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Home My WebLink About0017 CODDINGTON ROAD - Health Assessing As-Built Cards Page 1 of 2 TOWN OF BARNSTABLE LOCATION (3� 142 57— SEWAGE# VILLAGE ASSBSSOR'S MAP& LOT j}fb 4>6 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS lPRIVATE WELL OR UBLIC WA , BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes n No rack t�Nk .301 1. https://townofbarnstable.us/Departments/Assessing/Property_V alues/HMdisplay.asp?mappa... 4/1/2019 TOWN OF BARNSTABLE '4 LOCATION G 3 Sout /f/4 1N ST SEWAGE # VILLAGE Ile ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS_ PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No skd by fab -Do/wo/cls Tgvi Iz tAAA}� 30' 3 S' �!r Hazardous Materials Inventory Sheet Checklist LS/—Date Physical Street Address-Check database to ensure it exists ,-- -Working Phone Number ;�----Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials) Storage Information - location of storage, how long is storage for? If none, note that. ,4�bisposal Information -where and who? If none, note that. Applicant Signature -understand what is listed and noted "G Staff Initial -any questions, know who to ask —Vehicle Washing/Rinsing? - provide a vehicle washing policy and explain it- note that it.was given L---," Attach the Business Certificate with your sign off and comments **The inventory form should explain what the business consists of and,the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.0�0 for 4 e r business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st F.I., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the.Business Certificate that is required by law. DATE: Lie Fill in please: APPLICANT'S YOUR NAME/ +�. hey to BUSINESS YOUR HOME ADDRESS: (033 77y qqq 31-� a TELEPHONE # Home Telephone Number — 13C qI$ p VaG�o� NAME OF CORPORATION: NAME OF NEW BUSINESS e �� A" �h TYPE OF BUSINESS G IS THIS A HOME OCCUPATION? YES NO Q� Assessing) F BUSINESS awJh n C`evt ary It 10- 6'2',31 MAP/PARCEL NUMBER ( 9J ADDRESS O U Co 33 e S with the rules and regulations of the Town of When starting a new business there are several things you must do in order to be in compliance9 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 requiredto=legally.operate your u '+regs in this town. 1. BUILDING COM SSIO R'S OFFICE r Iv This individ al 4A%uOtorize n d f D. erm' requirements that pertain to this type of businessMUST COMPLY WITH HOME 0 - RULES AND REGULATIONS. FA�, igoature** COMPLY MAY RESULT IN FINES OMMENT (A TJo \ 6 j , Gi if I 2. BOARD OF!—HEALTH i. of business. This individual h e n inform ke p r r-gqu ments that pertain to this type MUST'COMPIYIVItl1'ALf1 Authorized 65i nature** HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Date: �1/ ;Z //( TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: !e 6d Ceok/ &wtoiq U,J 6diN BUSINESS LOCATION: INVENTORY MAILING ADDRESS: 6 3,3 SOC441 Amy, si- TOTAL AMOUNT: TELEPHONE NUMBER: 22V 9q I -Xi 3 6 CONTACT PERSON: 1?Uzz,Idm (�,-•pk u EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: M INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: �I/� - Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re wires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) t/ qp 1,� Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes = Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash Aa-z- C f WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials d No. QU s J ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered m computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pphCatlon for Z18posal 6pstrm Construction Vertu Application for a Permit to Construct( ) Repair�<) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (0 3 3 S o V � ev%-+;� S' - Owner's Name,Address,and Tel.No. A l PJ A-)1 Assessor's Map/Parcel I to S�c o to 1 Installer's Name,Address,and Tel.No. &Aju j;,(_ &*1 ple Designer's Name,Address,and Tel.No. w a Sot z'-.3 cl, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) N gpd Design flow provided IVIA gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I„V"e— �Q 44 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2-vo ? 7 Date Issued II,rld No. o U_1 ? /_ Fee J J } � J Ir/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r .PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ap ,litation for Mispo8af *pBtelU CDnStrULtIDYC Permit ' t+ 6, Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components L: Location Address or Lot No. (.3 3 S o v Ok rw-,;i S't"' Owner's Name,Address,and Tel.No. A U Assessor's Map/Parcel o 1 Installer's Name,Address,and Tel.No. L. t 67, P �t Designer's Name,Address,and Tel.No. ' r Rl 1301-7�.3 C.