HomeMy WebLinkAbout0237 GREENWOOD AVENUE - Health t
7
237 Greenwood Avenue
Hyannis ;
A = 288 - 102
r
t
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
4pliLation for Disposal 6pstem CDnstrurtiorr Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No.,a 3l GV_dZi pU_XX5'0 AY'G Owner's Name,Address,and Tel.No.
f^(v CST�E-cC o� 6vt�c tk( C> c3P 4W
Assessor's Map/Parcel �$$ /off, 7 �3� p AAJE &)Kjtr
Installer's Name,Address,and Tel.No. $-*-77-82-1-7 Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
A AA117 r)1,J E,C1S1 r1C.9C, Sc rC S7ZM
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
e P Date 3
Application Approved by Date
Application Disapproved by Date
for the following reasons
ef
IrPermit No. Date Issued
No.
Fee �
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
9pphLation for Misposal 6pstem ConstrUrtion 3permit
Application for a Permit to Construct Repair Upgrade Abandon(�) ❑Complete System Individual Components
JJ
Location Address or Lot No.a 3 7 G06-51✓(A)Q0-D Akfe Owner's Name,Address,and Tel.No.
E5T-(-TE or wtLAJItw( O't3pltG=J
Assessor'sMap/Parcel a$$ /D� NY " -1 Qw2_ -0 4JE HyAkAJIS'
Installer's Name,Address,and Tel.No. 4562-4-7 7-89,-1-7 Designer's Name,Address,and Tel.No.
1SA PGf,.x p G C-Wre�RlsSS L c_.
153 do
TI pe of Building: it
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria(
Other Fixtures r
i
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
1
Nature of Repairs or Alterations(Answer when applicable)
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 Certificate of
Compliance has been issued by this Board of Health.
i e / Aln Date
Application Approved by d Date
4,7'Application Disapproved by ry Date
for the following reasons
dn
Permit No. v 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( )
Abandoned(u)by
at �23'7 GX_- -AJUA2,f ) AVE 0-MMUI5 has been constrj.4cted in�acyprce
with the provisions of Title 5 and the for Disposal System Construction Permit No lice
Installer CAn�vcn� ��1�-JQ�I�S� �..� Designer
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system wi functign as desige.
Date 7- 7-91' Inspector
-------------------------------------------------------------------------------------------------------------------
j �
No. . ' Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(X)
System located at a 372 CRE \f w��� A v� HYA> J&J t S
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
I j
Provided:Cons on in st e c pleted within three years of the date of this permit.
Date Approved by