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Home My WebLink About0110 SCHOOL STREET - Health 110 SCHOOL STI <, A' ; r� Adventure'' s 1 i i r i ri' YOU WISH.TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the 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 form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. h` Fri DATE: y v23/0 Fill in please: r i APPLICANT'S YOUR NAME: Ornel 0. 'Roberts ' BUSINESS YOUR HOME ADDRESS: 16 Sheaf fer Road,Centerville MA 02632 TELEPHONE # Home Telephone Number: 508-420-4421 NAME OF NEW BUSINESS Beaches Diner, Inc. d/b/a The TYPE OF BUSINESS Restaurant IS THIS A HOME OCCUPATION? YES X NO Dockside Have you been given approval from the building division? YES X NO -ADDRESS OF BUSINESS 110 School Street Hyannis, MA MAP/PARCEL NUMBER 326/121 When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable: This form is intended to assis t you in obtaining the information you may _Y g y y need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate y pp opriate permits and licenses required to legally operate your business ess in this town. 1. BUILDING COM SSIO ER'S OFFICE This individtileon i�Sign�ature y er t requirements that pertain to this type of business. rize COMMENTS: 2. BOARD OF HEALTH This individual has been inform d of Lhe permit equirem"ents.,that pertain to this type of business. Authonze Si ature** COMMENTS: 3. N CO SUM R E AFFAIRS (LICENSING G AUTHORITY This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 0 INS ,._. No. ------ Fee--- 5-------------- BOARD OF HEALTH DESMOND WELL DRILLING, INiT O W N OF B A R N S TA B L E 5 RAYBER ROAD,BOX 2783 OR(508)2 MA 02653 ZippCication-forVell Com5truction3permit (508)240-1000 Application is hereby made for a permit to Construct individual at: i ter ( ), or Repair ( )an ual Well llo �� ere __ — --- - — �. -- Location — Address Assessors Map and Parcel (� l aIF �F—R {-� _r R l3�1— �__ f -FLU_ "R!f C 1�' #—YmApez _0-4<-O 1 Owner Address � Installer — Driller Address Type of Building Dwelling--_-----_—_—_-.__-----_____-- Other - TT -f V _ 1i_COX- --- 44e--e4-Izersens —_--_ -------- Type of Well—�- _� Purpose of Well-'W A-(Lff-4 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until ertificate .of Compliance has been issued by the Board of Health. Signed �a- d-7_-_ Application Approved ByJ"O-,Aee� -')- d e Application Disapproved for the following reasons: _ date _ Permit No. Issued-----------------__ date BOARD OF HEALTH DESMOND WELL DRILLING, INcT O W N OF B A R N S T A B L E 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653 (508)240-1000 Certificate Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (,-�Itered ( ), or Repaired ( ) by Installer _-- n atlS Q Q_ o� - 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 No. ----------_—___Dated—_-----------__--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - Inspector-------- --- --- ------- ,� No. ---------------- Fee---- ----------- BOARD OF HEALTH TOWN OF ; BARNSTABLE pplication,for.Well Co0truct ion Permit i i Application is hereby made for a permit to Construct (,-, Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel TOC-KSki %�F-A1�7 _T'2 UST" /_ !N1 LLo4ST2e Owner Address s-------- Installer — Driller Address Type of Building Dwelling---_----._—_—_ -----____-- Other - Ty.Pe=o.f--Bg lzfing- (��=1 _--- -No-of--I?egser►s--- Type of Well v '------ Gapac-ity-&Q9- -po ft_t3_l (a --Wi.LL Purpose of Well--WS __OQW_ t- Da�'iL 14 2.ill Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to j place the well in operation until a ertificate.of Compliance has been issued by the Board of Health. Signed date Application Approved B Old"�- PP PP Y - --- ----- I d#gfe 1� _ i Application Disapproved for the following reasons: _date Permit No. -— -- Issued -- ------- date --.^BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired Installer at �t 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 No. -------------------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 Well Conaruct ion Permit Fee- Permission is hereby granted to Cons ct ( Alter ( ), or Repair ( ) an Individual Well at: No. Y A-N N 1 S .:�C 1�l 1`f�64, /-�b4 _ RC)L Street as shown on the application for a Well Construction Permit . l No - -- Dated --2 r ?l j -- _- --- - �� - - - DATE 7 Board of Health DESMOND WELL DRILLING, INC. 5 RAYBER ROAD,BOX 2783 ORLEANS,MA 02653 (508)240-1000 „ d PARCEL 121 = N F n: EXISTING i s� LAb SOV - _ w�' N x RESTAURANT N `z� d o � . ,., pLn�A r OCUS N a► may a, cn USGS :SCALE, m m vv ' HYANNIS QUAD.:. PARCEL- 1:18, 56,7' TOWN' OF BARNSTABLE • 367 MAIN STREET HYANNIS, MA 02601 PARKING ��0 WAY LOT` 95' r S' PARCEL.1.30 =,;' PROR.'FLOATS' ::' WQODS +1011r; MARTHAS.: `y : (ANCHOR-IN} (/)' VINEYARD, �NANTUCKET. ��'• �----9 PROP. FLOATS STEAMSHIP AUTHORITY. PO BOX 248 (LOCUS) CD WOODS HOLE, MA 02543 109 HYANNIS MARINA 1 WILLOW STREET r� �tr or MASS, HYANNIS, MA 02601 ,li _s,C�.