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Home My WebLink About0122 SEVENTH AVENUE (HYANNIS) - Health 122 Seventh Street A= 245-061 Hyannis 4 a 1 i I TOW14 OF BARN STABLE LOCATIONILZ- _ SEWAGE # i VILLAGE ��dt�Jto\� a� ASSESSOR'S MAP Sz LOT INSTALLER'S NAME Sr PHONE NO._VW- C006• e?.- l'C- 111 SEPTIC TANK CAPACITY , LEACHING FACILITYAtype) Q INS (size) I'a'60 NO. OF BEDROOMS _� PRIVATE WELL Q PUBLIC WATER yBUI.LDER Olt OWNER t` �L�1 iC t WdA�i �aw4 3 155 DATE PERMIT ISSUED: `tr DATE COLiPLIANCE ISSUED: VARIANCE GRANTED: Yes No r No... ...� Fps.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ►�� ApprFation for jlopoFal Varks Tonstra*rVurt 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: / .�u� ---------- ---------------- -------------- ------•---.....-------------.-----.------------------•--•--------------------------------........ Location-Address or Lot No. 4�'N `SRN NHS MT.... Owner Address Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................•No. of persons............................ Showers ( ) — Cafeteria ( ) a 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 ( ) aPercolation Test Results Performed by......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.--.--.----........ Depth to ground water..--..........--........ fs, Test Pit No. 2................minutes per inch Depth of Test Pit----................ Depth to ground water........................ Description of Soil C?` --------------------------------------------------------------------------------- x - V -----------------------------------------------•---...--------=---------------------......-•--------•------------------------------------...---•------------------------........---••------------------• W U Nature of Repairs or Alterations—Answer when.applicable..' _54--.--.--0)?------1t.C_4w.... d1`............................. %—�ssekt��. 8.� `t° � W. .....L .................. 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 been issued by the board of health. Signed .. c3..,0.� ---- --- --'-'-..-. .-d.B S Application Approved By '--.... .......--...-------"----------------'-'-........----...--------...........---...----................................................ ..............Date.......................... Application Disapproved for the following reasons: --'-----------------------------'-----......------.......---"-'--"--- '----------.-----................................... ....--------............................ Q� Dare PermitNo. ----------V �--..--�-0...7....-".............. Issued .........................................................---------- Date THE COMMONWEALTH OF MASSACHUSETTS (� I BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diu uuttl Workii Tunutrnrtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: -----------------------------------•- ----------------------------------------------Lot No. - •--•------•---------------••--------.._._... •---••-••-••••••--•----•-----------•--•-•-....--•---•-•-----•--..._...-•-----------••-...._. Owner C.. C_.. Q Address ? S o ` C .....-------••....._...... . ------ Installer Address Type of Building Size Lot___-------•----------•------Sq. feet V Dwelling—No. of Bedrooms................................ _Expansion Attic ( ) Garbage Grinder ( ) �-+ Other—T e of Building No. of persons............................ Showers — Cafeteria Q' 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........................................ 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........................ W ........................--..........................................................................--------...---••--------•-•--.•-•••-••-••....-•---•----- O Description of Soil---_L2.2—_._-S?!L..................2_______- U •-••---•-•••-••••--•-•--•••---••••-•-••-----•-•-----•••-•-•-•••-------•--•--•--•-•--•-------------•-•--•••--•-••---••-••-•-•--••---•-•-•---••--•....---................................................ ----------------- ------------------------------------------------------------------------•-------------------------------------------------------------------------•---------------------------•----•-- U Nature of Repairs or Alterations—Answer when applicable___ �.. ....... E_.....liC�.....(= �oK?............................ 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 systerd�in,operation until a Certificate of Compliance has been c issued by the board of health. Signed .. '= -------.-1l...... 9 Date ApplicationApproved By ......... ...............................----------------------------------------------------- ------------- ` � Date ................. Application Disapproved for.the following reasons- ------------------------------------------------------ ............................................--------- ------------------- ................................................................................................................................................................................................................ ........................................ Permit No. ...........F1...........7.,o---7 Issued ---------------------- ..............................................Date .--------.--.[e-----. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Celrtttft.cttte of Cfnmpliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( _ at ----(;. -------_--- .._:�vc,.................. ` - yN•,.e-°R l---------------------------------------- ------------------------------- -----------------------.. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........5,�'?. -.?Cl..;7.......... dated ...............................-----_---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THATTHE SYSTEM WILL FUNCTION SATISFACTORY. � -,��C�/ DATE...- R .; 1�---..................................... Inspector- ............. l.?........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 TOWN OF BARNSTABLE Otupuual Works Tunutrurtiun amit Permission is hereby granted-----i ....... --......................•-•---•---.......................--------- to Construct ( ) or Repair ( an Individual Sewage Disposal System atNo...... ...........%q£xt`��........ s`1 ........... ---------•---•-••-----....--•-•---------------------------------•----•---........ Street Q� as shown on the application for Disposal Works Construction Permit No-.L�J?�.Z//7. Dated.......................................... ; -- •---- ----------- _ �1 Board of Health DATE................................................................................ v....-•................................. ( / FORM 36508 HOBBS&WARREN,INC..PUBLISHERS Assessor's office(1st Floor): 1`f Assessor's map and lot number _ 0�l AA SS,PTICrSYSTEM MUST BE OF TH E r0 Board of Health (3rd floor): o Sewage Permit number S2 - f Engineering Department(3rd floor): ; ' (' < ;Baaa9TsnLL, �j M A8 S House number � 'L. 2, Yv "Z�� ,r'L3 snUL'I Definitive Plan Approved by Planning Board 19 ,Fo ypY a' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00.P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO (0 4--57 C't,t/ " C-, .J'Y TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location h2e2 SZ 1/l..N/%`/ !Y-VL= W /l ii1',1-7J,J,:Jn J Proposed Use &,:r tli ;31f.--7• %earirbi Zoning District j Fire District Name of Owner t�llt�'7l.�✓_... �!�y':S.S',r"t kiJrr�t Address Z.. =. .%. C: f£' l Name of Builder ,�c�.SL` >/% +T, r�i_'=7J'Z�,J+ir f i< Address �`� :> .i ,��° % r T,; /l'"I _ r;690 Name of Architect TV//-- Address Number of Rooms 7—VV0 Foundation Exterior "W ii'vTC c c' �r)ri 5-!J�6[c"J Roofing /rr;��:/74- Floors .�`q c<�,x s;:1; t;,rE`- ft").%J C� iti C,: J/./ Interior Heating l= rf Ci: r/ar Zvi' Plumbing f/i(�.._ /lJ%Ti . �.ii,.�. ,. F7..0 F J Fireplace-1LVLfi- Approximate Cost , 6d Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to=conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License