Loading...
HomeMy WebLinkAbout0209 OLD YARMOUTH ROAD - Health 209 Old Yarmouth Road A= 344-045 Hyannis a` YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for years). 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.) You must first obtain the necessary signatures on this format 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law: DATE: Fill in please: "_•iy r ^: ",;i S it rr' :a,.,. :1 APPLICANT'S YOUR NAME/S: ] Q�iy!)C_ Ai�_ O i�`� C wQC2 BUSINESS YOUR HOME ADDRESS:a"3!Ej c� 4aTcaca.c�csat�; A} 1ft�c� �1� 1.a b l�2dl �d:ur,1' ,11ti:Yi:Nu Y*�• .!S'S'�i+:n r2CL - TELEPHONE # Home Tele hone Number F ;z,i�!zyiiKJsuaVCeIf..y..n;j::=;, E—MAIL: NAME OF CORPORATION: NAME OF-NEW BUSINESS;: TYPE OF BUSINESS IS THIS A HOME OCCUPATION? _YES NO _ ADDRESS OF BUSINESS. . _IJAP/PARCEL NUMBER (Assessing) 0--kh Ol When starting anew 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 heed. You MUST GO TO 200 Main St. (corner of Yarmouth ' Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally ope_a e �s s in this town. 1. BUILDING COMMISSIONER'S OFFICE. This individual ha' barized rrry�d of any permit requirements that pertain to this type of business. Signature MUST COMPLY V`' �:Jiv1E OCCUPATION COMMENTS: RUI S ANC) RFC;I' F'�`NS FAIL URP T(� _ rnnnPl v A,4•A-X-F�•€���; Inl clnl�c - 2. BOARD OF HEALTH _ AI�1 - This individual has been inform e per it requirements that pertain to this type of business. A U KUNA1EIlEP�I'�l 11 Authorized Signa ure** •S (I'm `ave- e fv r- . COMMENTS: D Y0,0 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for-4 yearsl. A business certificate ONLY REGISTERS YOUR NAME in town (which you A--- must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: _.:ti' :. r; x'•• o r Q rr��� "Ta Oj rA C \(xM Z APPLICANT'S YOUR NAME/S: Id. ;:r'i 11 1;� ,' BUSINESS YOUR HOME ADDRESS:a-,r3q --� .� +� h=Qij7-- ci cl� 1.�b,l�2 pl TELEPHONE # Home Tel hone Number E-MAIL: r{ r ar;;,n •'!:,ne;r{r;1;•9; #: NAME OF CORPORATION: NAME OF-NEW BUSINESS �y, �� `S �?a� n��nA TYPE OF BUSINESS ^ IS THIS A HOME OCCUPATION? .. _YES NO ADDRESS OF BUSINESS. . 'Ib9AP/PARCEL NUMBER _ [Assessing) 0-kQ o dal When starting a new business there are several things you must do in order to be in compliance with the rules and regul'ations 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 St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally ope a e s r `ss in this town. . 1. BUILDING COMMISSIONER'S OFFICE This individual ha' b inf rized Signature rrTyryd of any permit requirements that pertain to this type of business. ** MUST COMPLY V,,"T�-i : JME OCCUPATION COMMENTS: RIJL S ANn RFGU;' .,F"-`NS FAII I IRF TO COMA!MA-Y YES IN FIriGc - 2. BOARD OF HEALTH This individual has been inform e per it requirements that pertain to this type of business. � � IItlFC,1 P�?I�i��l g WIN Authorized Signs ure** `S C?MiE" 11 yL La✓�Il.� COMMENTS: h, I Y 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authoriz6d Signature** COMMENTS: L 0 CATION S,E A GJ PERMIT NO. VILLAGE INS TA LLER'S NAME i ADDRElSCRA* AMEDER05dg®H 142 CorporattoU Sb*d OR OWNER Ijyaomis, Mom 775-W20 e d P-%-b in � � ��� � -•��'�'� as J ��ve� cr DATE PERMIT ISSO ED DATE COMPLIANCE ISSUED ����� �\� � � � `� M � 1 � 4'�\�: J \ // � �'"g �' G�Z `�� /" - � � . -.-__ r. _ , c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G Appliratiou for Uiopoottl Workii T000trurtion famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal �f System at: A4 ocat' d ess o Lo --------- -------- V Owns-_ �v.�_...e. ........ .......... _._......... , ,Wa = ------- ------...... -- .�L`�'1..-. l�r-•...-............... ... . Installer . Address Tyr of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ............................ No. of persons............................ Showers a ( ) — Cafeteria ( ) d Other fixtures ........................•---•----•--....-- = WW 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. Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by............................................................0............. Date........-............................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........-................