� _ TO RAMP AT O RoaERT r'� > PLAN ci A. r: PROP, RECONFIGURATION " BRAS.-'."! JR.= ZONE LINE Ol 50' 1.00' z . � d: r- �q' &T"XZX- MY, SCALE: 1" = 100' � w / J �cp. i 0 T TO CONSTRUCT AND MAINTAIN TIMBER FLOATS, GANGWAYS, PILES AND TO DREDGE IN NOTES: HYANNIS INNER HARROR ELEVATIONS ARE IN FEET AND TENTHS ABOVE THE BARNSTABLE, BARNSTABLE CO.;: MA PLANE .OF MEAN LOW WATER. MINUS FIGURES -INDICATE APPLICATION BY: DEPTHS BELOW THAT SAME PLANE. D.00KSKIDE >REALTY' TRUST REFER TO DEP SE3-3958, MEPA EOEA NO. 13012, MARCH 20, 2009 • SHEET 1 OF 4 CH UC. NOS. 727, 361, 5951 & 2003, COE PERMIT ERAMAN SURVLcMG & ASSOMFES, LLC NOS. MA-HYAN-+82-334 & MA-HYAN-81-221 & LAND SURVEYORS AND CIVIL ENGINEERS DPW POST DREDGE SURVEY CONTRACT NO. 330. 140 MARION ROAD, WAREHAM A4A 02571 ZO/ZO 39dd VNI8VW SINNGAH 011006LBOS OZ:60 IIOZ/LO/ZZ Date: doh" TOXIC AND HAZARDOUS MATERIALS REGISTRATION ORM NAMEOFBUSINESS: RVENTOPF WA I ECS000-1S BUSINESS LOCATION: . 1I0 GchonL StQfe1+ HYANNrS I*V,4 026 j MAILINGADDRESS: 71 QeaSovi I4ue Gil, Yen( ou+b Mil QAGE Mail To: Board of Health TELEPHONE NUMBER: Sb S6 -771-00 7�, Town of Barnstable CONTACTPERSON: DErogEk' GoamiNf P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER:(S65I 771-5917j Hyannis, MA 02601 TYPEOFBUSINESS: VvA R M91 Reh1A8 cp C) Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO _ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF-TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar . Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BAARNSTWLE LOCATI( LS N \I AILS`�� 2 es� , =pr��l SAGE# zrd-si VILLAGE .o FZ/VW I:J ASSESSOR'S MAP& LOT+�o I21 INSTALLER'S NAME&PHONE NO. !ZI-00,7 r1e s-e- LEACHING FACILITY: (type) (size!") NO.-OF 13EDROOMS --� BUILDER OR OWNER r' PERMTTDATE:_ �i d�;� COMPLIANCE DATE: �u Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fac' ity) Feet Furnished by /W- 4AW-1X r r jto ,� � � ram, d� / ' + TOWN OF BARNSTABLE LOCATION l/p JCrrdL SEWAGE # •�� VILLAGE /� �v/vim ASSESSOR'S MAP & LOT ?-�, / % INSTALLER'S NAME & PHONE NO. � � cP71vs TANK CAPACITY o2,dl -e LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL R PUBLIC WATER BUILDER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: •' VARIANCE GRANTED: Yes No -� �;. . i, j 4 � , � �� ,� ` I � � . . � z ? a � � � � �� i a �. r ASSESSORSM9 0; PARCELNO' THiE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Biopoittl Work,5 Tomitror#inn runfit Application is hereby made for a Perms to Const• t ( or Repair ( ) an Individual Sewage Disposal System at: �/ �'�� mac' G --'•-•-----••-'•--'---•'-•--••-'---•----'---••-•------------••-•--------•--•-.....-•-----••_.... Location-Addre or Lot No. S A y� Owner Address nstalfer Address UType of Building Size Lot_.........................Sq. feet g— ---------- p' ( ) Garbage Grinder ( ) � Dwelling No. of Bedrooms___________________________. _..._Ex Expansion Attic aOther—Type of Building ---------------------------- No. of persons------.--------------------- Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------- 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..................... 1.4 44 Test Pit No. 2................minutes per inch Depth of Test Pit--_-----__-._-.___-_ Depth to ground water_....................... a .....--••-------------------•---••-'.........-•----•----'•-•--- --•-•-•-•---...-••--•....... ...................................................o ••• --- v ---------- ---------------------------------------------------------------------------------------------------------------- ........................................................ w UNature of Repairs or Alterations—Answer when applicable-------------------------....................................................................... --•------------------------••--•--'--•-•--...-•--•-------------•-------••--'-••'-----•-------•••-•-•. -•---•••----....---••-----...--------•--'•-----•--•-•------------.......-•"••-•••...........-•-•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beco issued by the board of health. Signed ._. - ------ ---------- ---- ------ --------- Application, 1._v1! Approved B ----------. ''�' 7 PP Y _........:. fl�...... �5 Date Application.Disapproved for the following reatonf- ---------------- ----..---'.. ---------------------------..........------------------------..._..-------------.--------- .......... ......... ........... ......... .... -- .... ... ------------------------------ -------------- �$ Date Permit No. .../. �_.