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HomeMy WebLinkAbout0071 SEABROOK ROAD - Health 71 Seabrook .Road Hyannis A = 307 015 I p 0 Y n tl I ' .. l TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION I Date '( Time: in Out e Owner Tenant Address -.1L Address L 1 Compli ce Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply PP Y -( e 5. Hot Water FacilitiesPrav" 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities ; 10. Curtailment of Service- .a 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 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE LOCATION 7 1 -564 AEtr� SEWAGE # VILLAGE /1y,O:dtJrtNiS ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. I t'J? r°/ Ve-o 5507 '?yam ;1,?Oe) SEPTIC TANK CAPACITY LEACHING FACILITY: (type) lei 7- (size) �o®SAL `NO.OF BEDROOMS BUELDER OR OWNER f-1---k EN 2-V-6-00,vP-71 PERMITDATE: COMPLIANCE DATE: 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 facility) Feet Furnished by �� 9 �a o ,, c _ � �� %C ��w �, �` �� No. �O Fee" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes "'� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Zi000al .braem Congtruction Permit Application for aPernut to Construct( . )Repair(_ 1 pgrade( )Abandon( ) El Complete System 2� ividual Components Location Address or Lot No.r/ . �16401 k Owner's Name,Address and Tel.No. �- 7�/- / y�// �< / ' Assessor's Map/Parcel Q eyf 17/ S 9,4,e/pd01/C OP Installer's Name,Address,and Tel.No. �� 8 7 s'p`� °� Designer's Name,Address and Tel.No. ,4 MCA,vCo 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 gallons per day. Calculated daily flow gallons. 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(Answer when applicable) e E O X 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 Certifi- cate of Compliance has ed b d of Heal . S' ned Date w C'. Application Approved Date Application Disapproved for the following reasons Permit No. Date Issued t � i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 4 .r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS es 01poricatiori--for Mioaal *pgtem Con!6truction Permit 'Application for a Permit°to,Construct( )Repair( Upgrade( )Abandon( ) O Complete System 1 didividual Components Location Address or Lot No. r/ Owner's Name,Address and Tel.No. ,�A�` 7 y7 Y Assessor's Map/Parcel Y -5 av,k- k t Installer's Name,Address,and Tel.No. SD $' 7S-ca P riv Designer's Name,Address and Tel.No. ` f1B c�4 Al c o 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 gallons per,day. Calculated daily flow gallons. . Plan Date Number of sheets Revision Date j Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has be'n-i ed b th' o d of Health Si Date , 9_ Q S� Application Approved b - _ Date Application Disapproved for the following reasons Permit No.' 0� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance .•�/ THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( IT—Upgraded( ) Abandoned( )by d �/l4 /W/y ST LR. at 1 Z -5 £� /'i 476k' R 2) has been constructed in accordance with the pro is'ons of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuar. a of this pe - h?l. nt bee construed as a guarantee that the system willl`uncti'on as designed. Date- -- ./ Inspector l V ------------------------ -------------- . .. . No. ::)_ .s _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS - Migo!gaY *pgtem COTS.5truction Permit Permission is herebyanted to Construct Repair granted ( ) pair( )Upgrade( )Abandon( ) System located at __7Z ZW rd d000*- &3/ �1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special condi 'on . Provided:Construc 'on musbeicompleted within three years of..the ate of this pe t. Date: !� v`f" Approved TOWN OF BARNSTABLE LOCATION 7 Z A BEz= SEWAGE # VILLAGE ��r4v�� ASSESSOR'S MAP & LOT INSTALL$R'S NAME&PHQNE NO.4 eDV40 SON' ',3�5r SEPTIC TANK CAPACTI'Y\ o LEACHING FACILITY: (type) 7" (size) ©�►p 9AL NO.OF BEDROOMS BUILDER OR OWNER-/; A.E,V P�EG�v�,T' PERMIT DATE: _COMPLIANCE DATE: 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 facility) Feet Furnished by Ac r _ TOWN OF BARNSTABLE LOCATION -7 Sri L�,ti 4,0 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT (INSTALLER'S NAME & PHONE NO.Wt45 �a��o 7�y•G l�y SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1®/�- (size) glyr) G4 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC 'CATER J4 BUILDER OR OWNERdt �.,�.. DATE PERMIT ISSUED: DATE COZIPLIANCE ISSUED: !� 7• VARIANCE GRANTED: Yes No ^J LJ`1 III �� O _� �� V l I i � � � � 1 � � -z--- .. - J Board of Hnnl�h Hyannis,Massachusetts.02601 THE COMMONWEALTH-OF MASSAtHUSETTS BOARD OF HEALTH Application is hcr6u' made for u Permit to Construct ( ) or Repair (4(-) an Individual 5e~uQc Disposal System at: v~"= Address ' Installer Address' Type of Building Size feet ' Dwelling—No. c� 8��r000`o---_���---------_--'B��aua�� Attic ( ) Garbage Grinder ( ) Other—Type of Building .................:.......... No. of persons............................ Showers ( ) -- Cafeteria ( ) Otherfixtures ------_-_.----.-------__------.--.-----.-.--_--------_--.---------- Dr,ign Flow............................................gallons per person per day. Total daily flow............................................ . � 9 Septic` Tank—Liquid Loocth_----- Widhb----- Dianeter---------------- Depth--_-_- ~ Treucb--No .................... Width.................... Total Total area.......... sq. {c Z Other Distribution box Dosing tankT / ~~ Percolation Test Results Perfocoucdby-- ' -------.---...------_.---..-.' Dut�----'----------_- Test Pit No. ]----_'minutes per inch - 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........................................................................................................................................................................ �� _ --------------------- U Nature —Answer when applic,bl Agreement:The undersigned agrees to install the uforc6eoccibe6 Individual Sewage Disposal System in accordance wid, the provisions of]TIl2 5 of the State Sanitary Cod:—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b of health. ' No....R.. :..a .y FEs..........:... .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH t , ApplirFatiou for Dhip sal Works C onstrurtiun ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location_Address or Lot No. ..........:....................................................................................... .................................................•.......-:......------..........................- 4 Owner Address Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms___..._................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p'' 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........................................ .a Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water..--...______-________.. (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.-_-.--___.____--_____. P ---- •--------------------------------------------- .----------------- .-.-------------- - -------------------------------------------------------------------- 0 Description of Soil........................................................................................................................................................................ x U ...--•-•----------••- w --------------- V Nature of Repairs or Alterations—Answer when applicable__t____7_:-------.':---'?'1 �- • '' "............................................" ---•----••--•-••------•-•--••----•------•-•--•-•---•---•-••--•-----•---------------•-......•-•---------......•.................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T+'1-•-� the provisions of '+'i i t Lf: 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. ��' 1 '-I Signed......: — ...�-. -- t:..' '................ -•--•-"+ -------------------•- Date Application Approved By.............. :!:: ..._..�-`'` `"`"" --••--•-- Date Application Disapproved for the following reasons-----------------------•--------•----•---------------------------------------------------•--••-•-•-••-----.------ ------------------•-•-------••-••..........--•-•...-•••------...•-•--••----------•------•---••-----------•-•------•---•-------------•--••--•-----•---••-----•---•---•-----••--•--•------••--•------...._ Date `����.................... Issued..........................................- ate....... Permtt No.------...-c-l---=�----------•-----1 Date ([' r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ' ti Cnrrtifiratr 1af TompliFana THIS I,IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by / ....... ... ....� '= "�....................................---••----------------...----•-.......---•--•--•-----•-------•--------.....------•---•-•------------- ���} Installer has been installed in accordance with the provisions of TIT' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- .—:__a-_ _...__.. dated----------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................ ...............:....... Inspector...........�.. ......................................................... i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i b� No. - -.2 f ...................................... FEE......................... �i���a�ttl �rk� �aga��tr�trtilaaT rrutit Permission is hereby granted........ ...•.. to Construct ( ) or Repair (,-<) an Individu 1 ewa a Disposal System at No................ 1...... . . Street as shown on the application for Disposal Works Construction Permit Ncw2.................. Dated.......................................... ............................ .. :. ...................................................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS