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HomeMy WebLinkAbout0030 CRESTVIEW CIRCLE - Health 'l 30 Crestview Circle � Hyannis A =,252 - 051 - 022 x'( TJWN OF BARNSTABLE 1 LOCATION y3 e 2--"-V;Qvo SEWAGE # V LLAGE� C �• ASSESSOR'S MAP& LOTS US1 azz INSTALLER'S/NAiYIE&PHONE NO. 1_12— n SEPTIC TANK CAPACITY 1 S•06 i LEACIUNG FACILITY: (type toe►,,��h�ri�(zS (size) 13 7� Z NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE:___ COMPLIANCE DATE: Se-_sr_ oL Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 10 01 N d GN -�C iAJ k30 4- J- Aaqk P S-1 - No._ LJ.............. FEB,-," 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratiou for Divi-Vo!ial lVarlai Towitrurtiou Urrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at:/) ...&AZ ....... ..... ... ...... •. ........... .....................I. ............ ........... ....... ............i4��...... , / or i_o,,.-A d Lot No. AV -------- ------- _--------- .............. .4 .. ..... ........ . �: w er 1—� - h Address L#............n .......... ... .......................... .................................................... ........... . ................................................ ........ Installer Address dType of Building USize Lot...........................Sq. feet Dwelling—No. of Bedrooll1i------------;_,--3------------------------.Ex pansion Attic Garbage Grinder Other—Type of BuildillgWO--0'4-.rL444v-.e-No. of persons---------------------------- Showers Cafeteria P4 Other fixtures ---------------------------------------- Design Flow.............................11P.......gallons per p@" n-,per--day.---Total--daily-flow---------�_., -----------------­.'­........g"a,1'1'o'-ns, 04 Septic Tank—Liquid capnityt0..0___0----gallons Length................ Width................ Diameter---------------- Depth.........._..... Disposal Trench—No. .................... Width-.-._...-.._........ Total Length......-------------- Total leaching area....................sq. f t. Seepage Pit No---------- -------- Diameter.................... Depth below inlet...-...____._.-_.__. Total leaching 'area..................sq. f t. ZOther Distribution box ( ) Dosing tan�j( _X0_ -Percolation Test Results Performed by--------- ...................................... Date------- .......... Test Pit No. I--- .....minutes per inch Depth of Test Pit-------------------- Depth to ground water_,V.R ---- 44 Test Pit No. 2................minutes per inch Depth of Test Pit..--_--_----------- Depth to ground water............__-.-_...... 0 Description of Soil... x ------------- ------------------------------------------------------------------------­---------------------------------------------------------------------------------------------------------- .................... ............................................ .......... -------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-------------- ................................................................................. ........................................................................................................................................................................................................ 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 f rther agrees not to place the undersigned ' rner a by system in operation until a Certificate of Compliant e_.4�issuV the bo�atd health. Signed - ---- -------- ----­------------- ------------ ----- ----- ............... Application Approved By ... ------- ..... �-------------- .......... ---------- --- -- ----- --------- -- -- --------------------------------------------- -----e----- -Dale ................................................................ Application Disapproved for the following onf-- --------------------- ---- ------------------------- ---*------- ------------------------------------------------------------------------------------------------- ...................... .............. - - Permit No. --- Issued ----------------- ce -------- -------- 170—,3—6-.)