Loading...
HomeMy WebLinkAbout0078 KILKORE DRIVE - Health a8 Kilkore Drive Hyannis A= 272 -005 - 006 SEWER s Date Physical Street Address-Check database to ensure it exists Working Phone Number �—Actual Amounts -( ie. gas being used to fuel machines., thinner to clean brushes all count as hazardous materials-no blanks) Storage Information - location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature -understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it (/ Attach the Business Certificate with your sign off and comments *"The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4_lears). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) r.,:,� -N„�.�., y�.,�r�;a.., DATE: �s Fill in please: APPLICANT'S YOUR NAME/S: fv ry �e� �✓ �✓r.'aCoL¢�S lt' 1'1;`� �'%� '� � " t' .'} BUSINESS YOUR HOME ADDRES I<. 1 kerE.Sir / v anr1i s, i'✓ld 046,01 IrF1 ru:. TELEPHONE # Home Telephone Number Sd A - �5&1 NAME OF CORPORATION: -- 5$ or /iV NAME OF NEW BUSINESS C3 o c� TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS re �- Q'E4 MAP/PARCEL NUMBER- a o� -( `-�-C C- ,(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main,§t. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate you ness in this town. 1. BUILDING COIVIMISSIO ER'S OFF F. E This individual e n infar d an perm t requirements that pertain to this. gyfONN jp s/WITH HOWIE OCGUI�A110f� J M lUJ 42) FiUI..E� ACID RI✓SULATIO�S. FAILURE TO .A horizgd i . al ur ** `z C MMENT 6 / �G — GOM I-,;Y MAY RESIJL-.T 1=11�E�, 2. BOARD OF ALTH This individual h een in or �It perm' equirements that pertain to this type of business.:.MUST COMPLY WITH ALL Authorized ign * •HAZARDOUS MATERIALS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: cF I%l j Date:Y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: IM0, 07-6 o � INVENTORY MAILING ADDRESS: -4(6 TOTAL AMOUNT- TELEPHONE NUMBER: SO 16 -3 9 1 1 CONTACT PERSON: be.-BAGS EMERGENCY CONTACT TELEPHONE NUMBER: ,40$ -362- 06 2-)- MSDS ON SITE? TYPE OF BUSINESS: •n i +wt. ro.t•e. f, INFORMATION / RECOMMENDA NS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product- Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW ❑ USED (insecticides, herbicides, rodenticides) asoline, , via io Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers AsphnCilt&roofing tar PCB's J Ni nts, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) NE ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, 4alint'&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS n ' ignature Staff's Initials f r Town of.Barnstable Health Inspector Regulatory Services Office Hours 8:30—9:30 o� Thomas F.Ceiler,.I9irector 3:36—4:30 B STABLE. = Public Health 'Division 9 MASS. 16 19. T'hoinas:!McKean,Director . 