HomeMy WebLinkAbout0148 HOLLOW ROAD - Health iZ
148 Hollow Road ;q w
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No. Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
pplicatiou _for Yell Cougtructiou Permit
Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at:
lqjll,)w 0. Ltd '7061 -001
Location- dress Assessors Map and Parce
65 enL d I4) ?-1i. � u�
Owner Address
In t ler-Dr'ler Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well A4 i, FV C Capacity
Purpose of Well ` .kct-lb`•��
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well rot tion Regulation-The undersigned further agrees not to place the
well in operation until a Certificate o lia een issued by the Board of Health.
Signe
at
*;Application Approved By
ate
Application Disapproved for the following reasons:
Date
.b..e
Perm_it No. �. Issued
Date
-----------—�
BOARD OF HEALTH
` TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( )
by Ali
I'nssttallleerr
at J ✓ /�`r
has been installed in accordance with the provislons of the Town of Barnsta a' Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. JA Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
• 5� a� .i • .. - - /' -..'� any - • .� � ...
No. Fee /
V Y r
BOARD OF HEALTH JI
TOWN OF BARNSTABLE
01ppYication _for Yell Construction permit
Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at:
Location'- dress 11 Assessors Map and Parcel-)/�
�Gsre�e3�. �( --r.# �r�' I"�► �����.t�'. .=`1tra�7l�:f°��.
4�
Owner t` ,d; !) y
Address
Mrltt l A ,a17 I =iir1 �l4. T •4J: Ir� � ''� CVv� G�/ � C �"3�
' Inst filer-Dryfler I � ` Address r
t'1•
Type of Building
Dwelling t .
Other-Type of Building ,- No. of Persons
Type of Well Capacity
Purpose of Well ?vk �
( Agreement:
i The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private We rote-tion Regulation-The undersigned further agrees not to place the
well in operation until a Certificate of
C`om.lia ce 'sfbeen issued by the Board of Health.
Signed--\` A n 1
a
t
tr a
Application Approved By W
Application Disapproved for the following reasons.
Date
f- !I 1 .1 � —f /
- Permit No. Issued
1 Date
I
D -------------- ------"---------------- --- —m-------- -- ------------.....a—
BOARD OF HEALTH
TOWN OF BARNSTABLE
<= Certificate of Compjiance
THIS IS TO CERTIFY,that they mdivual well Constructed O, Altered( ), or Repaired O
Installer
�{ at (�•�cT /d�!C�l.� �-� lam, '
has been installed'im accordance with the provisions of the Town of Barnstable Boards j Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. /1 �/� Dated
i
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION-SATISFACTORILY.
Date Inspector
----------------------------- -------------------------------------------------------------------------
BOARD OF HEALTH
'TOWN OF BARNSTABLE
1 A001 Vell Con.5truction Permit
No. Fee
1 t
Permission is hereby granted to 1 wj�ti"
d Installer
to Construct V,,ZA-ter( ), or Repair( an individual well at-
G B Street
as shown on the!app ication for a Well Construction Permit NO. Dated
Date l /1 Approved By 1VIV . A
nap and lot number ............................... *THE to
SEPTIC SYSTEM MUST a
/Permit number X.�y C7:. p..5.��?.........G?��s:.. 1�J w/3�oINSTALLED IN COMPLIAN „
e number .../ ...... AM.. `'... ... -!�r/YcJ AM E' �
WITH TRIJ & = e L
ENVIRONMENTAL ft-!' A 163q. \00�
TOWN OF BARNSTABLE
f BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....................................... / ..... ��... ...........................................
TYPEOF CONSTRUCTION ............................:.�..YQ? ,,, ...................... ...... .........................................................
r .. .......C.......... .19.. ..
TO THE INSPECTOR OF BUILDINGS: 1
The undersigned hereby. applies for a/p/ermit according to the following information:
Location ................0-FA ........ �.J.I.P................ ..................... ���%.1. 1,� {.�.....�.f..iGr S.S.:.....................
ProposedUse ........... .. . .... .. .. . ....... .. ...............................................................................................
Zoning District r....................................Fire District
.. ........ ...................1........................................................
Nameof Owner .l .ASP. ?h...��....... '�S Address/.`c �.............. ....................................................................................
Nameof Builder ........_. Address.............. ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of .Rooms Foundation ............ .. ..............................................................
Exierior ................... ................................................................RoofingG ............................................
Floors ...................�Q. . .................................................Interior
U..... ............................
r, ........ [ ..... /%Jt.. (1--------------------rrpplummui� /........�.@.
Definitive Plan Approved' by Planning Board -----------—______-----------19_____-—. Area .......1:.`
Diagram of Lot and Building with Dimensions Fee �—
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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�b
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... .,.. ... . ................. ........................
i.-
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Town Boundary
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#9 �i 152 r� 1r #1y022' '" / a #83 E9 Buildings
#119' / \ f / `�w % Painted Lines
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#144
#103 �' 0 Bridges
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#31� 0 Paved Roads
} 9 #'105 3 1]Unpaved Roads
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/ #140 � -Marsh
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Map printed on: 2/27/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are onlygraphic Town of Barnstable GIS Unit
adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatoryinterpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026m
O 167 333 an on-the-ground survey.n maybe generalized,may not accurate rela tionships to physical objects on the map 5o8-862-4624
reflect current conditions,and may contain such as building locations.
Approx.Scale:linch= 167 feet -O cartographicarrorsoromrssions. gis@town.barnstable.ma.us'
Health Master Detail Page 1 of 1
�H6�iIth Taster,
d/Yp��P''t"'"' -TAR
Logged In As: TOWN\miorandd Health Master Detail Monday,February 27 2017
Application Center Parcel Lookup Selection Items
Parcel Septic Perc. Well I Fuel Tank
Parcel:027-001-001 Location: 148 HOLLOW ROAD,Cotuit Owner:CURTIS,JOSEPH G&ELIZABETH
Business name: Business phone:
Rental property: ❑ Deed restricted:❑ Number of bedrooms
Contaminant released: ❑ Fuel storage tank permit: ❑
Save Parcel Changes Return to Lookup
Parcel Info Parcel ID: 027-001-001 Developer lot LOT 2
Location:148 HOLLOW ROAD Primary frontage:
Secondary road: Secondary frontage: -
Village:Cotuit Fire district:COTUIT
Town sewer exists at this address:No Road index:7777
- .. RM
Interactive map
SPLIT(parcel is split between districts and should be looked up on the
Town zone of contribution:map) State zone of contribution:IN
Owner Info Owner: CURTIS,IOSEPH G&ELIZABETH Co-Owner:
Streetl:PO BOX 152 Street2:
City:COTUIT State:MA Zip: 02635 Country:
Deed date:7/24/1990 Deed reference:7235/246
Land Info Acres: 1.77 Use: Single Fam MDL-01 Zoning:RF Neighborhood: 0105
Topography:Level Road:Unpaved
Utilities:Gas,Well,Septic Location:
Construction Info Building No ear Built ross Area iving Are Bedrooms Bathrooms -
1 1981 254 104 - 3 eedmams- Full-1 Half -
Buildings value:$208,200.00 Extra features: $49,400.00 Land value: $139,700.00
http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=027001001 2/27/2017