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Home My WebLink About0045 BRISTOL AVENUE - Health 11 BiistO1 Avenue Hyannis l A= 309 — 011 . . e e � 30 7 F$$ ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratioit for Diripijqul Works Towitrnrtion Permit .. Application is hereby made for a Permit to `construct ( ) or Repair ( ✓jan Individual Sewage Disposal System at .......... L_ - inn-:\�jy1r`gs or Lot No. a....n I Aq.._c-.... �y opener Address Installer Address Type of Building Size Lot............................Sq. feet ,.., Dwelling— No. of Bedrooms._._....ap1.............................Expansion Attic ( ) Garbage Grinder ( ) '04 4 Other—Type of Building No. of persons____________________________ Showers — Cafeteria 04 Other fixtures ............................... d ................................................... ---------------------........... --------- 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.....................'rotal Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... GZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................................................••--------••---•----------••-•-•._......_._.._--•---......................................................... 0 Description of Soil........................................................................................................................................................................ x w U ,Nature of Repairs or Alterations—Answer when applicable,T/IJ14�-�.._..__.__�__'_�.d ?�?....._ A s__.__.... '� 1..-----.0- '� �L. ..�o. .® `t - -------------------------------�..._..------------.............__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issu d by e board of health. Signed ....................... .. . . ............ ..... ..f-t.., ^�'.`-.................. ..... '../�......i.. ...... Dace Application Approved BY ............. � --N�...� e . Application Disapproved for the following rearons: ......................................................................................................................................... ................................................................................................................................................................................................................ ........................................ Dare PermitNo. ....... ....LY........... .& ..................... Issued .................................................................... Dare U�� (� t o < 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i TOWN OF BARNSTABLE `- -- Appliratiou for Dirivittiul Works Tomitrurtiun nmit Application is hereby made for a Permit to 1C onstruct ( ) or Repair ( ✓f an Individual Sewage Disposal System at• / /r S - /-f///a/7//. ...---- .. . .. /1/? ..---------•/ ton: \tldr`•�s or Lot No. _.. r c (' = -----------------------------------------••-------..._:.......---...-..........----•-•---.......-- Owner Address L".,l -- -------- installer Address Type of Building Size Lot-------------------- Sq. feet t-, Dwelling—No. of Bedrooms.....•-.�-----------------------_--.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .......... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width.......-........ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................... W ...--••................................:........... 0 Description of Soil........................................................................................................................................................................ W V ..........................•............................................................................................................................................................................... W ..--•-•------------------------------------------------------------------------------------------•---------....---------------------•••-------•-•-••-----------••••-•-••---------------..............•. M. Nature of Repairs or Alterations—Answer when applicable-. �A f.1.....--...I.."._1-d Ud--... .A_-�__-.•.. Sr/� �-.` ..,....... . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the y p p by ard of health. •h e bo s stem in operation until a Certificate o Compliance has be n issued Signed ................... .. .... .Y...S ....... Chill t^'..`.'.`................... .....F'..