HomeMy WebLinkAbout0102 VICTORIA STREET - Health 102 Victoria Street (Lot #46)
Centerville
A= 148—075
SMEAD
No.H1630R
UPC 10259
smead.com • Made in USA
I
YOU WISH TO OPEN A BUSINESS
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For Your Information: Business certificates (cost��40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which
operate.) Business Certificates are available at the Town Clerk's Office, '0°`FL, 367
you must do by M.G.L.-it does not give you permission to
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: �9 ��� i �. Fill in please:
-91
APPLICANT'S YOUR NAME/S: "
iry, s I .
BUSINESS,
7 YOUR HOME ADDRESS:
/ 1 4
-
zti Fl.rr' '� TELEPHONE # Home Telephone Number G�
NAME OF CORPORATION: TYPE OF BUSINESS b U l
NAME OF NEW BUSINESS �CJU
IS.THIS A HOME OCCUPATION? c'YES I\I
ADDRESS OF BUSINESS C' CY(o3,\-)MAP/PARCEL NUMBER �T �� � (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 i4�nwn..-"-
il
1. BUILDING COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
2. BOAR®OF I-IEALTI-I
d of the permit requirements that pertain to this type of business.
This individual has b �n infor
Authorized Signatu *
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: Xif
t 1,... 4 .
I -
Town of Barnstable
oFtHe to Regulatory.Services
P� ti Thomas F. Geiler, Director
Building Division
+ HARNSTABLE, "
Tom Perry, Building Commissioner
i639•
6
At40 eta 200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: P J
Permit#:
HOME OCCUPATION REGISTRATION
Date: 1 / l
Name: Jam- 1'lione #: / / / �U / — 7 V3
Address: 11) V i CJCk« `i c(q Village:
P
Name of liusiness: �actC�_ _R
Type of Business: S Map/Lot:
INTENT: It is the intent of this section to allow[lie residents of the"FoV•vn of Barnstable to operate it home oc•c•upation
iiithin single Finiily dwellings,subject to the provisions of Section 11-1.4 of the Zoning ordinance, provided that the actiliity
shall not be discernible front outside the chiselling: there shall be no increase in noise or odor; no Visual alteration to the
premises which Would suggest mything other than it residential use;no increase ill lraflic above normal residential volumes;
and no increase in air or b�rouuichvater pollution.
After registration%Null the Building Inspector,a customary Home occupation shall be permitted as of right subject to the
folloli'iitg conclitioils:
• The activity is carried oil by(lie perm aneiit resident of it single fiutiily residential dwelling unit, located within .
that dwelling unit..
• .Such use occupies no more than 4.00 square feet of space.
• There are no external alterations to the dwelling+vllich are not customary in residential buildings,•and there is
no outside evidence of such use.
• No traffic Viill be gea.ei;lted in excess of normal residential volumes.
• "File use does not.involve the production of offensive noise, Vibration, smoke, dust or oilier piu•tic•ufar matter,
odors, electrical disturbance, heat,glare, humidity or other objectionable effects,
e .These is no stor age or use of toxic or hazardous materials, or-flammable or explosive niateriiils, in excess of
nornlid household quantities.
• Any need for parking generated by such use shall be met on the Sallie lot c•orltaiuing the Customary Home
Occ•upatiou,iuicl not l6thin the required Front yard.
• "There is no exterior stor-age oi•display of materials or equipment. 4
• There are no commercial vehicles related to flue Customary Home Occupation, other than one van or one
pick-up truck not to exceed one toil capacity,and one trailer not to exceed 20 feet in lentnll and not to
exceed It tires,p;u•ked on the same lot containing the Customary Honle Occupation.
• Nosign shall be clisplayed indicating the Customiary Home Occupation:
• If the Custoiil;uy Home Occupation is listed or adverlised as it business,the street address shall not be
includecl.
• No person shall be employed in the Custonliuy Home Occupation +dro is'not a penllaticnt resident of llic
dwelling unit.
I, (he unc er e h: e r all a�d�agree
f++1tli the above restrictions for nay home occupation I am re•gisterii r. j
Applican i C�'�-�— Date: �/
LOCATION SEWAGE PERMIT NO.
LO?'-4 yGTT /�4 ST,
VILLAGE
1-NSTA L R'S NA & A RESS
L E D dip AR DRESS
X/o . 1-14dv/l c41 ,G,/,45':
..
B U It D E R OR OWNER
ZOO/S
Dr,�rs X4,455:
DATE PERMIT. ISSUED
DATE COMPLIANCE ISSUED
4�' z3
44 o 4q
No. 6
7
THE COMMONWEALTH OF MASSACHUSETTS
,b e BOAR® OF HEALTH
...............................OF................;........--------.........-----------------------=-------- ----•---------
14ptiration for Mipaaal Works milrurtion ratifit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System
.�-�__
Location• dd;ess �l /�t o�G y�
,<a .....1 ......................................................... ........ ........................................✓ d� �.....4.:...��.!f✓.
