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HomeMy WebLinkAbout0803 SOUTH MAIN STREET - Health 803 South Main Street Cen t&A ille A = 185 - 016 SMEAD'i, No.H163OR UPC 10259 smead.com • Made in USA IrA 9fcYqb qk AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 303 So n SEWAGE I d.3 65Z V I L L A G V,/ 'ASSESSOR'S MAP& LOT_ _ � INSTALLER'S NAME & PHONE NO. A & B CM SEPTIC TANK CAPACITY LEACHING pACILITY:(type) (size) 0O/0G°"/ PRIVATE WELL OR PUBLIC WATER No.OF BEDROOMS'_____ BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes ` 0 I' http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 85016&seq=1 7/8/2015 C o2 VILLG Ynll le S. r vu- �i tn'1��9s��at c r e o� a► Oe LIV ;)COX O y crc� c)® 1 Z Barnstable �oFj�Erow� Town of Barnstable Ali-MmicaC-dy Regulatory Services Department , ��• BARNSTABLE. 9a�t639: Public Bealth Division -- 200 Main Street Hyannis MA 02601 2007 Office:508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A:McKean,CHO CERTTIFIED MAIL 7007 3020 0001 3429 7977 March 24, 2009 David Miller P.O. Box 303 Churchville, MD 21028 NOTIC_E TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 803 South Main Street Centerville, was inspected on March 24, 2009 by Jaime Cabot, R.S. Health Inspector for the Town,of Barnstable. . .This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Cinder Block steps at base of ramp are damaged. Walkway has loose boards and deteriorated wood. You are directed to,correct the violations listed above within thirty (30) days of your receipt pf this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF E BOARD OF HEALTH �=li - c an, R.S., Cl Director of Public Health Town of Barnstable R FOR w� JYU (-Aigv' OATIf 4- 23 O TIME f P.M. M r� h rze4 _PHpNEq ;i. OF PHONE �I / '`� (�v �/ d� �Y �I �I YOUR CALL•. AREA CODE. NU BEER a�.�jEXTENSION MESSAGE rQ ODE an (gala IC" 1► Y rd ALfASE CALL 1NILL CALL I►un Vbffv 1.) JaCA V a All SIGNED V iverS 48003 NOTESt •; Ir B f- • . ru Postage $ MA Certified Fee r=I Postmark p Return Receipt Fee O (Endorsement Required) g 3�� O Restricted Delivery Fee d`Y O (Endorsement Required) C3Total Postage&Fees m senkse, U/.'4i 17 �'l.i l,l.f�� O SfreetUApt.No.;----------------------- - O or PO Box No. O �°'----?•�----------------- Cdy,State,ZIP+4 Nv�C VAN/ �A 2 10 Zb Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Made or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a.postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present It when making an Inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 COMPLETEeN COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricto Delivery is desired. ❑Agent ■ Print yodr name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. of elivery ■ Attach this card to the back of the mailpiece, \�� or on the front if space permits. f D. Is delivery address drfferent.frcm item 1? ❑Yes 1. Article Addressed to: If YES,.enter delivery address below: ❑No C3o 3 03 3. Service Type 2 2� ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail. ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number I (Pansfer from service labs 7007 3020 0001 3429 7977 PS Form 3811 February 2004 1; Domestic Return Receipt 102595-02-nn 1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS r. Ptrmlt No.G-10 -� • Sender: Please print your name, address, andiZlP+4 W8his b'ox• Ci 'Y7 �C4 Town of Barnstable ''' Health Division tv 2 200 Main Street — I 1 Hyannis,MA 02601 rr, I 1ilIf i i !F-. }HIii �( 17 fl1 -114It / 174 - IP7Ii4 ,. °pTHE Town of Barnstable Barnstable PAlAmedcaCRY f Regulatory Services Department P BAivis"rAULE, �"Ass.039. Public Health Division Ed M 200 Main Street Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geder,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFIED MAIL 7007 3020 0001 3429 7977 March 24, 2009 David Miller P.O. Box 303 Churchville, MD 21028 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 803 South Main Street Centerville, was inspected on March 24, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Cinder Block steps at base of ramp are damaged. Walkway has loose boards and 7 deteriorated wood. You are directed to correct the violations listed above within thirty (30) days of your receipt pf this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Board of Health Town of Barnstable No .