—----7------------------------------------- THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Gertifirate of Complianre HIS�,I TO CER T That the Individual Sewage Disposal System constructed or Repaired ------------------------------------------------------------- .................................................................................................... ................................ by --- ------------------- Z -------------- -- ---------------------------------------------------------------------------------------- /3------ at ........... -------------------T...............----------- ----------- ---------------------- has been installed in accordance with the provisions of TITLE of- he Stto En ironmental Code as described in the application for Disposal Works Construction Permit No. ----------- -----_ .............. dated ----------------------...................... ST U THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E of AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. c7 9 -�3 DATE......................----------------------------------------------------------------------------- Inspector -------------------------------------------__............................................... 9 O.S-I -C>1 R No. �---•• Fiza......Y-.t/.. l / THE COMMONWEALTH OF MASSACHUSETTS ✓' BOARD OF HEALTH TOWN OF BARNSTABLE ,�vpplirativtt for Bi-nputial Wnrkri C outitrnrtion 1hrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at / -.....�..---......- - -------------• --------•-•--•••-••-•-•• _ -� ............................................. ...-----... ,_ e L,oca ion-:\dd�s�� A � -_ or Lot No. � t� �F i�: \ ____________________________________________ _________l _ ... /9 n�� caner i �f/1 _ Address ` 1 L( .V1 Installer Address �� Q Type of Building Size Lot..... ________________Sq. feet Dwelling No. of Bedrooms.__.__..._._ -� _Expansion Attic Garbage Grinder Other—Type of Building ._.__._._.__.Ak—UA-0-No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow.............................J U......gallons per perm per day. Total daily flow......3 3-0_-_---_. -----___---•---__gallons. WSeptic Tank—Liquid capacity f.--0 _.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 (� )��_ a Percolation Test Results Performed by �--x-�'`.' ---- . Date ------ Test Pit No. l.... ._--minutes per inch Depth of Test Pit.................... Depth to ground water--Ai.q-----`-- -... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a DDescription of Soil. ---------4 A- ---------------------------------------------------------------------------------------------•----------•---••----------- v ....--•-•-•-•-•-•-••---•--•--- -----------------------------------------------------------------------------•-------------------------------------------••------------------ -=---- ----- --- --------- ---------- ---------fie-------- --- ------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable- i 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-1,ias­be I n-issue.4 by the board health. Signed ---/_� r'A // f - Q- ------- 1...G f . Application.Approved By .r............. .._ f 4 r /// .�� �... - !,c_. -u .... j---------- Application. Application Disapproved for the following rea onf: --_------...._-----------------------------_-------------------------------1.....------------......---------..---------------- .... ..... ---- ............._ ....-------.....----_...._............----.....--------------------------------------------- - ( ....................... Permit No. .....>>......... ..... . Issued I � i DSce r � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Complian-ce THIS I TO CERTIF , That the Individual Sewage Disposal System constructed ( �) or Repaired ( ) by .� �............ _. ----�----------------- ------------------------------------------------------------------_....----------------------------------------------------- -- ---------- c h,. c _ n f•r n t d described in at - ----------- G. -�^.. - has been installed in accordance with the provisions of TITLE 5 of�h�e_lqte E�v o men al Coe as e the application for Disposal Works Construction Permit No. ... .��.... dated .......