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Home My WebLink About0070 CROSSWAY PLACE - Health 70 Crossway Place, Osterville COLLEGE PRO PAINTERS Il J 0 Q `TOWN OF BARNSTABLE LOCA'nON SEWAGE # VILLAGE * ASSESSOR'S MAP LOT/� INSTALLER'S NAME & PHONE NO. SEPTIC-TANK CAPACITY / Qo Ad LEACHING FACILITY:(type) �4,1.0 (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER • BUILDER OR OWNER DATE PERMIT ISSUED: y `DATE COMPLIANCE ISSUED: "VARIANCE GRANTED: Yes No � _ _ 1 ° �t i � i,,f/� K � N k � /� �' s I,� ~ �r �; �}b /: r 3 r� - - �a s� � . . ,� __ __-..__ _ _. � i �' No._rz�...� / Fizs.....,� .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -Tow. ..........0F..... .1! ..a `'. "._LE.... App iration for Disposal Works Tonotrnrtion ramit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at: '`` ^ ......_.... jzb_ ..... !4 �---_.F.Llp�l_f ....................... _ ... ....................................... �'' o�atioon-Ad ess or Lot No. ner Address a .... _ .................... ....•-......................................._-___..._....... ... VVV Installer Address d Type of Building Expansion Attic Size Lot--Garbq fee U Dwelling—No. of ........ p ( ) g Grinder '4 Other—T e of Building ............................ No. of persons____________________________ Showers — Cafeteria Q' Other fixtures _________________ W Design Flow_...._______.•........... . . allons per person ear d r. Tota�lly c�F_.____..__ _.____ on WSeptic Tank—Liquid'capacity lons Lengthf6 ?idth? - Diameter________________ Depth `�V x Disposal Trench—No_____________________ Width_ .__.�.__._._._.. Total Length.____. ...__.... Total leaching area ____.__ sq. ft. Seepage Pit No....... ........ Diameter..... Depth below inlet .. Total leaching area0 .__sq. ft. Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed by Mom _0YEdz# iARE.I.V •••--5e.e�.14Test Pit No. 1________________minutesperinch Depth ofest Pit_._.I�__y____ Depth to ground _______.._ 44 Test Pit No. 2____._tre_._minutes per inch Depth of Test Pit-----�._�_____.... Depth to ground water......... P4 ........................................r-••-•••-- - § xDescr* tiofOf Soil._r,` , - - _ ----- V N�� ----•-•-•--•---•-•---•----------•-•--------•-------------•---•------------.........--•-------••---....------- W -•-•--------•---•----•-------•----------•-----------•-•-•-•------•---•--•-•---------------------•--._.------•---------------•---•---------••--••---.....----••---•-------•-••--•-•••-•-----._........•- UNature of Repairs or Alterations—Answer when applicable............................................................................................... -•--------------------------•---...-•-----------------------------------------------------•--------•-----......----------------------------------------•-----•------=-----....._•---•••-----------•-•••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L I'U 5 of the State Sanitary Code— T undersigned further agrees not to face the system in operation until a Certificate of Compliance has been issued . y the board o iealth ' Signed.................. - - yr ................._. _... Date Application Approved By.......... -- _..... ---•-•------- _--- Date Application Disapproved for the following reasons_..._......................................................................_...................._.............._ -_-••-•••------•._....._----•...........................••-------•---••-------•-------------•-•---...-----••--------••-•-•--•••-•--•-••-•-•------•-•-•-----••-•-••------••---•--•••-•-••••-•----------- Date PermitNo..... ----------------•--• Issued_................................ Date pop- No.__9.'_7:...se/ FEs..... .....- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C . Appliration for Disposal Works Tonstrnr#ion Errant Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ........... '�_�..' - , : !!,e' � - ' t_ _.... .... . o....................................... - ••... .... ;" o.atio -.Ad ess or Lot No. .�. Owner I j Address W ............................ -•••---•................ 1 �= -•---•-----•------ r--...-•-•--•-•----•-•-----•-•-----•------. ............--•-•---.......................--- Installer Address .» Type of Building �� Size Lot. _�___�. .c§q. feet Dwelling—No. of Bedrooms___.......�.�____________________________Expansion Attic ( ) Garbage Grinder (hi c) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures --------------------------- . Design Flow............... ...'s_......