HomeMy WebLinkAbout1503 SANTUIT-NEWTOWN ROAD - Health 1503 Santuit-Newtown Road
Cotuit
A = 025 002
TOWN OF BARNSTABLE
LOCATION2EWAGE #
VILLAGE 7 c;� ,`T l� ASSESSOR'S MAP& LOT 0 S-002-
INSTALLER'S NAME&PHONE NO.
I
SEPTIC TANK CAPACITY \ —,- co -�,c�\\� ,
LEACHING FACILITY: (type)` � h^ (Size)
NO.OF BEDROOMS
BUILDER O OWNER
PERMI'DATE: COMPLIANCE DATE: 10 03
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge-of Wetland and Leaching Facility(If.any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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TOWN OF BARN TLE
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LOCATION SEWAGE #
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OR'S ASSESS I'viM.AP & LOT ���
VILLAG
INSTALLER7NAAS ME&PHONE NO.
SEPTIC TANK CAPACITY
mott^
LEACHING FACILITY: (type) l _ (size).
NO.OF BEDROOMS
BUILDER O O�R���
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
• �r
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility')
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
✓ Furnished by
oe_
F
C� �8
TOWN OF BARNLE y _"�
LOCATION ` ,`ll SEWAGE # l t
VILLAG COP, ASSESSOR'S MAP & LOT
INSTAER'S NAME&PHONE NO. �LL 84
SEPTIC TANK CAPACITY t VCJ
LEACHING FACILITY: (type) � -�,�� (size) �1" K
NO.OF BEDROOMS
BUILDER O _OWNER 1� �
PERMITDATE: 1Z COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Ba tom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility), Feet
Furnished by
t
E-z n8
�_ �- 35 8
No. - 7 f Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ".
' Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Application for Migonl *pgtem Cow5truction 3permit
Application for a Permit to Construct( )Repair( Apgrade( )Abandon( ) ❑Complete System ❑Individual Components
LocatioA Address�or'Lot No. L ®� �\) � >� Owner's Name,Address and Tel.No.
Assessor's o��
Installer z,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 Repairs or Alterations(Answer when ap le) c�
l L� OCR
Al
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisioo itle 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i b this Bo ea .
Signed Date6/2,�7/97
Application Approved by — i Date
Application Disapproved for the following reasons
Permit No. Date Issued
No. / �f � C Fee 45 l>
r 025 a f 1.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS
A 01pprication for �Digo!5ar by,5tem Contruction Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Addressor Lot No. pa Owner's Name,Address and Tel.No.
�w����� RDS� ��Q�t�•O ,
Assessors Map/Parcel -
Installer's Name,Address,
nand
dTTel.No. Designer's Name,Address and Tel.No.
f ,
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
_k Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when app ica le)
( ,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisio PIS
—OfTitle 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i u b this Boq-_d� ea
Signed Date ' "7
Application Approved by Date . '-^ : F f
Application Disapproved for the following reasons
Permit No 7 Date Issued
------------
r THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CE IFY, that th site Sewage Disposal System Constructed ( )Repaired ( )Upgraded(
Abandoned( )by _
at has been constructed in accordance
with the p 0'v-j 'ons,of Ti the for Disposal System Construction Permit No. dated F!—
Installer T QQ 4�t'ot°� z Designer
The issuance of this permithall not he construed as'a guarantee that the system will function as designed.
Date �� �C7 Inspector
--�—��-------------------------
No. Fee G'O
6�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
mi�pogaf �ipgten� Contruction Permit
`Permission is hereby granted to Construct•( )Repair( )Upgrade Abandon )
System located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to n
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 20mit.
4, Date: e^ ,'' Approved b 7
- -
I �
f
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS)
hC hereby certify that the application for disposal works '
construction permit signed by me dated concerning the
property ert located at �►V�-C���Z -� _meets all of the
�
following criteria: I
• There are no wetlands within'300 feet of the proposed septic system
v • There are norprivate wells within=150-feet of the proposed septic system
The observed groundwater table is,14 feet or greater below the bottom of the leaching facility
There is no increase in flow.and/or change in use proposed
�X
There are no variances requested or needed.
1
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t- -
SIGNE DATE:
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
(Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
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No. Fee so
�+ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2ppricatiou for 30igozar bpotem Com6truction Permit
Application for a Permit to Construct%0epair V Upgrade Abandon( ) ❑Complete System ❑Individual Components
Location Addregarr 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.
