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Home My WebLink About0105 SCHOOL STREET - Health 105�SCHOOL,.STREET91, McKean, Thomas 03-5 -011 From: McKean, Thomas Sent: Friday, May 02, 2014 8:50 AM To: Dabkowski, Cindy Subject: 105 School Streetd— Hi Cindy, I will be able to grant conditional approval for this particular amnesty'application. The Health Division has no record regarding the rear"garage/cottage" septic system or cesspool. Therefore, the applicant is required to hire a DEP certified septic system inspector to inspect the rear septic system and provide the Health Division with a copy of the inspection report. . Then we can go from there. Sincerely, Thomas McKean Fa • TOWN OF BAR.NSTABLE LOCATIONaac SEWAGE # � � VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. pam,,7Ze-c7rr Cc, s7—, AAJc- Y � SEPTIC TANK CAPACITY y, LEACHING FACILITY:(type) NO. OF BEDROOMS -3 PRIVATE WELL O -UBLIC WATER_ . BUILDER OR OWNER � _ _ ?U/�1 Imo'/CC �/� l.¢Gc1J�£atX; AtCK DATE PERMIT ISSUED: 7 / DATE COMPLIANCE ISSUED,.____, VARIANCE GRANTED: Yes No ►� y a Fy O a t 1 d a o <C.>v4_.o M;s� .,;v G�� 4'•�t£�� Ua�fsa°,.4a„y .. - � rs�,�1- � tt�'� �¢�#�#�.�3`� %� 4 ` S I t2S4 I' Fi /9qTo Lu I AA /Z t`7V S II FAM J y ��-p ➢ J i.sn�v jT N t�cu O >f�?� 0-TH k WJ1-fit? ja 01 !9` j J--' Avg L'fT�� aS /Aj A tP V)SHf;V, �I 6- ow/0— 5-7 j L '� r� Z CC. jQ.fl� � c Cat dL`g6 6?� j 'i i 8 Cr1 art�� Jai 5 PI'.G s L _ '^Rgn j A)V P t-t-T AA) `��J _S tf - � �� 1 tf L o✓ K - FD PLr laa 0 T AsBuilt Page 1 of 1 5 TOWN OF BARNSTABLE LOCATION_ 7 ,5c2 cioc .97 r SEWAGE VILLAGE C'G cJ%/ ASSESSOR'S MAP& LOT �.3•�-Q/�j INSTALLER'S NAME & PHONE NO. ,8U.-rtZ c7r� CaoS" rrJ` r��G SEPTIC TANK CAPACITY' , �dGC3��y LEACHING FACILITY:(type) z2f:L. (size) NO.-OF BEDROOMS -3 PRIVATE WELL O UP BLIC WATER BUILDER OR OWNERS A�� 1Ur�1 �97'i4L.FlL /lAdulyct s►ru� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes —No- rib A .. 1 r V http://issgl2/intranet/propdata/prebuilt.aspx?mappar=03501.9&seq=1 4/30/2014 Parcel Detail Page 1 of 3 -w 3 Z. yG 1L44 oa 1 N Logged In As: Parcel Detail Wednesday,April 30 2014 Parcel Lookup Parcel Info Parcel ID 1035-019 I Developer[_P�RCEL 1Lo I Location;105 SCHOOL STREET — � l Pri Frontage�103 — Sec Road�— Sec I Frontage L �� village ICOTUIT Fire District ICOTUIT Town sewer exists at this address No I Road Index[L433 ml Asbuilt Septic Scan: Interactive 035019_1 Map - Owner Info Owner[PULSIFER, DAVID E& PATRICIA , Co-owner — —I Streetl PO BOX 971 ..__�_..___ u- _. 1 Street2 I - - City I COTUIT l State LMA zip F02635 Country F - Land Info Acres o.49 Use;Sin le Fam MDL-01 zoning RF Nghbd 0110 J Topography Level —^ _ � Road I,Paved Utilities JPUblic Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 1900 1 Roof Gable/Hip ( W Wood Shingle Built Struct Wall 11 Living Roof 2076 I Cove h/F GIs/Cm AC None Area I Covever p p ( Type� Style Conventional I Wall I"t Plastered 1 Bed Rooms 3 Bedrooms I ,- Int Model Residential I FloorN ical I Bath Rooms 2 Full+ 1 H I Grade jAverage Plus I Type Typical Total Rooms 6 Rooms I Stories 11 1/2 Stories ) Heat Gas Found Mixed Fuel ation ' Gross 3135 �) 3;FOP:;, Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2216. 4/30/2014 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 7/1/1995 Addition 19103 $35,000 1/15/1996 12:00:00 AM CO ADUN Visit H story Date Who Purpose 7/9/2013 12:00:00 AM Robin Benjamin Cycl Insp Comp 6/15/2012.12:00:00 AM Jeff Rudziak Cycl Insp Comp 9/30/2008,12:00:00 AM Tony Podlesney In Office Review 6/1/2005 '2:00:00 AM Paul Talbot Drive by inspection only 9/5/2002 '2:00:00 AM Paul Talbot Meas/Listed-Interior Access 8127/1:997 12:00:00 AM Lloyd Kurtz Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 7/15/1994 PULSIFER, DAVID E&PATRICIA 9293/116 $208,000 2 2/15/1993 MILLER,ANN W 8456/65 $1 3 18/10/1967 MILLER, LAWRENCE L&ANN 1374/584 $0 Assessment History Photos 1.� � , - �. fil T m i - p, http:./,'is3gl2/intranet/propdata/ParcelDetail.aspx?ID=2216 4/30/2014 F• ,•fpFl-f^�`�R m'rra.N.ne.*"°". t .. .I ,�^a 4 Eyx'f rt '6��Ln.�• l�'$f i`. y � "i`?-p� 4 •S �5 f �• 1 ', < __ � t �,^ '9; k� ��' F S r' a yam. ^d,"�. �px„^ sc. --� �� ;�;�•1� .y¢'t is * Wit# � :'.':�.,,�.� � �`�^t�� ,r y',+"." a"v "",»�:�`� ' •�kA i .: `", $' , i�' �C'''` i5 _ .t �'_" . '"st' '„ igCs "+z A .d T• #, j q is w �;'� 1c ms„e�'r�✓4 ��` -"k•�10 nik A ?�, 'ig��+S� `� �so-�-mJ `� '#, � �'x• �'�,�T �, Ise G�' b+ r H °9�` +t• 4'x+" "5• r¢ afi n y # '"„�£g, '#' +et �#•xt y'i .y`�. 2 't" �C All ti ;L.v 9 �• - 'yy�,,1i„ 'y_, zr X" :.�,,"�.� _ �rs,"yu,a.r '=� r 4� c �2,' ... vim` s" �t_A -, ""p.•a � '�, to.i• ' W d �. i s rta No..Ya.-::...Y?K Fizic THE COMMONWEALTH OF MASSACHUSETTS BOARD OE HEALTH . .....OF...... ...... AVVfiration for Dispaiial Workii Tonstrurtion rantit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ..................... ..... ..... --------------------------------------------- Loc t Lp N o. ......................... ...r .. r ess .............. 