HomeMy WebLinkAbout0095 SMITH STREET - Health 95 SMITH STREET
HYANNIS
A=267- 106
i
i
i
I
o °
Y
LL,O CATION E W A-G-E PERMIT NO.
VILLAGk
A a ORE3S
1 N. S.T E 'S O M
BUILDER OR OWNER
® ArT E PERMIT ISSU D
DATE COMPLIANCE ISSUED // iMs
r--
_--�--
��
y�� ��
1
U
��
1
j
��
r
� �
lid
b
- �
r
�1
L_
Ts
% S� TH BOARD OF HEALTH'17
S�► OFta
A liratiou fur Utz oti al Worko Tomatrurtiou ramit
Application is hereby made for a Permit to Construct ( ) or Repair •( . an Individual Sewage Disposal
System at:
...........(��.. .� ,...� ,,� - - -- .................. .........
�,.,, ,n Lo tion- dre r s o,
—• / .F- k. . ...................... ......stkIl./- y o -...N:-.. (, 3
Owner Address
------------------ � ........ ......
..,�ir�
Installer Address
Type of Building Size Lot............................Sq. feet
a Dwelling—No. of Bedrooms................ --------------------Expansion Attic ( ) Garbage Grinder ( ):
aOther—Type of Building ______________--._.___ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures --------------------------------------------------•--- )
--------------------------------------------------------------------•------..............
W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons.
9 Septic Tank—Liquid capacity............gallons Length................ Width...........:.... Diameter---------------- Depth:...............
W
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.......... ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............... ..sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
t
Percolation Test.Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0� Test Pit No. 2................minutes per inch Depth of Test Pit_.................. Depth to ground water........................
--------------------------------------------------------•---------------------------
•-----. .
O Description of Soil----------------------------------------- ...
x
V -------------------------------------------------------------------------------------------------•------------•--•---........... .......................................-- •-••••-----•--•--••.
---------------------- ....... ----•----•--------------------•-•••-------................--•---. •• ...........
U Nature of air r A rations—Ans er when applicabl._ __.
Cr----- A ------------------------------------------
Agre ent:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Complia e has been issued by e d of health. :
Si d..
Application Approved BY - --------------
Date
Application Disapprov f o he following reasons---------------------------------------------------------------------------------------------------------------•.
...........................................................-.............................................................................................................................................
Date
PermitNo......................................................... Issued-.......................................................
Date
�s _s :..: .-.... Fps..°�..`.�................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7.14I4'.,yl................OF...-..:.
Appilratiun for Bitivuoul Workii Tunitrnr#'tun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at
••--.......���.� .. .° ...• °'�L ;'`r, -- --•--••-•----•---------------•.----•-.----- --------. ---..-----••.-----------
L tion-Eyddre !ior _No.
--------------------- ------. sty ?�...-- `.�► ' .... ..+����.�.
y Owner r- Address
W --••.. / '�Ga r= ....................... .... �� ------... % ��----•-- .
a V Installer Address
S
� Type of Building Size Lot________________________:___ q. feet
Dwelling—No. of Bedrooms.............. -------..___-___-_Expansion Attic ( ) Garbage Grinder ( )
`4 Other—Type T e of Building . No. of persons... Showers — Cafeteria
a YP g P ( ) ( )
QI 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................minute's 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.........................
1x •---•------------------------------••---••---------•------------------------:....-----•-•------......-----------------------....--------•-•-•-•----------••--
0 Description of Soil......................•------------•--....-•-•------------•------•-----------------------------------------------------------------------------------------------------.
V ....-----•--•-•-------------------------------------------------•------------------------------------•-.....�-----•---•----
V
x Nature of airs or A trations—Ans er when a licab A /,/!
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITI14, 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 hpbo rd of health.
Sigtrted.C �G ±" �' 6-� _.._._ '..�
Date
Application Approved B ......--.'fi t..:......................................................................
r�
Date
Application Disappro7ed f o the following reasons:----•-----------------------•--------------------------•------------------..................................
