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HomeMy WebLinkAbout0127 CAMMETT ROAD - Health 1 R _ 4 ` 127,Cammett Road , r ,A_,07,8,t ° °.`Marstons Mills YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you , must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is to required by law. CD DATE: �a Fill in please: ' r � APPLICANT'S YOUR NAME S: /wCFS LAM Mon h 7� � � 5� BUSINESS YOUR HOME ADDRESS: /�Z C t- • /JCS ,mot S cap �w 4 ILIP TELEPHONE # Home Telephone Number 57 - 3�0 O3 9 NAME OF CORPORATION: /--D c-e Inlo,IA Nov G,�F- 1 N C- NAME OF NEW BUSINESS TYPE OF BUSINESS ivnn. IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS ,2 MAP/PARCEL NUMBER 999 OW (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO R'S OFFIC MUST COMPLY WITH HOME OCCUPATION This individ al e irRforrTTe of ny er it re it ments that pertain to this type of business. RULES AND REGULATIONS, FAILURE TO COMPLY MAY RESULT IN FINES. qut on Si atu e* NCO M N : - 4 O 2. BOAR OF(IALTH This individual has been informe o e i uirements that ertain to tIQ t� � ulsYn �H-ALL p p HAZARDOUS�MATERIALS REGULATIONS Authorized Signature* COMMENTS: SN011vinD]18 SIVIN31dW Sf104aVZVH 7M�� OVVVJ 1J 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: ,.., TOWN OF BARNSTABLE Date: //,4//g OXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: BUSINESS LOCATION: A" US INVENTORY MAILING ADDRESS: ( - Ca— . �,�° TOTA UNT- TELEPHONE NUMBER: 50 D 0-')`,i CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 3o2 MSDS ON SITE? TYPE OF BUSINESS: n, /Vvc •ten v C.- 14"IdS C406 INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) L L Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, 5(,,'L Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial COMPLETE • OMPLETE THIS SECTIONON DELIVERY A Complete items 1,:2,and 3. A. Sign ture ■ Print your name and address on X the reverse ❑Agent so that we can return the card to you. � ` 11 Addressee 0 Attach this card to the back of the maiiplece, Received by( ri ted Name) C. Date of Delivery or on the front if space permits. 1:_Article_Addressed to: D.-Is de[Wiryaddre ifferent from item 11 ❑Yes If YES.enter delivery address below: [3No j Scott E DUharme 127 Cammett Road ,Mar9tons Mills, MA 02648 I II IIIIIII IIII IIIIIII lII III II I'lll II II I�II I IIh 3. Service Type 0 Registered Expresso ❑Adult Signature O Registered Mai1� ❑Adult Signature Restricted Delivery. ❑Registered Mail Restricted O Certified Mail® j Delivery 9590 9402 2480 6306 7773 36 ❑Certified Mail Reslt6ted.Dellvery 13 Return Receipt for ❑Collect on Delivery Merchandise i O Collect on Delivery Restricted Delivery El Signature Confirmati6nTM 15 1730 0 0 01 4 9 9 0 2748 1 . ❑Insured Mail ❑Signature Confirmation O insured,Mail Restricted Delivery Restricted Delivery (over$600) Ps Form,3811,July 2015 PSN 7530-02-006-9053 Domestic Return Receipt LISPS TRACKING# First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 9590 9402 2480 6306 7773 36 N United.States •Sender—Please print your name,address,.-O'd ZIP+4®in this box* I Postal ServiEP I 'Town of Barnstable Health Division 200 Main Street Hyannis, HA 02601 I I I TOWN OF BARNSTABLE LOCATIONa J& SEWAGE # n VILLAGE 4and ?Zl/l r ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�,�`�rCl�1� SEPTIC TANK CAPACITY �II� �L LEACHING FACILITY:(type)� (size) G .NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER J BUILDER OR OWNER ('°.L� DATE PERMIT ISSUED: 9' /G - � g DATE COMPLIANCE ISSUED: 9' 17 VARIANCE GRANTED: Yes No �./ � , �l� i i � /� i / �� � i f i ��, � � ��, ' �.�` � ' �: -. �.. �F 1HF Town of Barnstable "MASS. 69 ' Regulatory Services �p i � Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790=6304 April 26, 2017 Scott E. Ducharme 127 Cammett Road Marstons Mills, MA 02648 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 127 Cammett Road Marstons Mills, MA was inspected on April 26, 2017 by Timothy B. O'Connell, R.S., Health Inspector, because of a complaint. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: .454-2. Building and Premises Maintenance. Observed large amount of appliances; scrap metal; and other assorted debris stored on said property not within enclosed structure. You are directed to correct the violations within fifteen (15) days of receipt of this order letter by either moving items into enclosed structure or removing them from property. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Please be advised that failure to comply with an order could result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE OARD OF HEALTH J a c ean, Director of Public Health Town of Barnstable CERTIFIED MAIL: 7015 1730 00014990 2748 Q:Health/orderletters/refuse/1127 cammet road 4-26-17.doc Citizen Web Request / Page 1 of 2 Logged I Citizen Request Management Tuesday,April 182017 TOWN\ TOwN\oconnonnelt ROUte to Users Search Requests Create Requests Request Information Request ID: 58718 Created: 4/14/2017 9:05:30 AM C Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Request Category: Chapter 54-5 : Rubbish and Garbage edit Routine work: No Estimate: NO edit Date scheduled: edit Estimated 4/28/2017 Change Estimated Mar April 2017 May Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 28 29 30 a1 �v 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 1 2 1 3 4 5 6 Created By: Sousa,Vanessa Priority: Medium edit Health Office Citation Numbers: edit Requestor Information . Requestor Request Parcel Map: r07-8 Block: 046 Lot: Reporting a"junk" Number yard. Says there are 11 cars,4 RV's,and pile of Parcel Lookup trash. Email: Edit Requestor Information Track Request Progress Request Work History: -Internal Note History: http://issgl2/internalwrs/WRequest.aspx?ID=58718 4/18/2017 20. 00 No.... S. .�? F.Es.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .............. own--....... ...OF..................13arns.t.a.bl. ApplirFatiou for Dispas al Works Cfuao ur#ion '"amit Application is hereby made for a Permit to Construct ( ) or RepairXan Individual Sewage Disposal System at: 127 Cammett Road Marstons Mills . ................_--.............................................................................. ••••••••••--._...•••......._..........-•-••••-•-•--•-•-........--••••............---•••--•--•••--- Location-Address or Lot No. J..X..Cur 1 eI.............. Owner Address aJ.P.Macomber -------••-----------------------------•-------•----------•--------........