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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 . , cA to c ri .l1 3��3 J � �✓5 r Fps. No .._...... '4 ,j. THE COMMONWEALTH OF MASSACHUSETTS as7 . BOAR® OF HEALTH i €r . 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 . - . - �l '. : M1 vfi a itJ i r. , „'i 'S ,'. T6, ♦ �4f,� •Rw,J, _• . ' P ya it Ir �] •f f •'Y - y, _ - .. S. . � -. • .t a ,�•' v t 1,-1 'EP-.� 51 �'+/ r 4; � t S�.4r Ik T* _ ,+ • : + _ �."• •♦ 'r Eby, _ra , .. .. n ., " �y.�I. { X` ['�' /Ilel• d,. � ` 4 _ ' r • .. , F ��j n •:/,. LZaS�$ FOOL Qt�4 ` L x�Li;3 _" �. a *,, 1 � . - ., ,. �4_ 5vx8 7,. ,'� n- , "! r d, r'ty ^ ' • "• .,� "1, I FLOW DfFFOA.S r °T < j H ,y , 5 r ,�. +; __ -.r..- .. x •_ + ., 400� 16" 'Di1 rfioN�.tkETe GbVEQ �, - _ La , E177r'.. 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