200 Main Street,'Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE Dame:December IS,2011 1. General Lnforniation: Size ofProperty.75 acre Address:.78 Kilkore Dr Hyannis, MA 02601 Map 272 Parcel 005-006 1Varnc: Albert W. Bridges IV& Staei A. Bridges Phone»`:508-395-4944 2a..How many bedrooms exist at:your property now'?3 2b.Are YOU planning to add any bedrooms:' XE.S if yes,how.many'> 1 2c. I-low many bedrooms total are proposed at this property(including.the amnesty unit)?4 2d.please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label.each room clearly. 3. Is the dwelling connecteJ to public sewer? YES fIf the dwelling is connected to:public sewer,skip questions#4 through#9 below. 4. Location of dwelling is CICIT.SIDE a Saltwater Esmary Protection Zone? 5. Location ofdwelling is LNSIDE a Zone of.Contribution to public supply wells?(G.P) 6. Is the dwelling connected to a PUBLIC:'PVATEX? 7. Is a disposal works construction permit on Life? 1fs'.S' or /VQ S. If yes,flow many bedrooms were'approved according to this pennit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms? YES or NO 10. is there an engineered septic system-plan on file at the Health Division? YES or NO 11. IIas the septic system been inspected by a•DEl certified inspector within the last two years'? YE".S or A'O roa OFFI IrvSE'UNLY The Public Health Division has no objecti n'to bedrooms at this Property. Special Conditions: Siene Date: 42,/Z_ � r c rrwn SJJO WD' DATRIZOOT f KITCHEN P/ 23 4 IVU � �ti OFFICE WIN'N GIRO 0M 11 513 � L[VINIGROOM RONT ENTRY + �z T'LOOR PLAVA407-7-0 SCALE T H I R D L E v E L ��M j 1Q'8" 14'3" 22'2" r f7 MASTER MASTER CLOSET BATHROOM 7'3" J 19'4„ ~BEDROOM - 1V61' MASTER BEDROOM 11'11" 33,8„ FLOOR PLANNOT TO SCALE Town of Barnstable Geographic Information System December 12,2011 y I 1p GP 0 22 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:272 - Parcel:005006 Selected Parcel E boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:BRIDGES,ALBERT W IV&STACI A Total Assessed Value:$371900 1"=100'may not meet established map accuracy standards. The parcel lines on this map . are only graphic representations of Assessor's tax parcels. They are not true property .Co-Owner:. Acreage:0.34 acres Abutters - boundaries and do not represent accurate relationships to physical features on the map- - Location:78-KILKORE DRIVE .such as building locations. Buffer L Q W E R. L E V E L A P A R T M E N T BATHROOM 7 2„ BEDROOM LIVINGROOM HALLWAY CLOSET 0 22'6 LAUNDRY � ROOM 11'6" STORAGE �- O _ KITCHEN 81611 tA� v v 9*3 4---- 6'S" --10 •-1 -- $,5,> 916,,.__ 13'7" IL FLOOR PLAN NOT TO SCALE .. .�., - s�.u�Ss.,c}.r>•cars. Fzr4�?ka..:3pSkr'a3'feai§i.sa'�tfi,5:l,srtueda�, .'Ptit@lara�s�' .��§;m ,s „''�t . "cur *ti'�'-'t�' ;r'r ,>ftsu;rf �,-mom .;" :_• tom. �:.�' � �p �,. .�. �`� �_ �� bow b 4 LP - Al '4k,.'.b�. ` { '► t� '�r L + -r'•k r�l '.''1y7• - f ,er ' 21 �.0 . 11 ,,t, �N�1�'R, ft .N' - iw r ' y ! { Ifxz f ' z t f 1 3:'•.mow n. ((t`���--- ''��� ,� ��i�� � '� ` is � .•. ,I,.'� �'� �'` � ��' r �...k{ x'Y�� ':a a7.��'e{�,y,i } `.,:•� :Pe irt�. rl,�, _ i � Y� __ �s�r•� .J . "�z '�.+°f+ �s�x r ..