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HomeMy WebLinkAbout0213 OCEAN STREET UNIT BLDG 1 UNIT 102 - Health 213 Ocean Street Hydnni A= 320 035 -- o �I i I a i; I 4 I k I e TOWN OF BARNSTABLE Date: ..... ....................`� LICENSE APPLICATION El New Application HARNSTABLE, « ❑ Renewal � 200 Main Street� a�: `�� ❑ Transfer Hyannis, MA 02601 (508) 862-4674Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES f Name of applicanUcorporation: }ALMMI. i4�(l �c� rJ M0.f ;5A16" C" 4�=20k:, L(,c Home phone#: ,O`1 7"1�. . HL17 Business hone#:��D D. C'.�L�l-2 Address of applicanticorporation, r( ......_ w.:� .......��`1. .......IAf�Uth' ......... ..... p ..0................... W ........ at, .► ......R, ........ !L.9a+ -...... ......... ............................ . .... .............._. . ............................................................................... D/BIA ... ...... Business phone#: '7 Lq�� Business location: ► .....<Ja6-.F.0 .Sr., ��4'#�1JCJw_ c�..� d........6t......1. . ........... ......... ... Business mailing address: ....... nr-R�'��a......���....1'�VI�,:U Nl� MA ,"1` e0) Local business address: 'ZIP Or-SN4J... �1....... ' ��lN.t�`�.......�rl .:....... d2�1� 1 . . ...... .... Local mailing address: ..... ..3...............4..... �N ST ...._.1 0'.��........ ...... r�2-(�c�t LICENSE TYPE: -..... ..i .1rt4........... CJJ ^. ^ ........1�.�.Lj-'al p',........... Annual ❑ Seasonal ❑ HOURS OF OPERATION: ly_�,r.....7:o.......1.7.....k�.�.n.s.A `FID#:.. .1�.........3`��2�:�`'t........... Nameof manager: �....1..`('` .. ........... -t �'.. .._1C`:.............................................................................................................. eMaiL• .3 C Local mailing address: .................-� ��.....�.T"......�......1'�..�'�.P,?..M�.........�i�........... ........................................................................................ Manager's Permanent mailing address: 'Z\?,.........0C&\,.►. ....._..�T....._t......_htio..h1t�1� ............._!V`�1 .................../�Z6zj..l.............................__..........._................_..........._.........._..............._............._. Manager's home phone#: �,Oe,,.*-7 ,,..,._L442v........... Business phone#: �v3__:. ..........._......_ 1. i.7�j Name of property owner: LL� NJ �� 1 Nr�l�' i ..._. _ _ ....._.. .. _ ....... ... ....................... ASSESSOR'S MAP/PARCEL#: MAP 2......................... PARCEL U 5... ..J. � List any flammable substance or hazardous waste used in business(specify): Applicants must contact the Building Commissioner' s office, (508) 862-4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF 6T OPEN 8 : 30 - 4 :30 DAILY. Signature of applicant .......................................................................................................................................................................................•...........................•............................ • For Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON — -- IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ INSPECTORS APPROVAL Capacity set by Building Division_.......... .....................-.......,.__,..,,,.,._,.....,............... Building/Zoning ........ ......... Date ............ .. ........-. Board of Health.... .. ........ ............. Date . ................................. WireDate Plumbing ........__.. .......... .............. ...................Date ............ ........ . .._........ Gas ............................._.............-................................... Date ...._........._....................................................... Fire District ......................_......................................................... Date ...................................................... Comments: White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division r WD No.