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HomeMy WebLinkAbout0385 SEA STREET - Health 385 Sea Street 1� F _ Hyannis u �> A= 306-031 J' ;k l No. — � � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication for Misposal 6pstrut Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. zts A o �� r �a��l Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 30 tloek ( Z, Installer's Name,AddAs,and Te No. Designer's Name,Address,and Tel.No. D Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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(Answe he applicable) 1�u�C6VlYe �� u CG,1-60h2)0, gtzx 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 Certificate of Compliance has been issued by this Board f lth. e Date Application Approved by . Date Application Disapproved by Date for the following reasons Permit No. Date Issued 3 8 l L No. 20 l' S Fee 025 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS. fipritation'for Misposal 6pstetn Construction j3erntit Application for a Permit to Construct(. ) Repair( ) Upgrade( ) Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. Jt S A 5o f P E�.9° r t' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3vo 63 1`�ar�C Boca�fea%,.. Installer's Name,AddrAs,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building A. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date 9 Title Size of Septic Tank Type of S.A.S. Description of Soil _ Gb ° Nat` Ire of Repairs or Alterations(Answ r he applicable) b �21�a� 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 Certificate of Compliance has been issued by this Board Pfelth. ftoe r p Date Application Approved by Date J b t Application Disapproved by Date for the following reasons Permit No. 0, Date Issued 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CER�TIF�Y}that t e On-site Sewage. Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(t by !jet l ilt at has been constructed in accordance with the provisions,'of Title 5 and the for Disp sal System Construction Permit No. 0� _O dated `3 Installer_ k Designer #bedrooms Approved des gn flow 1) AJ gpd The issuance of this permit shiVnot e con strued as a guarantee that the system Wil functiogasides�gned. `fDate `7 Ins ector /I, /���f l 1 �) 1 �f' 1i' P � - - — _-_ No. Z U l J— y - Fee 2 .� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction jhrmit Permission is hereby granted to onstruct( ) epair ) Upgrade( ) Abandon( ) System located at i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons77tru/9tion m/ust/be completed within three years of the date of this permit. jI—Xi J/ " / `T Date h Approved by r ! / AsBuilt Page 1 of 1 u LOCATION SEWAGE PERMIT NO. VILLAGE INSTALL R'Ss NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED Xl? ._3� _J�' DATE COMPLIANCE ISSUED % - 2y 7� t http://issgl2/intranet/propdata/prebuilt.aspx?mappar=306031&seq=1 3/10/2014 ION _ S AGE 7 RMIT N0. Y' LO CAT �. , VILLAGE Ntw 6 INSTA LL It's NAME i ADDRESS u „ BUILDER OR OWNER DATE PERMIT I S S U E D .DAT E COMPLIANCE ISSUED `T- fN� . . . 5,00 N .� 3..._.�.. Ftc�+.........................._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................. ......Town.....OF..........B.arr atable.............................................. .. Appliraation for Bhipmal igurkg Tomitrurtiun`' :grub# Application is hl~reby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: p � . - 0 57. ...l.2.PaS�...J.7.: a..r. �d�.►1.ti.i.M_�... SSchA.... 6.X('�.1........ .................................................................................................. Location--Address or Lot,No. Sa7.1 . �Is� xl .......:..........:::...: 8 Sea St. By annis Ma 02601 y.._ -_.... M5--••---••---...-.t j--- ._ .... � �..... ................ Owner Address a &.. __esaAQ.Q.l S.e .Y. Ge.. 128 Bishops...Terrace a.__HYannis.�..Ma... .. Installer Address UType of Building Size Lot.......:....................Sq. feet Dwelling—No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.......... ................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------•----------------------------•-------------.•••••--•-----•-••---•••••••••••---•-•-•-•••-••-••••••••-•-••......-----•••...._._.........-•--- 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 ( ) • Y. Percolation Test Results Performed by.......................................................................... Date........................................ . a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------•------ ... -------------------........--------------------- .......... ..•••--------------- _------ 0 Description of Soil---Sarid................................................................................................................................................................... U w U Nature of Repairs or Alterations—Answer when applicable...Ins_tal.lation---fl.f.__3_.1}.OQQ---gallari.... s-#ins--pa,eke.d...l•e-ach pit...4-overf-I.ow)••-----•--------------------------------------•------------------------------•----•-----_----•-•-.