`� ......--- Issued ..... ( Dare J�r• .,- r„�wy� c No. _ 7-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH iTOWN OF BARNSTABLE t Apli trtttivit for Bi-nipmial Work,i Towitrurttnn Verntit A lication.is hereby made a Permit to Contuct ? k PP y ( ) or Repair ( ) an Individual Sewage Disposal System at: �aa VS-k Der � � - ----- -•--•-•-•---•-•---....-•-•-••-----•--••-•-------------------•-•-----•-----------------•---------•- Location-Addres 1� or Lot No. 6 w,. -C ......................_.._..............••-•-•----•-•----•-------04'-N.........•--�'--�-- �-�d---!--1��`-q�"-'-..........................�-�A'V IV_P!^`•'�................. Owner 4� Address ........................ l� ustaller + Address UType of Building ` Size Lot_:__.......................Sq. feet Dwelling—No. of Bedrooms-----------------------. ._____________Espansion Attic ( ) Garbage Grinder ( ) 114 Other—Type of Building ---------------------------- No. of persons._.-----_--__-_____.._--_-- Showers ( ) — Cafeteria 44 Other fixtures -------------------------------------N,------------ W f' Design Flow-_------------------------- per person per day. Total daily flow-----------.-------------------------,------gallons. WSeptic Tank—Liquid capacity.......-----gallons Length---------------- Width________________ Diameter................. Depth................ f 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........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.-.__.-_-•-_-_-_-_. Depth to ground water-___-..._-.---_.___-._.. f%4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 0 9 1 --------------------- .......................................................................................................................................4121 Deseription-ofwSoi,=....._..(0.,S �•� 1i 5�1 �.N- ...............G.+�.�.11 �^. �t-S rt= V ..--•.----- ------------•----•-- -- = W . UNature of Repairs or Alterations—Answer when applicable..-.----------- ............................................... .........._____................ ------•-•----• ----•------------------ ............................................................................ Agreement: / The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of hyefState Environmental Code—The undersigned further agrees not to place the system in operation until a-'Certificate of Compliance has be -n issued by the board of health. ..�"+� Signed .. ... �I�-�Y..'S 3 A hcation.A roved B -----------------------------------_.... PP # PP Y r e Application Disapproved for the following reasons: - - ----------------------------------...........----------._........---------------------------- f Permit No. f�� .........--------------------------------------------------------------------------------------------------------------------- Issued ...._... '^...�` ..��-:..��.. -------------- ( Dare THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH TOWN OF BARNSTABLE. ` Certifirate of 011omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by - -- ------------------------------------- -- ------_....._---------------------- -------------- at .. �I ------. - -€: T`'°K---at,«"rr -------------------------1-?'f-------''---..... a-t/t�O Lam,........ ........_... .... has been installed in accordance with the provisions of TITI_ 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ' ._. dated ^'., -�'7—_�;;P'> THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE)THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE . ..` -^ '......G•� -- -- '�.�...�.7......._... Inspecto -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � �t��rla�ttl vrk� �nrtt�trt�rtilan �rrtntt Permission is hereby granted-----7 �ICOt?_....._. ?ri-S OU e- --------- ---------------------- to Construct ? or Repair ( ) an Individual Sewage Disposal System at No..M '-V L...--V 2ST /IeA-�'!�"_..... —glow i?_tit ..... S..Hx?d........._...._.. S�et � � as shown on the application for Disposal Works Construction Per ________________,___ Dated.._..�l�F'__ - ...'". �-----•.--•_•.. Bo of Health �� DATE........�-----•-;---------� /" FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS - TOWN OF BAARNSWLE # LOCATION j�oc.�S��t `� T a_T.�,�P AGE VILLAGE ASSESSOR'S MAP & LOT3�d''' I21 i INSTALLER'S NAME&PHONE NO. I- <'' ce LEACHING FACIL=: (type) (size) NO.OF BEDROOMS ---'� . BUILDER OR OWNER PERMTT DATE: lnl� COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet _. Private Water Supply Welland Leaching Facility (If any wells exist on site or:within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fac' 'ty) _ Feet Furnished by i i k ,