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Home My WebLink About0657 WEST MAIN STREET - Health �r 657 West Main Street Hyannis ' A = 248 079 r i i 1 pp I o 1 k i' i f i I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner Tenant // J Address Address U S � / Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8.Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents " 15. Garbage and Rubbish Storage and Disposal o4c-Ag 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 o le�-j —C� 5 Number of Vehicles Allowed (max) 01 Number of Persons Allowed (max4 Person(s) Interviewed Yam— � /��L� Ins e P If Public Building such as Store or Hotel/Motel specify here A0 Q No. Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: VYes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYicatfon for Mioponl *p6tem Cong;tructfon Permit Application for a Permit to Construct( )Repair( )Upgrade( bandon ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 15'7 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 Rep 'rs or Alterations(Answer when applicable) Date last inspected: c �J e5 Agreement: The undersigned agrees to ensure the construction and maintenaCric of the afore descriid on-site sewage dis'pos ystem in accordance with the provisions of Title 5 of the Environmental Code and not to place thely'stem in operation until a Certifi- cate of Compliance has been'sue 'd by s Board of al Signed r r Date Application Approved by Date Application Disapproved for the following reaso Permit No. _� Date Issued No. D Fee Vs THE COMMONWEALTH OF MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Mioozat *potem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade( A�andon ❑Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) i 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 Rep 'rs or Alterations(Answer when applicable) 1. r. /] 61 Date last inspected: n Agreement. ( E�i` Gf! (, ° � 1 ,7�f 1✓` 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 thels`ystem in operation until a Certifi- cate of Compliance has been• su d by this Board of ealth. Signed Date_ . Application Approved by ` rr Date Application Disapproved for the following reason 7Z J Y Permit Date Issued -----------------—------- --- ——————— - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (fertifirate of Compliance THIS IS TO CERTIFY,that the On-site Se a e Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( by at has been constructed in accordance with the provisions,of Title 5 and the for Disposal System C nstruction Pemut No. 1) ?)Z.� /I dated Installer1�Ara�, r ry.. Desig;cr The issuance o permit shall not be construed as a guarantee that the system�will function as designed 9 Date &x V Inspector --7,7—L---------------`' ---------------- -- No. ! ' '" Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5ar *pgtem Con.5truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( 7� System located at �,a ak , r 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 conditions. Provided:Construction must be completed within three years of the date of this ermit Date: V Z/ Z-0 Approved by