HomeMy WebLinkAbout0119 SKATING RINK ROAD - Health 1L9 SKATING RINK ROAD, HYANNIS
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95 HIGH SCHOOL ROAD EXTENSION
HYANNIS, MASS. 02601
Paul DCHIEF. Chisholm `��lIU�^� ��'eteetvrd Save .��G'ed BUSINESS: 5-1300
EMERGENCY: 75-2323
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To ;
Town of Barnstable , Board of Health - T. McKeanC/
Town of Barnstable , Conservation Commission -
From ; Fire Prevention Bureau, Hyannis Fire Department
Su
bject'ect
7 The installation of above ground storage tanks .
Date
Persuant to the applicable sections of 527 CMR - Fire
Prevention Regulations , this Department has inspected the
following location for above ground storage .
ADDRESS : 119 Skating Rink Road Hyannis
OWNER/OCCUPANT Paul Sieger
PHONE : 778-1578
SIZE OF TANK (S) 275 gal. Basement Steel
COMMODITY STORED • : # 2 fuel oil
PURPOSE FOR STORAGE . -Heating
THIS INSTALLATION IS . PRE EXISTING A REPLACEMENT
NEW R
This installation complies does not comply
with the required installation regulation listed below.
FIRE .PREVENTION OFFICE
For: PAUL D. CHISHOLM, CHIEF
HYANNIS FIRE DEPART*1E�;T
TOWN OF BARNSTABLE - FUEL AND CHEMICAL STORAGE REGISTRATION
INSIDE -BASEMENT
MAP NO. PARCEL NO. TAG NO. 1345
ADDRESS OF TANK: _ 119 Skating Rink Road VILLAGE • Hyannis , Ma. 02601
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) :
OWNER NAMES H . Paul Sieger PHONE: (508) 778-1578
INSTALLATION DATE: 09-08-97 BY: Point Oil Companv
INSTALLER ADDRESS:_Bodick Road , Hyannis , Ma . 02601 CERT.NO.
*TANK LOCATION: ABOVE BELOW Inside Basement
(OCBORZOM TANK LOCATION WSTH RQOPWCT TO >UZLOZNO)
CAPACITY 275 TYPE OF TANK Oil AGE New YRS. FUEL/CHEMICAL
TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [x] YES [ ] NO DATE 09-12-97
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ 1345 ] DATE
* PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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TOWN OF BARNSTABLE - QNQE4R-GR+AWD- FUEL AND CHEMICAL STORAGE REGISTRATION
INSIDE BASEMENT
MAP NO. PARCEL NO. TAG NO. 1345
ADDRESS OF TANK: 119 Skating Rink Road VILLAGE: Hyannis , Ma . 02601
Numbar •treat
MAILING ADDRESS ( IF D-IFFERENT FROM ABOVE) :
OWNER NAME: H . Paul Sieger PHONE: (508) 778-1578
INSTALLATION DATES 09-08-97 BY: Point Oil Company
INSTALLER ADDRESS: Bodick koad ,` Hyannis , Ma . 02601 -CERT.NO.
*TANK LOCATION: ABOVE BELOW Inside Basement
. . - (OCwOfi 2=K TANK L.00AT S ON W I TH fows"aCT TO aLJ 2 LO 2 N0:).
CAPACJ TY, 275 TYPE OF TANK Oil AGE New YRS. FUEL/CHEMICAL
TESTING CERTIFICATION [ ] ,PASS [ ] FAIL DATE._.
LEAK DETECTION [ ] CHECK. IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO ' DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [ x] YES [ ] NO DATE 09-12-97
CONSERVATION [ ] CHECK IF N/A DATE
HOARD OF HEALTH TAG NO. [ 1345 ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
TOWN OF BARNSTABLE — *JN0E4%- JNi3- FUEL AND CHEMICAL STORAGE REGISTRATION
INSIDE BASEYENT
MAP NO. PARCEL NO. TAG NO. 1345
ADDRESS OF TANK: 119 Skating Rink Road VILLAGE • Hyannis , Iota. 02601
N tamb�r •lr��t
MAILING ADDRESS ( IF DIFFERENT FROM ABOVL ) :
OWNER NAME: H . Paul Sieger PHONE: (508) 778-1578
INSTALLATION DATE: 09-08-9.7 BY: Point Oil Company
INSTALLER ADDRESS: _ Bodiek Ro d Hyannis , Ma. 02601 -CERT .NO.
*TANK LOCATION: ABOVE BELOW Inside Basement
(DCSoR I ma TANK LOCATION WITH mmoPQCT TO MU I LO I NO) '
CAPACITY . 275 TYPE OF TANK Oil AGE New YRS. FUEL/CHEMICAL
TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [ x] YES [ • ] NO DATE 09-12--97
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ 1345 ] DATE
* PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE.-BACK OF---THIS CARD
.%- TOWN OF BARNSTABLE
LOCATION cSg�j/,� if7k SEWAGE # '/
VILLAGE /(7T�%/�/�/� ASSESS;OR'S MAP & LOTag
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)P-.'9L C iJ (size)
NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER
BUILDER O OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes LNo
u
� a
o �I
u
TOWN OF BARNSTABLE
LOCATION �r ��G� SEWAGE #
VILLAGE l - ASSESSOR'S MAP 6T LOT ` j ca
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY `
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BLgM39R,OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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A �0� v--
No..A.....----•-••••,.. Fas..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Dhnpoottl Works Towitrnr#inn ramit
Application is hereby made for a Permit to Construct ( ) or Repair A an Individual Sewage Disposal
System at:
0 of
...................................
