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HomeMy WebLinkAbout0074 HAMPSHIRE AVENUE - Health (2) 72 Sudbury`L'ane;Hyannis,rN� "•. :.� d1 I e : 1 Ii r i 0 TOWN OF BARNSTABLE (� LOCATION s�✓� ® � �'� ;` SEWAGE #;2 06'y -52 VILLAGE Y R ASSESSOR'S MAP& LOT / /3 INSTALLER'S NAME&PHONE NO.Ad-04 is eeo'n-'�57- s o b -7 /-36 n SEPTIC TANK CAPACITY / S d © Sr o LEACHING FACILITY: (type) ize)3 NO.OF BEDROOMS ,Q / BUILDER OR OWNER A �G` 61 -r c- R z PERMPTDATE: l A Af/ `/r 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) -\ Feet Edge of Wetland and Leaching Facility,(If any wetlands exist ' within 300 feet of leaching facility) Feet Furnished by h o t, o v J' 1� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4piitation for Bisposal *pstern Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(� X Complete System ❑Individual Components Location Address or Lot No. 17 a 5ropt" jZD 14YA*J►Jt5 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 300013 `1 X s rvpLe P-I> L- YANlt1[s Installer's Name,Address,and Tel.No. 5 09-411 2%-7-7 Designer's Name,Address,and Tel.No. 4:�-APC-tvc 0 C T Qa SAS c.c.c.. t ®1-E.,S-- vLcn4St � 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) Ad OicJ B�C.ISTdci TL � � 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 is Board of Heal n Date Application Approved by Date Application Disapproved by Date for the following reasons s Permit No. Date Issued Gt :�. oeo No. Fee THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plicatlon for Disposal 6pstrm Construction Vermit Application for a P rmit to Construct( ) Repair( ) Upgrade( ) Abandon(k )�Complete System ❑Individual Components Location Address or Lot No. '7 a 5r vvc," RD i4VA WW1$ Owner's Name,Address,and Tel.No. I_ L.t_1A)J C OR3ETT- Assessor's Map/Parcel 3044013 `1 5-rv*o AE: RD 4YANAJ kInstaller's Name,Address,and Tel.No. 5 D$-4'l l—22 7-7 Designer's Name,Address,and Tel.No. I GAPc—w� E �u i r c'�1a si=S e.c.L l\T/A 153 l.(11� S'C' N�tA51�� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) 0 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) A6010n OU 4>41S109 br Z pTT C., S YS771 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 is Board of Health. Date Application Approved by li�/ Date Application Disapproved by Date for the following reasons Permit No. 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(X)by ( AP6 w(1)G E1)Tc7ZP/(I SE' LL(:, _ at r]a S T tD G.0 N RA H YAN KJ!S has been cons uctedinac//c�-.00���e with the provisions of Title 5 and the for Disposal System Construction Permit No. __ Mated Installer dAPEI,J(1 ?�i��QIS („(,,L Designer NIA #bedrooms Approved design ow gpd The issuance of is p r tmit hall not be construed as a guarantee that the system will nctic as disigned. Date + Inspector ,rl i ---------------------;.;--------------------------------------------------------V ----------------------------------------------------- No. J�, Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(x) System located at r]a STV� R�`/ 10' H YANAn 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. Provided:Co st c 'on ust b completed within three years of the date of this permit. Date Approved by Lila • • amdtn .OAA , D fWVll E� O" 0' Postage $ LrI Certified Fee CCCXXX... OHYe? R 1 Return Receipt Fee `,(Endorsement Required)Q Restricted Delivery Fee O (Endorsement Required) 0 � EM Total Postage&Fees $ —3 Sent To fn ---�6�11-aAelt_k-------------------------- 0 tre t.Ny,, or PO PotNo. r� S V 0, n Cabo ��� I MOM Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery,kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional.fee,.'d Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece `Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. s ' o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,May 2000(Reverse) +.r 102595-99-M-2087 a � 'Eur = I" Postage $ CO Lrj Certified Fee Return Receipt Fee P� Here f� M (Endorsement Required) I r rl p Restricted Delivery Fee 0 (Endorsement Required) O Total Postage&Fees r� I:$ —0TOrq •.p Street,Apt. o.•o PO Bqx No. �1 -Via_- -, O it,S ,ZIP+4 N go6vam :.I � Certified Mail Provides: o A mailing receipt 4P ` o A unique identifier for your mailpiece o A signature upon delivery e A record of delivery kept by the Postal Service for two years Important Reminders:.' -. o Certified Mail may ONLY;be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Retum Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return,receipt,`,`+a USPS postmark on your Certified Mail receipt.is required. brjt;f a For an additional`fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". i M If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. - PS Form 3800,May 2000(Reverse) 102595-99-M-2087 Town of Barnstable .f tHE Regulatory Services pF Tp� tip Thomas F.Geiler,Director BARNSfABLE. ` Public Health Division 9� MASS. 16g9. `0� Thomas McKean Director ArF p �A 367 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 30,2002 Mr.James Tanca 115 N.Legion Terrace Hernando,Fl. 34442 NOTICE TO ABATE VIOLATIONS OF 105_CMR 410.00,STATE SANITARY CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 72 Sudbury Lane,Hyannis was inspected on April 26,2002 by Edward Barry,Health Inspector for the Town of Barnstable because of a complaint. The following violations of 105 CMR 410.00,State Sanitary Code II,Minimum Standards of Fitness for Human Habitation were observed: 410-100A2 The heating unit in the kitchen oven is inoperative. 410-351A The toilet runs continuously after flushing. You are directed to correct the above listed violations within twenty-four(24)hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within. seven(7)days after the date order is received. However,this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than$500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and$15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH s A.McKean Director of Public Health CC: Ms.Patricia Martelli 72 Sudbury Lane Hyannis,MA 02601 QMeal thi W pti tes,TaucaiChderlet/fs ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse A1X Addressee so that we can return the card to you. B. iv d by(Prin ame) Dale-of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. �= J If Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No — iC)��2�'tZZ.CP J 3. Service Type ertified Mail ❑ Express Mail ❑ Registered eturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7Qod 1674) / C1OZ-91 (transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 dl itit Ii ► 1 fl !i i � i� f � j 1 UNITED STATES POSTAL SERV �`' � 4 +' I First-Class Mail phi LISPS e&Fees Paid Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • i Public Health Division Town of Bamstable 200 Main St. I Hyannis, Massachusetts 02601 021 i:i SENDER:"COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete _ A. S' re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse add&0 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, M or on the front if space permits. D. Is delivery add edifferent from,item 1? ❑Yes 1. Article Addressed to: Q If YES,enter ery aqZdres elow: ❑ No 3. Service Type"Y .' w ed MaiI B-Exp' se Mail ❑ Registered eturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. I, 4. Restricted Delivery?(Extra Fee) ❑Yes• 2. Article Number (Transfei from service labei) I —j a �� 9% I,M Form 381 1!August 20O1 I I 1 I `Do'mestic Return Receipt 102595-01-M-2509 UNITED STATES POSTAL SERVIG- .E �� �' =First-Class e p M c ostag`e&Fees-Paid w -LISPS- — o . �PeFmit"No:C � p. 4 f4l A Y N" r i ! • Sender: Please print your name, address, and ZIP+4 in this bo x • Public Health Division Town of Bamstable 200 Main St. Hyannis,Massachusetts 02601 0_ lfl: �lEi�l! ii�,:>>�li�if�iil�:�ll,,.,�►�lil,t�ll}3�,i�l�! I Iw I I I I I I I NI lCL ct ln o aI l o W w LO a o � l � I � Iw o Q I J� w ( w a . Q � � � I ° I W IN I Ir �- ;> coIio 0 �� ��,� �� �� `��, � --i ���