• "> ot # 4 ;gg ,,,l5112 ��P . 'fix v Tz MA _ 4 i '. i� [may En. � y !��•�la i� �J�-- aty� 'YiyT✓d'��J �f.. i +$ J fir' @ 4 ?+ Y;aT';•k r, ag{ r •ac _%��, �"�"e'�y� � y teh'� � � � ::y'„��,fl;''y ��,:.,` "y 'F�.1 ;x�`��a ��, p�yk'dA':..'r.3 r�i?�,, fi xr ,�n��l ,�,-:. � -:y°�r +,+!'�' �v';•�m'.,a. � 5G'�v��� �7v�.�";�i 1 �`�,"t�•. sa '`� t�� '^3,�.t^u� x� .. �""G"�L FY��d!'4ra��?�'��� ""...ssav a„+`�ys, 3�� 'x>� '�`�` a r - Fax Send Report FEB-02-201216:53 THU r Fax Number : 15087906304 Name BARNST HEALTH Name/Number GMD / 915088624782 Page 1 . Start Time FEB-02-2012 16:52 THU Elapsed Time 00'16" Mode STD ECM Results [0.K] Town Of Barnstable KcaltN Inspector 'ReLulatory Services c)ttict:Boors °+ Thomas IC Geller,i)irertur 8:30 9:30 I BAR.b,TABLIt, 3:30-4:30 b 'Al. Public Health Division Thonsas AicKcaa,t)trcetor Z0U Main Strcct,Hyannis,MA 02601 i Oflice: 508-862-1644 AMN'F,STYPROCRAMAODI.,ICAN'I'-SEP7'I(.' L1TS'II�N Fax: 5 )0-6304 A172 Date:Dccom.bcr 15,2011 1. f3cncrallnfnn++utinn: Sin:of Property.75 acre Address:78 Kilkore 1)r Hyannis,MA 026011 Ma 272 P I'arccl 005_IlU6 Nome:Albert W.itridges 1%,&Sigel A.Bridges Phone!/:508-395-4944 many bedroouts exist at your property ouw?.i - ?b.'Ve you planning m add any bedrooms?\7iS 11'yes,how many? I _ '_c iiuw msmy hedrotmis total arc propc.,,!d at This property(ineludirig the amnesty uniq?4 _ 2d,please include a copy of the Moor plans for the entire properly, neatly use astraight-edbc. Show all existing rooms in the leume and the propn..od amnesl_v apartment. Provide width measurements.or any open dourways. Please label each room elearh•. 3. Is the dwollia-R c0nucctud to public sewer'/ FFS if the dwcllin is cormsxtcd to ublic sewer, ___...—ski P questions 44 through 49 below. 4. Lueation o+'dwclling is OUTSIDE a S:dnsacer EsnwrY I'rolcctim, 5. Locution ofdwclling is 1XVIDE a?one ufComhl)L16on to public supply wells?(GP) 6. Is the dwelling cummcted to a P111Y.M.'lf'ATF.k? 7. is a disposal work.conurucGou pcnnh on tile? rr No S. If yes.Itow nu ny bedroom,+verc approved according a+this p�mmit7 -.-_ ,,.---_-B3 droonts. 9. Wcre any building permits obtained for construction of additional bedrooms'! YES of NO JU. Is there an enpincered septic sy�tcm phm uu lilc at the FlcultL Dis•isiori' YES' cr NO J I. i la:the:;cpiic.system bcr❑inspected by a D.IiP certified inspeclor within the last twro years? Y/-:C or NO - ----------------"'—'---------------- FOR Omer 1.:Sr uut:v Tho Public Health Division has nu Objection to bedrooms at this propctYy, Special Conditions; —' Sipe — _ Date' [ /� f Z r i /1 x yZL !I O it i i X I i............................................... , ne,o._......._:L..__....L.__..._._L....._...................._ _, .� .. ..... I......__ I co ......... L_. ........ .._..__....L...........>1 %'� a W� i Y7 I I I i I i a �i I L — - - - '� 4'-5 1/2' otj °tn o i 11'-1 1/2• • (� ... 