The URL can be used to link to this page

Home My WebLink About0018 WINFIELD LANE - Health 18 Winfield Drive A= 116— 103 Osterville t T`To.�1........... 1.... Fizs..,f ,............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ._.__......00L!V Jld----------..OF......�.�.......�/V!V k4o ----------------------------------- Appliration for Disposal Works Tantitrurtion Prrntit Application is h eb made f aj,Permit to Construct ( ) or Repair. ( Nan Individual Sewage Disposal System at: � o� 09a ...to z � ...t6•� --------- ------------------------------------------- oc tion Adore or Lot No. . x� _ ..---�/�10-�/� -•........................... aid�.....1 wne lr..•.Tea---fifl es ... ............................................Address........---••-............................. Installer Address UType of Building Size Lot............................Sq. feet Dwelling-am/No.l of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons............................ Showers —Type g --------•------•-----------• P ( ) — Cafeteria ( ) Otherfixtures ----------------•-------------------------------------•••--•----••-------••••-------............--•---•-•----•--••. ......•--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width-__________._--- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... 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 ( ) Percolation Test Results Performed by........................................................................... Date..... •-----•---••-------------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil........... � G, ----•--•----------------------------=............................................................. x ---------------------------------------------------------------------------------------------------•------------------------------------- U Nature of Repairs oem lte a 'ons—Ans er when applicable..- 0 ......................... ---------->-7:.Jec. �_ �- ----------------------- ------------------..•.•.••-•-----•----•--••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of-health. Igned d .. c ... ..... ./ -a' �/m_ Date ApplicationApproved By•-•-•-• .-• ....................---•---....•-•------••••--._....-•••---------------•----•-- r' Date Application Disapproved for he llowing reasons-............................................................-------------------------••--•...Da--...... .-----_ .............................................•.......................................................................................................................................................... Date PermitNo...............:.......••---.._..--------•------------. Issued....................................................... Date Fxs. .. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE;ALTH 60- .............OF...., .......................................... Appliraiion for Dispolial Warkii Tonstrurtinn >m'd Application.is here made for ar Permit to Construct ( ) or Repair (,°`) an Individual Sewage Disposal 14 System at: ....•..... --•--•.....................•------••---------------------•--•------.......-•------.......-- Iro ation-Ad`dress � or Lot No. . 1� I'.�! /�rt ? i✓1 - •.... ...................................••----- -••-•--- e�•�'^ � Owne ` Address --•• --•...............•-------------•----•----•-•---------•-•-----•-....--------------------•--.....-- Installer Address Q Type of Building Size Lot............:...............Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage' Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures ...................................•-----------.....--.----•-••---•---•-----------••••----•-••----•-•-••••-••---•-----------.....--------........- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... 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.._..._.__..I....minutes per inch Depth of Test Pit.................... Depth to ground water........................ (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ A4 . ---- --------------=------------ ----------=--•------------.---.-.------------ ------ .-------------- -................................... Description of Soil.......... ;a ::. -' s` = f . V ..-••-••--••-••-•-•---•--••---•-•-••-•-•----......--•-----••--••-•=---•--•--•-------••----•...-••••••-•----------•••-••....--••------•••-••-•-----••._...•----••------------•-•--•-•---.....-•---••---- W •---••---•-••----------------- ----------•-•-•-......-•-•--...... .............................................................. s..� U Nature of Repairs or,Altera ions—Answerr when applicable !` �� ,� t.`. ! , ........................... Agreement The undersigned.agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 o the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. ellowing Date Application Approved By---•--- ---------•-... Date Application Disapproved fo th reasons-----------------------------•--------•------•.....-•---------...---------------------------------._...---....._ .......................................--•--•••---------••-••------•----...--•-----•---•. ------------------ -- uww Date Permit No.......................................................... Issued.....= Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........r.....1 G.........sx........OF..... ..... ' (Ilerfif irat a of Toutpliatta THIS IS,,TO -ERTIFY, That the Individual;Sewage Disposal System constructed ( ) or Repaired (�r,, by_.....: �.e. �._e��1��1' ��' �'J +��'1J.. .._.. , -• stauer... at--•- /�. A?-_ �.� . zl.........._ -_o?.l r .. i dAa ------. ----- ...••••-•-• ... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated----------------------------------------........ THE ISSUANCE OF HIS CERTIFICATE SHALT. NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM WILL UNCT SATISFACTORY. DATE--- 7_�J' .- ._...Q.�1 ----------------------•---------•--- Inspector---.... ----- ......._.......................................................... THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH �/ �....1'0.0' A............OF..........s�� ^i��' '�'`��✓r .................... 9 �, �, B� No® .---.....1{.... FEE.....Z12 Roposal, Wrkg Mum union VaUtit Permission is hereby granted.....V,1. °, ------- `s'% ------ "'•........................ to Construct ( ) o Repair, ( a�Individual Sewa Dispos System at No...... ,�'k.' � � ..---..._../,,,/ /� � �._ /` Street as shown on th//ion for Disposal Works Construction Permi�N� ..._e.'�__._.____ Dated.......................................... :.. -------........--------..... - �` Board of Health DATE./... FORM 1255 A. M. SULKIN, INC., SOSTON P R T N . LOCATION S GE E MIT 0 ISIn VILLAGE vl� INSLA.+ ERIS NAME i (ADDRES,S- her , c 6 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ] z i ��/ i i Q Q s�� a i_f� � o' - _f� � r ��f � � � \ _ �� C? I� 1 lO VTION S cE PERMIT N0. 1 I v LLacE , II I N S �AAP ER'S NAME i (ADDRESS f }+� S.,f C t BUILDER OR OWNER DATE PERMIT ISS4E0 �3/� DATE COMPLIANCE ISSUEDWLAfLdk go 7 Z . 7 i O i I Assessor's map and lot number ......�..I..�P..�'...I..o 3............ r•r._ , of THE r0 ic STOW ewage Permit number ......:........................r..................:..... Ik: AI ®� LE. i ' .......:....................... r ' TITLE........ , 9� 3 9 TOWN OF ,BARN STABLE �9� 0{7 G"�� INSPECT® R RUIL01N Zvi/,%� Q c> �b f-� �1 . . �� eC'`'j.. APPLICATION FOR PERMIT TO .....�....................................�............../....................... .................................... 1 TYPE OF CONSTRUCTION UQ.Q .K ....0.................................................................................... ,?.... ... G�...........19C5 .! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby lapplies for a permit according to the following information: Location .... �!�..Z.l.. 1�/4c.............................................................................................. ProposedUse ... a �, .(. ...../�UU.�?:>........ ../ /............... .......................................................... ......................................................... Zoning District ......... . ! ...*r.�...........................................Fire District ...... .:.... Nameof Owner .��. .F�.�!�. !. l.e......................Address ................. ............................................................... C'vn/ / �cJic�i�rly ��.V!;: � �s ci // 57 ...Address :,.. ......................................... ��.. Name of Builder /........r................................................ . .. Nameof Architect ..................................................................Address ..................................:................................................. Number of Roo ...... .........................................................Foundation .... `�C)l,//G O G).t?� hC':7.. <................ Rooms r •••••••••• Exierior C-�!/l �G... ' ! G� ..`$/'jt r7S�e. ........Roofing .... . .............................................................. /e-�s ...... Interior .., ?r � c� /�! (:t./.. ?.. Floors ... ............ .............. ....................... / / �� ,i ziGv :...................Plumbing ................... % /„G%/7 Heating �U.................................. Fireplace ..fil�U. .... .1..!?A -p,.......................................Approximate Cos ..f. ....U............................................_ Definitive Plan Approved by Planning Board -----------_------_---------__19--------. Area ....`7cL/.4/....�....T.... Diagram of Lot and Building with Dimensions Fee ....../..(�......... . ............... SUBJECT TO APPROVAL OF BOARD Q . 2 HEALTH I 2 21 4 II ma cy exi S+i I I \9 t-�ous I cv "V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T n of Barn a regardin the above construction. No .... ................ Cons uction of License .....�,�..� 1............. TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESS ORS MAP NO.- b PARCEL NO. Y. ADDRESS.' 9 f � c�,jl� -_ b VILLAGE:c CONTACT PERSON PHONE NUMBER _75Sq LOCATION OF TANKS; - CAPACITY: ..TYPE-.OF- FUEL. AGE: TYPE: LEAK DETTEECMTI' ONOR CHEMICAL: -SYS - Jp T DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5. _ DATE. OF FIRE DEPARTMENT PERMIT:— cr, e COmm - _ �)AJ TES'TING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. c rz . 3 � � y