---�� --- - ��� Fee-� ---------- BOARD OF HEALTH TOWN OF BARNSTABLE ZppCication-*rIftl Con5tructionVermit A plica_tiioon� is hereby1V.m�a..d.'e forr1a permit to Construct ( ), Alter ( ), or Repair (� individual Well at: QSt111�17.1_lW—L_![1J Gi_K"1=_last—��� tk=1 --- — -- ---- P —__ --------------- Location — Address Assessors Ma and Parcel --------- ------—-----------—-- — ---------- — Owner Address Installer — Drill r Address Type of Building Dwelling__ -- --------------------------------------- Other - Type of Building----------------------------------- No. of Persons--------------------------------- tl Typeof Well- ------------------------------------------------------- Capacity---------------___ - -_— ---- Purpose of Well--...� �- �b�- - --- - — Agreement: The undersigned agrees to install the aforedescribed.individual well in accordance with the provisions of The Town of Barnstable Board of Health rivate Well Protection Regulation — The undersigned further agrees not to place the well in operation until a tificate of ompliance has been issued by the Board of Health. Signed- ----- ----- a�te Application Approved By4j date Application Disapproved for the following reasons:—------------- ----------------------- ----- ------------ --= -- -- -- --- - ------------------- —- --- - --- — - — ---— -------------- - date ��s Permit No.-------- Issued----------- ------ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO. ERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired Mc_kUY1C¢ Ce ------------- 11------ Installer at- --�( ►d�C�3_►_1�t1- � -=1�T -�r (1� �--- ---- _____-_ has been installed in accordance.with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit, d�^-, £ Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. - - -- Inspector— - —----- --__ — -- - - DATE------------------------------------------- - No. BOARD OF OF HEALTH TOWN OF BARNSTABLE 01pplitat ion-for Vell Conor' uctionPermit A plication'is hereby made for a permit to Construct ( ), Alter ( ), or Repair (�/)an individual Well at: Location — Address Assessors Map and Parcel — — ------------------------—----------—— — — -- — ----—---—-----—--------—--------------- -- —--—--_— — Owner Address --------------------------------------------------------------------------------- Insta ler — Dri11jEr Address Type of Building Dwelling - ----- - —-- ---- - Other - Type of Building ------ No. of Persons--------------------------_------------------_____ �t Type of Well ------;__ -- --- --- - Capacity-------------------------------------------- —---- Purpose of Well- r� -- -- -- - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health, rivate Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Cie tificate of ompliance has been issued by the Board of Health. Signed v -- 'L ----------------------------- :_Z4i a Application Approved By 'date Application Disapproved for the following reasons:---------------- ____________—__-- — i � . ---------------=---------------------------------- -------- -------------- ------- ------ ---------- ---- ------ --------------- ---------- ------ ---------------- -------- ---- ---------- date � `� v � - - Issued — - ?-_ ! Permit No.----T.------------- date BOARD OF HEALTH TOWN OF BARNSTABLE C ertlf irate Of Comphance . THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (Vr Installer at_ ` —� �` � ^� 1 �- ( 1n"`mil --- = t`-'3-`9----- ------------------------- ___—_ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit AV 7___ Y Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL ..� SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------- -- Inspector----------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Ivell con5tructionVermit �_ __ � 01 No.- -- Fee °—------------ Permission is hereby granted (X.CJI----------- to Construct ( ), Alter ( ), or Repair ( an Individual Well at- No.No. -- c1 i��� rr l W _t--- _ _ 1� . 1''t- - i ------------------------------------------------- — - Street as shown/on/ e application for a Well Construction Permit No.---�f �—f/_ �7'— ----— -- Dated ---= ---— "— �" (' Board of Health DATE �Ys� 1 S ti I i p1-� a 44 t _ I } v tt .I e Cx i�T 1 Nc� Y i riIn y _ mow,R 1 T✓T I � iq t W W i t. i I I .