---..................... Installer Address Type of Building Size Lot............................Sq. feet U Dwellings No. of Bedrooms...........2..............................Expansion Attic ( ) Garbage Grinder ( ) 'W Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other 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.-------------------------------------- ,a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...--....--------.--._..- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................--...... 9 •--------•-------------------------•----••-------•---------.........•-•-•-------.........•••..-----•......................................................... ODescription of Soil........................................................................................................................................................................ xS and.... ...Grave 1...••••-------------------------------•------------------------------------•---•-•---------------•- U -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- .......................................1.-.1-0.00...gallon...p.i t.....--•--•-•--•-•-----------1--10 0 0...Qa 11 o n.... ank-----------------..........••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with TT�Y^ the provisions of T IE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has begi issued y}tc e b rd of he th. lJ Signed --- --_.. !r 7 ��. L� '.............••• •--•---9/16,(8...... Date Application Approved By.............. '^^� - ..' -._...._.._..........._.. -------- - Date Application Disapproved for the following reasons-----------------------•--------•------------------------------------------------------------------------------- ......................................................-................................................................................................................................................... Date �ormit No.. �d g � Issued Late -I. Fim $ 20.00 —`` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..----- ..-.Town. .............OF..................Barnstable-------------.......................... A lirFation for Bio osal Works Tonstrurtion V arait Application is hereby made for a Permit to Construct ( ) or Repair tX:kXan Individual Sewage Disposal System at: 127 Cammett Road Marstons Mills. -•..............----------•---.......---•--...--------•--•--------........._................_... -•----•----•-----••---••..._..._....-•----•--•-•----••••-•--•--------------•---•-----•-••---•-•--- Say Curley Location-Address ........................................... •-•.----or Lot No. Owner Address W J.P.Macombe.r Installer Address UType of Buildin Size Lot............................Sq. feet Dwellin7lNo. of Bedrooms---........2..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other 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..................... Diameteri...............--. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Perform7d by.......................................................................... Date........................................ Test Pit No. 1................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------------------------ .....................-----------------••------------•--........••--••--.........---••••--•--............-------••--••_.....--•-•-----•-•-•--------•......--••--•-•--•-----•--•--- ODescription of Soil.................................--------------•-•- ------------...--------------------------------------•-•---------------------------------•-------...... x Sand & 'Gravel ----------------------------------------------•--•--••..--•--- W --------------------------------------------- ----- ------------------------------•--------------------------------------------------------------------------------------------------...._.._...--- U Nature of Repairs or Alterations—Answer when applicable.---------------------------------------------•.....----.-............---.--..-•----•---.------. 1--1000 gallon it. 1-1000 gallon tank Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TILL i of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be/j' issued by the board of health. -fila =I,----l---- Signed.. 9/16/68 r , . : Date _..._ Application Approved By............. �./ .. �.,�--�-.... --......... �,- -u �+' � Date Application Disapproved for the following reasons:------•--------•------•---------------------•----------•------------------------•------•....................... ----------------------------••----•---------•---•--...---•--•---•--------•----.........--------------•----•--•-•-•••••-•-•----------•---•-••--•--••-----------••-••----•-•---••------------••••---•••--- - Date PermitNo........ ...................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF..................................... ............. Tntif iratr of Tontph anrr THISJISPTQ CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired gX�X acom �er by.......................................................................................................... ......--•-----•-----------•---•---------------•---•--------.......---••---•-••------•..... In t ler 127 Cammett Road Marstons M1 S . at.............................................................................................................. has been installed in accordance with the provisions of Ti I T'L�- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......i5-l..... .. ..tj..... dated-_............................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... 0.. JA.....W. ........................... Inspector...................... ...�.------------------------------••--------••- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .........................OF..................................................................................... $ 20.00 No.... '.sR....�.U.� FEE........................ Rsjtoj a�.Fork Tonfrnrtion rrntit e� er Permission is hereby gr X......................co m--- ----er-------------------------------------------------------------------------------------------------------- to Construct 4 7 o6 Re.piet I�oadI Mars ons'aI ills . System atNo........................................................................................................ -----------•---•-••--•----•-••--•••-•-----.._......---------•--...----•••--........... Street as shown on the application for Disposal Works Construction Permit Not�r._�2..fv.... Dated.......................................... �-`------------------------------------------•--------------- DATE.................7.':;.4=-'-.g.e.................................... Board of Health FORM 1255 HOSES & WARREN, INC.. PUBLISHERS