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Home My WebLink About0016 ATHLONE WAY - Health 16 Athlone Lane t Hyannis. P ,1 52 F - A — 290 _ 134 �9 1 o a Y� �I o E (AV ' d asoa No. t. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: • PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes _Z_ RppYication for Misposal 6pstem truction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. 1{D 0 YV Ohisp "!�01 d Tel.No. �06 1715, f 14 i p Assessor'sMap/Parcel pQ i G�-� 1S Auld/ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. NLAf M PALJ:�J Woxlgs 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 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 o nmen 1 C de and not to plac system in operation until a Certificate o Compliance has been issued by this oar of He Sign Date if Application Approved by �' Date _ G Application Disapproved by Date for the following reasons Permit No. Date Issued 12 j L( O No. Fee ob,00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ` application for Misposal .6pstem trUttion Permit t Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. ((7 D 1U O ner's Name,Address,and Tel.No. 9 D g '� s, l q 7 Assessor's Map/Parcel a ! Q QVoI�Zofieu)' b�f tos v2&al Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �(Eµ Co0 k CT7,9M w Type of Building: OZIo µ 8 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f ! r�,Design Flow(min.required) gpd Design flow provided 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 o e Err ' nmental C de and not to plac t system in operation until a Certificate o Compliance has been issued by this oar of He f S ign Date 12 Application Approved by z Date f . Application Disapproved by Date ` for the following reasons Permit No. I< Date Issued �r L" 1 THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that tth On-site``Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(S( )^by \ 1T at has been constructed in/accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�4�,"(I o dated Installer Designer #bedrooms A / Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system ill function as designe . Date / YoZ Inspector / -- - -- ----- -------- ---•--•------ •- -- --- -- i — L 1 No.�D I I O Fee THE COMMONWEALTH OF MASSACHUSETTS j PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS- MispoSaY bpstem Construction 3permit Permission is hereby granted to Cons ct( ) Repair( ) Upgrade( ) Abandon`4. ) System located at 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. i Provided:Construction must be completed within three years of the date of this permit!`^ Date Approved by DEC-21-2012 06:12 From:BARNST HEALTH 15M7906304 To:915085409074 P.2/2 AsJ3uilt Page 1 of 1 TOWN 017 BARNSTABLE LO `ION �(a SEWAGE VILLAGE r + ASSESSOR'S MAP & LOT INSTALLER'S NAME & PRONE NO.- " • 0 SEPTIC TANK CAPACITY_—zU n v_e"4_.� LBACHMG FACILITY:(type) CJc�c� �' �(stze 6 NO.OF BEDROOMS-45 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ' DATE PERMIT ISSUED- DATE COUPLIANCE ISSUED; VARIANCE GRANTED: No � L)Ste. ty� I 36' M, �0009a1 ()•.6ot lobe s� ! 1 1 I' pi a'S�oll http://issql2/ititranet/propdata/prebuiIt,asp ?mappcz--290134&seq-1 11/20/2012 TOWN.OF BARNSTABLE BUILDING PERMIT.APPLICATION- Q _AqMap 0 D Parcel Permit# �CU � Health Division �VE® Date Issued 1 " Conservation Division S 2.5 �.0;0,. �/► Fee Tax Collectorw1 '"' (� �IZ•�� Treasure` D Planning Dept. �� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Ito A I h LC r I e- W Ck� -' Village Hya n n S , _m g 03 OLIS LI,, Owner Harold �. ) ) bey Address j A T► 1 -Q n WGYn n f,S Telephone ! -� o -f 1 /5-5 1 L / Permit Request )o X (tU 51 �(:t 1ry_(] 51 . 40 Sfaro�..' S7 5rh.e Square feet:1st floor:existing proposed j�y 2nd floor:existing proposed Total new i Valuation a�ro� �" Zoning District Flood Plain Groundwater Overlay Construction Type 05D 4-(,�Qm 5h o d Lot Size Grandfathered: O Yes O No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: O Yes ❑No Basement Type: IN Full ❑Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing. new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: CYGas ❑Oil O Electric ❑Other Central Air:A Yes ❑No Fireplaces:Existing New Existing wood/coal stove: ❑Yes O No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing O new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes I"No If yes,site plan review# Current Use _ Proposed Use 0 Gcl/J Pi(/�� I ,,I BUILDER INFORMATION j Name r i r. W/AcUor- Nd Co • Telephone Number -771 son 7 Address 6,1� /G r 1 r 1 of i h gc/ / License# O 1 1014 H\Ia n n 1 a r0G O y,� Home Improvement Contractor# /0 9,3 7 y Worker's Compensation# H 06 So l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO PI rta_ Na r bo r s hod Co 61,59 QU.n Annz Pd- Hciy-Wi Q� SIGNATURE DATE -I "OV )ngineering Dept'.