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0175 CAMMETT ROAD - Health
175 Cammett.-Rd. , Marstons Mills A- 078-042 No. 4210 1/3 YEL 1ti r�d � ESSEU E 10% ¢ cC � ✓ ✓✓ /������d 4 YOU WISH TO OPEN A BUSINESS? V 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 required by law. . DATE: 6 Z �� Fill in please: APPLICANT'S YOUR NAME/S: YOUR HOME ADDRESS: BUSINESS Sot ?-I'- 35r. •',,,:.9:.Y�� �:;, �, '�;• say 2or Z_ So 3 y; i ,,s',�=•. TELEPHONE # Home Telephone Number .iwtlduitJ84 E—MA I L: (. d J' �F.•:'iti .'�c,.;;%;r ,`a OR E I N #: NAME OF CORPORATION- NAME OF-NEW BUSINESS G rbs u ti TYPE OF BUSINESS 'u m o I U-e IS THIS A HOME OCCUPATION? NO 1i ADDRESS OF BUSINESS f'Z �►^�^^C�T -M ass • /A4 MAP/PARCEL NUMBER b �' T'� (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 COUI ISSIO ER'S OFFICE . MUST COMPLY WITH HOME OCCUPATION This individual h" s -e n iinf6r•. of n per it requirements that pertain to this type of businesRULES AND REGULATIONS. FAILURE TO C COMPLY MAY RESULT IN FINES.. -- Au horiz Si nat e** COMMENT : r m - dt, � mju k-� _-�-\.e, t ern 'A,((- _/U� tr�.-�T� � 2. BOARD OF HEALTH - This individual he b en informe of th er t requirements that pertain to this type of business. v l . A thorized Signature** 'f,C MPLY WITH ALL COMMENTS: HAZARDQU lilU4TElIALS,REC�UL�tTi(�NS 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Date TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: I P, PC pbl�, t b )k BUSINESS LOCATION: Q S '0-tm MT+� Ral I• f , It INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: S 6 Z,q 2- ; o 3 CONTACT PERSON: Ck lL O-2- k EMERGENCY CONTACT TELEP ON NUMBER: S. A-A- MSDS ON SITE? TYPE OF BUSINESS: 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) 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, 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): - I Metal polishes Laundry soil &stain removers (including bleach) I Z Mr - . � Spot removers &cleaning fluids r (dry cleaners) o Other cleaning solvents Bug and tar removers Windshield wash 4 ,0 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS plicant's Signature Staff's Initials Jack Daleyi Allied Homes,LLC 49 West Hyannisport Circle Hyannis, MA 02601 508-957-2735 G, Alliedhomes4u@emaii.comAN March 5,2018 To:Town of Barnstable RE: Building Permit application for 175 Cammett Rd, Marston Mills,MA To Whom This Concerns, Attached is a building permit application for a property originally built in 1930,located at 175 Cammett Rd in Marston Mills, MA. The owner,John Cardoza,has requested we add on a garage,a combined living and kitchen area,2 bedrooms and 2 full baths to the existing home,(Please see plans attached.) This plan will eliminate the original kitchen,as seen on the plan,where it will be converted over to a family room and/or den.Once approved and in order to begin the addition that part of the property will first need to be prepared with a full foundation,68'x 27'6"wide and of standard height. We would like to get started on this project right away. Please let me know promptly,if there is anything further I will need to be granted approval and finalize this building permit. Thank you. Sincerely, Ql / G Ja k aley Alli d Homes,tLC i Town of Bdmstabl ofTMf I - Department of Rckuilatory Services .1 (P//411 Public Health Division Date A ", ��e$ 200 Main Stree4 Hy#nnis MA 