�••'l�'«'{"'�1��'l. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided J✓�A gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Date ' Application Approved by �_ Date Application Disapproved by Date = for the following reasons Permit No. 2 oV GJ - 7/ Date Issued 1 d Iq ------------- THE COMMONWEALTH OF MASSACHUSETTS t AP, C� BARNSTABLE,MASSACHUSETTS 7 Certificate of Contpliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by ( ,AAe , _,d, E;y{�p r,'s.e S L L-t-- at 5 0-L-, yxA yl.i, 5'�, &Rr � U,- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. p tidated Installer �A,041,t.� 611141 "kg-" c� Designer w�1 r #bedrooms tJ)4- Approved design fl Rt Ali 4- and The issuance of this permit shall not be construed as a guarantee that the system Fil fun-tion as deigned. Date U Inspector �r 1 G, _. No. q oO"�-Z 0 Fee o •— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS disposal *pstrm Construction Vermit Permission is hereby granted to Construct(. ) Repair()4) Upgrade( )+ Abandon( ) System located at (p 33 S p L)_(t, VV1 W-ti1 ST. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction most be completed within three years of the date of this permit. Date )1 i/r A � Approved by J OWNER OF RECORD(627&633 S.MAIN ST.): _H � • `` DEBORAH CLOUGH 633 SOUTH MAIN STREET x5.2 MAP 186 —� s♦ _' '4i CENTERVILLE,MA 02632 x5.6 LOT63 �+` •Q♦♦ _ ' — FEMA FLOOD ZONE(BOTH LOTS): BRICK / IIr- ♦• AE(EL.12) ALL o — \ AS SHOWN ON COMMUNITY PANEL LOCUS- \ / `IR �1 #25001 C0563J(dated 7-16-14) x5.7 // \' ' '�o • ♦ o b Q1� ♦�� ♦ ♦. ASSESSOR'S MAP&LOT: a x5.6 MAP 185,LOTS 61&62 Oe / Benchmark x ~O/ WATER METER PIT �• = DEED REFERENCE: Mag Nail #627 �) / I o Public BOOK 27963,PAGE 39 m \ Elevation=5.71' EXISTING. I Landing \ NAVD 88 DWELLING MAP 186 PLAN REFERENCES: \ LOT 62 �6 3 PLAN BOOK 94,PAGE 59 Q ` \ 3,314t S.F. PLAN BOOK 17,PAGE129 q ,- LOCUS PLAN PLAN BOOK 170,PAGE 93 PLAN BOOK 138,PAGE 29 s\ 0 PROPOSED 2'WIDE x6.3 PLAN BOOK 113,PAGE 123 �O�' \ /� X Cy/M CRUSHED STONE DRAINAGE 5E( SCALE:1"=1000' STATE HIGHWAY LAYOUT#1836 �o \ // 3 t INFILTRATION TRENCH /OQF STATE HIGHWAY LAYOUT#3275 �� rr \ FQ/ Uv / a0 NOTES: LAND COURT PLAN#13259-A \ �O/ VF E� I 1. THE PURPOSE OF THIS PLAN IS TO SHOW PROPOSED ` PARKING&DRAINAGE FOR 627 SOUTH MAIN STREET 7 FFE=7.1't O� QQ" DUE TO A PROPOSAL BEING MADE TO THE TOWN OF x6.6 BARNSTABLE ZONING BOARD OF APPEALS TO CARVE O� I OUTA6-FT WIDE PIECE OF LAND(i.e.PARCELA)FROM MAP 186,LOT 61 AND COMBINE IT WITH MAP 186,LOT 62. SEE LOT LINES RECONFIGURATION PLAN. ROp \ 2. JC ENGINEERING DOES NOT PURPORT TO COMPLY WITH THE TOWN OF BARNSTABLE ZONING CODE FOR 7G',y�M I PROVIDING MIN.REQUIRED PARKING SPACES, DIMENSIONS AND/OR SETBACKS. - kt-' \ ^ 19 3. DRAINAGE INFILTRATION TRENCH SHOWN ON THIS PLAN 2 W WAS NOT DESIGNED FOR ANY PARTICULAR / ) CONC. EX.CESSPOOL STORMWATER EVENT. \ TEP 4. TEST PITS WERE NOT PERORMED ON THIS PROPERTY x9.5 TO DETERMINE SOIL TYPES AND GROUNDWATER / #633 2".0" \ ELEVATION. / / EXISTING ` �� 5. SURFACE OF PARKING AREA LOCATED ON THE SOUTH DWELLING ' \ \ SIDE OF THE BUILDING SHALL BE PERVIOUS(e.g.crushed stone,crushed seashell,pervious pavers,etc.). EXISTING \ I \ STRUCTURE \ � / 6. PROPOSED RETAINING WALL DESIGN BY OTHERS. 7. OWNER I APPLICANT I CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL REQUIRED MAP 1186 c�q y I PERMITS AND APPROVALS FOR THIS PROJECT.D I 8,035t S.F. - 7 8. ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP ( APPROVED ZONE II,BUT IS LOCATED WITHIN THE \ ESTUARINE WATERSHEDS. / x8.5 9, PROPERTY LINES WERE STAKED OUT BY JC \ / ENGINEERING INC.IN JANUARY 2019. _ � 1 Q Q 10. THE EXISTING CONDITIONS SHOWN ON THIS PLAN FOR O 627 SOUTH MAIN STREET WERE FULLY SURVEYED IN t ( JANUARY 2019. 11. THE EXISTING CONDITIONS SHOWN ON THIS PLAN FOR 633 SOUTH MAIN STREET WERE PARTIALLY SURVEYED U IN JANUARY 2019. { ' PARKING & 6-IN.0 PERE PVC INSPECTION +.. PORT WITH SCREW TOP LID MAP 186 DRAINAGE PLAN SPACED EVERY 25'(MIN.) 3-IN LAYER OF PEA GRAVEL(1/2"-3/4") LOT 60 i AT OVERFLOW BERM PAR KING SURFACE 627 SOUTH MAIN STREET CENTERVILLE, MA p o _ PREPARED FOR: 0 3-FT LAYER OF WASHED STONE(1.5"-3") DEBBIE CLOUGH o GEOTEXTILE FILTER FABRIC DiRo I AFTPREPARED BY: °Q_; 6-IN LAYER OF CLEAN SAND GRAPHIC SCALE - JC ENGINEERING, INC. ;:i- .; 2854 CRANBERRY HIGHWAY 0 D 5 10 20 40 EAST WAREHAM, MA 02538 1 INFILTRATION TRENCH DETAIL ( IN FEET ) SCALE: 1"= 10' MARCH 20, 2019 N.T.S. 1 inch =10 ft JCE#4492 - 1