(3rd floor) Map lj`j Parcel Permit# °702�a House#.. Date Issued Board of Health(3rd floor)(8:15=9:30/1:00-4:30)75;-7!(.�h3 Fee Conservation Office(4th floor)(8:30-9i30/1:00=2:00) Planning Dept.(1st floor/School Admin.Bldg.) BIKE ry- Definitive Plan Approved by Planning d 19 SE bt`FFb_ iSd CS O OF Bh1STABLE .. � — Permit Application Project Street Address (o 4 Village Owner !�/Lc�( 1� �C��Ey Address I Co ATt+L&ri3!r CWr4y Telephone 50't -7 7 S— S! q,7 Permi t Request Pr(12 )Zde ct+Wl 7' ILA-110KC �'a ItiiiNl000 First Floor 2 yU > square feet Second Floor square feet Construction Type W66d F^-f}-, Estimated Project Cost $ 2 o CO O Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: Afull ❑Crawl ❑Walkout ❑Other = Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) %ry Number of Baths: Full: Existing_—New Half: Existing— New No.of Bedrooms: Existing 2 New Total Room Count(not including baths):Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other i Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ,KNone ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use Builder Information Name �CFAi�SF�c Telephone Number Address ��7/ ' ��, License# 6 b 3 Home Improvement Contractor# /6 0 l Z� / Worker's Compensation#,,S/7 00 0?,2Z-YES NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2 MOc,TJ4 SIGNATURE DATE 81— BUILDING PERMIT DENIE R 4 FOLLOWING REASON(S) ` TOWN OF BARNSTABLE LOCATION c� SEWAGE # VILLAGE. LL,0H�„r ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 1 a1/$ ( � . j SEPTIC TANK CAPACITY O a o B- LEACHING FACILITY:(type) 11 el o (size)NO. OF BEDROOMS-PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: -Yes No �� -� f } '' � �� ._�� C 1 �� - � I �� v � w � a �� { a _ 3 � i o - .. �'� s p 0 X � e �1 1 "' � � o � � � ��`� - � I _ ` ��~ �►� !'' ..��.�.____.__..�.__ .�tib. n: 1 \ ,., No................ .. Fl�s.. It THE COMMONWEALTH OF MASSACH-USETTS �� V ` J BOAR® OF HEALTH o P f 7 1......""."".......oF......-.... n C . .................................-....... Ap'lira#iun for Dispas al Marks Tonstrurtion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ..� .1� .....,� --------------------------------------- -------------------...../�f. I_o-:-------------------------------------------- C ocat=on-Address or t 10. AL...... (�'--_Qlr[OlI,S...... -__ ftF .................................._..... Address .............. ------------------ -----•.............---------------------------...... ---------••-----------.._..... Installer 4, Address U Type of Building ,, '':"' Size Lot41D..MJ .91Q__Sq. feet .. Dwelling—No. of Bedrooms............. .........................Expansion Attic Garbage Grinder ( ) Other—T e of Buildin No. of persons............................ Showers Other fixtures ..__....._�� P ( ) — Cafeteria ( ) a YP g Q •••----------------------- ----•-.....--.-••-•---•-•--•-•--••--••-•-• ••-•-•--••--••-•-•----•-•-•-••-• .................. Design Flow.................. .........gallons er ;erson er da Total dail flow..._.__.....lid_..........._.:..._gallons. P p P Y Y WSeptic Tank—Liquid'capacity/D.o.o'__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................miriutes per-inch Depth of Test Pit.................... Depth to ground water------------------------ (z, Test Pit No. 2................minutes per inch Depth of Test Pit___._..__.__.____`. Depth to ground water.......................... ---•----•---------------------------- ....................................................................................................................... 0 Description of Soil --=--•---- ............................................................=.............................................................................. x U ---•••----••--•-------••--••-•......\--•--•---------•----------------------------------------------- -------------------------------•---------------•---........................................... - W •-•-----•------------------•---------------------•--•-•........ ---- ... V. Nature of Repairs or Alterations—'Answer when applicablg.___..--_ _ __________ ___ r ..............2_ -_-_.__-___. - -- ------ --------------------------------------------------------------------------------------------•--•---•---------••---------------------------------------------------------------------................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Dispos System.-in accordance with the provisions of TAITI L 5 of`the State Sanitary Code— The under'igne t rther ees n place the system in operation until a Certificate of Compliance has ,_ IN i ed by th rd f h€talt _Signe.-- / `G`......r/ -- .. --!`� .......................... i Date/ Application Approved BY---.... ... .... .----• -----•....................................................• ------.. 