-Z oz too too t � � s t iiry �t lop*t=4� wil >- C� t� cr CL uj T , t e ;3 kS .- . _ -. _ . - - :I _ - -r._ _-.._.r,_-_--__-__,__._._,_,-._-___'"_"_-_._.- ....._..._•.. + *�( __..._,_,_._...._.-.,._.-._,- ,...._ ..Af (\F 41UC ,S..QQ. __ �J V. »FC' �'}. 1� rQ. .!2J - �1�91Q .__.TD.I.�'.� ....ti f} - ''1.�,'��.._... .._.- i ' ' T --i� II I' ;I i; I 1{ j; II t-� it i' t; n I) 11 ', ii , ,' N !� I ._.,...._.�..-_....W,._ -__I� i --p F' I .I;p1 j I! i. }d} �'j �I I� i^ I' � i! 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Q v-,• ,1 c T�. , 71 - 7 _ -_ _ .__. .------ ---_- _ ---_ _ �F _ __ _ RECEIVED JAN 2 5.1963 cl - _ - __ - -- - — - - -- I ECE _ _._ R _._._ _ -_-_. _ _ _ __.__— �L+..t �� _ �'rr'„e C sT.�, _ (VGN -=_ �T.��'K -.- � - _- ____. .. _.=: - ._ -_- — - -i_. _ __-_-_ r______ _ — - - - __- _._.._____ ._ _ AT 4 i5 i 3 x o C 7 y r T - _____._ _. - -- ---- - _____ ___ ____ =-_4____ ..______ 1 - - — - -- - f�"- t..' . t<I r A I i . 4 S s �- r_.�L_-lt . !� - l Lh _\A .h':s� 1 -A� �.1 S ��Tr- ai tL�tt7� _'-+T?'+ A I 1 OL I � . >{ I.j ,.;7 . . _.i� kY_,,_CTI e.Y . : " I- _ _ -- - -_ _ __ .. _.. _ - ___. . - - -- - .... -� .__ I__ _._i t �._._t1__._ �__ DT's- lr.A � ._ �il�' ..r&-ti..r�.__. _ _ '� { -,%# _.-- v �. � � �;, __-- __--___. . _--_-__ -- _ -.._ - _ _ - _ 4. i , ___ _.2-.�:�� _..___..____.__ r x _.-_-..-.__._-_.-. __ _ . ___ __________ ___ .._ __ _._ _.__ __ __ _.__ _ . . . _ r k t .r.jjL. - - - _w _ d .-.—.._._- —,--�..,._„-_._..-_--._...- .-_..___.__.,..__•__,_._-.___._. .__.. -_ - _._ r -._--------. .. _..-_.. _.-_.____.._.-,_--__.,..___.._-. ._..-.._____-_--_._. - '-- .+---I----- -- --_- -. I , , j,ni t [-----------.-,-------.----- - -- --- -- - --- > i -. P Y - , r J I 1 c,11. �cop- 177 I Ir I 1,2 4 j ` i . ...._ ___.... __ _ _ _ ___� — .---_—.`-- - - - -- -- ^' I _ _____ -_ oa- T- KJ_T - ._.__ . __ io ______ - ____ __.. � el �,c,{�� air ? t�1� I 1! 3z ; zft- I I �-E _ f.. -$- H 13a ri �,� � x � tt r 8 >r.. �A H , o 103 03 1 i MANAGR's f- i STO�a A� . t �_- i , � . B t. 77 _v L !a — C) _7 R P L A ! - ---- ' ! - _ - _ -----5'�'� -- -- - --�'7� P t O F I C E F_ — -- — ___ __ i �F nn ~ J I CQ r I , 5 UNITS t i CF- .__ t ICU 1 C) I( 't q. i i .. 3 4i -ill- T UB4-L I , BATH i I IS 0 T--�--_ —.J T l - : 5 1 M 1 1A R To U N 1T,5 i ) -`, ; + too ! r N } I , I 1 J I VY11�,�M I.a t4 4"•'"�1..t�., Cr,tea,��' i H � hT' i.-oss ► 8�poo8r ` F , ; •,. ! - --- } Y_�Ll. FRY ) ( a ..h.2 1. ooL QuTi-f,T� PEk U KIT 1 , s T U ALL orHck ricj�L? .fig _8 t !1, ! : - _-__ �1-,�`, :•.1 ..y,.v l _ G, -..4'�FC �� w, k ,k r� r,� 4. ::, `,tl'•. f._ `f� 4 - F/i2..__-.4t.F1.., T.k'. .::<.. . _ ... P G p1 u U. 1 li f _ _ I " T - _ 71 T Y - _[`i J � M - _ �C�? ! °�=i. ��.�J✓e_--a "�' `;.� ."...,5- ' 4} I .�', �ti ,`��� t:�,^,i �",.�' I I '-----i---. ` II , { r � 1 I ' � i r : i ' +1�' 1, :, ., i., ,.. -_ - .- .. .. - ---_._ __ m ._ -- __ - _ — _�•�_ � it _ T -_ , i�F w �-�-- i K w V. t !lip Sp I i � W tt— I _ j' RE a I � t u� — — _,.-__.-.__. a...-«+r_._�.__, __ ... .._ _.. -_._ _. { i 1 __..._..___....__.....�-,.._..._�.�_._...._..._ wr• ....—..__.. —� .._,-,__-�....._.—...._-__-_._.. _.,___.• � ..,.ter , I , • I Y\ t Ir I , - o r - - - 1 I - 3 ` S GA �.£ — I _ ,..._,._.._,...-...._.._,-.._......_._..__. _—..=Wiz_ ,...._..__--..--_____._---_ _-_-___�.__ ----____.•__.__,.,-_._.. _.,_._�' ._. _ —-------_------- -_._.___--- --- —._Y.._---- __-- _ - : I < TY PI C� A,,L UN T P L A N (ffrtCjZwcY) RECEIVED JAN 25.1963 �1, r -- ._._.__'._-_ •� -.__'_-._._-_. _ _ ._;.x j.- .._ c-m ...._.,._; -:,.e�+�e,aar:.: �<:zse--__-mac�.:__. „a. .a.:v..i- ..-.__...z...a..-�...s-_arm.�rzr'-...�,.i_--ta _...._.-..__..._.,... ._....._ _....__-._....._._,._.-_.__ ...... .__ .__ _. : _ 1 1 1 1 1• i C f i I T t r ,1 I �•a i t t { I I f t i f,I i 3 1,i l I � 1 is i f i l t l , I i k,I � 1, I { I I , i r I ,:V F I � I I , — ii I I f f I r f I I,i � I i ii i P i r I f ► 1 i i f I I i I i I , 1 '. , ,: _ —.__-__-_ _.__ _ ___ -_ ,_ __ _____,_—, �—______-•__ ___._.