______ __.. allons per person e lay, Total daily o ... �,�.. gallons. WSeptic Tank—Liquid capacit ?.- ons Lengthy... YVidth5-;-; ..._.b. Diameter................ Depth _'""► Disposal Trench—No .................... Width.�................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No �...... Diameter.....,_ _...... Depth below inlet. ............. Total leaching area4.0 ...sq. ft. Z Other Distribution box ( ) Dosin tank '-' Percolation Test Results Performed by� :k.� ... i 4 ..... ,tea Test Pit No. 1..... -....minutes per inch Depth of tI est Pit.__. r___._____ Depth to ground water........ .e! _ GL, Test Pit No. 2........?,K-.-..minutes per inch Depth of Test Pit-----IA._..... Depth to ground water.....U.10_�__�_f R+' ------------------------------- -- - x Description of Soil. - i -� Vim' s ............................................ ..........................................•-------••---••--•-•-----------••-----•-••-------...---- W ---•--------------------------------------------•-•---------------.--------------------------------------------------------------------------------•-----...-----....------....._...-----------........ UNature of Repairs or Alterations—Answer when applicable....................:.......................................................................... --------••.•------------------•----•----------------._......--------•---.........--•-•-.........----•---.....---------------------------------••----•------------•--•-••---------------------••-••....-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIS 5 of the State Sanitary Code—Th ndersigned further agrees not to ace`the system in operation until a Certificate of Compliance has been issued y the board o ealth. Signed ned . -------- ! - Date Application Approved B _ ......__.. ........ Date Application Disapproved for the following reasons:----•---------•--------•------------•-----------------••---•------------------------------------...........----- .............................•--•••-••---............-----•••--•-.......•-••--------•--•--......--•...•-•---------------------------------•-•--....----------------------------•----_-----••------------ Date Permit No.....z :-...51.8.1-------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i �s��!'! ........O F......... .��''•�` ................................. (9rdifirFate of Tontpliatta THIS I TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ...-•-•-•-----------------------------------------•---•--•-••----•--•----•-----•--•----....------•---....----•--•--•-----•... Installer ,%� at.............4 o_�__!.f......----- ------ `t ----n..... ` = .,................4, ............................................................has been installed in accordance with the provisi�6ns of TI917-n-5 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___. ..6_1..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•--.........---•-•-•--•--•-•--........................--•-•-_..... Inspector................... .----- Z -•---------__----•_---•------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '' CQ ........................-"'`....""'".....OF............ '."r ....................... [^ t No... ..............1 FEE......... ....... Disposal York Torsi ion rrntit Permission is hereby granted.------ --.. -------- •..............................: ......................... to Construct ( ) or Repair (�an Individual Se gege Disport m atNo................. `.......l-•<-........ S- -- ••---•...... --....----------------------........................................................................ Street F,7 5g/ . as shown on the application for Disposal Works Construction Permit No...................... Dated...... :, .::.!b ............ ( ? Board of Health DATE................` ................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS �•`� ION S WAGE PERMIT N0. VI±4Z�4, LA INSTA LLER'S NAME i ADDRESS 8 U I L D E R OR OWNER DATE PER IT ISSUED DATE COMPLIANCE ISSUED �,� -- v is J N ........... ..._....... Fr;s v ............._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F FIE T -------- ......� ....0 F......... .. . :...............:..-_.._. Lj ah,- AvOration for Uiipuiai Works Tnnanr#iun Prrutit Application i0hereby made for a Permit to Construct ( ) ?Repair,.