DESIGNING EXGKER MUST ER SE
AND RTIF t RI,ING
Fi Y�1'tl"i vvr� �" N RIOT
Type of Building: ACCORDANCE TO PLAN. VS>
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building_:. No.of Persons _2t 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 Repairs or Alterations(Answer when applicable)
1_50 CP` IJte D W
Date last inspected: \&4Z s J* Ton" MG K A..- it r�ev¢,.A
A reement: Qw ^"_y�o rt� eA 1 nQQXZ e( 41 s. VJai�1
g 14- Oh J f�rt/C •�(dv✓ pIA4
The undersigned agrees to ensure the construction and maintenance of the afore descri ed on ite sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued b odaz
S' Date
Application Approved Date v
Application Disapproved for the following reasons
Permit No... --)Q U -S —`E 3 ( Date Issued 3 ® 3
No. ' -' Fee -J
f w —
THE COMMONWEALTH OF MASSACHUSETTS Entered'in computer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
' f
Z(ppYication for 30i6pool *pztem Con5truction Permit
r'
Application for a Permit to Construct epair VJ Upgrade Abandon( ) O Complete System ❑Individual Components.-
Location Addres r Lot No. Owner's Name,Address and Tel.No.
t/No��c�,7�
Assessor's Map/Parcel C� a�3 \l •r i �\aa,ram,,.
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 Y> �..�_ti: C No.of Persons 4�: 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 �-�e-�, c��. Type of S.A.S.
Description of.Soil;
Nature of Repairs or Alterations(Answer when applicable)
.�:
A L 5 U 9`p E-P A c^ L-) 8c jC W
Date last inspected: \co%:a✓--,P, M�1� To t F ap��`rovr n,;
eL II 11
A reement• T �. ��--_ . �W ec -�
,
g pY . e
The undersigned agrees to ensure the construction and maintenance of the afore described on- ite sewage'disposal system ��J
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by„x�s-Boa d of Health.
Signe Date c�'\
Application Approved�3_ '�,. " ' "� Date �� G
Application Disapproved for the following reasons
Permit No. �Ci —` 'S " Date Issued `7 3 0 3
---------------------------------------
THE COMMONWEALTH OF MASSACHUSS S
BARNSTABLE, MASSACHUSEITS �1 f
a► newd-��o� +ns��l���t t l Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Upgraded
Oh�y • �' g P Y ( )Repaired( )Upg ( )
Abandoned( )by -
at 1 U3 �i�n il.�f �o.u, r,. �� .:.` has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.Z00 T` kI ( dated 9-� -U'�
Installer Designer
The issuance of this pdrmiV shall not be construed as a guarantee that the system wi'1L un, i n as a
Date 3 Inspector
---------------------------------------
No. y�CJC� ' 3 ( Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION . BARNSTABLE,, MASSA E . INEER MUS PERVISE
NS LLA ON A CERTI IN RIT NG
Mi5pozaf *p.�tem Con! truction Pe S EM WAS NST ED IN ST ICT
Permission is hereby granted to Construct( , ) epair '�Q Upgrad ( )AbaMvj,
)
System located at_1 �3 �'��� G w� CCOR F:"SCE TO P
.
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 o�s per
Date: `/ )3/o Approved .
EXISTING HOUSE
PROPOSED DECK
283,\ o.
q PpR
Ekes Ok/Mq
TANG SEP LOCA T�0
T1 c N
S OF ` 8' w
YSTEMPROPOSED:
12 `v 6' DECK
O co/w�yr��
EXISTING VENT PIPE
W w/
N �
- w
PROPOSED o
ADDITION N DETAIL
1 " = 20
EXISTING GARAGE
TO BE REMOVED
'�2�-�•,.-�.t� \'� .moo-�ono��- --7,�._..e-. orb �.��
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TOWN OF BARNSTABLE
LOCATION — .�� : ;`SEWAGE#
VILLAGE CS `'� ASSESSOR'S MAP&LOT Q2 S-00 2-
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY \fZ
r
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER O OWNER
PERMTTDATE: OMPLIANCE DATE: i u 03
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
�4
9
�r
1
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g'_ r EXISTING BUILDING
PROPOSED NEW
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AS
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MASTER X/ � I xI \ I A
2'- 1 2" PANELS I ED--r / J\ I,, E�IpyE y1 Np\p�1,
/ I OPEN TO BELOW I AND GASGIOPCNI\LL�� LL��J.TI IIIII��777
4.6 POST X t3ETRELOGATED Z
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D.0 R (V I I � \ ' EXISTING I i N�
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45'-0' / EXISTING BUILDING
PROPOSED NEW
SECOND FLOOR
14
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_ 48'-0' EXISTING PILDING
- PROPOSED NEW U -
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26'-0"
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T I tW0 a RELOCATE WINDOW -L\_
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5 I 4x4
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mxo
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PROPOSED NEW - -
FIRST FLOOR
EXISTING BUILDING
PARTITION LEGEND
---------� EX RENG-PARTITIONS TO
EXISTING
ISTIN PARTITIONS TO
PROPOSED NEW PARTITIONS
c - - BEAMS
CONSULTANT
L. F. Giampietro , A I A ARCHITECT ;
F! I 220 MAIN STREET TEL:508 540 7400
FALMOUTH.MASSACHUSETTS 02540 FAX:5085400220 Weem492
ADDRESS
ADDITION ALTERATION
pERRY RESIDENCE
o 0 0 0 0 0 0 [� I TSLEpHONE No. '
a� 1503 NEWTOWN ROAD
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