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Home My WebLink About0015 OAK STREET - Health 15 Oak Street Hyannis A=310- 272 SEWER i r Town. of Barnstable THE T Regulatory Services Health Richard V.Scali,Director Inspector BAMST" . 1 Office Hours 9� Public Health Division 8:30-9:30?'. °ieo r"p<a Thomas McKean,Director 3:30—4:30 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ; ACCESSORY AFFORDABLE APARTMENT PROGRAM APPLICANT SEPTIC QUESTIONNAIRE Date: 1. General Information: Property Address: /6— S� Assessor's Map/Pareel N'�un/mber: lz72 Size of Property: • 39 A CJ�,y Applicant(S)Name: I'Pefl'4t i• AL. 44.C& Applicant Address: !S 0111k Smut 111tLa-n pal , 7Nee DZ60/ Home Phone: 7S'/- '� '07 6 3 -" E L/t7 y Email: �7�24 r_Cit.iGL6�a��C(, yciC2Gt': t��,z 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms as part of AAAP application? No�_ Yes If yes,how many? 2c. How many bedrooms total are proposed at this property(including the Accessory unit)? 2e. Is the proposed Accessory Apartment contained within the main house X or a detached structure Gv LicL/LeG� ;aitaye, 2e: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 accessory apartment. Provide width measurements of any open doorways. Label each room clearly. 3. Is the dwelling connected to public sewer? No Yes X If the dwelling is,connected to.public sewer,skip questions.##4 through#9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone? 5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 6. Is the dwelling connected to.an ON-SITE WELL or to PUBLIC WATER? 7. Is.a disposal works construction permit on file? YES or NO 8. If yes,how many bedrooms were approved according to this permit? Bedrooms 9. Were any building permits obtained for construction of additional bedrooms? YES or NO 10.a.Is there an engineered septic system plan on file at the Health Division? YES. or NO 10 b.If accessory unit is detached, plan on file for this system? YES or. NO 11. Has the septic system been inspected by a DEP certified inspector within the last two years?. YES or NO FOR OFFICE USE ONLY The Public.Health Division has.no objection to bedrooms at this properly. p�I Special co Signe Date: uat oV vi Floor ! t., C �e } U EX iS�t✓7� a.Ccta. c�€ar' _...fig �y l�fZ2-0S� •— — `_ Town of Barnstable Health Inspector opt►+e)per Office Hours Regulatory Services 8:30—9:30 r r Thomas F. Geiler,Director, 1:00—2:00 • BARNSI'ABLE, 9� ."9: ,�� Public Health Division pTpp {s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63C AMNESTY PROGRAM APPLICANT- SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: 4.�9 Address: /S �� //j//✓ Map �.Parcel p?7pL Name: �i —i�l Phone #: 2a. How many bedrooms exist at your property now? 0 — 2b. Are you.planning to add any bedrooms? If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)?k 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? (YES) or NO �-�If the dwelling is,connected to public sewer,slap questions�4 through,#9�below;a x 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Werean-y building permits obtained for construction of additional bedrooms? YES or NO .8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9: Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------- FOR OFFICE USE ONLY The Public Health Division has no objection to A— bedrooms� bedrooms at this property. 1.�3 y� �/c.