�_�, - r, i, a C— I -----, I , . . ' I � , ! ; I , � ; i i ; f � 1 : , _-__-_� _:____ � - - -1 •j ,Ij I i I i� ---- If , —1._- _-tom---- 1 � _ k�..- iC IL a _ I ._, __ _- - ajl± � '' r- t—.._._ ___..� - - 1 1 I 1 I _� , _. t, �._.__..r---' `_l r � i 1 I' — — , _ ! , 1 1 ; ' j•I r' --- __ l yi; _ _ ____.__— ——_—___ _..-.. .—_ , I '^,------ ; { I f I I f ' f i i i r I .,t_ ! I _ ' i, _ - j :.� .—_ , i �, , •i I ,III { i f i I { t :I 1 111 - 1 (I i i I I I i i.� a /+.1 D� i I 5 1 :R I1 1 1 i 1 i 4 I i l_ ii I_ I a i 1 I i i i I i i i •1 I I 'N �, i t, o a I I 1 i r� I -- i I I I r I , I f r � R . I f I 6 ' � - i O BE1ES I r.-r ar I — i 4.,•., tt .,..- e I AT F FAC1tV C � Ck'i -�` Mor — 7/ f Al _ _•,.n',�5�,c r...? i .�i�:r._ e.d •'.1 nIG _ "... 1.,, e/_3 : ! F '7- t y . ,J 1� �tii_. � � , � � L �r �� xo . Dest � rars• _. I ' Txero�o TOWN OF BARNSTABLE 0 •e OFFICE OF 's HAM i BOARD OF HEALTH 1639.MpYp' 367 MAIN STREET HYANNIS, MASS. 02601 . z July 28, 1989 Mr. Brian C. Baker General Manager Hyannis Harbor View Resort 213 Ocean Street Hyannis, Ma 02601 Dear Mr. Baker: You are granted a variance from the Board of Health "Revised Supplement to Minimum Sanitation Standards for Food Service Establishments" Regulation 10 that requires a minimum of a 1000 gallon grease interceptor at all food establishments, and a variance from Regulation 14, of the Town of Barnstable Health Regulations for Outside Dining. This variance will allow you to operate a food service establishment at the poolside "shed" located at 213 Ocean Street, Hyannis, with the following conditions: (1) No cooking of food will be allowed, only sandwiches can be prepared on-site. (2) The washing of..pots, pans, and utensils is not allowed at this site. (3) Only disposable single service paper, plastic, and other disposable dishes and utensils are authorized.. (4) You must install an under-sink grease interceptor under the double compartment sink approved by the town plumbing inspector. (5) This grease interceptor shall be cleaned monthly (instructions enclosed). (6) You must install a water flow restrictor device at the double compartment sink approved by the plumbing inspector. (7) All other regulations contained in -105 CMR 590.000: State Sanitary Code, Chapter X - Minimum Sanitation Standards for Food Establishment and of Town of Barnstable Board of Health sanitation regulations shall be strictly adhered to: This includes the installation of a self-closing, tight-fitting screened door. Also floors within the "shed" shall be constructed of smooth, non-absorbent durable material such as sealed concrete, terrezzo, quarry tile, ceramic tile, durable grades of vinyl asbestos or plastic tile and shall be easily cleanable.. In addition, the walls and ceilings shall be smooth, nonabsorbent, and easily cleanable. (8) Seating for 110 persons, or less, are authorized outdoors. (9) Total seating both inside and out - cannot exceed 276 persons. (10) You must meet all of the criteria contained in Paragraphs A through O of the Board of Health Criteria for Variances for Outside Dining. Failure to do so will result in revocation of your outside dining privilege. " ^ Mr. Brian C.Baker. Hyannis Harbor View r 9-1 July 28 1989 '{t .These variances are' granted .because?there will y-be no cooking and no washing of;Jpots,, fi pans, and.utensils at this thi's •site. The''pots,'`pans,'`'and'J`utensils will be washed at Topsiders. y Restaurant located at 213 Ocean,Street, Hyannis: «� 4These variances "are•not,transferable'and will be .voided if;the establishment has a change x= m a tuse, chan w oo r r`leased'to a'party�other,than the,applicant ift z J cx Very-truly yours, « 1 f NY'Y J � i�� try �r `A i -• Grover C: M. Farrish;;M.D.; Chairman } «- OF BOA D HEALT r• R H'TOWN'OF BARNSTABLE + •�t•A r S S � •s:t« it'°-a4i ; 'a6. •+'° i�;'� * y�. {�d"• . _e, ' ` ;enclosuie r _" ` , +`;=Yi< t tt, �, '• . +rt• #.$�# i#; «}k��r = $x a .F a rR..fir&+ g Eh'�: ,�., feW .r"r. -t _ r+; el 41 I •S r,+t.` i` ex r Y r 'F . {sS ° jU( J y fps a, , '"t 4 •� f+ S' 'j. ' i 2 +� - .F•' .,_ .`Y,ffa �!-}.•� � .�.� 14 x •; t t. ft, r F• r it .,« l {5, .. ! "'; ', „ * A '+ • ;. Y . }t t c c $r t �p `"• x, "fir- '. ; ' .tv; "a• r�' #P • 4 c x <` ' TI Y +'X - 'd" r^� cti:°,.C' `k a ;i. S « 7 ••�n> J 3. «�« 4 fi A.�J* ,>- �' ;, t " 4 � � ��d'� 3.F b 1 J t v*'K�. a �• ` t .� I V � ? �+' 4 • >r � ;,a F 1x';.�. t ,r,c i« �" �` F i tt. s. � ', •. ,4 1� _. F No..................?�_ FEB.....45".'........... THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH ...........................................OF.......&e..R.xl r,.A6J4.:...._......---..._.._...._.. Appliratiun for Dispoa al Works Corm rnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (V,fan Individual Sewage Disposal System at: ocat Lot No. L ' Address or .....tl. l f.a.�...... �- -r------------- .� .r, ............................................... 0 Address ®,vsT2vc11 �1............. .....7--- q-— c�. T... ,�r/.�r1� Installer Address,' Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fiktures .-----•-•---•-••••-•--•---•--•-• . . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter_____:...___-__- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................Sq. ft. Seepage Pit No-----------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water-___--_____-___-_---_-_ a -•-----•------•-----•---•----••--------------------------------------------=------••----------------------------•=••---•-----------•----•---------=•--------- 0 Description of Soil......................... _......--•----------•........-••-•------•----•- x U -------••-•••••--•••-•-•--•-----••-----•••----------------•-••---------------------•...........---•----•••-•----------------•--------•----••---•--------------•----------------••--•......-•------•--= w -----------------------------------------------------------------------------------------------------------------------------------------------------------------...................................... U Natur-o Repairs or Alterations ations—Answer when applicable..___. .Y T ll..._.�� ....... ------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi i, 5 of the State.Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben ed by he rd of Application Approved By... .• •-------••--.._....••-------------------••-•------••-•--•----------........�_..._ .. ...: Application Disapproved fo wingreasons:--•-•--••-•---••••-•----••-------------•••-•----••••-•---•-•----••••--•-•-•---------.........-•a-t•e-•------....... I � ---------•---------•----------•••....................••------............••-•••------•--••--••------•••--...---•----------------......-- ... --------------------------------------------------... Date PermitNo......................................................... Issued...................................................... Date ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................'......-.... ...................................------... ------.._._._............... Appliration for Uhipvii al Workii Corm rttrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (�) an Individual Sewage Disposal System at: -•-••----------................................................................................. --•-------•----------------------•••-•-------..._..--------...------------------..........._------ Location-Address r / _ ` or Lot No. /�/f/ r"{/ /• Owner, Addressr .............................. ..........._....._._________._....._..............._ _...._______._._.__._._...__._._._._._.___._._.._.._._..:.____._.........._............_......__.. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ............................ . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---_---------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water-._-_.-._____-__--_-__-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...........-................................................................................................................................................. 