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HomeMy WebLinkAbout0209 GLENEAGLE DRIVE - Health 209 Gleneagle Drive , i A= 192- 146 ' = Centerville UPC 12543 ° No. 53LOR `oii.co%49 HASTINGS. MN YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 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.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter. DATE:February 21,2011 i Fill in please: APPLICANT'S YOUR NAME: Matthew D.Clark BUSINESS YOUR HOME ADDRESS: 209 Gleneagle Drive, PO Box 75 w (774)487-7183 Centerville,MA 02632 TELEPHONE # Home Telephone Number: (774)487-7183 NAME OF NEW BUSINESS MDC Photography TYPE OF BUSINESS Portrait,Wedding,&Event Photography IS THIS A HOME OCCUPATION? YES_ x NO Have you been given approval from the building division? YES _ NO ADDRESS OF BUSINESS 209 Gleneagle Drive,Centerville MAP/PARCEL NUMBER 192/146 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 townAindiv 1. BUILDW OF CE Th -i f ed f ny permit requirements that pertain to this type of business. d Sign re** MUST COMPLY WITH HOME OCCUPATION OMMEN RULES AND REGULATIONS. FAILURE TO t U4 IN PINES , I ,'. 1115tY MAY 2. BOARD OF HEALTH This individual h s been infor o h per it re ments that pertain to this type of business. Auth rize Sig t re`* `'COMMENTS: MUST COMPLY WITH ALL 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing equirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNS"TABLE LOCATION �p� 4� ��,�p �SEWAGE # t_(�___ VILLAGE t'wrtn{�(..o ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. (fA P4s i,Vlvz:tD S- i i'c SEPTIC TANK CAPACITY easy 1 DOD �'�EACHING FACILITY:(type) - (size) NO. OF BEDROOMS. P/RyI]�VATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: � � l � '-� 7 + �J VARIANCE GRANTED: Yes No I_ r t xt G�h ij 1000 � v 1600 7 � LOCATION // L 5EVQW:�E PERMIT UO. - -62P-4 j: 1 57NLLER S WE ADDRESS, r BUILDER 5 Q &ME ADDRESS DN-'CE PERNA T ISSUED -_j�;� D 6,-TE COMPLI &&ICE ISSUED : , ^� Jr 7" �o v.5G kd a-� 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............O F 1r s !410 ......................................... Appliration for 11inpoottl Works Tonn#.rn.rtion "pamit Application is hereby made for a Permit to Construct ( ) or Repair (C_}—arI Individual Sewage Disposal System at: r __...... �c.�.�C?.....►._.......... :.a CA _._.. ----------------- .w:.r. ..►..LI �/�� Loc lion•Address or Lot No. ...............Y_l:�ar._._...__G. .SCi.. —-------------------------------- ...................... � ............................................... Owner Address a .......... •vl 7C lA.<G.L...B �?.jct�!( {rMR.,�'T�=. .:...... Installer Address Type of Building Size.Lot............................Sq. feet ... Dwelling—No. of Bedrooms..-3. ....................................Expansion Attic ( ) Garbage Grinder ( ) �W Other—T e of Building .......... ersons................ . Showers — YP g -------------- .... No. of-•----•--•------------------ ---••--•--- ( ) Cafeteria ( ) d Other fixtures ............................: -------••-••-•-•-----••----------------------------------------- •---------------------------------- W Design Flow......5 �-:.....................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. 3 Seepage Pit No......./............... Diameter..../.a.:...... Depth below inlet.....e�......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1­4 Percolation Test Results Performed by--- .......... ----------------• ------ Date........................................ a Test Pit No. 1................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........................ GY, ---------------------------------------------------------- ODescription of Soil-•.......:........................................................................•-•------•----••----------......:-•--•-----........---•----•-•-•-•-••......•----_-•--- x •------•-•••-•--••--••----...._..•-••------•---------------•------•-•---•---------------••--••-•----••--------••----------••-•..... ......-•--•-------•-••--•---•-.....-----------........--•-•-------. U Nature of Repairs or Alterations—Answer when applicable.--___- Q..... .......(a. C..... .......... 47 S,S10a0_L_5...---•---------------........------------------------•--•--------------..............--•--------••--•----•------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT:.L 5 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. Signed. Date ►e�x - > Application Approved By...•-•••-•--••-•.< ' U...` -4. . .-,' ......... ----•---- Date Application Disapproved for the following reasons:........................................--------------------...