...-•----•----------------•------•-•--------•------------------------------------•••-•---....---••-•--•••-----------•-----•---•-•--•--•••----•----•-•------•-----•-----•-------•----•------•--------•---
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
r� Trrtafiratr of Tomplianrr
THIS IS TO �R'TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
�� 1.�L»G�`'f f-------------------------• - ---
by. . ,_ ..._._�.�..�..
�•,�� /{ � Installer �
at. ~'" = �`+ �r ----•-- ...---••------------------------------•--------------------•--.....--------;
has been installed in accordance with the provisions of TIT-IE 5 of The State Sanitary Cod�� ddsc d in the
application for Disposal Works Construction Permit No._U---��°'.................... dated__]` _
�. f---------d�esc� d
ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......................................................-_.�\�L 1...... In••spector...........\k'-1�y--------------------............------••--•-----•--•-•----•
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Sf' l"i ..........................................OF.......................................:.............................................
No •-••••. FEE_ ................
I
�to�uu� ��.a��#ri�n rrntt�
Permission is hereby granted ; ------ :..'
to Constr ct.(,o).V or Repair ( an Ind vi al SeS a Disposal System
at No.,.. ... �. -' '�
... - �-
Street d /?•7
as shown on the application for Disposal Works Construction Permit No...................... �Dated/4 '_tr�_:%____._____._....
.......................••-- ---------------------------------•-•-••••-----•-......-----..
DATE............................................-••.............. ----•----•-• - Board of Health
f
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
President r
."'O3un BRUCE ELDREDGE,R.L.S. CAPE COD SOCIETY OF PROFESSIONAL
Office Manager. ELDREDGE ENGINEERING ENGINEERS AND LAND SURVEYORS
JO
JOHN R.ELLIS,R.L.S. MASS,ASSOC OF LAND SURVEYORS
Associates: - AND CIVIL ENGINEERS
ALBERT A.MORSE,P.E.,R.L.S. COMPANY, INC. AMERICAN CONGRESS ON
PHILIP WEINBERG,P.E.,R.L.S..: - SURVEYING AND MAPPING -
_ AMERICAN SOCIETY FOR
CRECI.L1Ee4EQ - CJ\EC�LSErE1ECl - TESTING AND MATERIALS -
�anc� �lvit 712 MAIN STREET
a
csuweyou G�n9lIIEEzs HYANNIS,MASS.02601
TEL.(617)775-2244
December 29, 1982
Remodeling Professionals of Cape Cod
1645 Falmouth Road
Centerville, Mass. , 02632
REF: Lot 22, Smith Street $ Haven Lane, Hyannisport, Mass., as shown on plan
recorded at Barnstable County Registry of Deeds, plan book 86 page 127
Dear Mr. Richardson:
A soil test was done the morning of December 28, 1982 off Haven Lane, Hyannis-
port, 30 feet more or less from the front of an existing dwelling under the
supervision of the Town Health Agent, John Jacobi and myself. The results are
as follows:
0 to 6 inches - loam
611 to 4 1/2 feet - medium sand
ground water was encountered at a depth. of 4 1/2 feet
The percolation rate was estimated to be less than two (2)' inches per
minute drop in medium sand .(excellent) .
Title V, The State Sanitary Code, specifies a minimum distance_ of four (4)
feet between ground water and the bottom of a leaching system, a dimension
less than the minimum would require variances on both Town and State levels
if we presented formal plans to the Board of Health.
We feel the repair of the existing system, which is currently malfunctioning,
to be the most logical and .economical solution. It is my understanding that
the proposed remodeling project will not increase the number of bedrooms,
therefore the gallon per day flow would remain the same, and, according to
the Health Department, no engineering plans are required for the repair of
an existing system. A number of local contractors could install a new septic
tank and a leaching field, .the following are some of the local installers:
J.J.Driscoll $ Son, P.O.Box 573, Marstons Mills
Arch Construction, 36 Wequaquet Lane, Centerville
Robert B. Our Inc., Great Western Road, N. Harwich
Enclosed please a bill for our services to date, should you have any questions
do not hesitate to .contact me.