Owner ` Ads �/_ /
-----------------------------------------Q.1.._.w l P 1�4 ----..
Installer Address
d Type of Building Size Lot./-1-. �_ --".'.- _..Sq. feet
Dwelling—No. of Bedrooms......J�______________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures .........................................
W Design Flow........., - ..........................gallons per person per day. Total daily flow........ __;'_...................gallons.
WSeptic Tank—Liquid'capacityp/�Q5?.gallons Length__�------.. Width-----Y_____. Diameter---------------- Depth.....-----
xDisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No �-._.-._-__- D' eter__1v.t_?�_.._.. Depth below inlet_..®....... Total leaching area.. �'�....sq. ft. —L
z Other Distribution box (�1 Dosing tank
'-' Percolation Test Results Performed by.-C r----------- ----_ G<<_ _�_....X _.. Date.0Z9 ..............
a Test Pit No. 1..!��-minutes per inch Depth of Test Pit/.VY.i�-___• Depth to ground water._,(OV-4'V3jZ_7_.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
--------------------------------------------------.-------••-•--•-•----- --•----------
.--------
---------------------------------------------------------
O Description of Soil....____. �_ ......f4 � T. �� ----
�
x
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 i!T'.i 5 of the State Sanitary Code— The undersigns ler agrees not to lace the system in
operation until a Certificate of Compliance has been issued by th i th.
Signed_.._ �..
ate
Application Approved By.................... . ...... --- . ........ ........... ....... ,/I �........
ate
Application Disapproved for the following reasons:---•--------•....--•---•-•-•------•-•--•-••------•--------•------•-•-------••-----------•------•----------------
---------------•--•••----•--..._-----------•--•--------------------•--------------•-------•••••--------...-•--••-----•-----------------------•.-----------------•-------------------------••------------
Date
PermitNo.......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..... ........................O F.......................................-----
Applirutiou for Dhgp sal ork,,5 C mitrurfiurt rruti#
Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal
..y ...C..! ................�.........r..0 ��Cr�t ........
..... ...... .. ...
...... ..... .................... .......... ............. ..
Location--Address Lot
Owner Addres
Installer Address
UType of Building Size Lot ..... .'�._._Sq. feet
Dwelling—No. of Bedrooms.......--- --------------------------------Expansion Attic ( } Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures --------------- -----------------------------------------•---•-•----•••------•-•••-•••----.`t..-••-•--•-...•-••--•---•-•--•-•-•.....-•-•-••••--.-----
WDesign Flow........r5�..........................gallons per person per day. Total daily flow........ .................gallons.
9 Septic Tank—Liquid capacity'-.0.-C? .gallons Length............. Width.....`Y'....... Diameter................ Depth.... !........
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......:�------------ Diameter.....:'..5...... Depth below inlet"-,._2__.___. Total 1 leaching area_Z �' -----sq. ft. z
Z Other Distribution box ( .�)' Dosing tank ( ) ,� '
'-' Percolation Test Results Performed by._......................................................., :_._. Datec / - _..._.......
W
Test Pit No. Lam'..�:minutes per inch Depth of Test Pit;!_%'')'......... Depth to ground water...a �::V:RF7.
W
GXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
....................... ------------------•-- ------ - -----------
...-•-------
.......
-------------
---------•---
Description of Soil........ = ,-7 /-", -i'- !
-- ....................••••------- ... . •---•••-••--•--•-•-•-•-•----..........._......--_•--•-
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 TTL 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 1 1 VI
Signed-•=. -•... .. .. ......... ------•
. -•• .-•--- .
Application Approved By..............................--------•---........................ .
Date
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------------
...................................••-•••-•-------•-----•-•------•-•---•--...-•----------•-•-•---•-------••----•-•---•-----••••---•-•-•-•-••----•-----•---•••---•-••-----•-------........_...-•-•---•---
Date
PermitNo....................• Issued.............----. - ------`----------------------• Date................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................................................................................
V'&rr#ifiratr of (Souipliuurr
THLS t&-T-.CJFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
r
by 'fl •- -tall- ._ ...........
nstaller �• -
at......................................................................................................................................................................................................
has been installed in accordance with the provisions of - ,5,6f6the 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.
DATE............................... ................... Inspector.......... .................................................
THE COMMONWEALTH OF MASSACHUSETTS
972 BOARD OF HEALTH
' ..........................................OF.. ........................................
No......................... FEE........................
irrJO
prImUn.5trurtiou rrutit
Permissiotl4pis hereby.granted--•-- ----••-• --••••- -----------------•.......
.-•--•-- •. -- ......................................................
to Constr oz� pair a Sew g isposal �Y is
at No
Street
as shown on the application for Disposal Works Constrruct,•ioo mit; l0-- ------ ate .
Board of Health
DATE.....................................------••-•---•-•---- ...................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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