HomeMy WebLinkAbout0133 ASHLEY DRIVE - Health 133 Ashley Drive
Marstons Mills
A= 172 —236
;. TOWN OF BAtNSTABLE
1�j/LOCATION /I, 8 l Le'l /u SEWAGE #
VILLAGE e � � IyASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY I AM 0 A r-A ,
LEACHING FACILITY: (type) (size)
NO:OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE: CJ
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the 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
i COG
i -IR
N k S" �,
Town of Barnstable
�pFTHE Tp�� Regulatory Services Department
BABNSTABLE, ' Public Health Division
MASS. A
mop 039. ,�� 200 Main Street, Hyannis MA 02601
PIED MAC A.
Office: 508-862-4644
FAX: 508-790-6304 Thomas A.McKean,CHO
April 22, 2008
Code Realty
52 Ships Eagle Lane
Osterville, MA 02655
As of October 1, 2006 a new rental registration ordinance was put into affect
requiring all property owners of rental units to register their rental units with the Town of
Barnstable Health Division. According to our records, you own the rental property at 133
Ashley Drive, Marstons Mills
Enclosed is an application and a copy of the ordinance. Please use a separate
application for each rental unit you own. Should you need more applications, they are
available online at www.town.bamstable.ma.us. Go to the Health Division page by
looking in the Department Menu. There is a link to the Rental Registration information
on the Health Division page. You may print out as many as you need, and return them to
the Health Division with the appropriate 2008 fees included.
Failure to comply with this ordinance will result in the issuance of a non-criminal
ticket citation in the amount of$100. Each day of non-compliance is considered a
separate offense.
Should you have any questions, please feel free to call 508-862-4644. Thank you
in advance for your cooperation.
No. vl��' !�S� Fee '
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
0[pprtcatiou for 30ig gat *pgtem Congtruction Permit
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 's ,! Owner's Name,Address and Tel.No. 1 qo _ -
Assessor's Map/Parcel - j
Installer's^N�ame,Address,an Tel.No._ D �—��o�" Designer's Name,Address and Tel.No.
V P
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 I t7 gallons per day. Calculated daily flow L{y gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature gf Repairs or Alterations(Answer when applicable) Cc.
�� ! Y rr!
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 by this Board of Health.
Signed Date I;L ql G
Application Approved by Date
Application Disapproved for the following reasons
Permit No, Date Issued �" G
r e
14*
Fee
Entered in computer: 1
y THE COMMONWEALTH OF MASSACHUSETTS y I Yes
—
'� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZIppfication for Mo7),
gar *pgtem Cougtruction Permit
Application for a Permit to Construct( WRepair( pgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1 3�j �1 • Owner's Name,Address and Tel.No.
' Assessor's Map/Parcel
Installer's Name,Address,and Tel. C) Designer's Name,Address and Tel.No.
�CZ31 �
a. 1d�n.�ZcQ �C
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 I b gallons per day.,Calculated daily flow L/LID gallons.
Plan Date Number of sheets �`1 Revision Date
Title. f
Size of Septic Tank r~. r Type of S.A.S.
Description of Soil
Nature 9f Repairs or Alterations(Answer when applicable)" JI& i GA,Cc
-------------
i^ Date last inspected:
Agreement:
The t ndersigned 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 by this Board of H alt .Signed ► Date I oZ�y l/
GU
Application Approved by Date,
Application Disapproved for the following reasons
Permit No. 17/ 4/ Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( Upgraded( )
Abandoned( )by ` /VL,C,
at 1 3 has been constructed in accordance
with the provisions of Title And for Disposal System Construction Permit V� -ZZ dated f4 �' :Vd107j
Installer 0 ` O).Nk/ Designer /A/I IN, n
The issuancQ of this permitsj1 not te construed as a guarantee that the �ste will f/up ction/as�designe/dt �W,1i-p ,
,
Date t. "1 Inspector �/ 1 ,r l`�
No. tii L �fD ———Fee70 G`
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Migooal *p.5tem Con5tructiouPermit.
Permission is hereby granted to Conspct( )Repair ill )Upgrade( )AbandO �_ )
System located at C. f. il� �•�2� ` � .e
l
4
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 ompleted within three years of the date isat.
Date: �� /"� Appro3ed'� i'
1/6/99
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
I, hereby certify that the application for disposal works
construction permit signed by me dated IdAl6o , concerning the
property located at 1 A meets all of the
following criteria:
I� This failed system is connected to a residential dwelling only. There are no commercial or business
uses associated with the dwelling.