(.. ) ividual Sewage Disposal System at: ............. . . ,��....... ...... .. ........... • . _......... .................................................. catio - ddress� or t No. .......................... ........................................... ---••-----.................................-•- O Address . • --•--- •. .. .... ...-_.................... •-•--•..........••••••----••••-••-••.................••-•••.........��d ......................... Ins aller Address Type of Building Size Lot....__. _ ...........Sq. feet Dwelling4 No. of Bedrooms............. ...._........_......Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------- _ . W Design Flow.. .............................. ........ llons per person per day. Total daily flow----........................................gallons. WSeptic Tank Liquid capacity..__ allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. Width... .............. Total Length. ._._______._ Total leaching area....................sq. ft. Seepage Pit No....___._ ... Diameter......:........... Depth below in1e �............. Total leaching area... 4 .sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................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........................ x --------------------------------------------------------------------------------------------------•......................................................... ODescription of Soil......................................................................................................................................................................... txj -----------------------------...................................... •--•-......•.... ----•-......-••••••••. W ••-••-•--------------• --•-•---•---••--••-••--•••••••-•-•------•-••-••••••-••---•---•-••-•-•--••--••......•---- ------------ ----- . VNature of R pa' s or Alterations—Answer . hen p livable..-� L�� ..............•. - ••.. .......-.�" - ---.......-- ,�" Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with` the provisions of TiT I.;=. 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 of health. Sed...... ... ....... ........---------------------•----...-•--••••-•..... ................................ Dates, Application Approved By•....._••••• 7. � `�l�te r..... Date Application Disapproved for the following reasons:..........................•-••••• - .--------------------..................................... •--------------------------------•----......----------------------------------------------.....--•-•-------------------------------------------------------------------•--------....................... Date Permit No.--- ' .............d�--- .......... , I� Issued- 2 t ......----•---.•...... 3 —�Y.v� ` 1 i Date-- —� N ...{..................... Fps` ~ ...... THE COMMONWEALTH OF MASSACHUSETTS r BOARD . F HE 44LTH, ' P f.....OF.....--. � �Appliration for Di-spugaal Warks Tonstrurtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) any�I dividual Sewage Disposal System at: f ----•--•-;.. ....................................... IAcatio ,Address w or t No. ----•-------•-•----- .........................................................................................._..... e Address .................... Installer � Address Type of Building Size.Lot...... ...........Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures ........................--------------------------................. ---•---------------------------.....---••------- ••--------._......._.. W Design Flow-I low.. ........................................d allonsPer Person Per day. Total daily flow......................._...._. _. gallons. WSetic Tank, Liqard capacity llons Length_______________ Width................ Diameter................ llePth................ i x Disposal Trench—No.,�................... Width.. I.............. Total Length..... .__....._... Total leaching area....................sq. ft. Seepage Pit No________ ________ Diameter__...:__._--- Depth below inlet.__............. Total leaching area..." . __sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................... Date-•-•-------...-----•--------............ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fL, Test Pit No. 2................minutes per inch' Depth of Test Pit.................... Depth to ground water........................ --••----•--•----------------•--•-------•--....:......-----.......