� P.O. Box 534 d=�VI��2�_ �n�y �' '►� F�s.... 0..'"............ THE COMfDLSQ �IVpASS4CH�lJSETTS D 1 BOARD OF HEALTH tti b 11 � b ..;i............I.........O ur .-_. L.................................................. A liration for Uh4patial Morkii Tonti$rurttltu rrutit Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal System at: .....$..o3...:;kA..9)01 .. '!4,....Cemterwilp....... .................................................................................................. Location-Address r Lo No. .......................................................... $43_ 'Qk' _. �tih_.��� �.. en r..�i��--------••------- Owner Add re s ' ?! Qn�Q--------------•--•---••••---....--•------.......................... ,3 a.. ..fU��. 4 C/11A(t `!!'....... Installer Addres Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ xDisposal 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........................................ aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..._..-----_-_-_----- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------.................. a ....-•-•-•••-----------------•---•---••--•••--•---••--••••-••••-••••-•..._.........-•-•--•-•-----•--......................................................... ODescription of Soil........................................................................................................................---------------------------------------------- x --------------------------------------------------------------------------------------------------------- •----- --------------------------------••--------------------------------------/ U Nature Re irs or Alterations—Answer when a ph able-4)9_A ---!,Tq ?� ..�CtOA_ .��4d-f?------ . ._y�.__�.�n�_ �c-�+..P�tn�..c� -t_2th-.-'..`--COW- Agreement: -r 6fj�eov)A-L, The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAI: y g g p y of the State Sanitary Code—The undersigned further agrees not to Lace the system in operation until a Certificate of Compliance has been issued by the board of health.Signed ..... pp :. ... ..... --. .. .. .. --7-/�81.......... .� 7 Dat C Application Approved By....._..... .. Date Application Disapproved for the following reasons:---•----------•---••-------•--•-----•-----•---•----•---•-•---•-----•----------•----•--------••••-----•-•--_..... ...................................•------•-•--------•--••---••--•--••--•--••----••--------•------..........-•-•••••••••....-- ...••--- ...---•••-•--•••••-•-•---••---•------•......••--•••--...•---•- j Date PermitNo._.!!;;>....` ............ Issued-....................................................... Date Ivm ., i4 f tZ Ar y '4E-1 A w FE$......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �:. ..........................................OF.....................-........-.......................... Appliratilan for Uispvs al Warks Tonstrnrtion Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( - ) an Individual Sewage Disposal System at: ...............................................-- - ----------- Location-Address or Lot No. •----•-•-------------•--•-••----._......................------.._....._...---....-••---••-•----... _.........••••-••--•--.....-•------------•------._.....•---------••--•------------••••---•---••-•- Owner Address W Instal Ier Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms____________________________________________Ex Expansion Attic� g— p ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons...................._------- Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date............................ ----------- Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-----------_............ rZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P •-------••--•-------•--••---•-•------••------•-••---...---••-•--•---•-•--••••-•••-•------•................................................................ ODescription of Soil.................................................................................................................................................................... W UNature of Repairs or Alterations—Answer when applicable..........................................:..................................................... Agreement: 0CCU; A0200 AZ,,, The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTL y g g p . y 5 of the State Sanitary Code—The undersigned further agrees not to Lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed............................................