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Home My WebLink About0059 FAWCETT LANE - Health 59 F'AWCETT LN.,HYANNI5 A = 269 074 i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3 < I t� _ _ Fill in please: APPLICANT'S YOUR NAME/S: l'1Cj V ' C cake L( �,r�� ,j�V)U. `® BUSINESS YOUR HOME ADDRESS: 5 E✓c s: [`F } I_v1 iota TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS L A-CR NA`5 C;t-&AN I V C SEP-yi76STYPE OF BUSINESS G�PG=;r tr y t/lilCtvl VIGt ►'1 C c' IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS _ Sal Fans cF t Lh MAP/PARCEL NUMBER �� '1 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'SdFFI MUST COMPLY `,KITH HOME OCCUPATION This individual has been i any pe q r ents that pertain to this type o business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. Mr Si natur COMMENTS 2. BOARD OF HEALTH This individual has been informed of the er-m-i�irements.that pertain to this type of business. MUST COMPLY WITH ALL HAZARDOUS.MATERIA ; REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. �f Authorized Signature** COMMENTS: , ��- TOWN OF BARNSTABLE Dater I O-Y,l TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: L-01�Inds Y v i C-C BUSINESS LOCATION: 5 c1 Eckw ce tt INVENTORY MAILING ADDRESS: {-1 TOTAL AMOUNT: TELEPHONE NUMBER: Sb E - 3-1 - ZZ,g R 3 . 6— CONTACT PERSON: Lin a a; p EMERGENCY CONTACT TELEPHONE NUMBER: 2-- S 3 I �. MSDS ON SITE? TYPE OF BUSINESS: C IeGth\ INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum f I L Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive U/NEW ❑ USED Cesspool cleaners Automatic transmission fluid o Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): ),COmLMetal polishes Laundry soil &stain removers .(including bleach) f Spot removers &cleaning fluids t (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS pplicant's Signature Staff's Initials— TOWN OF BA.RNSTABLE L&ATION ��,Cd422= SEWAGE # NO—A, VILLAGE_ eYy,/.�e,y !.S' ASSESSOR'S MAP&ffLOT INSTALLER'S NAME&PHONE NO._ In i%O 6110 P _!Pe l T f C SEPTIC TANK`CAPACITY 0 U LEACHING FACILITY: (type _l V Y!iW79&Z2ef J (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE,DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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. ^L' within.300 feet of leaching facility) ';',. Feet Furnished by' r `` j 1 O I f t J' I l� Y► )tea Fee No. v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for Mi5poof 6potem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade(V<Abandon( ) El Complete System %dividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 'tw��s Assessor's Map/Parcel �\ m\ S5l� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -� v5 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow t� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank � ��Ot vi��tGYx '� � C,c Type of S.A.S. �, �n Description of Soil Yam—C n f"L E9 w� Nature of Repairs or Alterations(Answer when applicable) S—u f 4 - ry-( l� u -� � A SA lam C -y S1��_f L( Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance h ealth. Signed Date �� Application Approved by Date Application Disapproved for the ollowr reasons Permit No. 9 Date Issued 't r No. 2 y 7 Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for Migoogar *pgtem Congtruction 'Permit ' Application for a Permit to Construct( )Repair( )Upgrade N<Abandon( ) O Complete System %dividual Components Location Address or Lot No.'7-� --4 �� Owner's Name,Address and Tel.No. / Yct Assessor's Map/Parcel a( `o ss-t fY\A.SS Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1M;0-C_ePe5e-V-11 c, \5 �c�1S 5� • J-1 �. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow �c;) gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. \� i- C o c 'A Description of Soil ft_1Ja_G n Y^r,2 E& � a ! ,{� c7v fL kA 1��— Nature of Repairs or Alterations(Answer when a plicable) �u�.��'r p�� v� � S'1 /der Date last inspected: Agreement: The undersigned agrees'to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has„beenn s ue�'by ilk f'Health. Signed Date Application Approved by -Date 4 /4- D'G Application Disapproved for the ollowr g,ieasons Permit No. aZ 9 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded 1 Abandoned( )by ()-(r A e-e /J- i C at e'; p1 �+�_urc c+TT� 1 f u..2_ "w va V rk.