-•-=---................-•-•--.......--•--......................-••-•--••••------............ 0 Description of Soil..................................................................................... x - UW -----•-•-•-•-----•------•---------•--•••------------------------•--•------------------------------ Nature of Repajrs or Alte5atiions—Answer he ap livable .� �" „ • ... .0. �...�� , � �� ... - ----------------------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of SIT 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 of health. Si , ed ........................................................ Application Approved By = �. �- / l�.f _....._..._. t� Da Date . Application Disapproved for the following reasons---------------------------------------------------•••-•-•-•------•--•-•-•----...._..... .................. --------------------------------••------......-----•-•-------........----------------•---------•-----•----...._...._....-----•-------•-------•----------•-•-..................---'- ......•--•--. Date PermitNo...................::..........................•-:_...•.. Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r' a ...;.....oF..........'00.. : ..? _,6..:..: (Ir� firtt�e of f11antpliFanrr THI s 0 CEhTIFY, hat i nu vidual Sewage Disposal System constructed ( ) or Repaired ( ) ,-- ' bY--------- �c It er has been installed in accordance with the pro sions of I r f The State Sanitary Code as described�in the application for Disposal Works Construction Permit No._�' .___.._.. dated__.... .1, - ' _.__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............4�-- . .:: --•---••--- I pector ............................................................-...... 1 p-�^•!' THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH °.a6.... ........OF............... ........................ .................... No......... ......:_._ FEE 4 kZ n�� r rrrbti� Permission i h by granted__._; ffr�241 c� ;.....___. _. ,..__ to Constru ( Repair ( ) a mdi iduaVr m age Disposal System atNo. Y --�[�[: ` ......-- . � ....................................................... Street �+ « as shown on the application for Disposal Works Construction -permit No _�: ; Dated..:.� ..................._ 2............ ;yr ._ Boar ......_... 7 � d of Health?�' �� - DATE. , - - Y FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - - - Date: I 10,rG ` TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM �lv-- NAMEOFBUSINESS: CnJ��Gc� Pro J ikWjerC . BUSINESS LOCATION: `70 Cza-axa,�, pjn ei torie ye/%r . /gyp MAILINGADDRESS: !,a►--6, Mail To: TELEPHONE NUMBER: &of Board of Health) ��-�3�3� Town of Barnstable CONTACTPERSON: �,�ss 5� � p.uSQ,� P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: �Zv Hyannis, MA 02601 TYPEOFBUSINESS: rXL4aor A.Injr�� Does your firm store any of the to azardous materials listed below, either for sale or for you own use? YES NO xic o This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite). Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t/ C.hrS `J-f�:phetisa�v 4 ( � yak - 3413� TO ALL NEW BUSINESS OWNERS: Fill in below: NAME OF NEW BUSINESS: C-jo q-5�e_ PI'o A 1Q"/et S TYPE OF BUSINESS X 1e-r it f P.i K JI,�-) .. IS THIS A HOME OCCUPATION? YeS ADDRESS OF BUSINESS —70 Groz° `•' •c,,j cx. z 813 0 r MAP/PARCEL NUMBER If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office(Ist floor-Town Hall). riness BUILDING1 PECTOR'S OFFICE(4TH FLOOR TOWN HALL) al is irscom ian nd has been explained the procedures needed to start a buuilding Inspecio�Os Signature 2. GO TO BOARD OF HEALTH(3RD FLOOR TOWN HALL) This individual has been informed of any permit requirements that pertain to this t e of business. /tb / xz57Ouh Health Inspector's Signature 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. ; t t ► Jdt 44 J" f} T Py i9q.0 Cp' e00 � — � cHE)> 4i Pv C74 w ti 4R-1 r } } �. L2 bR0oJ�`' r ►5 PRoro5e 7 3 gEbR4d1i� ;a �S �--- �. 'Pf�OR • y+ } �. s� P F . !J RTtCl.; 1Q14 q`o•. �� yy u ! nv4s e1X1ST 1MGAb b __.. _. Co-�Ic _. P FAT-1c- 9 q 0. 1 -�Atn, HIVfEWICZ , �'9 Trz L � - - _ Tl lzu IT Z G - 3 :. Of _ 99 - Q---. - - - - - -r r r _ i 11 % I.�: Ali I } _ _AJ _ }_ ; - r _ t� 1 4�4-I. - - - i : • {" 1 - AA, ' co -� - n C 6 � , gq �. w/may-�R$ Z. PfZOP45tc'� .CaJJU'ECTING Wf�.G_,L.aC�.T1.oM C-G lop. 0 To ET AT : T I ME ar- caNSTRJGT f o N ° 5. 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