The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
�✓ There are no wetlands within 100 feet of the proposed septic system
There are no private wells within 150 feet of the proposed septic system
There is no increase in flow and/or change in use proposed .
v There are no variances requested or needed.
The bottom of the proposed leaching facility will not be located less than five feet above the maximum
adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when
applicable]
If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed
leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation,
Please complete the following: Q
A) Top of Ground Surface Elevation(using GIS information) 1
B) G.W. Elevation �J��"� +the MAX. High G.W. Adjustment. 3 = "1 -J
DIFFERENCE BETWEEN A and B
SIGNED : DATE:
[Please Sketch proposed plan of syst m on back].
- NOTICE
Based upon the above information, a repair permit will be issued for bedrooms maximum. No
additional bedrooms are authorized in the future without engineered septic system plans.
q:health folder:cert
� #�
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, 6�5,
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- 1 TOW- OF BARNSTABLE E
LOCA LPLAN-
SWAGE # .."' •.
VILLAGE ASSESSOR'S MAP & LOT 1 - 136
' INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACIT r G-X
n
v
j
LEACHING FACILITY:(type) Zti (size)
NO. OF BEDROOMS__� _pRIVATE WELL OR PUBLIC WATER
i
BUILDER OR OWNER
I
DATE PERMIT ISSUED: 7
DATE .COMPLIANCE ISSUEDe
VARIANCE GRANTED: Yes
No :d }
2
Property Location: 133 ASHLEY DR MAP ID: 172/236///
Vision ID: 11981 Other ID: Bldg#: I Card I of 1 Print Date:12/07/2000
A-1377, v-'-'F,7"ST 777 i AA 'x 114-FU I �Ivllvllg%p-z4p
c",
BUNWUJKIH,UAINJUAt-h Di�s ription Appraised vaiue AssessR vatue
%BOSWORTH,WARREN JR RES LA D lulu —11190 33'8UU 801
133 ASHLEY DRIVE RESIDNTL 1010 171,300 1719300
CENTERVILLE,MA 02632 Barnstable 2000,MA
Account 4 1U3108 Plan Ret. .5 IJIL-i
ax Dist. 300 Land Ct#
Per.Prop. #SR
Life Estate
#DL I LOT I Notes: VISION
#DL 2
CIS ID: Twall 205JUU1 20'rm
1" U'U ww my"Ir "iAV�,�&2VA1 , q IWxSMSP mxT V'!Y"'T, " � 4P#T � 'I4 BUbWUK III,q-AiNVAUh lzo///L45 n/1!091 U v T A Yr. Code ULI-sa value xr. Code. Assessed Value Yr. Code Assessed value
BOSWORTH,CHANDLER JR 5741/254 05/15/1987 U V 72,000 0 1999 lon J3,5UU1— -- 33,800
POWERS,ROBERT W III ETAL 3756/326 06/15/1983 Q 0 1999 1010 171,3001998 1010 1719300
Total: ZU5'1UU' -Fo-t-aT- -205,IU0 Total. -------'2U9-,7uu
z is st nature acwnew a es a vtstt a ata o ector or Assessor-
"A
Year 13pelvescriptton Amount Code escript n Number Amount Comm.Int.
A41
Appraised Bldg.Value(Card) 168,400
Appraised XF(B)Value(Bldg) 2,900
Appraised OB(L)Value(Bldg) 0
Totald I Appraised Land Value(Bldg) 33,800
Special Land Value
Total Appraised Card Value 205,100
Total Appraised Parcel Value 205,100
Valuation Method: Cost/Market Valuation
N et'l otal Appraised Parcel Value 'IUU
L
RAR 4 4,ft' I
Permit ID Issue Date lype Description Amount Insp.Date Yo Comp. Date Comp. Comments Date ID urposelKesult
---6Tf7g7-- I 3U,UUU---rIY5788—--TUO-- uE 11/2 S 2/15/88---NfE--
`4 - LU 16NSEGUbW7�,
A"f,4
a
B# Use Code Description one D trontage Depth units Unit Price L Eactor S.I. C.Eactor N tes-AdjISpeciall-ricing A aj. nit rice an value
Single Fam 3- 0.50 AU 1! UU '5 1.UU Jbitfu U.45SJrUL(.5U,U1U)Notes:10 IBLUU 67,500.UU -SKIM
,j
iotal an valuel 33,800
TotaL l Card land Unitsl "4c`----Jrarcel Total ian d TrT.j— �.50 xc�—
Property Location: 133 ASHLEY DR MAP ID: 172/236///
VisioP ID:11981 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 12/07/2000
" ,..