7`� ...... --- Date Application Disapproved for the following reasons--=-----------------------------•-•------•-------•••---•-......-----•-••----•••----•-' Date i PermitNo......................................................... -Issued....................................................... j No... _ _ r-- THE COMMONWEALTH OF MASSACHUSETTS f'4- BOARD OF HEALTH ...........................................OF..........................................---...........---................---•---•------- Allp iratinn for Uiipnsttl Works Cnnnstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _....................................................... ;.. ---.........-•---••-•--•--•....--•-------•-... Location Address or Lot 1.0. .......................................•----••--......-•----------..............._..........------ ................----••-•--•.........._....--------•-••------....................._.... Owner Address .... ----....•-•--•--•......................•---.............................. •--•-•.....----••-•-•-----......................................------........................-•-- Installer Address dType of Building Size Lot.................... Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p4 Other—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'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 ( ) Percolation Test Results Performed by.......................................................................... Date---- ................................... Test Pit No. 1................minutes per inch Depth of Test Pit---.----............ Depth to ground water------------------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----................--.. GY, ....-•-•-•-•-----------•-•-••---•-•-•-•-•-•-•-•---.....----••---•-••------------•............................................................................ 0 Description of Soil........................................................................................................................................................................ W ••-•-•--........-•....................••••••••••-••-•-•-•---------••--•---•.........-•---••-------------•--•-----------------------•-----•-----•-••••---•-•••---•-•••---•-••-•--•-••......•..._.......•. V'; 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 iT 1 IE 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. - ---•- --------------------------•---.--..-----•---- .. ......... ---------- Application Approved BY .. -� ' �/ fp7O •. ---------------------------•---------------•-----•-------•-----------------•• ...............------• ----------•-- ' Date Application Disapproved for the following reasons:--------•-----••----------------------------------------------------------------•---••--•-......----------_----- I Date PermitNo....................................................... Issued....................................................... 1 Date THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF(HEALTH ............................... O^F '` r.�.....'ti, ................................... 1 �ZTLFS ��CEI7` atle Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY...-`---••- {- J / j�- -------------------------------.......----------•--------------------------.----•-••-•--•--- --------.---------- 714 ", � �C.Q/L(u /' JGIR j�Installer' ti t, j . at.....7 J ---•-----•--•-•--•-•---••-----•-----------------•-------•------ . •••----•-•---••--••---.....•••.....•-•----•---•---•-•••---......--.......... has'been installed in acfo dance with the provisions of T' - he State Sanitary Code s de-c jlaed in the ' application for Disposal Works Construction Permit No......................................... dated--...----.. ... .h am s THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED-AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............................•......---`..--•--.....................-•-•--.. Inspector.•---=-....•--•---••---•---•-•-----•--••-•--•----•---------•-•.....---........•.... THEXOMMONWEALTH OF MASSACHUSETTS r BOA�r F �HEALTH � .......................................... 01�.................................................................... i .............. FEE........................ � IaPo!T1 orkT av`�n �n rani# Permission is hereby granted•••.`` -----•------••-•-•-•----------------•-----•---•-•-•••••--•••---•-•----••--••---•••••••••......---••-.....•-•.................... to Construct�( or R� *ke I�cjivi _ual Pw,ag<,Disposal, System atNo............. -•...-•---•----------•-...-••............... ji Street 7 ------------------ .. c-- /•i" as shown on the,application for Disposal Works Construction Permit No..................... Dated.....`" ............................... ------------------ DATE. Board of Health FORM 1255 HOBBS & WARREN.YINC.. PUBLISHER$/ 1 DEC-21-2012 06:12 From:BARNST HEALTH 1SM7906304 To:915085409074 P.1/2 10) ,e oza floor); %dwo, Too: �0 Tw .nap and lot ntimbee ........ -,ealth (3rd floor); Permit number '7......... ......0 E k:--� 'finp. nepartment Ord floor). "vMENTAL C DA. 'lumber ................:.""*............. ....................... initive Plan Approved by Planning 9... 2:00 P.M. only -19!30 AM, and H30 ..PpLicATioNs PROCESSED 8:30 TOWN OF BARNSTABLE BUILDING INSPECTOR ............................ APPUCATION FOR PERMIT TO ............... . .................................................................... TYPE OF CONSTRUCTION ................. . ............. ............. . . ..... 10 THE WSPFCTOR OF BUILDINr,,- The vridersigned hereby applies For .3 permit according to the following information; ,e... 'e'lAv .. .. dahl� ...................11111.................. Lorolian ............/Z...... ........z....71.......... ... ........... ............... ProposedUse .......... .......................................................................................................— ZoningDistrict .....................................................................-Fire District .............................................................................. /0 ......... .......................... Norm- at Owner ........ Y...................Addre'l.. A........ .Address ...................................... ................................ Namcof Builder .................................................................... Nomeof AfLIlit00 ................. ..................I ..Address ................................................................. �7�7.................................................. Number of WclnMS .:.. ....e.................................1,...............Foundotion Exic-rio. ...........Altoj—'0.- ........................................ ......Rquaring ...........................:.1...............I.......................I.............. hlc .........................................................I.;.................. .................................................................................... 10,411 1 Hooting ....... I mbing ..... ............... ......................P u ..............................................................Approximate Cost ..... ...a-IL6.... �� ......... Area .......". .............I............. Diagramof Lot and Bvildillg with Dimensions 83 aty Fee ..... S.Ar...... •............. A LnT 9, L or '9 L.07 'z 9 CAI/ Z9 OCCUPANCY PERMITS RI:0LJIRED FOR NEW OWEtLINC75 I hereby or3r". io conform to oil the Rules and Regulations of the Town of Barnstable regnrding the.shove `r Nom'�F' ................... Construction Skipervisor's License ...101".4............ AsBuilt Page 1 of 1 TOWN OF BARNSTABLE ON SEWAGE # — VILLAGE ASSESSOR'S MAP & LOT �T 6 INSTALLER'S NAME & PHONE NO. 4", SEPTIC TANK CAPACITY 1060 LEACHING FACILITY:(type) uCIO r (size) IF NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No n j f e- 1 SKI is oo�s qti� p_6,x 1a„V: 1060 474� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=290134&seq=1 11/20/2012 i�- d lot number ...2. .U......1.:�.;5.... Q� SEPTIC SYSTft INSTALLED IN COMPLIANCE !ermit number :.....7... ..............................:......... WITH ARTtCL If STATE SANITARY CfO.% Mp TOWN CF 1HE r�� TOWN OF ' BARNS'P ' r mWQ� �� • S' 6 9 L,� BUILDING INSPECTOR am 1 � ' APPLICATION FOR PERMIT TO ........ TYPE OF CONSTRUCTION .......... li`h�-� ....:....................................... .................................................................. ............................19.2.� TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies fora permit according to the following information: 1 Location ........ u— rl V T��t•,ir4.... ..`. ..........................f. ..:1..6 .,. ..-: ................................... :... ...............1..I........................ ProposedUse .... ................................................................................................................................... ZoningDistrict .......1• .E...................................................Fire District ......... .................................... '/� �— Address .......................... ............ �^.2.�`�'...5. �.J..1.4............ Name of Owner 1l................... "". 1 Nameof Builder ......................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................:.................. Number of Rooms .......... �Cti/L r Cr .......0 1�.............L..................................Foundation .............. .............................. ....................... , p..�C.✓L.........�...\.1,1 -¢J....... Roofin ... 5e..L . Exlerior 1 ( g ............. ............................................ Floors l"E SKI �1..............................Interior ``Z ` +. Heating . .(.........°��.. ....................Plumbing .................}............................... .............................. 1 ' Fireplace ....................�... ....................................Approximate Cost .............2 1. L...................x.. . Definitive Plan Approved by Planning Board —-------- __�•, Area ........1..fP. ........!..:.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Z_ z� x3 wCL I I I I I I Ala I � V 3 w � I n �I I I .owl I�J w ' o _ � I D I 10 ° ICI 2. 1 W W w l� u uj .. o I `O� :2 �2I�o Q. Zvi �cl _�, I�I c _o IW I I �`�IW o s I i ' � �� 111 � ii ;�� J. �� d v !�_ I :� ,. i � � � � .- ,�_ � . - . � � _ . _. f . __- m (46-N.67A or 'J f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL j?�✓1/1................OF.............. .. ......... ..... .. •................... .................------ Appliration .for Uiipuiittl Works Cnohitrurtion Prrmit Application is hereby made for a Permit to Construct. ( ) or Repair ( ) an Individual Sewage Disposal System at: ^ t �^ -cation:0ddress L_PrV1 J or Lot "o. Owner ��Address Installer Address Type of Buildin Size Lot_ ' U YP � ..--�-- ----..Sq. feet , Dwellin�to. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____ No. of persons---------------------------- Showers (/ ) — Cafeteria ( ) dOther fixtures ----a[-isy.. c? ..5..! ------------------------------------------------------------------------------------------------------------------- W Design Flow............. �> ......................gallons per person per day.' Total daily flow..........- .__..........._....gallons. WSeptic Tank-L Liquid capacitv_1.00D.gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width--------------------JUL,'otal L t-i_..____......___._.. Total leaching area--------------------sq. ft. e Seepage Pit No....I_______________ Diameter___fr(1fl Al D-eepth below in et_.._..._.__ _._... Total leachingarea------------------sq. it. z Other Distribution box ( ) Dosin tj ( ) 'd�. �C Percolation Test Results Performed by. ,(-J - za.-......................... Date....------------......-----------,---... a 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-......... ............. water............................. ---•••----.•••-- - fj Description of Soi1Z-j- -. ... E -=`•--"' ! . ..D ......... �..J. d� ` � -------- ace .ems ty , a W ............ ... ....... --- . ----- -------- .� --------------41 - -------_----- UNature 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 \I 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. Da Application Approved BY-----....... ..... T te Application Disapproved for the following reasons:...................................... ......................................................................... --.........--••---•----...-•-•---•-------------------••-------------------.........-•---•-•----••----........•---•-----•--•------•-----------------••---•------------------•------.---------------..----- Date PermitNo......................................................... Issued............................:........................... Date r-------------------------------------------------- --- - -- Nov-`•7s.......... Fps. �...... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALT .... ...........OF..............64L!.� ..........':................. Appliraation -fur Diipufiaa1 Works Tonstrurtion Vrrmit �. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........................................... ` ..............................................` ` -•----•----------------------------•------...------------. Location-Address or Lot Vo. Owner _ Addre s. Installer Address r UType of Buildin Size Lot.35....................Sq. feet DwellinNo. of Bedroom --------------------------------___________________________Expansion Attic ( ) Garbage Grinder ( ) per.., Other—Type of Building ._.' !� ^" ra-:. No. of persons............................ Showers (� ) — Cafeteria ( ) Q' Other fixtures ..__4 d_!__10-__'�__��....___ W Design Flow.............. . ......................gallons per person per day. Total daily flow......---_a_ _-r-------------------------.gallons. P4 Septic Tank I-Liquid capacitv_1.000-gallons Length............... Width................ Diameter................ Depth................ Disposal Trench—No..................... Width----------------- ottal Lrt ....__...___....._.. Total leaching area.._..__.____...__-__sq. ft. Seepage Pit No....I............... Diameter... '- ! Depth below/ in et.........._fi�tt__.._-_- Total leaching area...._.____..____..sq. it. Z Other Distribution box ( ) Dosingnk ( ) QD �C�k1_1 -- `��rs--. a Percolation Test Results Performed by.d c ------ _ Date..... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-.-.-.__________-___--- .. r4 .........j-------y t----- ------------------- ------- n ....DescriptioQ fOJ -' ...... .......