----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITIZ 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 e boar�g hSafth. Si ed �_ ._..... --- ........ 121291.7 s Date Application Approved BY=` ,�� ��.. 12f 29�78 Date Application Disapproved for the following reasons------------- - .......-•---•-•••---•--••-••--•-•-----•-•-••••-••---•---•--•---•-•-•--•-------••.........:......•--•....•-••----•-•••-•-•--••---•--------------••--•-•------•---••---•••••------••-••-•---•••--•••••---- Date Permit No.....7.8=.......................... - Issued.a2129_/78 Date... .................. N'�o; $f6 -- F� 00...........- �✓ -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OFHEALTH ........T QWn.....O F..........Barnstable.............................................. Appliration for Disposal Works Cnnntrurtinn ramit Application is hereby made for a Permit to.Construct ( ) or Repair (X) an Individual Sewage Disposal System at 3B5... ....... ................................................................................................. Location-Address or Lot No Sally.Alomrfs::......... ----------------------- 30...$ed.at.A X. y3nn s,, Ma..-.02601 Owner Address a A..&..B...0aS.S.P ol...ssrviae.------•-----....---•............. M...B3shoDs....Terrace.,... Hy Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.:....: ..........:...............::......Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building .............� �. ;.._..______. No. of persons._._____. ............... Showers ( ) — Cafeteria ( ) Other fixtures ....................1 --------------•=' ---------......--•---------•.....•-•----------•--••-----•-•-••-----••-•---•.._....---------------.....----.......------------•-• 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........................................ a Test Pit No. I................minutes per inch.,,Depth of Test Pit-------------------- Depth to ground water........................ (r4 Test Pit No. 2................nimutes per inch- Depth of Test Pit.................... Depth to ground water........................ P.' ----------------------------------------------•---------......------.....------------•-•------•-----......................................................... Desc :ption of Soil_. -�d-•.......................••...---------•--...........------•---•••-- V ............-••-•--•--.....-••••------•..............•-----•---------------.........--------•--•--•------•--•••---------.._..•--•----------------------•-••--•-----------•---------------•----•--------•- W UNature,of Repairs or Alterations—Answer when applicable--.1-ustalla-tion...of---a.-It000---gallan---- stone---packed----lea-ch----pit---4-aver€1 ow-)-.----------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITLEE, 5 of th% e State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by e boar h th. 41 M__. ........._ Application Approved By.:7... « ............................... .......... -------12129I 8------- A Application Disapproved or the following reasons: .... PP PP f f 9 - - -•---•-------•----------------------•--------------------•--------------Date---....------- ..............................................---------------••----•-•---......--•---......-•----------------...........--•-••---------•--•--•------- .............•-'-'•r� -----•-------Date-------------- 7. - .....--- 12 '� 78 Permit No..... 8__...---• --------- ---------- � Is�ecL---------r- �-1------------...................--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............Town...............oF...........garnat.able.......................................... rj (Intifirate of Tompliaanrr THIS IS TO CERTIFY, That the Individual Sewage Di is osal System constructed ( or Rea ed (X ) by.A.--&..H.. Bsa aanl.._Sexu. ce.a._.12B---BlO�opS T_errace..._Hy_a�r�is.x..��.............................601 at.--'85... es...B a s._�'y-a�18.#..�� ,: _0 601nstall__----- Sallyr_-Norris has been installed in accordance with the provisions of TITLE r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.76-.... ......6............ dated_2/29M....................... A THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector..-- r....-= ............ .... ...--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH P' .......................'�own......OF........ ,rnitable•................................................ No...7 --- $5.00 FEE....... ............. Disposal Works Tanns#rwtion amit Permission,is hereby granted,A_._&..a..CeSspool---Serviaa.....12.8..Bia1ups...T4'x..s Y-AlqRg?S. to Construct (:.. ) or Repair (IC) an Individual Sewage Disposal System at No..3&5... ..... -------- A1.1 ...�+Torris Street < as shown on the application for Disposal Works Construction P2p9t No _.....,. ..... �Dated...121.2-g178................ .......... yam' - lZz'r6'.l __.w.. / Board of Hea DATE..._.121 ................................................... VVV FORM 1255 HOBBS & WARREN. INC., PUBLISHERS* tx:r.