--------------------------------................ ......................................................-.................................................................................................................................................. Date PermitNo............ .......................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH >w v`............O F.......lS!A....1!�1 10 ..... .............................. Appl ration for Disposal Works Tonstrur#ion 1rruti# Application is hereby made for a Permit to Construct ( ) or Repair (C,._)=an Individual Sewage Disposal System at: l,�r --------- ----------------�2.:�:`.:. Z-r2 1.._P�........................................ ...... ..... _ Location-Address or Lot No. ...............Y'k-�_..........i5LLiAX:!�...--•-•---•----•---.......•...... .....................S =^~=....................................................... Owner Address tfh�r C, ✓at�cx� S�- 1.5 ----------/Q lq•1.._.O-r �r C w�-,_r'k t - ..�..... .......... . - ,..... ------ Installer Address Type of Building % Size Lot............................Sq. feet Dwelling—No. of Bedrooms_.7�7..................•...................Expansion Attic ( ) Garbage Grinder ( ) aOther Other—Type of Building ............................. No. of persons._..._......_...........__.. Showers ( ) — Cafeteria fixtures ------------------------------------------------------------------- W Design Flow......!E`S-.......................gallons per person per day. Total daily flow----.^�.._3c7D.......................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.......f........... Diameter.... ...... Depth below inlet..... .......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY•------ ... Date........................................ a 4 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........................ a ODescription of Soil.......................................................................................................................................................................... UW .......................•--••------•-•-••-•-•--------•--•--•-----------•-•-------••-----•---•-----•--...---••--••-----•---•--•------•-....•-••----••-...------•-••--••-•-•-••-•-..-----------...---....... Nature of Repairs or Alterations—Answer when applicable...._.. ....rQ.as. :?.... .m -•-•.............•••....... . -------•-•-------•• •-•••--- -------• -•---•-- ......... .......-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions'of TITAIL 5 of the State Sanitary Code—The undersigned further agrees not td.place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed....... - / .' ` ----------- - --- .---•- Date ApplicationApproved By.................... � ••.-I ...--....3.................................. ---- Date Application Disapproved for the following reasons----------------------•-•-•---------------------------------•----------------------------•-•••--------•-••------- ....-•---------------------------------------------------------------------------•-------....------------•-----•--•-----•-•••-•----•---------------••----------------.................................. Date PermitNo........... �` �'�-•------------------------ Issued....................................................... Date -------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. .........OF lA: !�.r� ''�SF7!. .................................... Tertifirate of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ")� by....................... � _ t,-.Q. ..._.`->Y `•! -------------------------•-----•---•---...--------------------•----•-----------•••••......-•---•......••-- at ��©Ct — In/lstalller ................... .......................... i .....................•----.------- has been installed in accordance with the provisions of TITLE` 5 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. 1�4 DATE---•---••••-••--.••-- a - �- ............................... Inspector....-------------•--- -_- ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� h ^:`��a..c ^�-.....OF... '.!o.R...IL,' ! 5� ----•............................ NO. ... ..... FEE---.. .�,.:.....' ... �io�roottl ork� �on�#rion �rrutii Permission is hereby granted.................r.!Q. ------- f' { •....-•-----------------• ................................ to Construct ( ) or Repair ( L)_an Individual Sewage Disposal System at No............... _n �j �"l'-`-=`�"...iEe4 c V e- ��. G emu - 2_.v Strcet as shown on the application for Disposal �� �/� Dated.......................................... Works Construction Permit No----. F 1� !- tf- Zr DATE................... .................................... Board of Flealtlf