-El
einent escription CommercialData Elements
Style/ ype 3 UolonialElement Gd. Ch. Description
Model 1 Residential Heat
Grade _ + + Frame Type
Baths/Plumbing Stories Stories 12 12 FEP 16
Occupancy 0Ceiling/Wall
ooms/Prtns 42
Exterior Wall 1 14 ood Shingle /o Common Wall 14 1
2 11 Clapboard Wall Height AS
Roof Structure 3 able/Hip BM 16
Roof Cover 3 sph/F GIs/Cmp BAS 16
rvs f BM
Interior Wall 1 5 Drywall _ ;; ~" `
2 Element Code Description ractor
Interior Floor 1 4 arpet Complex 26 2
2 2 Hardwood Floor Adj
nit Location
eating Fuel 2 Oil 4 2
Heating Type 5 Hot Water Number of Units
C Type 1 None Number of Levels
/o Ownership 1 12 45 33
Bedrooms 4 Bedrooms
Bathrooms .5 1/2 Bathrms a 33 16
1 Full+1H -
najl.Base "to 4
otal Rooms 8 Rooms Size Adj.Factor .90970
Grade(Q)Index 1.12 18
ath Type Adj.Base Rate 48.91
Kitchen Style Bldg.Value New 168,446
Year Built 1987 24
ff.Year Built 1987
rml Physcl Dep 10
uncn]Obslnc
con Obslnc
.; a peel.Cond.Code da
E i• peel Cond% 10
Code Description Percentage verall%Cond. 100
1010 single 1,am JIVU
eprec.Bldg Value 68,400
,, .. .;
Code escnption LIB Units Unit Price Yr. D p Rt %Cnd Apr. VaTu-e—
FrLL
prep- ,
s # k
Code Description LivingArea ross" rea Ejj.Area Unit Cost Undeprec. a ue
BAS Virst Floor 1,554 , ,
FEP Porch,Enclosed,Finished 0 224 157 34.28 7,679
FGR Attached Garage 0 504 176 17.08 8,608
FOP Porch,Open,Finished 0 132 26 9.63 1,272
FUS Upper Story,Finished 1,170 1,170 1,170 48.91 57,225
UBM Basement,Unfinished 0 1,554 311 9.79 15,211
WDK Wood Deck 0 504 50 4.85 2,446
7M Grog-sLivlLease Area 7724 ———S,-44-4 Bldg vat: 168,446
r
tot,3
7_71,1 t_ic,U_=_ FA.MI Lam( t cv '+8 ..
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SAAt� CECLTIFICD
—
LOCATIOtJ
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TOWN OF BARNSTABLE
LOCA
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME S& PHONE NO. ' iN ' ycy-
SEPTIC TANK CAPACITY trDD G
LEACHING FACILITY:(type) Zti (size) ,mv
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER a i3L(L
BUILDER OR OWNER
DATE PERMIT ISSUED:'-, ,=22 7 7
DATE .COMPLIANCE ISSUED:,
VARIANCE GRANTED: Yes \ No L�
o
• s•
t 3� ,
F e F
1 . r
. r
No.ZZ.2.(eif Fizs.....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
............1 O1 V,I ...............OF....... �'�T`� ,C:
Appliration for Disposal Works Tonstrnrtinn thrmit
Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal
rlgsA
.✓.._.... :?1:5. .....UP
... ................ - or Lo ...._ .:.................-.....-C. - + ...
--•- Locatio Address
Owner A dress
a .................. .......................................................... ----.------................. -- ___---••-----------
Installer Address
d Type of Building Size Lot._...4+.1.Tj------Sq. feet
' Dwelling—No. of Bedrooms..............a..............................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type T e of Building No. of ersons____________________________ Showers — Cafeteria
car YP g ------------•--------------• P ( ) ( )
Q' Other fixtures ............................ .
W Design Flow................... `.....___________gallons per person per day. Total daily flow.......................... �� ......gallons.
WSeptic Tank—Liquid'capacity.1cro-.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No.................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.___._._---1........ Diameter--------- Depth below inlet__..__._....... Total leaching area.__.jjC.1___sq. ft.
Other Distribution box Dosing tank ( )
Percolation Test Results Performed by.. 1`�19____________________________ Date............
_�
as Test Pit No. 1_._. -.____minutes per inch Depth of Test Pit_......1_ _..._ Depth to ground water........................
Lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a =-----------------------------•-•-------------------------------------------•------•------------
--.......__---•---_____...
•----
-•••.........
.-------
--••-
0 Description of Soil................................ -----........... .......... •. . ---••-•-•---•-•----••••-• -• ............................
.................. ----��14s ..__.. ..._ t+r •S o�, .. ---._A .._.. .4.4. ...................
W --•-••-•••-•-----------------••••••••-•••-•••••-•-•••-••-------•---•--------------• ••....---••••-•----•-•-••-----------••---•-•••---•-•---•••-•••--•---••••-•-•-••-•---•-•-•--••-•--•••-•---•-•• ....
VNature 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 TITLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i su b the boa of ea
�q
4_ _ _ .... .......
Signed.................. .. .. ___.... - - - Date
Application Approved By-•----• ..:� ....................................................... -------------3
Date
Application Disapproved for the following reasons----------------•----••-•--------•-•-•--...--------------------•-----------------•------------...------.........
......................................-.........................................................................-........................................................................................
Date
PermitNo.___T.7=..XA.9.......................... Issued.......................................................
Date
mail
No.. �. �P..� ¢ Fim..... ,.�� ......._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD �-pO,F HEALTH
Appliration for 14,spnsal Works Tongtrnrtinn 1 rrmit
Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal
- system at.........
....... . ... 1..... .. .........
._...-----
tN�(Q..- .Location ddress ( or Lo
it .... - Slt .............. ' - -� ! Irj -
\... Owner dress
- :.. =:.......... -----------. -le k4k..............................
Installer Address
UType of Building 3 Size Lot___�..1__ -----Sq. feet
., Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ............... No. of ersons......_..................... Showers — Cafeteria
QI YP g ------------- P ( ) ( )
a' Other fixtures .----------•--- ------•-------- ---
W Design Flow.................... .._............gallons per person per day. Total daily flow........................... .....gallons.
WSeptic Tank—Liquid capacity..LZ0 _gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length................... Total leaching area....................sq. ft.
Seepage Pit No._------__I........ Diameter........1z .. Depth below inlet........1...... Total leaching area....3"3.q...sq. ft.
Z Other Distribution box Dosing tank
aPercolation Test Results Performed by....-VNY"Y r '_A...11.1.5.-.......................... Date............!.J.
a Test Pit No. I.....3!n.._..minutes per inch Depth of Test Pit....... Depth to ground water________________________
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 •-•-------------------------------------••••----.........--•---.......•--•...---•---•--••......---•-.........................................................
0 Description of Soil-•............................. .................=7-----•-••- ---------------I.................................�......................................
U -----------•--•--.1�.J� a�� .--� 1� �...... ...._ !Nb S ra.,:?..._rr .----- ' ........................................
W
U Nature 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 TIT11 5 of..the State Sanitary Code The undersigned further agrees riot to place the system in
operation until a Certificate of Compliance has been issu by the boar of Ll,*I.
Signed.............. = `` ...
Date
Application Approved By.........
.. - ---.............................................. .......................................
Date
Application Disapproved for the following reasons:............•---------•---------•-------------------•---------••------------•-----------------•---•-•••......._
......................•-----••---•-----•----••----------•---••----.......--••----•---------••-------••-----------•----•-•--•----•----•--•---•----------------.....-----...--•--------•---...----.._.....
Date
Permit No..... ..�:.. ..r!.
-..... Issued .............
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-
................. 1[....tNNA._....�......oF.....................:........�..-.....:.............-Via:..........................
Tntifiratr of Toutphattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by........... --• .. ^----------------------------------------------------------------------•--••-----••--......••-----------*-----------..._
Installer
at-----------.1. r9.. .1 ........ ,.<�� �i?,�n......................................................=..................................
has been installed in accordance Vvith the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.... .?-__" ..0 ......... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
... ns ector.....----• ....DATE.. ....
•-- ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T?.!. 111.s�.........OF........... -rZV�r-.`.1 4.."2..............................
.... -.....r. e............. ��•^
No.
Disposal Workii W"knnstrnrtilatt rrmit
Permission is hereby granted..-- t ....-------•--------•---•-------------------------•------•-.........•-•---..........
to Construct ( or Repair ( ) an Individual SewaDisposal System
at No......f,;.
Street
as shown on the application for Disposal Works Construction Permit No_9ZdU.9._ Dated..........................................
•.................•.... .-•• -••••-.... �.-------- .... .-----• ------•----•_
G C (�S J�oard of Health -
DATE....-•----------------?. 7` `' 4. --..-..-----------.---
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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