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HomeMy WebLinkAbout0000 BRIDGE STREET - Health p Bridge .Street 093-060 OstervilW r . ry r No... .'. , 9 FEB............5.A�t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town...................OF.........Barns table ..................... ... App iratio.0 for Di�puiitt1 iark� C��aa� r r il�n �erutit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Off Bridge._S,treet..,,Os_teryille...._. ..................255S ........................................................... Location-Address or,Lot No. ...Qh �. .A.s....G.F.Q.$j y... Q...�.:: n. A.................. P.,.Q-=--BQ.x:.49.Q,....Br dge..S.t.�..�...Ostery lle Owner Address w Lew-Mae....... Box...55,...Osterville. ................ Installer Address 29 330 d Type of Building Size Lot........a..........:.......Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building s to rage....... No. of persons............................ Showers 0.i YP g ------•---:-•- P ( ) — Cafeteria ( ) 3 toilets - 1 urinal Other fixtures ....--.............................................................................. ---------------------------------.........--•.............-- W Design Flow............................................gallons per person,.,pDer ,4ay. Total Oily,�low............................................ lons. R; Septic Tank—Liquid capacity.lQQ�gallons Length.-t5_........ Width....lU....- Diameter................ De th.. 6...--. W x Disposal Trench—No. .....I............. Width.......a,.2........ Total Length... z........... Total leaching area........_72.....Sq. ft. Seepage Pit No.....-- ..--.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank (No Percolation Test Results Performed by..........Baxter...&_.Nye.............................. Date......1.1-4-83 "a Test Pit No. 1...L2........minutes per inch Depth of Test Pit.. .9............ Depth to ground water.. 7....... ........ G4 ?Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................---- •-------------------------------•-----------------•--............................••••..........•--•..... Description of Soil........Fi11 0-4 4 -9 ' med. sand� wa-ter e-7 Y x --- ...............................-............................................. x ------ ---- - - ------------ --- ---------•------ - ------------ ----- -----------------.--- ------.-- ---- ---•---- ------. U Nature of Repairs or Alterations—Answer when applicable---abandon-ing_.ol-d._-toilet-.System. -_-_-. wl-l >t;?tl`:1...>Zew.....wh.�la boat; reov..ed. ....---• -----•---------•--.... ...-•--•---••------• ......--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a C rtifi of Compliance has been issu d by the board of--health. r�cl . ......... -•- ate ..........L ation Approved BY-------(-- s--....C,� . .".. ........•--•••.................... �.Z...= P�'°�/`p - Date Application Disapproved for the following reasons:...........................................................I..................................................... ...........................•-------------•-------------------•---•--••--•-------------..........-•---•--•.................---------------------------------•----.....------------------------••-•--•-•--- Date PermitNo......................................................... Issued........................................-.............. Date No-2....3 . ... FEz........... THE COMMONWEALTH OF MASSACHUSETTS 2 BOARD OF HEALTH ............Town..................OF.........Barns table ......................................................................... Appliration for Dhipoiial Works Tonstrurtion " rmit Application is hereby made for a Permit to Construct )I) or Repair an Individual Sewage Disposal System at: ....01f Qaterville............ ................... .................................................................... r Location-Address or.Lot No. sterville Co........lac.................. ...49%...lridv�... Q...................... Owner B x 11ress ....L.ew:!m4c ...5 .r......................................................................... ........... .5 0 ......Qs.tervi e ..................................................................... Installer Address 29 Type of Building Size Lo ...... .......sq. feet U Dwelling—N o. of Bedrooms............................................Expansion Attic Garbage Grinder storage Other—.Type of Building ...... No. of persons............................ Showers Cafeteria j.....6,...flei's - 1 urinal Otherfixtures ...................................................................................................................................................... Design Flow____________________________________________gallons per persond?Fr gay. Tota�4ail ............................. ns. _6..... Widtl................. Diameter................14 Septic Tank�Liquid capacity. JQQQ�allons Length.......... 6,flow. Disposal Trench—No-------I...' Width.......U....... Total Length--..32........... Total leaching area.......Depth72.....sq. f t. Seepage Pit No--------------------- Diameter.................... Depth below inlet_.__._.-......._._. Total leaching area..................sq. f t. Z Other Distribution box (X) Dosing tank ( NP Percolation Test Results Performed by...........Baxter & te......i�-4-83 ............................Nye....p------------------------ ........171-------------- Test Pit No. I...L2.......minutesperinch Depth of Test Pit_................... Depth to ground water_._..................... Test Pit No. 2................minutes per inch Depth of'Test Pit__...___--_-__._... Depth to ground water._._.___._..___..__._._. -------------------r-------------------- 4k-9 med. . s"a"nd... "w"'-a...t...e...r....e-7".­­­...........*'--*----------------------- 0 Description of Soil........ ......... ........... .....................................A................................................................................ �4 U ................................. ....................................................................................................................................................................... -------------------------------------------------- ...................................................... ...................................................................................... U Nature of Repairs or Alterations—Answer when applicable.... in&.914....�qilet system --- ..............................I........ will install new .wben boats removed. .................................................. .........................removed Agreement: .The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T 1'112 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board o ealth. a�r xp Signed...--law.......................... / _.: Date plication Approved By..........L-40, ............................. .... �4 Date Application Disapproved for the following reasons:................................................................................................................... ........................................................................................................................................................................................................ Date PermitNo.......................................................... IssuedL....................................................... Date r1w. 4" SACk4 HE COMM. WEAITFf. OF'MA 9"S Uslift BOARD HEALTHARD ip I F' AQ ................1�OF................. ................tt................................................ THIS IS TO CERTgY, That the Individual Sewage Disposal System constructed or Repaired .0 by..................Z�.;f........;;ZaA�.................................................................................................................................................. jnstaller 0—L2.1----------------:.......at... ..,K ......AG� --------- ....y------------------------**-------------*----------------------- ............../has been i/ta��e in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for D.iSpO,saJPV%rks Construction Permit No----e2,-,-111 ......... dated---------- ...................................... THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE COJISTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTI)ON SATISFACTORY. DATE................... ..I................................... Inspector... /,&�-. . .... .................. .......... THE COMMONWEALTH OF MASSA 4 USETTS BOARD OF HEALTH No........82.7: ................... ..................0 F..................................................................I................... FEE-40k,........... Disposat Workponintrurtion " rmit .'Permission is hereby granted.............. .. .. .............................................................................................. to Construct or Repair ( ),an Individual Sewage Disposal System ANo................ 6-Ze-.- ...........(z........... T-Z............................................................................................. Street as shown on the application for Disposal Works Construction Permit No.. Dated._____.____-___.._.___._...-..__-__....... ........... .................................................. ABoard of Health DATE.----.77�5....................................... FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION SEWAGE PERMIT NO. 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L.-.,,�-I-"�_� ,,_,�j.,�.�­ ­_,_.--� �.."1 I_-�i-,'-%��,,I,�� .,1,­"4�,�;�--,:T�,-.-,'"­-'_-.­�,t�.��-.�_'�,­7,-� f TjOWNi OF� BARN;STA- - £ti:° � t� ,.�.,-: t a .p!LV�-.,,�1'1i,-.-.-�.:���-:_-"� ,�.t'­1-�,-�,-1� .. 1't,1,., „ :� a p -. x ",r " `-1­. 1:,-- j.4M A BUILEDIHG -,`INSPECT_0R k ,-;I.�,V. ',�__..-.I, I.I7 F,:I, -�.,.,_`-,�.. ty a� r ,-,,-Z,--.-4,.: ,�,,: I�,,...1"� �.,._i.-�I7��,1-.��.. -, �A,..� �-,I.�-�IL� - r } L-�-I-_,1�.I-I,�.��--.-,�.-".,,�1"�IV..��-"I.�r,F.._,_.1-�.--�­�4-,,.�.,,l--��I.:1-_­I�I,,��r`v"-.:._1_..�,.�" F ". ✓ -._�,"-,.t"�1._­­,.' i;w x , APPLICATION FOR PERMIT TO ons eruct boat s torae building ,-1�!1..e�_.1.:. ., *,,.,,-!I-, ,,-,-,.I-11:I �_,I,I..I.,`iI-1-,-- I-- .,�,1:.1.',,.:_I-­,'�-,�:'..,­­�-. _..,:,1,,,�,� -", .*T�M-,1I..­,". 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III 1,,.,�t...�:%,I1,.I.-.:..,"..-,��-.­�.��"�1.'I��I.4,11�I, ;rx location Off Bridge Street,, Qstervil e f _. " Boat I ora e .,�_�;��;�,-I*-­-K,�A kI,"r­.J:C�.,k-"--.,-,_�,"� Proposed Use �'" � Zoning District Maxine Business A Fire istnct Centerville 0sterville r > e F Ches ter A Crosby Co ? In9ddress Box 490? Os tervl le p r Name of Owner tr ' Y t } - � x Narne of Builder{Chester 'A CrosbX Co - Inc�gddress Box 4901 Ostery lle i , . ., F ,r x Chester A Crosb Co In Box 490 Osterville k " Name of ,Architect .. ,'' ress ? 5 ``I t ,4 k , Concrete slab t.: Number of, Rooms, One Foundation ,x _, "C , , Exteifor Plywood .Roofing %'" ,'., •F 3 °r-.9 Floors Concrete - " . M, ,` _$ i „z3 { .;; Interior �, t w t „Y1Uud ' .t d{, -:t r vA r 9 Nonex `{ '2 Y v::,v 'f r s �" tl�n zNane : e; is t PI24mFv'�� a t k`i6 �'a' i ;t N 'V,..Y' `F.� x v `#' p •f 'f" 4�_ k. r f - , ;.�_ T: w ' ``d Fireplace ,N.one Approximate Cost 30.?•000 ..!':I Definitive Plan Approved by Planning Board'_ __ ___ _ ____19 ______ Area ] 0 F wt' - ` ..y. ^ � > i f Dia 'ram of. Lot and Buildin With Dimensions k / p, ,, 9. 9 Fee `�l�•:A" Q r , <2 "' ,SUBJECT,T.O APPROVAL'OF BOARD OF HEALTH N; „ -$.Y ':i� n hF :rig +9: - q.: tl•. r t r : ., t _ d t ` ` �, ss r �, ,v a r 7" F: ` a /f`/r �` .. , fitl ,/ 3A - w p R I. r, ".Vie' r v. f >, n > - t , nti 4 . 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I_.. .j .. .M 1 .,:. �N Y i �-5 ! e, ree to conform he''Rules an Regulations'of the Town of Barnstable regarding the: above0. ' F i constru-tio ,jr • Name ._ . r r :: rw } 1 " u t,d " Construction Supervisor's xLicense ,, + r !; ` f '¢ -