HomeMy WebLinkAbout0267 SCHOOL STREET - Health 2ilo SCHOOL ST*COTUIT —
A-020-102
IP �
No. r.; Fee
THE COMMONWEALTH OF MASSACHUSETTS '� Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
0(ppYication for Zigogar 6petem Com5truction Vermtt
Application for a Permit to Construct( )Repair(t/�Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. cQ to"? 5r CpTV j Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 07-0 1 o7. '--S
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
aoB� �d 117
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 avtl Type of S.A.S. �tA-ie-Tresri�l�
Description of Soil ML t56
Nature of Repairs or Alterations(Answer when applicable) Sf,42E=L`TIA t y
U j A grei fTv .F�s��s LYF�it ut2S i,
S Ij g
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 provisions of Title 5 of the Environmental Code and not to place the system in operation until a Cer"-
cate of Compliance has been issued by this Boar
Sig Date /f 9Z
Application Approved by _ Date
Application Disapproved for the following reasons
Permit No. Y7^ 2-2 Date Issued �� —�
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d
No. Fee
THE COMMONWEALTH OF.MASSACHUSETTS � Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS
ZIppYicatiou for Migogar *patent Cop.5truction Permit
Application for a Permit to Construct( )Repair(i/f•Upgrade( Y)Abandon( ) ❑Complete System ❑Individual Components.
Location Address or Lot No: Q to") 15X' v^� Owner's Name,Address and Tel.No.
��
Assessor's Map/Parcel,;. „� ,. 1 1'Y' t 1.rLj�j r •-5`
r
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�o ell,7 �r
xT ,, Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( )
' Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow qV O gallons per day. Calculated daily flow 11667 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank ,0-../ Type of S.A.S. �-�- r�7-i�7�✓?(.
Description of Soil dYt F/
Nature of.Repairs or Alterations(Answer when applicable).�a f I �G' S 10E i L:'TKtti
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 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 this Boar o
s
Sig - - �! Date 0-7 97
Application Approved by Date _,.7a —,9,7
Application Disapproved for the following reasons
Permit No. Date Issued - ?
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY that the n-site ewage Disposal System Constructed( ) Repaired( )Upgraded([/ -
Abandoned( )by
at -5,_hec)L. 1 CQ_rUI has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 2 �-� dated ��'-2 .2 -$ . .
Installer Designer_
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date i.,/- J Inspector ,f 1 l .*'rV
r
9 � ""O�.l ----------------—------
No. Fee
- THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
wigogal *pztent Con5tructiou Permit
Permission is hereby granted to Construct )Repairer Upgrade(. )Abandon( )
System located at
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 permit.
Date: `7 '��•-�- � .� Approved by .'_r ./
NOTICE]: This Fornr is to he uscd for the Repair of Failed
Septic Systems Only
CER'['IFI("A'TIUN OF SKETCH AND APPLICATION FORA DISPOSAL
WQRKS CUNS' i' C'I'IUN I'L+'ItMIT (WITHOUT DESIGNED PLANSI
hereby certify that the application for disposal works
construction permit signed by me dated `� Z , concerning the
property located at `7 S��oy� Co�vc L meets all of the
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private 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
• There are no variances requested or needed.
SIGNED 7: —
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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TOWN OF BARNSTABLE
LOCATION c) y( re-IC-T SEWAGE # 2 -�
VILLAGE �Q \ ��� ` ASSESSOR'S MAP & LOT N
INSTALLER'S NAME&PHONE NO. M\G>66PL=r ;.
SEPTIC TANK CAPACITY
LEACHING FACILITY: .SNP �(type) ��� (size)
�b
NO.OF BEDROOMS
BUILDER OR
OWNER
PERMIT DATE:- V- -22" 2 7 COMPLIANCE DATE: ?-3
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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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Citizen Web Request Page 1 of 1
r,✓Q17,� ;
77
Citizen Request Management
Request ID: 59663 Created: 8/14/2018 10:35:51 AM
r Status: Assigned To Staff Assigned To: O'Connell,Timothy
Health Office
y Chapter II : Housing
Anonymous: No Category:
Substandard
E.C. Date: 8/28/2018
'fF Created By: Crocker, Sharon Citations:
Health Office
Time Worked: 0.00 Response Time: 0.00
4
Request Location: Pamela Cara.ber
267 SCHOOL STREET
Cotuit, Ma 02635
Parcel Number: Map: 020 Block: 102 Lot: 000
Request:
Possible hoarding issue on first floor- hoarding in basement and residents are using a
port-a-potty in the side rear yard. Cotuit FD contacted Building.Dept./Elec at 2 am -no
electric service working.To get to electric panel, had to clear path in basement. RE: Health -
hoarding and two questions: 1)are residents able to reach sanitary facility in house, and 2) is
sanitary system operable. Deputy Wiring Inspector will check back at house today and
advise.
Request Work History:
http://itsqldb/CitizenRequest/WRequestPrintPub.aspx?ID=59663 8/14/2018
i
Date: August 14, 2018
To: Building File
RE: Use of Port-A-Potty/Possible Hoarding
Address: 267 School Street, Cotuit
Originator: Gene (Deputy Wiring Inspector)
Owner: Pamela J Caraber
Complaint: Possible hoarding issue on 15t floor-hoarding in basement/residents using a port-a-potty
at 2:30 AM.
Enforcement Process Steps
® 1. Initiate local investigation: RA
® 2. Document/enter into system Yes
® 3. Contact
® 4
® 5. Seek access to subject property
6. Seek administrative warrant(if necessary) ?
® Z Notify state authorities of findings NA
® 8. Document conclusion OPEN
® 9. Referred Bldg/Health/Electrical
Property R020-102
Property is developed (1920)with 4 bedroom 1 bath single family dwelling on 0.46 acre in the RF zoning
district.
08/14/2018.2:00 AM
Cotuit FD contacted Deputy Wiring Inspector approximately 2 AM to report to the scene of to
check the service to the house. FD had to clear a path in basement to reach panel. Inspector
noted that residents are using a port-a-potty in the side rear yard of the house and questioned if
A) residents could reach sanitary facility in house B)the sanitary system.is operable.
Deputy Wiring Inspector will stop by house again today and check property. He will advise of
conditions.
Referring to Health for possible non-sanitary conditions& hoarding.
l
`TOWN OF BARNSTABLE
LOCATION ��� S,Y,O,)L SEWAGE # 2
VILLAGE Win! ASSESSOR'S MAP&LOT ` 0-Y
INSTALLER'S NAME&PHONE NO. n(1i\G�6a L
SEPTIC TANK CAPACITY I sum
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMUDATE: �' " /� 7 - COMPLIANCE DATE: -/ 23 ;r,7
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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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