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HomeMy WebLinkAbout0921 IYANNOUGH ROAD/RTE 28 - Health 221 1 annough Road/Route132 Hyannis ' A = 294 018 I a 2 No. ? Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi-4pool *pg;tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( bandon( ❑Complete System ❑Individual Components Location Address or Lot No. c Owner's Name,Address and Tel.No. 1 3 r � A ►`�NU VJ 1� l 3e Assess i siP lU S /✓�7� s Map/Parcel cel p L _U Installe ' Name,Address,and/Tel.No. 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 gallons per day. Calculated daily flow gallons. 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) 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 been issued by thi oard o ealth. _ Signed�? Date S 985 Application Approved by Date._43. — Application Disapproved for ge fol owing reasons Permit No. ! 7 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 at has been constructed in accordance with the provisions of Title 5 and the for Disp al System Constructio ermit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector '� - '' - •r.. s.. ._. .^ � .r. T .-,.+ ._ M'r""'"�-+'f':«.r. .^.- .r.«--.. .^ ti.,.`.r... ... ...w-.r.�::r"•-:i .. .- r "c':,.1 r No. 7o6t Fee ZS� J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN, OF BARNSTABLES MASSACHUSETTS ZippYication for �Digadl 6pitem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( Abandon( � ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. � , � A A ses is Map/P cel Z•9y: o Installer' Name,Address,and Tel.No IA Designer's Narne,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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i 3 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 Certifi- cate of Compliance has been issued by this and o ealth. Signed ril� ' Date% ' sue.9& Application Approved by Date 4_1 I/ • Application Disapproved for Ke foll owing reasons Permit No. - -7 71� Date Issued 'THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS , (Certificate of (tompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( by at has been constructed in accordance with the provisions of Title 5 and the for Disp al System Construction ermit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. -74, Fee ./-...J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 30 ig ogar *pgtem (Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 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: I >_ - `� - el Yi Approved by ,� - TOWNOF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division Date Issued Conservation Division Fee Tax Co lle Treasur r l L� }III" �PJ+`f CO�� �N� ��-, Planning Dept. �tvIRONiV�ReGU A i lON�S Date Definitive Plan Approved by Planning Board TOWN R`�0��'" Historic-OKH Preservation/Hyannis Project Street Address 94' 50 / Z-1Z,6 4W.0 066L Village Owner Address Telephone Permit Request Zt& Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use