HomeMy WebLinkAbout0054 WALNUT STREET (HYANNIS) - Health 54 Walnut Street
EIyannis
A= 310— 045 —003 �� -T
0 0
o
o � `
e o
i
f
r
w o -
rri
uOn
I'
� r-
Cp
z
y
i
Z
fl
Z
,-i
g
a r
1
Q :r
rn� "
v
t
p �
s
IL
Ott
7° rC '
c
3 - �
f �oFtr rotiti Town of Barnstable
" Regulatory Services
BARNHABM
Thomas-F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
DATE:
NUMBER OF PAGES TO FOLLOW:
TO: ^� FROM: -�
oL
PHONE: PHONE: (508)862-4644
FAX PHONY L� FAX PHONE:. (508)790-6304
cc: 7
NOTES/COMMENTS:
J.Tax Formdoc
JUL, 9. 2007 48PM NO. 819 P. 1
! Town of Barnstable Healtb l aspector
TA Office Hours
,! Regulatory Services 8::,0--9:30
�, Thomas F.Geiler,Director 1:00.-2:00
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Ofil(.;e: 508-862-4644 Fax: 5 0,3-790-65).
INESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE
1. Glene.ral Information: Size of Property: a 2-9_A(-12'E
Ind&`Pess: Sq WAS ST litc MapJ/ OF Parcel
Phone#: _e')4424-0
2a. 'How many bedrooms exist at your property now? �
2b. Axe you planning to add any bedrooms? "6 If yes,how many?
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?
11 Nease include a copy of the floor plans for the entire property-showing the existing;
reaotans in the home plats the proposed amnesty apartment and/or addition. Please Iabel.
e::irli .roam clearly on the plans.
3• Is-die dwelling connected to public serer? YES or PTO
I"Fhe dwall%ng is connected blic sewer,skip questions#4 trough#9 below.
4. Location of dwelling is INSID or OUTSIDE a Zone of bution to public supply
5„ 1>the dwelling connected to an ONSITE WELL or to P LIC W
o
6- Is a disposal works construction permit on file? YES or ',10
6a. If yes,how aziany bedrooms were approved according to this permit? CD
edr�z s.
7. Were-any building permits obtained for construction of additional bedrooms? YES nor pio
8. Is tlere an engineered septic system plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
om._ _ FOR OFFICE USE ONLY
Public Health Division has no objection to bedrooms at this property.
sip(;cial Conditions:
Date:
Q;1hea.irh/w»fi1es/amnestyapp
'
- - -
d 61 'ON Adsti:� i 00 1n
a,
00
PAJC,
8 d 618 'ON Wd :ti LOOZ
W
e
tj
6
fCl
a\ �
I�
d 61 'ON WdP:: LOOZ