�.f......�1.. ..... Date Application Approved B PP PP Y .............(\.. . ....... .... ...c u., -j............................................................................. .....8.... Dare...�I.�l.. Application Disapproved for the following reason.r: ............................................................................................................... ............../.....: ................................................................................................................................................................................................................ ........................................ Dace 1 PermitNo. ....... ....Ly............L .6..4..................... Issued .................................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fPrtifi ate of Tainplittnr>e 1 THIS IS TO CARTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( by ................................... .>.F�.. '1. ..0.................................................................................................................................................................................... It,.,tauet at ............1.1................ .l�s..�. o..�.............. u e.......................... .Y�t►... ?. ?.. .t......................................................................................� has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. .... may.-_.....4--6............. dated .................... ....... ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t�� DATE.......... ............/ .... '1............ ..................... Inspector ......._................................. .:.............:......................:..........—J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �L TOWN OF BARNSTABLE No........��. .-1�.� FEE..3G-.. ............ Disposal Narks �nnstr��rtimin rrntit �"' Permission is hereby granted-------------------_C --•----------•••-•--......--•---•------•-••------ . to Construct ( ) or Re air �)'an Individual Sewage Disposal System at No.............��--------------5.0-S--A!......../Qvc.......... --------------- cat......-----------•-------------•--...-----------...---------•-- •--••-•---.... s p U as shown on the application for Disposal Works Construction Permit No---l) ._.1'_6 Da ted.......�.'.��`��-�........ _ / r�f Health ` DATE................. �.l-. ..-_�------------------.._...--- Bo FORM 38508 MOBBS Q WARREN,INC..PUBLISHERS /VO d /�� /Q QQ C� N The Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 rua t67q. \� �0 SAX Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health INCIDENT REPORT DATE: March 10, 1993 LOCATION: 11 Bristol Ave. , Hyannis Around 1 p.m. , John Mitchell and Lt. Eric Hubler of Hyannis Fire Department called regarding an above ground tank spill. Upon arriving, observed much evidence of spillage on ground .( 15x17 area approx. ) emanating from area of fill and vent pipe. Evidence of spillage from fill and vent pipes onto shingles of house. Upon entering house noted a smell . of oil. In basement was evidence of feed line repair to burner from tank which was not permitted by Fire Dept. Tank is in a crawl space on sandy soil. Hearsay (neighbors) state that there was a 100 gallon oil spill. If there was 100 gallon overfill spillage then possibly 275 gallon tank in crawl space blew line out and 275g may have leaked into soil in basement. Point Oil has done automatic deliveries. Fuel line was fixed around November 2, 1992 by Barnstable Burner Service. Donna Bailey is the owner of the property and has just returned from California. Donna Miorandi, Health Inspector for the Town of Barnstable, reported spill to DEP. Spoke to Spence Brennan. Case # is S930156. Bob Kearns is now the case worker and will be meeting on site at 9 a.m. on March 12, 1993. Family was due to move into house on Monday March 15, 1993 through the 707 program. Barnstable Housing Authority will not issue certificate until approval of DEP and/or Health Dept. A - 3oq � ail G . I U - 3 O/X- 1 -an 1 6p The Town of Barnstable '-_ Health Department 367 Main Street, Hyannis, MA 02601 riva Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health INCIDENT REPORT DATE: March 10, 1993 LOCATION: 11 Bristol Ave. , Hyannis Around 1 p.m. , John Mitchell and Lt. Eric Hubler of Hyannis Fire Department called regarding an above ground tank spill. Upon arriving, observed much evidence of spillage on ground ( 15x17 area approx. ) emanating from area of fill and vent pipe. Evidence of spillage from fill and vent pipes onto shingles of house. Upon entering house noted a- smell of oil. In basement was evidence of feed line repair to burner from tank which was not permitted by Fire Dept. Tank is in a crawl space on sandy soil. Hearsay (neighbors) state that there was a 100 gallon oil spill. If there was 100 gallon overfill spillage then possibly 275 gallon tank in crawl space blew line out and 275g may have leaked into soil in basement. Point Oil has done automatic deliveries. Fuel line was fixed around November 2, 1992 by Barnstable Burner Service. Donna Bailey is the owner of the property and has just returned from California. Donna Miorandi, Health Inspector for the Town of Barnstable, reported spill to DEP. Spoke to Spence Brennan: Case # is S930156. Bob Kearns is now the- case -worker and will , be meeting on site at 9 aim.' on March 12;'- 1993. Family was due to move into ' house ,ori `Monday„ March 15, 1993 through the 707 program: BarnstablelHoiising 'Authority will not issue certificate until approval . of DEP and/or Health Dept. - , ;x i ' ' r � "'• � `r � ' . .� ti. _ - �-�- :r - ��: '�' '� �� f9' ....., � i�� A �� q .. ' � � F ' ;', A � t . • • �• t ' "� �'�� ..a \ ,�, .k ::�, lam \'\;.. .��i��r��• �. �, _ al �.;,r 1:,} . � � � � 1 I � - � ''� r +,i4 � `Z� .~iI i� � I r,� '�I � .�.' ` , iW, i.fp� ,. _ � �J� � 1 �.f- �� 'a�' y S 3 I' i(`�'nl, ' M � d� a Zj GARY UAVIES `,• �` � � � BURNER SERVICES �pgVl S BURNER SERVICE DAVIES BURNER SERVICE, INC. HEATING SYSTEM EVALUATION ' - s•4as� , . HEATING SYSTEM EVALUATION � HEATING SYSTEM EVALUATION 15osls 9 !+� (508) 398-4481 (508) 398-4481 i i O ' - Name L�� "T'`'YtiC+ ��Y'�'"f f i �/ �. `•JC� Street / i City f �f ✓iL(:14e l 't�� Combustionlest Equipment j S1fe" ,, - co f �r°" ?(IA C°' Heating Plant F Combustion Test.. Equipment Combustion Test v Equipment Date : / 9 f _ tr I ng Manuf l C� I �� \C� HeBU F Gross Stir Temp L�j� Due l� � !/- i/ • r f Model YrM JJ Malawi t L LLJJLL C Net Stk Temp ° 61 �• C F.Warm Air C G.Warm Air ) Gross Sn temp D rj y� Gross Sri temp /J I�:(/I 0� ,.L' CO,IO'%(circle one) J f Fes' Ho t§r C G.Hot Water (J (/ '�0ou G /i L0.Sleem� CCoal Converted W 4 /•1 NUAs temp N '3 C/5 O C G.Warm l U SIt temp v ❑Eyl[um Nr C G.Warm Au r J V F. arm A'n Air Smoke Burner <� �� - w✓,R lameorNl / OfHWrte I (DE Ho Wates D G.Hot Wrter�D G.NofWrtnO stel o cowcomene0 y { �.lr larc4 ones -v 'D.-steam 0 foal Converted Breech Draft J•5- Manuf 'Jc q �• L� No of Zones l0' Illfft M0 a v ,q s Z smote eumar.> � smote Overtire Draft G� Nozzle(GPH Angle.Spray) '- '(� I{1 MaM f MAIM J' Z 7 - Biatch Draft �_ /S / _ erexA Draft !'l Efficiency �"/ Oil Tank Size Gals. I kk-I a' Model'J lSinay) Drertue Oran- ft.IGPN. %*.Son"I f O � D°ernre Oran� J�/� Nome IGPN.Angt.Spray) G'v GRD N20296 a 00mil tic Hot Water or Domtestle Hot Water Work Done By Cart.of Competency No. Efficiency C1`Or I E��y \J� D Tantkss Gas [J ❑Tankless :Gas - —'---- Elect �: Electric r:Oi D Electric Oil . 1 Rati -------r ! �� /�—`l TantkssWrtnBoosterTank � D Tantlesswdn Booster lTank i i ❑EactllenV - Eaceflenl - I Temperature Setting 1 �Good / Temperature Belting THE COMMONWEALTH OF MASSACHUSETTS r Fair Tankless Size—__gpm f' Far Tankless Size---gpm C Poor ouw f( " Poor Other FIRE DISTRICT OF HYANNIS, MASS. `k CambuardwCtasnber Ca mitiustimChamber ., FIRE DEPARTMENT , I wwerasavor [ w,rnea'raror FIRE PREVENTION DIVISION I 7 Raplaa — gepar I C N eplattat Repair Cj No Action AWW PERMIT FOR STORAGE OF FUEL OIL f • Mar.Semnp `' ( •so -f� SCfVlc2 s OirarrS,at•` / ( arnsa.i Name donna lie Name�av;�e y ! , ! i uU ---- —----'(Installer) 6 ( / ((owner or pocu ant) Y�( `G Z Address __1L�?f iolo AddressO'QO><�41 - W-- n-Ot14h WorkOorosy wwork i Cart.of Competen y'Nb'' �"By Cart.of Competency No. Certif. Comp. # h Phone No. ?i-OZ 11 Phone No. S-�—�� ---- E (STORAGE) (BURNER) r. Name �eckrtF 'type of Tank Eut 'Ftn i - Manufacturer -bc kc- Fl Capacity .L'I_S_ gals. (or) Size 1 Model No. or Size OF G Location — Type—C40 n Mass. Approval NO.1.5.t COI __ Permit Issued � I 95 of Carbon Dloaid I ° '— Draft._t -- Smoke Density Q Stack Temp.3 5� Nozzle Size;5r 5-8df* Peed j 11-- i ADpl. Rec'd �.��{s-4-- (H of F a Issued By: JI. y