'Po��..�k JL4 ........... Installer Address Type of Building Size Lot.i?.�24,00.0......Sq. feet U Dwelling—No. of Bedrooms... . -............ ------_ -----------Expansion Attic Garbage Grinder PLI Other—Type of Building. ............................ No. of persons............................ Showers Cafeteria Otherfixtures ----------------_------.......................................................................................................................... Design Flow.................. ..................gallons per person per day. Total daily flow____-__-.-- --�Xa_--_--_-----g-al!qns. W. Septic Tank—Liquid capacity./. 4W---gallons Lengt1/410,_S'. Widthof-57".. Diameter................ Depth-5........... Disposal Trench—No. ................._ Width.................... Total Length.................... Total leaching area-----_------------sq. ft. Seepage Pit No........../....... Diameter........4��...... Depth below inlet.......44.......:. Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by.................................................*......................... Date......................................... Test Pit No. I................minutes 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_._____.........__.____. . ........................................................................................................................................................... 0 Description of Sil.'o ...........jo 1-0,40? . ........... .............. ....... �;= .,F -----—... ----—-- ............. . .....�b..... ... ..................................................................................................................................... ..q......... U ..................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable-.44 ---------J-ZAXLC <- -_S........ ..... .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL IL TL!L- 5 of the State Sanitary Code—The undersigned further agrees not to place the sys't'em in operation until a Certificate of Compliance has been...is by eb r I h. 01 Signed.... ........ ... ... .. ... . ................ .......4.& .... Dat Application Approved By------. ...)D................... ............................. ............. Date Application Disapproved for the following reasons:................................................................................................................. ........................................................................................................................................................................................................ Date PermitNo..............rY......V-47----------------- Issued....................................................... Date No.21. elf THE COMMONWEALTH OF MASSACHUSETTS BOARD f`�. .•�`t...............OF....� ,E` HEALTH E .: ! -. ��.?..... cc -------------------------------------- Appliratinn for Uhgp a al Works Towi rnrfiun Famit Application is hereby made for a Permit to Construct ( ) or Repair (-�,) an Individual Sewage Disposal System at: _ ��✓J- -: .....` ::1 4`....-....la?�•-•..................... ............................................... ............................................... Loca*n-Address }/ r or L�'No, y ... r......! / rt ✓ ........_.. ... t��.^�r/� 1 .............. ,- t..� �t1 •F -------- ---••-• ..:............................. .... ..•------'-==- 1 Owner ' Address .... �- i�l�fG:�l!'..J Installer Address _ Q Type of Building Size Lot'_' .__`?:_ 'I -------Sq. feet V Dwelling—No. of Bedrooms.................��. Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a'' Other fixtures ...........:................ . WDesign Flow.................::........................gallons per person per day. Total daily flow.........._ -r_ _C�_...................gallons. W; Septic Tank—Liquid capacityf'...... lions Lengtl _ _.____ Width°a: ......._ Diameter__----__-______ Depth-..•._...__.. W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area----................sq. ft. x Seepage Pit No......... ........ Diameter.._....�-:_--..... Depth below inlet.._...:� __......_... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by....................................................................... aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_._-_---_____--_---_--.- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.__•-----_--___-_-__--. ....................... .•----••. --...----------...-•--- Description of Soil ............................. ....... • ---.... ----- -----•------.... -- . ----- W •--------------------•--- •-------•----•-•-•........----•-•---••-•••--••-•••--••-•--•---------•........_.....