- Special Conditions: 0Ck 1-7 /2 X2- Signed: Date: i 2 O;/health/wpfiles/amnestyapp J ST ,L. o 0 )� ,. i, i w i TV Ado CL /So � f i } I `cam cJ I � v I � i I I v � J IaT�) 0 IM13 To 1 Q a;gX kJl_ 1 kA4AIII / 77e�e �G j Lam,^ ^/may i . `/ ' �� ,/�A -� i-_ --- � --• L. I � - � -. - i � . � � � E �� FZHE 1p� The Town of Barnstable + BARNSCABLE, • - MASS. i63q. Growth Management Department 0 pTFDjA°�A� 367 Main Street Hyannis, MA 02601 Tel:508-862-4678 Fax:508-862-4782 November 22, 2005 Mr.John C. Klimm, Town Manager GaryR Brown, Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Charles Munro - 15 Oak Street,Hyannis - a single-family accessory unit Gentlemen: This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received requests for project eligibility letters under the Community Development Block Grant (CDBG) Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the criteria for the Local Chapter 40B Program. This office is reviewing the requests.If the Town has any comments on the projects,please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue'a decision as to the acceptability of the sites and the consistency of this development within the guidelines,.of CDBG. Sincerely, e., C) Elizabeth Dillen n CD Special Projects Coordinator Growth Management Department ' -o cc: Town.Attorney's Office B4diiig Department ublic Health Department M No. —�7S Fee $ 25.00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer)et Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYtcation for 33iopogaf *potent Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon jt jt) ❑Complete System El Individual Components Location Address or Lot No. 15 Oak Street Owner's Name,Address and Tel.No. 1 —6 0 3—7 3 5—5 8 3 8 I Xanpsp�,Malss. Ronan Gould ssor310 272 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass.02632 Box 66 Centerville,Mass.02632 Type of Building: Dwelling X No.of Bedrooms 2 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) Pumping and filling in of cessl2ools_ Connecting to t-hP cnmmnn sewer. 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 iss d by t B d ealth. FW Signe Date 10/ /0 Application Approved b Date Application Disapproved for the following reasons Permit No, -Xad a' 7lr Date Issued o �- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned(Xy)by JT P Macomber & Son Inc_ at 15 Oak Street Hyanni s,Mass. has been constructed i accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 91-V a dated v 6- v 7 Installer J-P Ma enm} er & Ron—Iny Designer J.P.Macomber & Son Inc. The issuance of this permit shall not be construed as a guarantee that the syst it as de Date Inspector 41 x ' ; No. _ Fee 'THE dOMMONWEALTH OF MASSACHUSETTS • . Entered in computerl� ' Yes..; . ;. PUS�LIC HEALTH DIVISION -•TOWN OF BARNSTABLEs'MASSACHUSETTS, 'Ap'pricatiori for �Bigogal. 6pel. onMruction Permit _ Application for a Permit to Construct( .')Re air( )Upgrade( '-_)Abaa dons O Com lete System O Individual Components, A - PP P � ) P Location Address or Lot Nos, 1 5-, "Oak :Street 10�ner's Name,Address and Tel.No. 1—6 0 3—7.3 5—5 8 38 " Ronen GAid , Hyanrrrls ass.'M ,y Assessor's MapgParcel 3 I U'.2 2 7 Installer's Name,Address;and Tel.No.50 8-_7 7 5—3 3 38 'y Designer s Name,Address and Tel.,No.5 0 8-7 7 5;-3 3 3 8 t. J.P.-Macomber & .Son-Inc. J{y Pt Macomber &'.Son Inc. \ .w" 'Box 66 Centervil1e,Mass.02632 , . Box 66 Cente' rville,Mass:02632 Type of Building: u Dwelling X No..of'Bedrooms 2 Lot Size _.'sq.ft. Garbage Grinder / r ,..t,, Showers. l - Other Type of Building No.of Persons •:r ��' ( Cafeteria( • ) „ Other Fixtures ,' y Ile { f• Design Flow jJ gallons per day. 'Calculated daily'flow a✓ f `�:�' gallons. Plan Date `" Number of sheets t " K Revision Date Title Size of Septic Tank Type of S.A.S'. }_ -.Description'of Sod�'r �. `Na`ture Qf Repairs or Alterations(Answer when applicable) Pumping and filling in of ces-spools.- ,Connecting to the common ,sewer. Date last inspected: _. Agreement: The undersigned agrees to ensufe 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 iss ed by t s Bo,Wdealth. 