter.............._. Del;tli--.--_-_-------. x Disposal Trench— • o_____________________ Wic th___________�� of 1'�L�g�h_____�._______-. Total leaching area--------------------Sq. ft. Seepage Pit No_____ ___________ Diameter__� __.__DDept tOow i!nhe''.___." '_._._____ Total leaching area-_-__-_-----____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by------- ------••----•----...---__.....----•---------•••••-•••-------•••-_. Date---------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_-____-______-___----.- rX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----_--___-_-______---.. ••---••••••-----------------••••••-•-•---•••---•-•-•••-••-•--•--•-••-••••-••••-•----••--••-.._...---........................................................ 0 Description of Soil-------------------------------------------------------------------------------------------------------------------------------------------------- --------------------- U ----------------------------------------------------------------------------•-•------------------------------------------------------------------------------------------------------------------------- W - -----------------------------------------•---------------------------------------------------•--•-----•----•••--•-••----••-----•••••-•--••--•--------•--••--------•-------------------------------•---- U Nature 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 bees dr- .the l ard,uf health. Signed. � -- -- -�r'-------=--------•--- # f Date Application Approved By_.. ..___� _ _, _______._ �- Application Disapproved for the following reasons:. -----------------------------------------Date . Date PermitNo............................... •--••-------------•----- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR /,PF HEALTH ..............OF..... :............................................ �lertif ir�atle of litanrie THIS, IS TO CERTIFY T the Individ4l Sewage Disp s 1 System constructed ( ) or Repaired ( ) by - x � :e� ..._ r- -�•=---------- Installer r - has been installed in accordance with the provisions of rticle XI of� e State Sanitary Code a descri d in the application for Disposal Works Construction Permit No___________________f� dated ±_ _____ _f _.._� ..... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A ARA14TEE THAT THE SYSTEM WILL FYNCTION SATISFACTORY. DATE -------------------------- Inspector i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r { No._t. __?....._...:.. FEE ---_----- Permission is hereby grante A•, -----.: "_... to Construct!(, ) or;R pair ( an Individual S �hge Disposa ystem ....• = Street as shown on the application for Disposal Works Constrtiefion Permit No.__ = .__} _..- Dated_ _7____ ______ Y Boa d_ f•-Health DATE..� .. �` � ' FORM 1255 HOBBS & WARREN.. INC'.PUBLISHERS r 4