-1 C11 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer A \14 En n.i The issuance of this p r�tnit hall/not be construed as a guarantee that the syste � I. "unction as Mignew Date ' Inspector ° VV No..2�I!1 — �eS� ----------------{---��„F—�—---Fee THE COMMONWEALTH OF MASSACHUSETTS i -C PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopogai bpgtem Construction 39ermit Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( ) System located at 4 and as described in-the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: —- /62 Approved by r.y' • 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated �9�� , concerning the property located at C1 meets all of the following criteria: This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system C-s""There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed There are no variances requested or needed. (:,,,-fhe bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] �If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) L10 B) G.W.Elevation c P +the MAX. High G.W.Adjustment.qS47 _ -01 3 DIFFERENCE BETWEEN A and B ( �� r SIGNED : DATE: [Please Sketch propos plan of system on back]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert 1� �� .tip 1' �:: t P-; <i Go 1 TOWN OF BARNSTABLE LOCATION 9 /_ ZQ'o� SEWAGE # 000 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l'v o U LEACHING FACILITY: (type 141, 42/7iU7o,Iez ' (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: - Separation 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) Edge of Wetland and LeachingFacility Feet ty(If any wetlands exist I within 300 feet of leaching facility) Feet Furnished by II 57 o { TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager �' �, �- X f < � �, !1. ( Address of Offender MV/MB Reg.# Village/State/Zip Pl,tn'o'. 4 r A/) r Business Name A, Aam/pm�, on Business Address ,. f Signature of'En"forcing' Officer Village/State/Zip t + Location of Offense �1 i .:, �.t /r r _, �, s t�4v/„T1(tea 144 N (� ` Enfo�rcing/j/D6pt/Division Offenseter^or 1cf7 A i�t / ��ldsl, +�nr l A,r�t It �.t /7I^ F e� 7 ,// nA/Ar►! Facts Ab, �r,�mtt r.- (eA,# It r�r:a,�,AnIG �. �,.��,n,•f �„� -Fe, -71C 4_ rrr,,J4tfrf <J_ 1 / I ., ",/rRs.i This will serve only as a warning.` At this time no legal action has' been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w M-5 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager f % fr S Address of Offender MV/MB Reg.# Village/State/Zip i Business Name am/,,pm,, on ;2/S/ `.'/'20 Business Address Signature of-Edfotcing Officer Village/State/Zip Location of Offense Enf9rcing."Diept/Division A Offense I Facts I .4r '14 -f J'L - 4", It This will serve only as a warning. At this time nb legal action has been takje'n. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. I i � Health Complaints 09-Feb-04 Time: 9:00:00 AM Date: 2/5/2004 Complaint Number: 17255 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 59 Street: Fawcett Lane Village: HYANNIS Assessors Map_Parcel: Complaint Description: A mess, there are tons of bags of trash, torn open by animals, trash all over the place. Actions Taken/Results: DS WENT TO SAID LOCATION. DS DID NOT HAVE A CAMERA. DS OBSERVED A LARGE AMOUNT OF TRASH BAGS, ALL TORN OPEN. DS HAD TO GO BACK ON 2/6/04 WITH THE DIGITAL CAMERA TO GET PHOTOS OF THIS. IT HAS SNOWED, THUS COVERING UP THE.MESS. TWO PHOTOS ON FILE SHOWING THAT BOARDS HAVE BEEN PLACED OVER THE TRASH. A WARNING WILL BE ISSUED TO CHRISTOS PISSIMISSIS (OWNER) FOR NOT PROVIDING TENANT WITH TRASH CONTAINERS. Investigation Date: 2/5/2004 Investigation Time: 4:20:00 PM 1 y:t f .{N t 4 i- LO64 i �wtt�r i r V �J�/) KA ,lf, • w airNo, LL LZ t � ova .�a �► t� ,Y 3 � FPS' 4 FY, i t� a q L .ti AA�.,�,�, ti l4 1 G n S b 4 ♦ � � S t � y jxk l�l ♦ 4 d 5` � LOCATION SEWAGE Pie NO. • �...9, 1� of• o,�f- /"is✓ c.., VILLAGE INSTALLER'S NAME a ADDRESS C2 ti c o - 3cs a �Yl a�y sT �'Iz�t�cv`s7� • U I L D E R OR OWNER DA E PERMIT ISSUED 7 DAT E COMPLIANCE ISSUED �3 a 6 Z�'�s' ;S a �"''7Y No- ----- Fxs.. .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------------ -----------------------OF..............................---.........._....------------.........--------.-------..--- ' Appliration for Diipusal Warks Tianstrurtion Virmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .�.? .L..._ 4 ..� ............... .4....... Je�C--......kva. a �.�1.�. ' vcation-Ad�rgss 77 .............................................................. Lot No. caner .......•---..-•...............Address a p ----- ...... � Installer Address Type of Building Size Lot............................Sq. feet ai U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ~ Other—Type T e of Building ............................ No. of ersons....._................_.._.. Showers — p., yp g p ( ) Cafeteria ( ) dOther fixtures -------------------------------------------------------•••-••----------------------------------•-------------------•---•-•••-••••-•-•-••--•------•- 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.................... Total Length...._............... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date................................;....... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M ---••----•-•-----------------•--•------•-----•--••-••••..._.......•-•-•-----••......---...---•---•--......................................................... ODescription of Soil........................................................................................................................................................................ w / U Nature of Repairs or Alterations Answer when applicable_._.f�"� ..... ... t fr.Y .............. !� `e.....r...... Agi VM;nt: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 d of health. Application Approved By=---•••.••• = •-----------------------•••--••-- / 14a.-13.......... Date Application Disapproved for the following reasons---------------------------------------------------------=------------------------------•----••-•------•-•....._ ------------------------------------------------•--•----------------.........--------.....----------........---......._...------------------------------------------------.............................. 95 d Permit No. ..-•-�-4- .-..... Issued --- 5 .._Date Date 14. Find. J..........� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ -----------------OF......................... ........... A4141lirFa#ilan for UispnaFal Works Tonti rurtiun Frratit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System .�,�at_ ...................C.....-•---•----•-��..............::----------- ......................................... ..........................................� `f i I , l�-J ! 7 ation--A��s I: or Lot No. ......................................................... .........................•-•-•-•-......-----rieareSs..............._...._..................--- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures 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.................... Total 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. I................minutes per inch Depth of Test.Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------------------...........•----------•-•-------------------------------------------•-----------------------•••---------------- 0 Description of Soil........................................................................................................................................................................ x c, w U Nature of Repairs or Alterations Answer when applicable R`;�I�'�- - /1 Agrem ent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bgen 'ssued>y the hoard of health. 1 `i g31Cr& ........•- . ��*" °..............................y ...... F.+� �» (( at as .....------.•... = f �' � `` ` Y v •1�i� �'� ate ...»... t Application Approved BY n _.`� �..1sr "r:• ``. =y. ' ... -----�--v--............... Date Application Disapproved for the following reasons--------------------------•---•-------------------------•-----------------------------------•-•---•---....--•--- ...................................................••••---------••-------------••----......-------••••----•--••-••---------•---•-----••--••-----------••------•-------------•-------•---•----------•-- d Date Permit No.. g_.�.. Q�-J Issued ..-f � Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trr#ifiratr laf f amplitanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..-...... r1U u-`t ...-•---------------------------•---............--...---------------------•-•-----...----•--------•----•---............---•---------•---••----...------------. �.--•"fir.. ! Installer has been installed in accordance with t1-Le_=uiions of TITLE ;.of The. tate Sanitary Code as describped in the application for Disposal Works Construction Permit No................................. dated_...�.___>.:...._a........................:. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARAI4TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ � ..�� .......................................... Inspector........... ............•... ---------••... ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................................................................... No.... cr'............t FEE........... ........ �•+ �i��a��tl nrk� �nn��rnr#i�n rratti� .....t.�uu Permission is hereby granted.------. ...................................-------•----------••••••------••••••------••.....---•..............------ to Construct ryRepair ( ) an Individu !jewage Disposal System at No...... � lam:n •J ---------------• - ---------•--------- .................................................................................. ~" J Street as shown on the application for Disposal Works Construction Permit N_o.!-;,..-•-_-•-_•__-_ Dated ;�._'_-.': '._.«_____.... 1 .............. ... � '1 1-- . ..I......- ........« I (/ �.._ . �— ...... DATE. ` j/ Board of Health �, .. FORM 1255 A. M- SULKIN,'INC.;BOSTON -