4 Signed Date 10/�2g/0 t Application Approved b K6 i�i _ ' Date C /.) °2 Application Disapproved for the following reasons ' \_ _L , Permit No. ad Date Issued '. a THE COMMONWEALTH OF MASSACHUSETTS t _ {r 'hy BARNSTABLE, MASSACHUSETTS ° e`rtificate.of Compliance . THIS IS TO CERTIFY, that'jhefOn-s td7Sewage Disposal System Constructed( )Repaired( )Upgraded( ) `_. Abandoned�(X)0by J.P.Macomber & Son Inc. at 15 Oak Street Hyanrt$s,Mas/s,, has been constructed iij accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. acoa-U� _dated , Installer J.P.Macdmbefrr& Son Inc. Designer J:P.Macomber, & Son >rsd. The issuance of this permit shall not be construed as a guarantee that the sys.46 l-I f�AcAnasdened.Date Inspecto , n£ No U� Fee$ -`f `*THE COMMONWEALTH OF MASSACH�USETTS PUBLIC HEALTH DIVISION'- BARNSTABLES MASSACHUSETTS Miopioar 6p5tem Conotruction,permit j. Permission Is hereby granted to Construct(• )Repair( )Upgrade( )Abandon F<X) System.locatedat Connection' to.:the coinmon sewer . �• , ,.,;. �;d as described-in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply-with Title 5 and the followmg46cal provisions or special conditions.t• „ �' "Provided:Co stniction must be completed within three years of.the date of this pe Date - �r5 0.1 b Approved by /`�. o�;R r 4 =. f PERMIT NO: ( y: SEPTIC ABANDONMENT PERMIT TOWN OF BARNSTABLE OBTAINED FROM HEALTH DEPT. SEWER CONNECTION PERMIT Abandonment Fetmt Not OFFICIAL USE ONLY Required Assessors Ma No. 31iEf4.::::::::::::::::::. P Parcel No W. Q K ...................... Village: Y PROJECT CONTACTS PROPERTY OWNER(Mailing Address l SEWER INSTALLER{� Name: `-�}TC Name: �1 I ACbt9T6E�►'z- �i �D�1 - 1Y� /-S� �L. S T. Address: Address: Phone: Phone: T '7 License No: OWNER'S AGENT/ENGINEER Name: Address: Phonw: PROJECT DESCRIPTION REGULATORY REQUIREMENTS i ::&::RNAM�l±::::::::::::..:::..>•.;::::::.,-::::::.::::.::::::.:;::f ?:':1.'Li•Yi>iii:S:?;{G::i}iii"Li:;; :)'f;:{:;:y_+::}::}$}J:i:ii:;:?{{;':y?iiii`j n:i:ii::i ii:>i`�i}iii::?i;.'•:;i:i{:y} . - If a in accordance with the <C+I>d[�E3�:��;F::..-1€P:�..:.�:::.:::::::::.::::.::::.....:::.,'::.;:.:.;:::::.�.�::::::.:�:.:::.;-::.::.::.�:.;-::;.::.:::::::::.::.:;:::.;:.:•: fall sewer connections must be don The installation o ' -1 aws and provisions of Article )OCVITownof Barnstable General BY RESIDENTIAL r regulations issued by the Department of Public Works. Before excavating within a Town Way the sewer installer must also obtain a Road Opening COMMERCIAL_ _ _ permit and comply with the Construction Standards and Specifications outlined therein. At least 48,hours prior to the installation_,the applicant must RESTAURANT notify the Department of Public Works,Engineering Division for the purpose of inspecting the installation. The Inspector will complete the Compliance Sketch locating the installed lines and connection. By signing the Application,; INDUSTRIAL the applicant acknowledges and understands the regulatorysequirements and STANDARD INDUSTRIAL CLASSIFICATION NO. understands that failure to comply with them shall be grounds for revocation of the Sewer Connection Permit and the denial.of any future application. NO.OF BUILDINGS �_ NO.OF BEDROOMS SIZE OF PARCEL ACRES ESTIMATED DAILY SEWAGE GALLONS PIPING:LENGTH /60 DIAMETER EXPECTED INSTALLATION DATE 0 ' 6 d SIGNATURE(INSTALLER/AGENT) DATE I' DATE* SIGNATURE(DPW APPROVA Qr No. U0,2_!�ZO Fee$ 25.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mt!9poq;4 *,pgtem Con5tru.ction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon kX) Systemlocatedat Connection to the common sewer 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 povision5 or special conditions. ti .; jam. Provided: Co struc 'on must be completed within three years of the date of this p � Date. ° /S Approved by I i � 9