02601 � Date Scheduled / Time Fee Pd. i -n 4 it SZYahiliO Assess;Tent for Se ge Disposal , Performed By: tfAr � Witnessed By: i LOCATION & GENERAL'INFORMATION Location Address s M ! Owner's Name V l]� C�p74Ar /� t 1 C M • M ( L-V S MA I ' Address M • Pt t ((S §'V tr Assessor's Map/P rcel: 0 Engiueees Name M �O l f CAD D ti10�� NEW CONSI UO" ON REPAER I Telephone# !GX ) f' Land Use , Al v Slopes(%)_! Surface Stones 20 Distances from: Open Water Body ft Possible Wet Area�s1.ft Drinking Water Well �ft Drainage Way ft. Prop"Linc ft Other ft . i SKETCH:(Street name,dimensiods'of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) i i Parent material(ge(ilOgic) � VV Depth to Bedrock Depth to Groundwatdr. Sta ng Water in Hole: ` - I Weeping from Pit Face Estimated Seasonal;ligh Groundwater it i D MINtTION FOR SEASONAL HIGH'WATER TALE Method Used: In, Depth Gb ed standing un obs.hove: in. Depth 10 5011 MOUIM p i in, Oroundwnter Adjustment 1 Depth to weeping from side of ohs.hole: ! A .faetor,.,_ Adj,OroundwaterLevel,,,s Index Well# Reading Date: Index Well levtl -- � • i PERCOLATION TEST . Date Observation Time at 9" Hole# ,50 Depth of Perc " Time at G" 'rime(9"-6") Start Pre-soak Time.@ ''ll v i End Pre-soak + Rate MinAnch Site Suitability Asse$sment: Site Passed Site Failed: Additional Testing Needed(Y/N) Observatioli 1-tole Data To Be Completed on Back Original:.Public Health Division ***If percolaOn test is to be conducted within 100' of wetland,you must first notify the Barnstable C40servation Division at least one (1) we6k prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel DEEP OBSERVATION HOLE LOG Hole#_ ` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) -13Z A4 'fit c DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ��� Consistent ToGravel rl 1Z G DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsisten ra I O IS D , 6; Flood Insurance Rate Map: Above 500 year flood boundary, No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv' us aterial exist.in all areas observed throughout the area proposed for the soil absorption system? 'F If not,what is the depth of naturally occurring p vious material? Certification I certify that on a (date)I have passed the soil evaluator examination approved by the Departmen of vir mental Protection and that the above analysis was performed by me consistent with the require traini ertise n e eri ce described' 3,10 CMR 15.017 Signature Date Q:\,SEPTICVERCFORM.DOC — r ' G TOWN OF BARNSTABLE LOCATION F111-Ckiyv �-e / � � � SEWAGE # VILLAGEIl) ,(Vr �Ils _ < _ ASSESSOR'S MAP & LOTD?9 INSTALLER'S NAME & PHONE NO.(-a d �� ..� 1 w r�c�CS_ SEPTIC TANK CAPACITY f,-S—D LEACHING FACILITY:(type) � �-� w e��. (size) `f X NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER G v-:, o3 C,,rAo Z, . DATE PERMIT ISSUED: /Q 10 — � `1 � DATE COMPLIANCE ISSUED: 9 IL VARIANCE GRANTED: Yes No l col M. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Di�pog 6p!tem Congtruttion Vermit Application for a Permit to Construct( )Repai Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 17S—Ca tw wfe if � r1 Jif d.S. Owner's Name,Address and Tel. . Assessor's Map/Parcel (f W'e K_� Cz_lion z_ / I taller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Lp©5 ks vt P4 Type of Building: Dwelling No.of Bedrooms 1:71 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank \\ Type of S.A.S. Description of Soil �Q w d c w-4-v`\ Nature of Repairs or Alterations(Answer when ap licable) �'�e s to cuss pit, l w C w S4_v , 5j Ix as s 00 4 1(t% S. l 3 N-01 D -ROK 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 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 1 V 3 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Mi5poz X *pgtem' Construction Permit � Application for a Permit to Construct( )Repai Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /CIS CIt m me tf00P" •Kf S• Owner's Name,Address and Tel. o. Assessor's Map/Parcel tr►p r✓ C0.r�t7�+r l775' I taller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. S! ✓vim; 0414 l Type of-Building: Dwelling No.of Bedrooms Lot Size sq.ft.. Garbage Grinder( ) Other Type of Building No. of Persons Showers yp g ( ) Cafeteria( ) 'I Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 'IE Plan Date Number of sheets Revision Date Title If Size of Septic Tank Type of S.A.S. Description of SoilQ w c Gar v Nature of Repairs or Alteration (Answer when ap licable) �r 167 00 a 1Iw S. 1 3 H-ol-e D -II 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 �� 't Date 0 3 0 f?(v Application Approved by Date /D'" Application Disapproved for the,following reasons Permit No. Iry Date-Issued I b"3" - i --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that`the On-site Sewage Disposal System Constructed ( )Repaired(I/S Upgraded( ) Abandoned )by C 6--,-1 tv k4 V.A.r k �(�-S. at Y m e- ,rg L N,(k S , F11 c,-- . has been constructed in accordance with the provisions of Title 5 and ,e for Disposal System Construction Permit No dated 10 1 9'g Cv Installer`&-r 1;6.z jv C-�S• Designer The issuance of this permit shall not be construed as a guarantee that the system whilfunction as designed. } Date Inspector r 4 No. T !---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mig;p0al 6potem Conotruction Permit Permission is hereby granted to Construct( )Repair(, f Upgrade( )Abandon( ) System located at 17S Ca m m- jZ0 . Poa rS h t C1 S Vh�- w'e r..t C-0-v-,.\0 ZG- 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 completed within three years of the date of pe Date: � � _ 3 d "' �� 9 l7 Approved � V 4. 3 « \ � 4 CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) v 'i \", *f,,,W?hei eby certify that the application for disposal works construction permit signed by me dated 0 4 .2J1 119 Lconcerning the Jf property located at 1 g �•.r--�kA Qp '�,NSF 1�� meets all of the following criteria: + • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the a leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: CCLk .,; DATE: �.v LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. I J CIO to 3 0 7 "s :r i 6 � a t� c C� FINE LIME ARCHITECTURAL DESIGN pwB&Uz xalrr t._.. ...__.... -o• - NOTES:_ L—— — t 1 ' I � N i 91 I L p CCI b I H 0 I I I I I pININb NEW GARAbE ' .. ' b,uwe ra Be coNveNn�u-r c.� eervreEN�rH�vr•6 u„b,.ND RESIDENCE ——-———— ---�I�grkllu P--------- R p pORGH FYI�TING - NBY wmb AFeA ro ee ' HDD,LAn caNbTaucnoN ,�!/ BY OINFFS �V `✓ a BEDROOM#1 LN1NG �IDROOM LIVING BATH 5WROOM e I w r J h � ♦ L FIRST FLOOR PLAN r.D• � SCALE:1/4' 1-O" \.. i nit�w�' I LC7 � I ' I - I pODriEW I�I � C I I ID'e%T. 17 1 g I I I f I i-------1 AY1 j i---__--i _ I —_ --- —• L -- —_- -- -- -- -- _ ---- —_ ---- — ♦ ♦ nV 'qte" Vn'".T-Nd':¢!.itk•Y_ 'Gi 14 ZH74t:�A1 FAr ;FJ"i= h'nW N.3iF>AIW v+N 4 ''M k.Y'rit' "'l::`- 4'+f"i..4YlJ' t-JiNh1 ti+-N' �----_---_xY1?