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HomeMy WebLinkAbout0047 CEDAR STREET - Health 47 Cedar Street Sewer Acct # 2921 Hyannis A = 327 — 199 _ I I h } f �I y h F Assessors office (1st Floor) MxvP # Assessors Map and Parcel # Building Department (4th Floor) zoning INSPECTION FEE $ 40-eo RE-INSPECTION FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name Affiliation (Circle One) Owner Real Estate Agent Tenan Your Address . r _5 w, zy." S Telephone Number (Day) (Night) Address of Property Where Inspection is Requested Unit/Apt.# � C Name of Owner Address s jS_ Mailing Address (if different) Telephone Number (Night) Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) Yes J-P Was the dwelling constructed prior to 1979? Yes No FOR OFFICE USE ONLY: Certification The dwelling dwelling unit or rooming unit located at was 'nspected on `3 -30 OLI by Health Inspector for the Town of Barnstable and was found to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Progr a separate lead paint inspection must be conducted. I Inspector's Signatu Date D)30/0 L O C A T ION WAGE PERMIT 00. vIL—LA 4 1 3a,7 -/99Cfi — I N S T A LLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSN E D DATE COMPLIANCE ISSUED���---��� 1 � lk OIQ C o �1 .:No . .--•••-•---....-�- i Fes$.. ................ • ; THE COMMONWEALTH OF MASSACHUSETTS B®A R D !-d E T F-� --------------- -------OF......... . ... .. - .............................. Allp iration for Uiipaia1 Workii Tnnitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: L d or Lot No. ;� Y�� � --_-- w�nfer ----------------------Address W ........kr- . ' a,---------•--•----------------------•-----•- ------------------•-• ------------------•...... ------------ Ins Address // Q Type of Building Size Lot!_&_591_�______Sq. feet V Dwelling—No. of Bedrooms..........��_...._ __._.Expansion Attic ( ) Garbage Grinder ( ) . Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) Cafeteria ( ) Other fixtures ................................. � W Design Flow...........,/_0............... gallons pe 4erse% pe�ayy. Total daily flow_____-__-_-_ ...............gallons. WSe tic Tank—Liquid ca acit _._ allons Len th.� (ea_2^_ `Vidth�_4?. Diameter________________ Depth_ x Disposal Trench—No..................... Width........... ....... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------Z........... Diameter._ZG?e..�... Depth below inlet_.6„5:'�..... Total leaching area..$_6.C_s ft. Z Other Distribution box (✓j Dosing tank .off Percolation Test Results Performed by._.e/V-_-- .................... Date_&_ _.2-0 . .......... a ,a Test Pit No. 1_�_Z_minutes per inch Depth of Test Pit_/--Xf.1`._ Depth to groun water___,oy.t.e*t. �Tq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 19 O Description of Soilj. ?__:.ls ...._w.................... �-- r -----------------................................................. V _.... 1•-G y-_,C1rY~--�---CC ��..�..�Yl f ^!' �0. _S2 d r W -----------•-----------------------•---•------•----••--•---•----------- 03;l/_lleC� U Nature of Repairs o lterat' s—Answer when .pp ' ...................... . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:TTLE y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lice the system in operation until a Certificate of Compliance has beeu.issued by the board of health. Sig ............................................................... •-••--••--•-•.................. Date Application Approved BY E41 .....-•--•-•.............•-•-....V' 7�---... t � / Date - 'Application Disapproved for the following reasons-...................--------------------------•----- ........................................................... ._..-••-----------••---------•-----•-----••--•--••---••••-----•••---••------•-•..............•-----••---•--••---•--•-••••••--•--•••--•-••............................................................. / Date Permit No......................................................... Issued__;_ :-C-/-�.mr.