----•-......•--•---•••-••••.............. w. Date tiApplication Approved By_Y r ... Date ------------------------------•------...---._....__••••-•-_•---- Application Disapproved for the following reasons_________________________________________________ ---•-••---•-•--••--•--••••-••--------•-•--- --•••-------•- ..-------••------------------•---....----....---...----------------------••------...----------------.....-•••-•-••-•--••-•--•-••-••-•-•-•-••••-••-•--------•-••-••••••••••-----••----•-•---•--•••-•-•--- _ '>` --,—_ Date ,,.� ' _. Issued-------------------------------------------••••---•---- Permit No. ---• •-•••--•• - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F..............................:.................................................. .... C1rrtifirFate of ToutpliFanrr THIS I 0 CERTIFY, Th the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by - A A ... inst - at-----------------------`,.' "`---` ....... has been installed in accordance with the provisions of TITIE 5 of The tate Sanitary Code as described in the application for Disposal Works Construction Permit No y.�...........___________......... dated_.�__--:_I___I•:"' ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................... Inspector- =t --•----------______--••------__________------- THE COMMONWEALTH OF MASSACHUSETTS c�. a> BOARD OF HEALTH r^ ...........................................O F.............._..._.._.._..._............_...._...._.._.--........__.._._........._.. �"�`•�'r. `' No -- ---« � FEE........................ z` RoposFal Works Tnntrudiaan rranit Permission is hereby granted__._ 1 ?r . -:c =I..... '°!.nn -----------•-------------------•-•-----•----••---._...-••----......._......-- to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systegi atNo.._ _ ? ' ;�es-1- e._n.._. "1 -.. Lie'`:- -✓r----- -----------------------------------•-----------•..-----.......-•-- ----- _ Street WN6-1 as shown on the application for Disposal Works Construction It No �_.__� ��Dated_. ................... a..�.... �1 Board of Health ."" DATE-------•-•�. . `.:.......................................................... �. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS��� •" •N """� 0E5 �,�' �f- 'L�J FAY,.. � < �ult2� TOWN OF BARNSTABLE LOCATION $03 So /yj;,�,H YvL ' SEWAGE # VILLAGE[t9 kro11f (ASSESSOR'S MAP 6i LOT INSTALLER'S NAME 6z PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 1 rbQ a;,. l LEACHING FACILITY:(type) oT (size) Gow6 1 NO. OF BEDROOMS PRIVATE WELL.OR PUBLIC WATER 1004t BUILDER OR OWNER DAVdi 9.,11t� DATE PERMIT ISSUED: - l �i • `I DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a ''� 1�r \ o m a W � Q m I 48'-0' I 48'-0' 24'-0' 6'-0. 18'-0' I 24'-0' 24'-0' 1 11 I di I I I I I j I I I I I i 1 1 1 1 1 i I I I 1 I I i i 1 I I I I I i I W i I 1 I 1 I I I I I I 1 i i I I I I i I: I L i I 1 I DECK' i I i I i I ) I I I i I I i I i I I H I I di i i i I i Y DECK'ENTR i i it I I I i I I i i I I I z I i i I i i I i I I i I ii I I i _J i ! i I ! : i I is : I ! — I I fi Y1 I I i ' F I li I I: 0 0 _ I (WOOD) :DIY MECH.RM ""'�mlAO' L s-6 2Wco MASTER/ I MASTER L 1 I IBAT Ins o ,, BATH I I I �«loKITCHEN I DO it mil UNK ROOMI mi (WOOD) \ I FOYE T / T ���___ �/ (WOOD) v "OD) — " Q C I___ {� nno..m y1'_gl i/4• In Y-B 7'-M, 1 I - 3' 10 1/2' 15'-7 1/2' 7-10 1/2 12'N7 3/4' 7 Z' IIJ \ I I L HER5 I b b HERS HI5 �` BATH o I ��--------7R-------- MrooD) (wooD) I N (WOOD) IwooD) iwo o) - O II I \ 2ND FLOOR Imo«a 15T FLOOR 1-0 .79 ININC�R00 \ \ MASTER I MASTER (WI \ \ BEDROOM I - BEDROOM VIN (woo) (WOOD)/ 00 I I \ wool) II // \\ \ I GUEST W DEN ° BEDROOML11 —� \\ 'm '� cW000 (W000)2y.�2 LU + Ii 1ii !�i ili ! li':II ili p jig I ' j I .o :I ' i,� i a' a' • ` I S Q I I I lii I �I i I IF i I I DE K I I I I i i t I i l i i I i i I I I i I I I I : I li li ' W I 1 ' I 'I I 11 !ii + i i it I I i ti lL z J g lL 8'_2• 15'-10' I6'-10' 8'-2' _ 8'-2' 9 W z 46'-°- - as'-0• O Q U C 0 IL Pf�OPOSED SECOND FLOOfZ PLAN PROPOSED FIRST FLOOR PLAN o SCALE: 1/4" = I I—O" SCALE: 1/4" = I I—O" Om is 5HEET T2 JOB:803 SOUTH MAIN DRAWN BY: TFR t(j DATE: 12/6/15 i