-._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 7 a -3--:));�_ DATE------ -----------------------. ----------------- --- ------- ---------- ------........ Inspector ---------------- -------------------------------- ---- --------------------------•---•--------------------- ------ -- THE COMMONWEALTH OF MASSACHUSETTS — -- / BOARD OF HEALTH /^ o f TOWN OF BARNSTABLE 100No _........ !_/-I. FEE..... ....,............. �i�jimal nrkii Tunitnutinn "antit 1 Permissionis hereby granted------�TJ ....... �-----------•--------------------------•---------------------......•--.............._.....-- to Construct ( �) or Repair)( ) an Individual7Sewage Disposal/Slystem at No......-1�f)''fi. 1-1 3-•-- «_ �►'2r'v` � `�1�= _k--------------------------------------------- Street` ���� as shown on the application for Disposal Works Construction Permit No�`s�______ _`-Dated........................................... ..--------•-•----•-•----------------------------------------------------------------------------- q Board of Health• DATE f 5'" 3,3 ")-- FORM 36508 HOBBS R WARREN.INC.,PUBLISHERS �St�►-i DATA '51 1,16LE FAM IL{ ® r2r--a PL.A OW BAUL ua�tz.Fo�" qo GA=3A`Q Gw+lvse- �Aa Ly Fww = 3 x i to =3306M LoT 4 3 43 SQ-nc TAW L -33 0 J(700 y=ta(00&D u�F IC200 GAL. a'vve ?ws- LSACI0" 1515MA VEfl&" '! o12. - I o5e 3 cul,-sc wu e�s3oc s/4s�auc C4olq -- --- --- -- - -- AWLI C-ATto" AMA VW'D• x 33 0 GpD s v-�4- s�=44b SF r--- --P7 -=--- (. 25 ' ,IppUGAT�ON AM D�Sletit SIt�1NALL Ate= 3?�x�x2=148s� FLAP VI(=yV. - LF�i-I•�t�'� C1�4AMBEQS VoTTOAA APIRA = 12' 1 2s' = 300 -= -ram AMN- 44a sF F�uisN 6� Mid ,�.., .,. .. .0 ,...��r• Pi=2ea.&TP4 alb L 53 acox „ � I vg-vZ So►l. CUL , _. 0 sroNE WAOO STEPHEN a A. ' ALLYN r 1'-- 62"-{ L BAXTER L' tll�499 _ No 24M L' Pta-�295 Vb �F0 G 4ArM5r-1� 1 .. % Lo4kk 4SUSSawIr uAt S'8 2 S'1 OKG �w S7 8 ' S MOD, 5AN4 f LriWI CNAA 13CM `I41 57�(0 C�.q�t2 1 57.t 4L (-MACE OF Un"A EL Slur J -0rouE 'tAW- ISA SE � '1 Q,.S2 � �• M sro wC 19ASE Spm� 'PVVEL0FQ> FtOFtLC— �L. 4� No �� cEf-nRGD aoT At l � ' R 12 Mo WAfOL LoCAT10�1 CEr�1�t.V�l1��HYANu�S P (336 7 DOM .Scab 4o' sill 118 I cewnFY r"IAT "rz FoouogT0%3 5VOAA FLAW REFEMWM- 4EEEChl CZAAP-`IS u/ITA TEIE SIt)E.UW6 Alta Pl,(31L SoS P6-. 78 J;67BA01L ZWu12SMGVT OF 'NG V VJIJ OF �"� 316 Coro 9 14�,P 2 SL Pam- S► $A 24 ST'AI-6 Le A►� I S ►�T L O AT�D W 1 T1�I N A Z5 3 9 5P6eJ AL FLVOP HAZ1Y.a ZONE. 15AXTS:2- S RW--I� -------- - — LAI.ID ScJev�YttOS - W��N6E>Zf sli�� 98 �,, �(� osr�evlLLG ass. or-Fsers vv..oM 5v,L.Djp&s 4gow:, wor 8ra. app(Jt�NT. p user � sS-rA�u�N r�cp�ry L►ues. 79�SIDE 3�►c.�►�,'!G Co. SnG . OF 2 SAY S� B v�t.D 1�16► �o.�. OPEa SrAcZ LoT 4S 4 43A 1 �• i n0 1 Fi-�.__1 GNA �. 61—V *.. t so OIST � q! �i L.07 FouNVAToa 141 N� 4Z co ACC. M I 649 r3 A 1 5C A.LJE l,�l 4 o, Of STEPHIN ALLYN WIL" TOWN OF BARNSTABLE I CERTIFICATE OF OCCUPANCY •; � � i I PARCEL ID 252 051 0221 . CEOBASE III 43467 ADDRESS 30-, CRE STVIEW CIRCLE PROLE ZIP LOT . 43 & 43 BLOCK DBA LOT SIZE DEVELOPMENT DISTRICT HY ,I PERMIT 31849 DESCRIPTION I PERMIT TYPE . ECOO TITLE CERTIFICATE OF OCCUPANCY' i 1 CONTRACTORS-. Department.of Health, Safety !. ARCHITECTS: and Environmental Services I TOTAL FEES: i. BOLD $,OC TILE �. CONSTRUCTION COSTS . $.00 i i� '7a8 CERTIFICATE OF OCCUPANCY 1 PRIVATE P * 1ARN3TABLE; • �, MASS. �► �. 1639: ♦0 h ED M1r►I� : �. - 1 BUILD vI ON B DATE ISSUED 06/29/1998. EXPIRATION BATE is ------------- -------------------- ------=-- ---- --------------- ------------ ---- -J. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- . CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORK$.THE.ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE; SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF.00CU- I (READYTO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT.BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS OK ff 3 t 1 HEAT NG INS CTION APPROVALS ENGINEERING DEPARTMENT 2 7 C) BA D OF HEALTH OTHER: SITE PLAN VIEW APPROVAL :-WORK SHALL NOT PROC D UNTIL 11 PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS BY Y c , iG 1. i 0 •i r i t w I N �1 t i G60 i 1 r -A 44C.- - TP Al tw �e� tom► ol .01 Aj ry N L�t s