� --------•--- Date , pinr'"I r.. • I THE COMMONWEALTH OF MASSACHUSETTS . r BOARD F HE TH r"t " :. O F :61irafiou for Bhgpoii al iVorhii (foutitrurtioaa .eramit Application;is,hereby made for-a Permit to Construct (. ) or Repair ( ) an Individual Sewage:,Disposal System at CC:, I iQCn or Lot No .». o!`«'-'1-+.:' --•• i.wr +:�%""-- a • �'--------- o .---------- --_-- ------------ owner r•e-s-s- owner ............................ ---------------•----....---.-_.-- ....----..-`.-_-'------------✓-!-i?----:---✓..a._.2-_A.�-,-...--•- Address lerPa t d Type of Building Size Lot,/ _dl. q.:_._Sfeet Dwelling=No. of Bedrooms........:. .......:.....................Expansion.Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) _ Cafeteria ( ) Q' Other fixtures ............................................._ ----- -------------------•------•------------ d �' 6 —"�" W Design'Flow__.... f'`f _...... ..gallons pe j on pe; ay. Total daily flow___.___.. _-�............................gallons. WSeptic;Tank—Liquid capacity....;.?gallons Length_r'`. _._G. Width _ ._ Diameter---------------- Depth f'`___-___--- x Disposal Trench—No. ..................... Width........... ........ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ .......... Diameter../0' .!__.57 ` Depth below inlet:_.4=...s ;..... Total leaching ft. z Other Distribution box (, )" Dosing tank Percolation 'Test Results Performed by._ .:•.£.�':�*'_��._ �.��..................... Date.�`� Test Pit No 1 ° 'Z.;.,tinutes per inch Depth of Test Pit./.Y.L.`_._ Depth to fX4 Test Pit,1To 2....:. ...:...minutes per inch Depth of Test Pit._.___.__._________. Depth to ground water P: r` O Description of SoiL�!e.. _ w �~' ' ' U --- •. ------- ••• ---- - ------------------ - -- ' ..........! � '<,�'lt?.41 e:...`. h. , .. U Nature of Repairs o ltera ' s A swer when ,PP ----- ---•-• �------------ --------------------------- rr4f�L d ----.....--••------- Agreement: ti a r The undersigned agrees'to instal the aforedescribed ..Individual wage Disposal System in accordance with the prop isioiis of iT 5 of the State Sanitary Code—.The undersign d further agrees not to place the system in operation until a Certificate of Compliance has'been issued by the board of health. Sig .d _-. .-- : Date A Application Approved By•... �- = --• ------------------------ Date r -"'• ^'Application-Disapproved for the following reasons:............. ....... --------------------------------------------•--------••---•••- •------------------------•----• -------------- --- ---- ate PermitNo........................... ------ Issued---- : ..._... ( - - }-•--------•--•- Date -----. _._ `_._�f# THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEAL T ...............[..., ...OF..... .... _sr Trrfifir atr of Tompliaurr THI I. TO RTIF , T t the Individual.,Sewage Disposal System constructed ( ) or Repaired ti nstaller �. aat �. ------------------------------------- �.has been msta11 in accord nce wit i the provisions of TITLE j of e State Sanitary Code as described in the ,application for Disposal Works Construction Permit No_________________________________________ dated-..... - T1�9E:ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS GUARANTEE TBiAT THE S1STEtA'19lIILL FUNCTION TIS ACTORY: DATE....:... .........���...:.�... ...... ............................. Inspector.... ....... ----- ../:. i a� 30 � �- I •t- -- el l_f _ /so- _ rC E.vc,�ci -_._ -_____._ •--____._�.._....--_-..___ - _____ /8•--,-__-.�.___ _tom: 1 Y ir717 9rour7d Prof, ie q - S G / A- ✓ C- A-- -77 SC q r- /"- /D' r- <�o S e d c�r o v.-7 c� /o r o! �J .S G N E D: 4 O P. l/ C. 01AP ----_—FLOW i z.. — - _ � ,EQC/f�L To SEVT/G � rr7�'ni/�nt/rr7 %�" par- foot � washed stone - / + i —/Al T 0 o/sr Box - 6' sump ° "Adow-YMMUL ail ° . ,i • s / /500 GAG. SEPT/G TAiI/.W- washes' Stone •. ° , ° s ` 2 I 1 0- -S� BEO,eooM rfOvsE Org TEST BY -G -' k- / m � zg7 � 3 r�o o/is oser� - `�� �� r -- -- �i0-arCA/ P E,P_ C. .E'A 7- P C Z M i�v.1/cv H c 44./ T AJ E 5 5 � FLOW .E'AT, D uv ,X O x 5 e3,? c O47-u/"7 /-7 S. t cI C c> c .10 US . /-�JO GAG- Ti9A/K TEST HOLE / TEST HOLE- C- # Z LEAG /-/ P/T ' EFF. 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