HomeMy WebLinkAbout0126 CHASE STREET - Health a
126 Clase'Street Sewer Acct # 3509
Hyannis
A = 307 — 144-004
i
LOCATION SEWAGE PERMIT NO.
VILLAGE,
INSTALLER'S hA1A ADORr=�,-a 61—OoES n��
DY
u u ry
l U I L Df It OR OWNER
Al -A !u Ass® .
SUM
DATE PERMIT ISSUED � .
-,---t -
D A T E COMPLIANCE ISSUED . ,
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to
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ri
.l1 3��3 J � �✓5 r Fps.
No .._...... '4 ,j.
THE COMMONWEALTH OF MASSACHUSETTS as7 .
BOAR® OF HEALTH
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M1
Aplifiration for Uhsp aa1 180rhg Tnnitrurtiun Famit f
3
Application is hereby made:for a Permit to Construct ( ) or Repair (�} an Individual Sewage isposal
AY
ma
I�,yc i n-Add j
oLot No.-......7 ----------------------------------- -•----�1..y--- �1`isl��. --•---....--• •-------------- _e
Owner Address
............................ ..........''.............
��
Installer Address
Type of Building ; Size Lot____________________________Sq. feet
U Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria r )
P� Other fixtures ---------------------------------------------- = �....__:.
W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity_._.._.____gallons Length---------------- Width................ Diameter__._____________ Depth................ .
r• x Disposal Trench—No_____________________Width.................... Total Length.................... Total leaching area__._.._____.....sq. ft.
Seepage Pit No---------•----------- Diameter.................... Depth below inlet____________________ Total leaching a ..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed.by.......................................................................... Date........................................
Test Pit No. I________________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_._____________________.
fc{ _______________________________________________--------
______________________________________---
____......
_-------
_____________-----------
___________________ li
.O Description of Soil---------------------------------------------------------•----••--•---•-----------------------------------------------------------------------------------._...-----•--
cx� ---------------------------------------------- •---•---------------------------------------------------------------------------------------------------------------------------------------------
W .... .... _ _
U Nature of Repairs or Alterations—Answer when applicable__ _s✓ Ll_______��t T!e.._��� .>`..`� ..__ j�"~�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL% 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 boa d of iealth
igne ...�cJ ...........
ApplicationApproved By.......--.--- -•----•---- --.•-•------------------------------•---------..._........._._..._..-- .........
Date
Application Disapproved f th following reasons--------------------------------------------------------•----.................................................
....................••---------------.._..-------••----------------------------------....._..--------------••-----------------•--------------•-•-----•-----•---------•-•---------------•--•••-----------
s a s Date
PermitNo......................................................... Issued_.......................................................
Date
No.8 3'_./3 J Fps... .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................OF.......................................-.-....---------------.................._.._.-...._.
Appliration for Disposal Works Toustrurtiun rrutit
Application-is hereby made for a Permit to Construct ( ) or Repair 914 an Individual Sewage Disposal
System at
pcitipn Addy�ss o Lot No.
{+ OwngL t Address
a ' ....._ driw.6f--......_�__ ----------------------- ----------� -------------=------------------------------...... ............................
Installer Address
QType of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building ____________________________ No. of persons............................ Showers,( ) — Cafeteria ( )
QI Other fixtures -----------••---------------••••-- ------
W Design Flow.............................................gallons per person per day. Total daily flow..............................._............gallons.
WSeptic Tank-Liquid capacity............gallons Length......:::....... Width................ Diameter................ Depth................
Disposal' Trench—No_____________________ Width.................... TO•tal 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________________minuteserinch De
a tli Of p ground Test Pit._._.__.__._____.___ Depth to water-----------_-----------
.
� P P •.,"
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----•--••-••-------------------------------------------•--•-•----------•-------•------------- ......--------------------------------------------
0 Description of Soil................................................................................-----------------------------------------------------------------------._.....---•---•-
x
U
x ............................-...........................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable.__=4_-V;"L/_r___...;AA07+_g___{ " ._ _ � a
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT11 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 th boa d o health, r
A lication Approved By--•- ° ::.......................... /1?
"-- -----------
PP
Application Disapproved r tl£•e following reasons_____________________________
e
Date
..................•------•---•----•----•-----•--•-•--•------•----•-------•----•-•---•--------•-----------'---•-••----f•---•---•-----------------------•----•-------•---•--•-_•---...-----_..------•------
�� Date
PermitNo......................................................... Issued.......................................................
Date
. t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................................................................................
Trrtifirntr of Toutplinnrr
TII IS T,.O Tha J n idual Sewage Disposal System constructed ( ) or Repaired
by................ '' =' ---------------..-...__........-•-•--•----------•--• --------------.._....--------....._
�� s tiller
r,
at
has been installed in accordance with the rovisions of T m 5 of,�e State Sanitar Co Scribed in the
-`—application for Disposal Works Construction Permit No. :"_� ---_--- date 'y...- r�_ ___,-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST D AS A GUARANTEE THAT THE
SYSTEM WILL UNC ON SATISFACTORY.
DATE..---. �.... ..... ... .................................................. Inspector............. A ..._..---•--•-----•------....--------------------••••-•••••••••--
1
THE COMMONWEALTH OF MASS C USETTS
BOARD OF HEALTH
N ........................ FE/___--................
Disposal n ttrtion lerntit
Permissioi hereby granted--•• - ••--•• .......... • --- ........................................................... ......... .
to Constr ).. or pair �a dual S ra osal Systeem 9's
...
at N = ----------•- ..: d �:: ---------------------•----.........
Street lj
as shown on the application for Dspo_sal Works Construction Permit No ________. __ ate . ....... ....................r:•..._..
......................................... ..........................................................
oard of Health
DATE................................•...........•--•---------••----------------
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
s� i
CRPE COD
RUILDINC Richard Davis
INSPEC� 1230 Newtown Road
Cotuit, MA 02635
��20-0260
� 611
LETTER OF INITIAL LEAD NON-COMPLIANCE
DATE M-,;I 9'C?(
Dear 9.0Q6-X 6�q ffle'a
This—Letter is to certify that I inspected the property located at
f Case ®ac� , apartment no. , and relevant common areas, in
the city or town of ya Ova , for dangerous levels of lead
according to 105 CMR 460 . 30 (A) through(F) : Procedures For Initial
Inspection,Regulations, for Lead Poisoning Prevention and Control, and
determined that there were VIOLATIONS. The inspection was conducted on
l l• a 7-4( **
Please be advised that Massachusetts law requires that only certain
residential surfaces be free of lead paint . (Deleading must be done by a
licenced deleader MASS. state law) NOTE: A copy of the report must be on
site at the time of re-inspection which is after the deleading process .
STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER
REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE
BUILDING. NOTE: MASS. GL CHAPTER 111 S.S . 190-199 Requires that : On both the
interior and the exterior of any dwelling, loose offending paints or putty,
regardless of surface or height, must be removed. The surface should then be
sanded, reputtied and repainted with a non-leaded material in order to
reduce further deterioration. Any chewable surface within (5) five feet of a
standing surface must be stripped to the bare wood and repainted with a non-
lead paint. FEDERAL LAW 24CFR Part 35 Dated 1 April 87 requires stripping be
done to the (5) five foot level and as above.
** As of above date of regulation Sincerely,
it will be the responsibility
of the owner to be aware of
any future changes in the law.
Richard Davis I 1074
Inspector Licence #
Report # U 110
At the time of inspection children under 6 were living in the house OYES ONO O INCONCLUSIVE .
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