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth'to ground water........................ P4 - Descriptionof Soil... ...........-........................................................... --------.. --•---.----------- U ..............••-------....._-- ... ...........•.............................................................................--...----•-----...•--........•. ----•-------------------•-----------. --------•---------------------------------------...---------•._..--•--- ------- U Nature of Repairs or Alterations—Answer en applicable___ .. .. . ........�.: X- ---..-_-_ -- ----- ..................--............---------------------- Agreement: The undersigned agrees to install the aforedescribed .Individual Sewage Disposal System in accordance with the provisions of A I i U. 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,411 the board of Health. r Signed. ..... ......... ..............g ............ . ........ .� ...... • pate Application Approved By•------•-•---- - -..... . .....................l = /C� '_ Date Application Disapproved for the f o to ing reasons:..........................................................•------------•----•`....-•---.....•--••-............._ ............................... ......................................n..............0................................ Date PermitNo......................................................... Issued......................................................... Date Zt:r ►' _ j No... ...r-.... FEs..../...................... THE COMMONWEALTH'OF MASSACHUSETTS BOARD- .OF HEALTH i ....... D� .............OF..'-�?... _... . . tt, Iirtt oit fiar.'j3i Voott1 Works Tonstrnrtion ramit r i 1 Application is hereby made for a Permit to Construct ( ) or Repair ( .• ) an Individual .Sewage Disposal System at; 70, J ..... _ ..... ......... s __.•. .......................... 7 Location �ress r�Iw � j 0 W ... Owner � �....,:�_ rJ+ 6, .t- 1 d - ess ,.� ,;-•---. ...:. .X._. .,�._ ................. Installer Address Type of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) �•^��= pa., � Other—Type of Building ____________________________ No. of ersons____._.....______:� g � p _-_____._. Showers ( ) — Cafeteria ( ) Other fixtures .................. r W -•. ,Design Flow.............................................gallons per person per day.• Total daily flow............................................gallons. W = Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x DisIt�posal 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 (i ) Dosing tank aPercolation Test Results Performed b ......... f •_--•-----•••...-----•--••••......------••-•-••----. Date.:...................................... Test Pit No. I.............'_minutes per inch Depth of Test Pit..._...._.......... Depth to ground water........................ Lt. Test Pit No. 2.___.______ minutes per inch Depth of Test Pit.. ................ Depth to ground water..............:.._...... O Description of Soil................. � - __------------------------=------------------------------------------------------------------------------------------ U. ........................................................................i ---•-------•-•-___-----__-._-----•-------•-------•---•---•-------•--•----•-----•------------•-----•----------__--••------. UW .... ----•---•------------------•------•-•.....•-•-• _... Nature f Repairs or Alterations—Answer w en applicable ,�' // -• �r / - .t..»+p-M1rliwi._ .. ....................................._............................... �._. Agreement: `/ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation:Funtil a Certificate of Compliance has been issue -�Ky' the board of health. Signed.,-I..` ...................... •... Application Approved By.................- - - --- ------= ........... _... . ........--.---•--------•. ........................1 e g . Date Application Disapproved for the f o to ing reasons-------------------•---•------------------------•-.......-----••---••-----------_..------•. ---........._______ ....................................................... _..........•••---•--••-........................•.. Date........_.... PermitNo........................................................ Issued-....... _:...:.,......... ................................ Date 1 lu THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ; OF. Z - '.`►w*................. .............................. L (Intifirate of Tomphatta THIS IS,2-VCERTIFY,: at th Individual Sewage DIs sal System constructed ( ) or Repaired ( ) by.......�j. .,..� ._.. ` . T . ..,/ }Installer r� ete �Sanitary .at. . ••------. ..... ' .. ..... ..:...............••.... has been installed in accordance withthe provisions of TITTLF� ` o jThe St Code as described in the application for Disposal Works Construction Permit No.__-D.r___�_.......7............. dated_....✓'�}.'`�. ..`Y2 .............: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN TI N SATISFACTORY. DATE................. Inspector = _..- -------------__— ___.._._.__—__—,_.__—,............__.,.._— ,— —_---, THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ` ,�.-/� ,fir`r t OF... N o............. ..... Fn........................ k - : Permisslon is hereby granted.. `t i: .!•.......` .- ........................................... .......... ` :`' to Constru t or R air an In 1 al Se ra a Dis dsl st { ( , P y Street CaS ' as sho wn on the application for Disposal Vl'ork Constt tion Permit No....... .� Dated.._.... ,_.�......� ...---. �. - - I............................. t and of Health DATE. --------------------------------------- LO C�ION SEWA ER NO. VILLAGE I N S T A L l E R'S NAME i ADDRESS J. CRAIG MEDEIRC>S�,, Trucking & Bulldozing 42 Corporation Street Hyannis, Mm" ZZ' Q-281 'I ,111 U I L D E R OR OWN ER a 1,o DA T-E PERMIT IS U E'D y 3 DAT E COMPLIANCE ISSUED �'� hay` VN � � � � Fps..-rf d.................No r` THE COMMONWEALTH OF MASSACHUSETTS � � nlg7rY •,.t- BOARD OF HEALTH - r•...............OF....:�r3 0 - K S.'-%A .. . .. . ......................................... Appliration for Bi,gvnsttl luorkii Ton trnrtiun rerun Application is hereby made for a Permit to Construct ( ) or Repair ((v/ an Individual Sewage Disposal System at: ov T.� f/ � ©o.9 4 /Z ��.� ....---...-- ........ l L Address o No. ...... - '•-• •...... •••.............. ....�-.---- -- t. .... t�...9.......... O ne A dress e.,—o ,�a2''i,�el. aGlr 6/ ... � •---.:..• Via. Installer Address r d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder_ aOther,—Type of Building ............................ No. of persons..................--.--.---. Showers ( ) - Cafeteria (" ) d Other fixtures ----------------•---•--•------ _.. 7....._ W Desigri�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. �' t Seepage Pit No..................... Diameter.........---.--..... Depth below inlet.................... Total leaching area..................sq. ft. ` z Other Distribution box ( ) Dosing tank ( ) Percolation 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.---.................... O Description of Soil.......... _'!. __ ------------------•-••--......................................................................... x __ x -----------•-- -------------------------------------------------------------- ... ----- .---- ---------------------- -- -- -- //t•- �,�e1 o U Nature of Repairs or A rations—Answer when applicable--------_---� ----------------- ------------------='�--$-•------:--------1,...-.-:`��4f+� e. i. Agreement: J�Z�.. (/ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'LL 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 by the board of health. Sign ....... ...................................................... ....� - Application Approved By................... ---• •. ---•--• . .. . ........... ate Application Disapproved for the o 'ng reasons:----••...........................•---------------------•----••----------------...... •.....--•-•-.... ---•. ••.............•••....-••••------•-••-•---•-•-•--•-----•--•...--•••---•--•---..........................----•.................-•••--••••--•---••----•--•-•••......-•---•.•-•---....-•-•--•-•-••-•-•--... Date PermitNo......................................................... Issued....................................................... Date r No......................... FEs..