Sincerely,
jJn
DGE ENGINEERING CO. , INC.
i
R. Ellis, Office Manager
I
2/9/2021 ShowAsbuilt(1700X2800)
�0CCATTION EWACE PERMIT NO.
a6r/-106
A .
I N S Ig E 'S (IAM f, i on[SS
GUILDER OR OWNER
DATE PERMIT ISSU
DATE COMPLIANCE ISSUED
a
https://itsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=267106&sq=1 111
�1 A ❑*� I Delete
At 01922 1 11/15/2008 001 I A281090 � 1 0� ❑ Change NFIRS - 1
State Incident Date Station Incident Number Exposure ❑ No Activity BASIC
Check this box to indicate that the address for this incident is provided on the Wildland Fire
B Location ❑ Module in Section B"Aftemative Location Specification".Use only for wildland fires. Census Tract 50
❑ Street Address U I SMITH STREET ST u
® Intersection
❑ In front of Number/Milepost Prefix Street or Highway treat Type Suffix
❑ Rear of �J �Hyport I L MA� I 02647
❑ Adjacent to Apt./Suite/Room City State Zip Code
❑ Directions IlHaven St.
❑ Cross street or directions,as applicable
C Incident Type * E1 Dates&Times Midnight is WOO E2 Shifts&Alarms
413 10il or other combustible Local option
Incident Type liluid spill dates
esarethsF Month Day Year Hour Min I �, I Still �J
dates are the I � I
same as Alarm ALARM always required
p Aid Given—Received * Date. Alarm * 15 2008 09:50 Pi o«, No OfAlann9istrict
11
1 ❑ Mutual aid received II II I ' ARRIVAL required,unless canceled or did not arrive
2 ❑ Automatic aid recv. T U ® Arrival * 11 15 2008 09:55 E3 Special Studies
3 ❑ Mutual aid given Their DID StatThee Local Option
4 ❑ Automatic aid given 14,
CONTROLLED optional,except for wildiand fires
5 ❑ Other al given ® Controlled 1 1 15 2008
N ® None LAST UNIT CLEARED,required except wildland fire Special Special
Their Incident Number ®. Last Unit � 112008 � Study ID# Study Value
Cleared 11 15 11:42
F Actions Taken G1 Resources C72 Estimated Dollar Losses &Values
Check this box and skip this section if an LOSSES: Required for all fires if known. Optional for non fires.
45 Remove hazard I ❑ Apparatus or Personnel form is used.
Primary Action Taken(1) Apparatus Personnel Non
Property I I ❑
70 Assistance,other I Suppression 1 � 4 Contents I I ❑
Additional Action Taken(2) i EMS 0 �0 PRE-INCIDENT VALUE: optional -
t 86 1 Llnvestigate I Other I J �I Property I I ❑
Additional Action Taken(3) Check box if resource counts include aid
El received resources. Contents I I ❑
Completed Modules H1 Casualties ® None H3 Hazardous Materials Release Mixed Use Property .
Deaths Injuries N❑ None
❑Fire-2 Fire NNE] Not mixed
❑Structure-3 Service 0 �0 1 ❑ Natural gas: slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use
❑Civilian Fire Cas.-4 2 ❑ Propane gas: <21 lb.tank(as in home BBO grill) 20 ❑ Education use
3 Gasoline:vehicle fuel tank or portable container 33 ❑ Medical use
❑Fire Serv. Casualty-Civilian �0� �0� ❑ 40 ❑ Residential use
❑ 4
EMS-6 ❑ Kerosene:fuel burning equipment or portable storage 51 ❑ Row of Stores
❑HazMat-7 Detector 5 Diesel fuel/fuel oil: vehicle fuel tank or portable storag
❑ 53 ❑ Enclosed mall
❑Wildland Fire-8 H2 Required for confirmed fires.