Loc lion- \d ress or Lot No.
Owne ddress
wowly -z�v C two 7�e��..................................
Installer Address
Type of Building Size Lot............................Sq. feet
�. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
A4 Other fixtures ------------------------------- - -
Design Flow__...._...__ gallons per person per day. Total daily flow-----------� ...........................gallons.
w --•-.---...----•-.
WSeptic Tank—Liquid capacityA" _gallons Length---------------- Width---------------- Diameter--.-.----.------ Depth................
x Disposal Trench—No- -------------------- Width-------------------- Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------/---------- Diameter-_--- ---__.._ Depth below inlet................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date.-----------------------------------....
aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................
pi ....-------•-----------•--------•---------------------------------•------•--------------------...........-•------••-•.......-••---...._......--....----•----.
0 Description of Soil..................................................................................... -------------------••------------------------------------------------•-•----•--•--
x
c.,
w
U Nature of Repairs or Alterations Answer when .._._.�GQa_, .... ?........
�_____-------`-s....r.... '.....................
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 s ee is d b e board of health.
Signed ------ - ----------- �........... ............ -� ,....:......
Dat
Application Approved By . . )....../ ----------- ... ......... .�,,...
Dare
Application Disapproved for the following reaso - -------------------------------------------------
. .-^- ----- -------------------------------------------------------------------- -
-_ Da[e
Permit No. ----- . ... Issued ..------�..
i
r ,
�. .*,+
No..__1... _.. Frca......�... ...........
;.
z •
THE COMMONWEALTH OF MASSACHUSETTS
- i
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratioit for Diirpoottl Workii Towitrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (/A an Individual Sewage Disposal
System at:
jam'``-' /^1� �i*j �1 ,v t�
..... • ................ ....................................
Location-Ad ress or Lot No.
U LU/� OwnC.� �J l"lJ�If.�� J A'i2�% ddress �
a ...••-•--•-•-••------•--••••-••---••-•-•---•••----•--••----------•-••-•--•--------------•-......
Installer Address
d Type 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 ��'_.�v.....................gallons.
WSeptic Tank—Liquid capacityZgUU gallons Length................ Width.----_.-.--_--- Diameter----............ Depth................
x Disposal Trench—No- -------------------- Width-------------------- Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------1------.--- Diameter...../0--_.._. Depth below inlet......4.......... Total leaching area..................sq. ft.
Dosing
Other Distribution box
Z ( ) g tank ( )
Percolation Test Results Performed by-----------P __----------------•--••--••-----•-•-•---•----•....-•-P------ ground water
,a Test Pit No. 1--------------
minutes per inch Depth of Test Pit.---_-____-_-----. Depth to round water....................,_..
(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
------------ -------------------------------------------------------------------•••----------------.........................................................
0 Description of Soil.......................................................------------------------------ -----------------------------._...------------------------------.................
V ..................••-----........._..............-------•-•-----•-••-•-•---•-••-----------......_.........••-•--------------••---•;--------•--..........-•---••-----••--••-•••••......•---•-......••-•--.
W
UNature of Repairs or Alterations—/1Answer when applicably.---_�^_S_�LL---�.-- ......��U4.,��....S :�L.......
f-------- I`S = ..._!� -.....� ...... `� D���,,{ ... /�J �ll ..`.��..........-5 i d+�1t-.
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;h'as ee
" iss d bb�,y
r e b' ooaj�r;d of health.
1.. ..............
g ---
APPlication AP _ /%. e ...Proved BY i
Application Disapproved for the following reason ........................................................................
- - -
----...-- —.... .............-- -- ...,_..-.------....._.----. ------------------------------------------ -----.- ..--..-__. - _.-.-..--------Dace----------------
--------- J/f
- -
Permit No. r . ............ Issued
------_--_—_—_,--,------------ ___---________---—---_---_-----__----_—__---_---.-----_-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certifirate of Complianve
THIS IS TO CERTIFY, That t.I;Individual Sewage Disposal System constructed ( ) or Repaired
by .. ............ .. _�U u ...'..... ....... �e�.... " -....... - -.-.....-
.............. ....
h.,taur
- ---- -
has been installed in accordance with the provisions of TITLE hp The State a •ronmental Code as described in
the application for Disposal Works Construction Permit No. -. `? �' dated ................ -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
r_gg --- �DATE-------------------- h .. q --IG!--G ------------- Inspector .-----------.---- ---------------
---------- ---------------�--------------------- ------------------------
THE COMMONWEALTH OF MASS,ACHUSETTS
BOARD OF HEALTH
-- TOWN OF BARNSTABLE
No.-/ ...... FEE..... ......... ...
Dioposttl WorkiiTonotrurtion berm
Permission is hereby granted----------------- 1
lr�--�---------------"--?.�7�.--. --
to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst
at No. ���� 51` 7! /f Lr�J/ 1. ---- -- =;---- -/.Aitilr`1�
Street /�
as shown on the application for Disposal Works Construction Pe mr it No.�`T_..-_��D'ated---_M.._)l.-!`7�
.../ ...
Board of Health
f
DATE...... C ...............................................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS