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Home My WebLink About0250 BARNSTABLE ROAD - Health 250.;BamstableRo4d3 � Sewe Acct # 4296 d a 1 � o ° No. 6i f i' Fee 2=5Y6/ THE COMMONWEALTH OF MASSACHUSETTSEntered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIp pficatton for 30igpooal Opgtem Construction Permit Application for a Permit to Construct( , )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 2,� �l��< Owner's Marne,Address and Tel.No. Assessor's Map/Parcel r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. / e .L e� Type of$uilding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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 Certifi- cate of Compliance has been issued by this Bo d of a , Signed Date V Application Approved by V Date Application Disapproved for the following reasons Permit No; �� Date Issued Fee' tel n.,,j s rn �W! , _h THE COMMONWEALTH OF MASSACHUSETTS Entered incornpu Ye_ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,,'MASSACHUSETTS "'O[pplication for �Dtopozal bpttem.Conttrurtion Permit I 1 -3 Application for a Pen,nit,to Construct Repair Upirade Abandon El Complete System 0 Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's N6e,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 gallons per day. Calculated daily flow gallons. Plan Date Num'ber 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 Certifi- cate of Compliance has bee.n issued by this B Od of Ilea-A. Signed V Application Approved by Date Application Disapproved for,the following reasons 7 P� 0— ;?ioo X.-7- Permit N Date Issued A,..r ——————— —---————---———--- THE COMMONWEALTH OF MASSACHUSETTS C-9-f Ile BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired Upgraded Abandoned by L Ct r V at 2SU -8G r rt h t -f edl 0 tykf r S has been constructed in accordance with the provisions of Title 5jand the for Disposal System Construction PermiVX_�O/!t.2gj�e dated— Installer 1* Ke e,(D(in Designer I The issuance of this eepnits] 11 not be 4nstrued as a guarantee that the sy=f ncntgeigne :0 0 Date Inspector ——------—————————————————————---—————---——— -- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC-HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS li5potal bpsAem Construction Permit )U Permission is hereby granted to Construct )Re air pgrade,( )Abandon( System located at O and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this t. Date: Approved b5,,�, Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: �" BUSINESS LOCATION: S � o MAILINGADDRESS. Mail To: Board of Health TELEPHONE NUMBER: Town of Barnstable CONTACT PERSON: k P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMB �R: Hyannis, MA 02601 TYPEOFBUSINESS: ' Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO _, This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f STATEMENT JOSEPH P. MACOMBER & SON, INC. Tanks - Cesspools - Leachfields Pumped & Installed DATE Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 Edmond LaFleur ................................................................................................................................................................................................................................................................. 250 Barnstable , Road ................................................................................................................................................................................................................................................................. Hyannis, Mass . 02601 ........................... ........................................................................................................................................................................................................................ TERMS: PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $ DATE INVOICE NUMBER/DESCRIPTION CHARGES CREDITS BALANCE BALANCE FORWARD Sewerage Inspection 75 00 size and diagram 35 00 ze LAST AMO JOSEPH P. MACOMBER & SON, INC. P N THIS COLUMN T i I i i PROFESSIONAL R.E. 250 Barnstable Road 'Hyannis, Massachusetts 02601 (617) 775-2821 /1-800-462-2023 Board of Health Town of Barnstable Main St. Hyannis, Ma. 02601 10/21/86 Re: Renovations of - 250 Barnstable Rd. Hyannis Gentlemen, Regarding said renovations the use of the property will not exceed' 7 full time dmployees. Acere'ly mond J. aFleur\ Presiden Y Each Office Is Independently Owned And Operated Y, ;i '4 F { fk f{{ t � i l tip,{ � a xt f 13�i r rr. ` •{4 TY 1. r i Y� I'