6 Household solvents:Home/otfice spill,cleanup only 58 ❑ Business&residential
❑7 Motor oil:from engine or portable container
59 ❑ Office use
❑Apparatus-9 ® 60 ❑ Industrial use
1 ❑ Detector alerted occupants 8 Paint:from paint cans totaling 455 gallons 63 ❑ Military use
❑Personnel-10 ❑
2❑;Detector did not alert them 0 ❑ Other:Special HazMat actions required or spill>55 gal., _ 65 ❑ Farm use
U®I Unknown Please complete the HazMat form 00 ® Other mixed use
Property Use J Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales;repairs
342 [3Doctor/dentist office 579 ❑ Mottirvehicle/boat sales/re irs
131 Church,place of worship 361 l
161 Restaurant or cafeteria ❑ Prison or jail,not juvenile 571 ❑ Ga for service station
❑ 419 ❑ 1-or 2-family dwelling 599 ❑ Business office
162 Bar/tavern or nightclub
❑ 429 ❑ Multi-family dwelling 615 ❑ El ec c generat:ing plant-.
213 ❑ Elementary school or kindergart. -g�
215 High school or junior high 439 ❑ Rooming/boarding house 629 ❑ Labo tory/science lab t7
241 [3College,adult ed. 449 ❑ Commercial hotel or motel 700 ❑ Manu acturin9.elant Y
311 0 Care facility for the aged 4459 [3 Residential,board and care 819 [3 Lives ck/poultry storage(barn)
❑ Dormitory/barracks 882 [3 Non- sidentialcparking-garage
331 [3 Hospital 519 ❑ Food and beverage sales 891 ❑ Ware Ouse C" I`'
Outside
124 Playground or park 936 ❑ Vacant lot 981 ❑ Construction site
656 ❑ Crops or orchard 938 [3Graded/cared for plot of land 984 ❑ Industrial plant yard
669 [3 Forest(timberland) 946 ❑ Lake,river,stream
[3
807 951 ❑ Railroad right of way
[3Outdoor storage area Dump or sanitary landfill 9W ❑ Other street Look up and enter a Property Use
919if
931 [3[3Open land or field 961 [1Highway/divided highway youph ve NOT checked a 962
962 ❑ Residential street/driveway Property Use box: I Residential street,road
NFIRSt ft ebn Qil11,99
A281090 - EXP 0, 1111512008 PAGE 1 OF 2
HYANNIS FIRE DEPARTMENT - MFIRS REPORT
K1 Person/Entity Involved I I I
11) Local Option I Business name(if applicable) Phone Number
❑ Check this box ifI I I u u
same address as LL �� I I I I I
incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix
Then skip the three
duplicate address
lines.
Number/Milepost Prefix Street or Highway Street Type Suffix
� I IUI
Post Office Box Apt./Suite/Room City
� JI
State Zip Code
❑More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary.
f�2K2 Owner ❑Same as person involved?
Then check this box and skip
Local Option the rest of this section.
I I Business name(if applicable) I I Phone Number
❑ Check this box if I I I U I I U
same address as LL__ II
incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix
Then skip the three I I u u
duplicate address III III
lines.
Number/Milepost Prefix Street or Highway Street Type Suffix
Post Office Box Apt./Suite/Room City
UI
State Zip Code
L Remarks:
Local Option
I
fi
t
ITEMS WITH A * MUST ALWAYS BE COMPLETEDI ® More remarks?Check this box and attach Supplemental Forms
(NFIRS-1S)as necessary.
M Authorization
197201 (Craig E Farrenkopf C. ( I Captain /EMT I I Suppression Ll1 L 15 12008
Officer in charge ID Signature Position or rank Assignment Month Day Year
Check box N
same as
Officer in
merge .0, ❑ 197201 1 ICraig E Farrenkopf C. I I Captain /EMT I I Suppression 1 1 b-51 L2008
Member making report ID Signature Position or rank Assignment Month Day Year
A281090 - Exp 0, 1111512008 SMITH STREET page 2 of 2
HYANNIS FIRE DEPARTMENT- MFIRS REPORT