---•••.r �' ! _/l�C C �t�' 7`�rs U Nature of Repairs or Alterations—Answer when applicable._...........................A-_-------_.--..--.--.-.--.-.----_-_------•------.-..-.__.------- -•-----•----•----•-----•-----•••-••--•---•........•----•--•---•••--•------------------•••-•-•--•--••------------------------------•----•--•-•••....---.._..-•---•---._..._._........__..._......---•---. 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 been issued by the board of health. j V 1� �✓ Da e Application Approved B --'�.__ ✓.. �.�/..._ 1r1.. � PP PP y- ; , - � " - - ate Application Disapproved for the following reasons:..................................... ......................................................................... ...........•-••-•.---•-••--•-------------•-•-•-.-••••••--•-••-•-•----------••••-----•---------••-••---------•-••--••--------•••-•--••-----•----•••••------•--•-......................--•-•----------••-. Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT 7-1..............oF........ .... .....1:................................... Trrtifiraair of 01.omphaanrr T�}ISf IS,TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.....1':� mom"' Y Installer f at.. ?.�' ---- --- .el: •• !..r r - has been installed in accordance with the provisions of rticle XI of The State Sanitary Code as d scribed in the application for Disposal Works Construction Permit No.-p�___..7r �/ ---------------------- dated...-l-��- ;----71�-r..............THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH J7 -�` -�........ OF..........t .eA .. , � ........... ----- No......... . FEE ............. �i��a?,�aa� urk� C?�un�irurtat �rrmit Permission is ereby granted__ __t_� .................d ^... to Construct ( o Repair ),an Indivi al Sewage�Disposal System Street as shown on the application for Disposal Works Construction Kermit No. -_---_-�..._._ Dated...��.!d_ / S.. ............ Board of Health f DATE------------ .7=-----7 -------------------------•--•- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS CT.e*A//Tom- ti• - �OI �M 2e 2Soo . N 4 h yG.7" Foc 46 1 -3�' w o � 1 Zz0.00• 'I LoT.37. - C_ERTI FI E D PLOT PLAN N - �.� O C A T t O N� BA,e.vsT.9aL�� Miss. SCALE: / " moo. DATE R .E P'E'R E N C E: aF/N�i L oT39 s7S //owN oN A �L..AN ENT/T.c.�O "CciMMf-7gviv _ ' A PIlt. I 1 97S .oFT--.2 Gi. ¢` D A T E - [ .I,t::'E-R E.B Y C E R T I F Y T H AT THE BUI L D I N G R E G. 1 N 0. .S U V E Y O R. H2OWN ON THIS PLAN IS LOCATED O N G •ROUND AS SHOWN HEREON A N D TRA-'T 1`T dotes CONFORM TO THE P�19prAa4 Z.. QNING BY. - LAWS OF THE TOWN OF 0A,2.n 1,5 7 ®!Z W H E N CONSTRUCTED. �� GEORGE v� LOW, JR• y I a � ARNSTABLE SURVEY CONSULTANTS, INC.. GIsT��Q � W-EST YARMOUTH, MASS . QS�jRV� i 4 v �r1 No7?` ... �....... Fn$,� ........... ....... THE 580A e`y COMMONWEALTH OF M ASSACHU. S.ETTS y OF..... .. .. . ..... ......................................r. . . ...... .. .... . Appliration for Riip sal Workii Tonotrurtijan Pjamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal I� System at: G ..............-1-��:..�.......- :i -` ': .. .;`::$.....----..........-------- �' Location-Add ss o�Lot No. \ Own t i...Address ------------------------ ------1-----........----•-----............ a Installer Address Type of Buildin Size Lot.__.•_G•�:v ...__Sq. feet Dwelling o. of Bedrooms............................................Expansion Attic 4a) Garbage Grinder (40 p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a'' Other fixtures r-� Design Flow.................. ` lions per person per day. Total daily flow........... ...__.___.___....._..gallons. WSeptic Tank Liquid capacity_ ._____._ allons Length..... ........ Width,................ Diameter................ Depth................ x Disposal Trench—No..................... Wid I .._.... __. _.... tal Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No_______ __________ Diameter_ �' ep below inlet______._____________ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) p�.Ie� Percolation Test Results Performed by........................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .---•••. Description of o' 0 .- ; . ..-.2 d u�_._ x (� �:- ` �"z / kGtre ----------•-•-------------------------------- ._ .,.� W .................................... ---..._............_... ••---••-••----•--•--•-••••-•-••-•••••••••-•••......:-•-••---••••••--•••••-•--•••••..................•-•......................•--•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................j.................. -------------- ----------------•-•-•----------••----•--•-••--•-----------------------------.----..............------------------•-------------•--------------- •----------------------------------------- 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 been issued by the board of health. Sie .---•.................. _...... : ... ,• / ate Application Approved By.... r( �G"f� (...1.�7.5 / .. Date Application Disapproved for the following reasons:........................................................:.••--•.............•••.._......... ---------..... ...................................•-•--.....------------•---•-------------------•----.........---.......•••-•--••••------•-••••--•-•••••....•••--••••••-•-••-•-•-••...••-•--••••••---•••-•-••-•••...... ' Date s� PermitNo...................................:..................... Issued..:---. / ...........-.ate....... Date -__ _ "^— N .�a' ..�Q........ FEE/�.......�...J........._ ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH ...............OF..... Appliratinn for Disposal Works Tonstrudiatt ranti# r. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: • � -........._ .... !-!�.... A.`.�...... 14•5•-----•---•........----•-- .. Location-Add ess o Lot No. .�.. i... '. ''*�-�1 ----------------------------•-- -•-•--....----._.._..�► 1 .... .�_ 1A j..-' ........................ Own r � Address ..:............ aR-�'--,5-------------__________-_-_ .......---...---=-------------•------- ••- -----------......_.__....................._ Installer Address Type of Buildin Size Lot...._G�_ .....Sq. feet a Dwellin No. of Bedrooms............................................Expansion Attic Garbage Grinder WOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures -----------------------•----------------------•-------•----------.._._._..__.._..----------------------------___..----------••-------------------_---- W Design Flow............................................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. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( )4./°Je'**� — J_ a Percolation Test Results Performed by-------------------------••----------•••--•--•----------•--•__---•-•----- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 'f i --------------------------------- e. t rr---- - 1. ,> D Description o �il 0 ,. ; l '.rid `L ......'2 d �.�- VW ----••--------•---••---:--••------ _ ------ 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 been issued by the board of health. S'%n3 = •-------.....................----------------•--------------------------- ; Date ��✓ /-- ' -�F '- .................... Application Approved By_ .+�!>�-��•- Date Application Disapproved for the following reasons________________________________________________________ _____________________________________ .. ...............•--------.....-----...---_.._..---•-•-••••------••-•-••-----------•...-•••-----_..__.......-------------••--••---••----•--••---••••----••----•--•-•-•-------------------------••••-•-•••-- / Date •---•-•- Permit No. .. Issued....... / . _l7 Date 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH �/.. ... ...................OF......... .................. ,............ ...... (IPr#if irtar of f ompliana HI IS Z'0 CERTI Y, Tbat the Individual Sewage Disposal System constructed ) or Repaired ( ) by..- r-`-'-1......... . --�1_..... .... i................. )`1 nstaller at..... yG ��d> l !� "�' !c - f �" �r� _-__--••--- has been installed in accordance with the ro' isions o.'A Article XI, of The State SanitaryCode as described in the application for Disposal Works Construction Permit No _ ____________________ dated _3__`__.�__��_.7sv........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL FUNCT N SATISFACTORY. DATE.....-��-/--___ ... :��'�-------•---•--•_______________•---- Inspector:. ._ r THE COMMONWEALTH OF MASSACHUSETTS BOARD .F HEAL - ..............OF......0.. ...................................... ................. .---• � FEE .................... %ponalAvork inn #r�triinn f rrntit Permissio ereby granted. .a _SzU........9 ✓ r ... ::.... ...... to Construct )�jr `Repair ) an Ind>v>du Sewage Disposal System at No { _!r.1.. 3 ..��onstruction'olpermi . . i�1/.. ...................1... .J-- ...................................... ,....... S�7t as shown on the application for Disposal Works Noe _.___ '°t.- Dated.?:_.,l_,`!�_-'_..74. � r_r.�/•�1 .G ... ............. _____________________ > >�` 'oard of Healt FORM 1255 HOBBS & WARREN, INC., PUBLISHERS yoo i 29 ' 250FouN09!/0� /7� i 0 ,t oT N 89 = 9 / ',p 63� 7- 83, OERTI FLED PLOT PLAN 1.dCAT IOM' '0&�'49^/NHS• ..w . SCALE; t"0-_ 30 ' DATE .3/ 74 R E R E A E N C E: ,Q.E/ti q L oT $o AS -T IV A-/ o�v ,G A9 4V.0 co u i2 T- ,o.e,09 ✓ ?ca 9 3 s As PATE cs.00 t HEREBY CERTIFY THAT THE BUILDING R G. LAND SURVEY R . SHOWN ON THIS PLAN I S LOC ATE D O N THE GROUND AS SHOWN HEREON AND . THAT tT DOES CONFORM' TO THE jµOF f . ZONIN G BY - LAWS OF THE TOWN OF _49LA�ov'S7�19944FWHE N CONSTRUCTED. ' fDS i 00 y $ MONAKati . SARNStABLE SURVEY CONSULTANTS, INC, Q �, _ 0 WEST YARMOUTH�MASS ., SUIN