HomeMy WebLinkAbout0921 IYANNOUGH ROAD/RTE 28 - Health 221 1 annough Road/Route132
Hyannis
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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