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HomeMy WebLinkAbout0119 SKATING RINK ROAD - Health 1L9 SKATING RINK ROAD, HYANNIS h, i I 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Paul DCHIEF. Chisholm `��lIU�^� ��'eteetvrd Save .��G'ed BUSINESS: 5-1300 EMERGENCY: 75-2323 i3 LJ 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 .... - ,...�'ti«.•Y.w:. - -,. :«.�; r .. ,+rBljeC'i%''w,'.a+.x.,°"saqr._-' mts`c;6:x:ii� +%r�� z°'"P"'":,..'q".'Ffi.�`'kC".c`'4''§v<rY`,r.-�rw+p+� �rv'ria`,a;i�["rai�3r? .r 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 1 Fti �o I �c r 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