•--....... ; . THE COMMONWEALTH OF MASSACHUSETTS' .BOARD OF HEALTH - ......... Appliration for BUivolitt1 orkii'Tonstrnrtiun Application is hereb .,made for a Permit to'Construct or Re it an Ind`i dual )ewa a Disposal .PP hereby.,made (_ ) P (� g P System at: /�,!wyr� :.. . ,y ......... a.... r L Loca Address s.}gx7 r yto t No 7 0 W � � O ner + , A�iress!� ^" ........ -• 1 .... Installer 3 Address Type of Building Size Lot_____________________ .___Sq. feet g _:Expansion Attic ( ) Garbage.Grinder (A1 Dwelling—No. of Bedrooms..._.._ Other .—Type.of Building .......... ___ No of persons____________________________ Showers ( ) = Cafeteria ( ) eftsOther fixtu s ``` q..................................... ------------ ............................................... DeskgnFp�v..................fr _._..__._.________gallons per person per day. Total daily flow............................................gallons. Septic1 aIk—Liquid capaeity_._..__.____gallons Length........e...._ Depth................ Width________________ Diameter.. .. W Disposal Trench—No..................... Width.................... Total Length...._..:............ Total leaching area............._......sq. ft. Seepage Pit No.______-__-.,-_____- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft, ag z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by................ ................. .........----......__ Date._.... ................... Test�.7 Test Pit No. 1................minutes per inch Depth of Test Pit....'' ......___ ..___,, Depth to ground water........................ ti, s Test Pit No. 2................minutes per inch Depth of Test Pitt__................ Depth to ground water... ..................... ..................................................................... --•-•-••--••--......................................................... Description of Soil ................... -------------------------------------------------- :...: W -- -_ ............................................................... _...._........_......_... ...... s .V Nature of Repairs or,A ; bons—Answer when applicable=___. ___ ems � ? .: ; � ' greet lent. �^ a The undersigned agrees to install tilde„afored'escrbed Individul Sewage Disposal System in_accordance with the provisions of TITLL 5 of the State Sanitary Code The undersigned further agrees not to place the system in `.. _ operation until a Certificate'of Compliance has b n slued by�the board:of Health. rb tSi �. .:, Application Approved By_ ( r+ ' --•--- ------.---- •-•--•----_... /� Ire Date Application Disapproved for the following reasons:-- :: ,________•_-- >,V Permit No................... = >.Is'sued-........... X 'YrtY• �r Date THE COMMONWEALTH OF M\ASSACHUSETTS BOARD OF HEALTH Trrtifiratr of f omf ittxtre THI�IS TO CERTIFY, That the Individual �zge posal System constructed ( ) or Repaired by.............. ......Ct ..3�_-1 CI..-•---- - _--e- -• f ------•-- --....--°d'n...................................................-_... /'� fp� �' ---------------- Installer. t- / at...... ....... e3 _ f`N/1...................• '� has been installed in accordance with the provisions of TI 5 gf ?eState Sanitary., ,tide es abed in the application for•.Disposal"Works-Construction-Permit No.......................................... dated:.......................... ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI�L "NCTION SATISFACTORY. DATE. • .4=•_. `.l.................................•---•-------•- -----. Inspector. ..-•---------••--•-•............................... ...... la THE COMMONWEALTH OF MASSACHUSETTS, 14 0yr�Js � ;�• {' BOA OF HEALT 1 ot ' ..........................................O ....................................................................-................No......................... FEE........................ ' - � 14VTV1 Permission is hereby ra ed �-f..... ..... tf .._. to Construct or Re a� Sewage Disposal System - = / I Iv1�3ua1 Sec g p ' ( ) p dr q� atNo... : ...---- ---_•••. •............................•-------- ---•-----••-•--• -- 'y Street as shown on the applicatioyor Disposal Works Construction Permit No..... . Dated...._...............:..................... Board of Health t ;. .DATE............ (((.. •--•- --- �� . FORM 1255 A. M.-SULKIN INC., BOSTON22 - _