HomeMy WebLinkAbout0181 FIFTH AVENUE (HYANNIS) - Health i
t 181 FIFTH AVENUE
'Hyannis
A= 245 107
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REFERENCES:
Assessors Mop:245
Parcel: 107
Ocean Drive Deed Book 89571107
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ZONE:RB
Setbacks:
S&T Front:20',-,n in
S&T Edge of pavement N87*21'33"E Set Side: 1 0'rn in
set t 100-00, Reor: I 0'rn in
4
Lot 344
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16.5'
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10, #181
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Dwelling
00
c) 27.4'
a :kE Lot 342
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sh
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Dock
Lot 340
S&Tk
3< S&T S87*21'33"W set
,k Set
NIF� 100.00,
a Barbara M Latimer Tr.
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98881343
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PLOT PLAN
IN
-W-A L?LE
rofessional-Lo or Survey ' -b7ate OARNSIA-
(West Hyannisport)
NOTES: MASS.
DATE: 181NOV103 SCALE: I"=20'
I ) Th" cf--h—, th-
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE c�.
LOCATION/o-/ STh` i¢v e- SEWAGE
VILLAGE /{Y,4 ,d,yl S ye0cf I ASSESSOR'S MAP G LOT
INSTALLER'S NAME & PHONE NO.,J'f? M A Com&ef, 3c y
SEPTIC TANK CAPACITY /, e,00
LEACHING FACILITY:{type}_gip iT (size) G o O
NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER_
DATE PERMIT ISSUED: A - 17- 'L2
DATE COMPLIANCE ISSUED;_
VARIANCE GRANTED: Yes No
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=245107&seq=1 4/l/2019
TOWN OF BARNSTABLE q
LOCATION `f/ STD /¢U SEWAGE #
VILLAGE H Y,4 ,v,,//S oe"—IrASSESSOR'S MAP Cz LOT y I O7
INSTALLER'S NAME & PHONE NO. J:4, M A CaA41?e f, 36AI
SEPTIC TANK CAPACITY d 0D
LEACHING FACILITY:(type)y"'' iT (size) G o U
NO. OF BEDROOMS ._PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: to - 17- ?2
DATE COMPLIANCE ISSUED: `, - 2
VARIANCE GRANTED: Yes No ''��
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
---------.T.own- ---------------OF.........Barnatabl.e-------------...................................
Appliration for UhipasFal World Cnnnotrnrtinn Vvrranit
Application is hereby made for a Permit to Construct ( ) or Repair kXi an Individual Sewage Disposal
System at:
.............1B-L...5.th..Ave..Wsst....11y nniapLox.t-----. ----•-----•--•......................---------------•......--•---•.....------......----•-•-•---•.
Location-Address or Lot No.
...---------SA117-a.....................•----•------•••-••----•..................---...... ..........--......................................................................................
Owner Address
Z.r,-.-hSa CL1xC1}af_r....J5...........................................
Installer Address
Q Type of Building Size Lot............................Sq. feet
U DwellingX-XNo. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( )
Pa., Other—Type of Building ............................ No. of persons.--..--...--................ Showers ( ) — Cafeteria ( )
P. Other fixtures -----------------------•---•---- -- .
Q - ---------------------------------------- ----------------------------------- ---------------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit...-----............ Depth to ground water-.--------------•------.
r14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------..................
P; .....--•-----------------------------•--•-------•--•...-••••-•-••-•-----••-•--•••-••-............_...-----•••-••••---•••--•-•-------------------•---•......--
0 Description of Soil................................................................................----------------------------•---------•-----•-----------...------••---••....-•--------
x5aac•-•---•-••-••-•------•-•--•-•------•-•----•--•----
W
U Nature of Repairs or Alterations—Answer when applicable--.-I_-1BQp---g-a-1-1—on---ta-nk---------------------------------------- .
..-----•-----••-••-••---•-•••--•-----•------------------•----•----------•--•---•----••..........------------1- 1-each---pi-t..-.........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TT�'1'^
'� t:..E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue by hhee oard of 1 alth.
Sign e �� /�i �•-------------_------ ....�/-24,`&9.........
Date
Application Approved By.....,,,
y------ -- --..... ................................................. --•-
Dat
Application Disapproved for the following reasons:---•----•-----•-•----------•------------•-----•----•----••-•--••-------------•-•-----------------••-----•-•-•---
�� Date
-------------------------------------•------------------------------------.-----------------------------------------
----------------
s---------------------•-------------
.�� l,.. , 'l Issued_-------- = ......................
3
No. 7:01..... Fra.......fi..
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
..........".l."otin----------------
-OF.........T_3arn,s.t.ibie.
- I
Appliratioat for Disposal Workii Tonstrurtion rmit '
Application is hereby made for a Permit to Construct ( ) or Repair JXJ''an Individual Sewage Disposal
System at:
............ ...B aanL:Lgm.Qrt------ ----'•---•-------•--------------------------•-•---•...._.....---------...----------------•-------.
Location-Address or Lot No.
••..........Snu?'a........................................................................ _..__.....-----.............-•-•-------..:----------._.....------•---.................--------••--
Owner Address
a r i., r
Installer Address
Q Type of Building Size Lot----------------------------Sq. feet
aDwelling XNo. of Bedrooms............... .......................... Attic ( ) ,Garbage Grinder ( )
p.l Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P4 Other fixtures _____________________
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter................ Depth................
W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
x
Seepage Pit No--------------------- Diameter________-__..._----- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1----------------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._-_-______-__-__-_____
•-----------•.............•-------------•-----. .............................................................................................................
O Description of Soil---------------------------------------------------------I•-------
x
+J ----------------------------------------------------
'-------------------------- - -------'-----------•----------------------------------------------------•---••----'-•---••-•----
W
VNature of Repairs or Alterations—Answer when -•_________ _______________•-___--__---.
q
Agreement: _
.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 riot to place the system in
operation until a Certificate of Compliance has been issued by he board of 4ealth
Sig .
n � +! y
Date
Application Approved By.... -- -----•=•- . -• 'F'(�
Dat
Application Disapproved for the following reasons:...........---------------••-----•••-----------------------•-----••----••-•-•-----•----'---•---.._........--•--
•--•-•---------------•---•---'-•-----•---....--•....-----•••-----------------•--•------•--••--•---------------•-------•-------••---------•----------•••-•-••'---•••--'•--'-----------•---•----•--•-...._
Date
Permit No. *-� 1 ------------------------------ Issued-----------
Eat.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tr3dn Barnstable
..................>......................OF...... ..............................................................................
C9rrtifiratr of ToutpliFattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired O
by............. 17... g:'---------------------------------------------'----•-------------------••-•----•----------------•---•••-•------......----...---•------
' r�h Avv C,',ast `'Hyatinie"aport Installer
I
has been installed in accordance with the provisions of TIT E 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated---.._--__..._._.._..______.._____......._......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----- .,�_ 1%�.a -�- ¢ f Inspector...................... ---------------------•----------••---•---•-•-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�Cr 'zUi°lYl OF Bar°.laua:�� tv'----------------------••--------••---•----•.
NO..... �:. ft FEE........ . ....:.....
Disposal Works TMInstrati n Vrrmit
Permission is hereby granted.........y..?•aR'C CST") ,r i
to Construct ( ) or Repair ( X) an Individual Sewage Disposal System
Stree
as shown on the application for Disposal Works Construction Permit tNo.. {�1-_ _ Date -._.�----
-�4/
r� Boardl o t Flealth .... ......................
DATE....��--'2-.-1'= I�=/
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 1