--1 3!---------------- � 1 I I, AMMON _--- -----_-- r --_ --__-- 9D'x40"DN WINDOW 9p♦t4B'DH.wiNDDW I I -0"GOIIGreTe WhLI 1B OG.19 1 I DXT4 CONCliC�2 YMLL VV WINDOV�V�LL I' I I '35 I 1Dk16'GONTNUDII�PODIINb I I ,O'k16'LONTNUOU9 POONNb i`vr' SET WJE MOTES FULL BA. E:NT I ' i MTE W-E I I�; % T" IENlONS EXISTING RESIDENCE 'P. D N sWcobi+a AGE. -- 4P': oA,E uEsa�`la'' e k, CJ PRGN ravrlD Douro I I' _:/.! L:< 1 I D-].0 biiRDea r- ---- 1 . GOWHN I I I.. %"x%•.Ir coNnsere PAD �__--i I I . 1 I I I 1 Irl PLAN ��; NDIr DM1 GDLTD � �� ` b.D•,,N�N 1 1 enemDm < +4 vcreLb DROP WALL ID• —I I ,s W�eer4�eD�w — J Ar DODiRs -- ppgpgD__i—DOd'�b L — _ — — -- — _ --__ „ I — — .<stay..m.'-w,ar,rr'...n�trzc- ,r..xµ . ." ":+P- W.'iM�[fV-- . .4.M?—= `v4414 J . I !"R•` 7, i �+•.:M+kd eMi`Y i�M M A.N...neflAT"* -------------�—_-- ---------------------------- _--', a+picr:li2] 4 rC i. ?ate / vat FOUNDATION flLAN SCALE:1/4"=1'-O" A 2 DATE: 11/14/17 t . - FINE LINE ARCHITECTURAL DESIGN s MET BAY FIX I yvx.Rel}ekdAaA]�°.AT.m� NOTES: 0 1 � O -rl N 0 I � I PINING KITCHEN 1 1"y NEW 6ARA6E sARuye ra ee LOHveHnALLr ���ni�WvrGu.n+s AHD . �9 DN K 4 a a PORGH 6 —-—_—_—-— EYI4TINC RESIDENG-F sr oM�LDRetw,LnoH 6EDROOM#3 eepgoOM#1 LIVING BATH B LIVINGEDROOZ'1 Q UD ' ]•-y'- •a l?7,i ac'. .. s =� FIRST FLOOR PLAN Z SCALE:1/4 ^1'-0"i y Lfl \ I - I Il �11 i r G - ' I�'I tD•e%T I�I r. I ICROP.T:,- I I 1 c4 D. -_ _ -, L ___ y ___I s:4I •^vwy{;{Mtn{Md4R1NN'ilY"'hn`.-:F.'+>{i:JiTY31r i,. h;' S2i'°P,i''.:!"-'5+ +'T'':4`''/' 'I-: �d'�'' '�. ________________________ __ __ �F D ------ _ ___ Sp x4B'DN.WMDOW I I I �^rn� M -------------------- ----- �r -- 90"x40 DN WHDLM W/VIRIDOW WP1.L I fill IIION �______ ____ MDOr✓QL9 K 1e•O.L. I�I DMR LONfA@iE WAlL W/WMDOW WeLL I ! H 10^i 0'N4'-0'LONLRSR WALL 10'X16"GONTINULVS POOfMb I "y I . 10%16'LONTMVPIS PLOfIN6 a oov�Lz I I j a'� I ,e•o.c. - I�1 I M I I�I j �l ' I ' I PI u L BASEMENT I I w,E se_E II I I Pig NM&ARA6E I I �• '!_���('�/i1 __ Gis_—_ I I WEossaawloH FYILLTIN(S RESIDENCE I --- �%; -:i Z''',•% ! /ij:. ! k p PRLH TOWW DPAS � � /_% C�_ I L_.1J �:_J Lam•-'J II I al 9?DIA.sT�.cowHH I_____H I ! %•x%•xvcogrAefe PAD i 1"'I ----I I I 1 - Hh !I`�¢,�i`--y-p-py-�y-e DRALrP D-WaAoLLRs 1 0' -DROP WALL 10' 4 DOYpl.B III^w�-s�.ax rr� n"wW.rDAieeS�•n<H eAy wr mea�:•Da.^ axa eno�atn:.�__x_dri_--oxs. r—a,a�a�� Wes' RiOEPGLTAN0------------------------------------------ AT DO 1- - R 3 -_- - --- s ____-_l ____ ------ .-- _-____-__ _ _________ etl4 j FOUNDATION PLAN { SCAU:va^-r-0" A2 DAIS: 11/14/17 • A } F C o } � wKcrlEr�_ aArH w�a nna.sT>:�n BATH IrMN � KtTCkiEN •�\\\))) < —� 1 � u-� � } LIVING INT�G FIOGM BATH BEOFiOC':t t BEDROOM 2 MA6TER •� BEDROOM � I more. ry } 1 _....._.._. ..___mow...._. ..-__:...__.— i _�'�•-- O i0 �. U i 1 ST FLOOD PLAN ugcxT�l'b��nuVUtGI I NMY Ma.nF^'gI"SI�.�C�i I I v t ! _ 9 PROJECTNAME DA(LV //' 1 �r� PROJECT#: 7231845 BPORAGE \ ( (\� TO `SCALE:��oq'-- . 1 STORAGE STJR4GE } OWNER: } t 1 i LOCATION: t }• t7S CAMMET RD. ,. MARSTOS MILLS.IKA 0 j DATE' I e : 20�. _ ••_ _�_ T u DRAWN BY: CHEQtPD a. ee�e• ..__..._.—....._.. CL DR t_ I DRAWING INDEX: COVER 2ND FLOOR PLAN A1..FLOOR PIANSI VIJIUU.NG£ a I I Inm�.vn d wth Cwn1 Pa9cnlm k ' Irinluaai 1` ' I