1. �g Ir p-n t O I I 1� I n T m O I I J- I I fJl � f� g Pig vie cl N -�_ : ----- A •--- — � �� w I I � I I I I w � w X . c o I I I H -4 I l• I 1 STU 81-O• — 1• - — — — — -p•_g� — — — -V_� — — — •— — R-M 32'-0' FOUNDATION WALL, SEE of QP. > ^ ®o of �a s z " o .. mD HER � ��. 9 6'0 "� � ��" p2p i ���� I { ,`',••. 3 - = z12 22 �Q 0 V Z m D D A ©200B SILAS AND DIANE COELLNER THESE DRAWNGS ARE �� A D OPYRIGHT PROTECTED. THESE CADD DOCUMENTS ARE A 0 •• z 9 # RECORDED ON,OR CAN BE TRANSMITTED AS,ELECTRONIC D Z MEDIA.THEY ARE THEREFORE SUBJECT TO UNDETECTABLE F Z v z Z ALTERATION OF ERAS F-OTHER INTENTIONAL OR UNINTENTIONAL o j Z z 0 DUE TO,AMONG OTHER CAUSES: TRANSMISSION,CONVE'RSION, a n D 0 O . Z m �+ MEDIA DEGRADATION,SOFTWARE ERROR,OR HUMAN o x Z O C4 n a f rn C ALTERATION.ACCORDINGLY,SILAS AND DIANE COEL NER SHAH NOT N,Z7, /Z7 N 0 ��'•.'".. � = O rn BE HELD UABLE FOR ANY CLAIMS LOSSES DAMAGES,OR M/o Z COSTS ARISING OUT OF ANY SUCH ALTERATION OR O O UNAUTHORIZED RE-USE OR MODIFICATION OF THESE `� Q TTI p 'Z o y 0 CARD DOCUMENTS. 70 N - �"•� • � o m R f . y t Cti•�L.L.tdrR &;'PTEAs-mN'T ST. 57'-1' C D-LO F fR-1-LA`•.rEN,MA 02719 t54 8 993-343`. t- 9-3 1/2- 6'-8' 18'-i 1/Y 17-8 3/4' r 7 1/4- - -- --- - --- ADDITION 4 j_ -- -- == _ -- - TO CF1 1 I � l -- - - --- __ ____ BRIDGE'S RES. �- =-'I '; - -- r 78 KILKORE DR. SHOWERL= L_�—-� � I I � `BUILT-N BENCH SEAT AND STORAGE N HYANNIS BATHROOM, i! _ I I MASSACHUSETTS WALK.,i_� PANTRY 18'-7 1/Y j; j i 10 02601 OFFICE KITCHEN BUILT-IN { 800K I I I �-------= SHELVES ;� 5 HALLWAY r----.__......---------------------- - - z q FAMILY ROOM GAS n 10 ON N 4 1/2• 5'-10' -8 5'-0' 2'-g' PLACE m g p sy�l l LINEN 21'-2 1 fill CLST. �7v BUILT- IN LIVING ROOM c DINING ROOM I , N o 5 WXff SHa S oe�m8�� UPff "Ilk 14'-Y j DRAWING ISSUE LOG ' N ISSUE# TITLE DATE I REVIEW 12.30-07 t0 ' - 2 PERMIT 01.11.08 12'-11 31,C 8'-1' 3-1 1/2' 3'-5 1/4' 3'-1 1/2 . 3'-5 i/4' 1'- -3 1/4 '-8 3/4' 3'-8 3/4' -3 1/ FOYER �I I b ORIGINATING DATE: HFRONT PORCH1 12414 Od1 DRAWN: CHECKED: L8'-0• L t' �% �C ��%D j 6`' ' SCALE: M1'IDT®� 1 b JOB: FILE NO.: L L DRAWING TITLE: t FWT BOOR n-u a/W'=r-•o" x MFUM PLAM Amlml a 4 � 1 - r� lel..r_ 5 i,Dx; 4£ � CCJ;3I.LVFsR 87 P'LEASAN,"f Sr. 02719 L (508)993-3,36 i 4'-0 1/2' 8'-11' 8'-1' 7-4' 8-4 1/2' 20'-4' ADDITION TO z BRIDGE'S RES. T I I I ! L � 78 KILKORE DR. zs f�_S_ — _ f 1 ' HYANNIS WALK-W CLOSET —.-.---...--_-- B'-4 1/2' S 1 -�-- �- - —L- - —_� 1.�._1 ��.=.��? MASSACHUSERS BA714ROOM 02601 i ♦ - �_ -�_ -- — , _ _ SHOWER - -------- L'-. -L _ r T r I 01 Y as Lr 1 - WHOON L g o BEDROOM - 1 r_T SLOPE: r -I 1 i� �'� s N3�1 bl 1 , 4s r k m ( � -L _ rSLOPE -r- - j 1 y� BEDROOM 2 � '8S2 } CLST. CLST. 10'-2' - 1 Z�WUU��O�R�SwtNn _ _ ga��'aQQGa�A��o w. _ Qc>rca�o��'tu'Ya�c� SAVE DRAWING ISSUE LOG . . ISSUE TITLE DATE U VIEW 12.30.07 # SAVE ,y. 1 RE i 1}} 2 PERMIT 01.11.08 L. I� �1 IN O R IG IPNAL.TAINf GI DAT E: DRAWN CHECKED:D: SCALE: AGNOS i N JOB: 1 FILE NO.:a _ SECOND FLOOR DRAWING TITLE: -t2 alir -o~ =r MFLOM i . Amla2