----------•--------••--•-----•-•--•••--•----•-•-•------•---••--•---••--•-•.............. VNature of Repairs or Alterations—Answer when applicable �'ia � c�=t .......---•--... " .!r .:�?!`........_................................................O . 1 ,,� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i I T!.' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been > su d by)e bon,$6 heealthh. Signed--------- --------- --�..-- ..•-----... .....-•-- --=-;,;;-•-------•---•- ------=,. -------=�- .� .:.......�' ...--•...................... -•--•------- ---e -t- �k_ Application Approved By....... ._. ... .:�.-� Date Application Disapproved for the following reasons:................................................................................................................ -----------------------------------------•------•-------.._.................--------------.._..._...-----I-•-----------------•-•••---•-••----••-•-----•-•---•-••--------••••--••-••......•-•-•---•••----- Date Permit No............. Y, .....S f?_�..._-----••—•-_- Issued._..-----•----••-----------------------•--••-•---....•- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .4�r %untifiratr of fauntpliFanrr THIS IS TO CERTIFY, That tpp Individual Sewage Disposal System constructed ( ) or Repaired (�.) by.............................. .............................................................................................................................. at...................----••-------••---....-•-------•-----------------------------•--------•------------••••-••---------------•---•-------•••••---•--•--------------•----•-••------...--•-•----••----- has been installed in accordance with the provisions of TIT- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..-_.__ ?_ __.___ _ _,7........ dated----------------------------------•--•_________- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................•--••-•--•-•--•--.........-•-__-•----••---•-----------•-•-- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � NO.�,'( l c�'a"s?.... .OF............................................•r ... .if..,. . - __�--•-•--•-••--._--_. FEE....................... �tn�a1n�l ^��ana��rtUan �r/r.��m�-�i� Permission is hereby granted---- -------------•-----•----------- -----•••--•••••_.-_-- ----•----.•-__=-------------------........ to Construct ( ) or Repair (�') an Individual Sewage Disposal System at No.............Z1 :_.-.c" C J i Jf Street as shown on the application for Disposal Works Construction Permit or,r._ __ Dated.......................................... ---- -------- Board of Health DATE a -f.-.. .6..................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BAR.NSTABLE LOCATION SEWAGE # VILLAGE . i`L /'i ASSESSOR'S MAP & LOT INSTALLER'S NAME 6: PHONE NO. SEPTIC 'TANK CAPACITY LEACHING FACILITY:(type) X, NO. OF BEDROOMS -J PRIVATE WELL O U1gLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No A / i l , Town of Barnstable Health Inspector F'THE r Regulatory Services Office Hours g y 8:30-9:30 �.� Thomas F.Geiler,Director 3:30-4:30 STAB , « Public Health Division 039.,t a � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM-APPLICANT — SEPTIC QUESTIONNAIRE Date: February 3,2014 Pr-e,,V-10 VS1 Ca C,V-bw n 1. General Information: p � w� Property Address: 105 School Street Cotuit,MA 02632 r Assessor's Map/Parcel Number: 035-019 Size of Property: 0.49 AcreI- Applicant(s)Name`.David E. and Patricia Pulsifer 5 p e 0_1 Mailing Address: PO Box 971 Cotuit,MA 02632 Home Phone: 508-280-7703 Email:pat.pulsifer@gmail.com �r•e:v t��s�� 2a. How many bedrooms exist at your property now?4 3 in the main house and one in the detached garage) f 2b. Are you planning to add any bedrooms? no. If yes,how many? 0 2c. How many bedrooms total are proposed at this property(including the amnesty unit)?4 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO i If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone? 5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 6. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 7. Is a disposal works construction permit on file? YES or NO 8. If yes,how many bedrooms were approved according to this permit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms? YES .9 NO 10. Is there an engineered septic system plan on file at the Health Division? YES :or NO :»O 11. Has'the septic system been inspected by a DEP certified inspector within the last two years? YES _ r NO F c_®A of-rLw -t NPP—d"A FOR OFFICE USE ONLY �• Get j bed ours at this property. The Public Health Division has no objection to �w Special Conditions: C v..r. Signed: Date: iy s� �r CO<ks Cai 5 F LOCK �08 Gi N ; .= 5 cPr ol r .. h S o �.K un. OR :. 18 �4� � O P a P RCE L I A a o AREA = 21,218 - S.F a fir. 8 fr s�HooLsT � a MA - - r 49 O STY - � VNovSE � • �t AMC* SG6. 4? r m r O D Q1, V V n to D NQO S;Ff o wEf� 3 /V�w S71RI ZS �--� I I I Ew D CC K