HomeMy WebLinkAbout0035 PRINCESS PINE ROAD - Health .. t t � !�
r
1 �..�,r !S�{.�-i y, r`3'�"�tns t r"i�' t ��,�y- �=yF w�`' "t r �., t �Y`� _
� �a r� '�'d. �
/ � t a+ '�`
0
i
i
i
OWN BARNSTABLE
LOCATION „; r,ya�r ,� SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT)99 0 �
INSTALLER'S NAME & PHONE NO.
O
SEPTIC TANK CAPACITY
" LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
A
DATE PERMIT ISSUED:
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
-a
����
_�
� �
-b
�� -� �
fi
�� ��
� ,"
a �
�\�,.
� _
�.�'�
���
i TOWN OF BARNSTABLE t
LOCATION 2,-, /� SEWAGE #
VILLAGE Asiarhl-cam ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER e, 4ce,L",rl
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED• R eam e,
VARIANCE GRANTED: Yes No
�.
.+ � 1
ys
_ - ��
�,a
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION U
Date I ' 3 S Time: In "3 Out -I v
Owner 2 Tenant
Address J� �L�� �'w"�� Address
cam _ A—
Compliance Remarks or
Regulation# Yes O Recommendations
2. Kitchen Facilities
3. Bathroom Facilities AppTOvea'
��r t1 Fart:
4. Water Supply
5. Hot Water Facilities 00
6. Heating Facilities
7. Lighting and Electrical Facilities 41
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal
17. Temporary Housing rv/A- -- 3 '-j 6j C
O f— �°1
18. Driveway Width 3 3 Q�
19. Number of Tenants Observed luv �Z
PART II
EPl
carding of Condemned Dwelling;
moval of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max)
Number of Persons Allowed (max) rt5
Person(s) Interviewed Inspector
�C
If Public Building such as Store or Hotel/Motel specify here