0 Description of Soil-------------------------------------------------------------------------------------------------------------------------------------------------------................ x W •-•-•--•---•----------------•-----•---••••-•••••-••-•-••-•-------------------•----------•--•----••------••••••••-•-•-----•-•-•••--••-••--•••••------•••---•---•-••••••-----,;W...----------------------- U Nature of Repairs or Alterations—Answer when applicable---------.-'___'------------- f 4f = - ' -----------------------------------------------= ..................................................... f� f l `' �"� -----...._...-----------•-----------------...-----...-------•---•-•---------•-----............... Agreement v ti The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,issued,byjhe board of health f� � ;,�`� f; ed...•. . ................... ............................................••-- to ApplicationApproved By.. -- ------------------------------------------•--....------------------------------- ---- ------ ----------------- ate Application Disapproved f o t ollowing reasons------------------------------------------------------•----------------......-•----------...-•-•••......----••• -••------------------------------•-------------------------------•-----------••••--•-•-------••-•••••-••- --------------------------------------------------------------------------- - Date PermitNo--------------------------------------------------------- Issued-........... ------------------------.....------••------ Date THE COMMONWEALTH OF MASSACHUSETTS N BOARD OF HEALTH ..........................................OF..................................................................................... (In ifiratr aaf Toutpliattrit THIS�kS TQ ER e Individual Sewage Disposal System constructed ( ) or Repaired .. by..-- . :..­P at.. ` ...... .. .......=•-- .......... ------------------------------------------------------------------•--------.............................................. has been installe in cordance with the provisions of TIT 5 o The State Sanitary Code as described in the application for osal Works Construction Permit No.__............... ................. dated................................................ THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CON STR E AS A GUARANTEE THAT THE SYSTEM Wl F .NCTION SATISFACTORY. DATE...,11..0 .. ------------------------------ Inspector... --------------------------------.----•-•----------------._---:-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 F.. ......................_..........._........................................ .... �S i••--. L rt No......................... FEE..-•.----.........------ - ��� k� .�tt��rttt�i�n �rrrmi� Perm�ssion is hereby anted Y granted %,CG to Construct o ep n Individual Sewage Disposal System at No ------------ ------------------------ ................... . •.... Str as shown on the ppli tion for Disposal Works Construction ,P. o.____--•_..______- Dated.......................................... b .............. ••••-••••••-••••••••••---••-•••---•-••••---•---•-----•--•-•-••----••••......••--•_..._ �/ •----...--•-••........................... Board of Health DATE.._!..!_ __...-- •----...---•-=- .... FORM 1255 A. M. SULKIN, INC., BOSTON n� i a a I ' 1 io C-i ; • , i i f 7 MT4 is 1 .µ 1 r � � �. ,, � .� �, � .. ---- — ,., 1 � _,,,� 5, �� • � __ -- — !__�, ., , , ,, o ��� � �. � � �_ � �� � �; 1 _. __ - �..� , i � _ _ .� � b � �,� , � �� � :�� i ,`\ y � I � ! - _ � i _ _t � w --,— - �� ,�� � ._ ..._ t � I _ � _ 9. ..... � / ' ��� Q � _ w t ~-� � i � ..� �� _. __ _ � � �_� �.. , i, s C __�--_ `� f � � '�—'--- ,� � ' , � rh �.� �, :: :� =�,� ;.t : ; � . 1 �� •,,$ t - ;'. �. +:I_. ,,<::; _ � r.. = __-5. - _ _ j. ' _ C. .%.Wow AN, -T-777 NK ti NK"'.0- LLF NA Sao, ........... elm 40 va W 41% Stanton, David From: Anderson, Dave Sent: Tuesday, November 28, 2006 1:02 PM To: Stanton, David Subject: 213 Ocean Street , Hyannis The property at 213 Ocean Street( M&P 326 -035 )was issued Permit# 1712. DJA 1