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Home My WebLink About0046 DORY CIRCLE - Health 4C Dory Circle Marstons Mills A = 076 040 f '. l 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 required by law. t- DATE: 5- l Fill in please: APPLICANT'S YOUR NAME/S: Q �r C] BUSINESS YOUR HOME ADDRESS: cl D '-1 Y) 579S� Y 11.'tTELEPHONE # Home Telephone Number _ NAME OF CORPORATION:- NAME OF NEW BUSINESS - 1 Oqk TYPE OF BUSINESS — = S o�aS� (JLU9 czN 15 THIS A HOME OCCUPATION � YES NO � 3ro � ADDRESS OFBUSINESS. c-( s MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regufations 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 MISSI NER'S QgFIC This indivi a be m �nyrmitre rements hat pertain to this type of business.MUST COMPLY WITH MOMS OCCURE PATION O�` RULES AND REGULATIONS.. u hor Si re** COMPLY MAY RESULT IN FINES. C MMENT n S 2. BOARD OF HE TH This individual ha!�;bee info me f he pe.milt re uir ments that pertain to this type of business. MUST COMPLY WITH"ALL HAZARDOUS MATERIALS REGULATIONS Authorized nature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: LOCATION SEWAGE PERMIT NO. f' � - t56 O®r4 C.;r�lam. f'�� -7 6 - V.I l l A G E �l 1Vla,rs�®�� INSTA LLER'S NAME ADDRESS i C> k A B U I L D E R OR OWN ER CACA ls� MIA DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED s o � V r ..� TL F ZG T- ) AD No ... ....... 6 .!.56 Fps . ....... THE COMMONWEALTH OF MASSACHUSETTS AP BOARD OF HEALTH 1ACU .QW.0.........OF.. .Ai,WciTjkA- -- 7 Appliration for Disposal Works Touslrurtion ramit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: ,� e I 4' ..............................��..."..... . �2 ........�[t!1. - - .��. ....._._......__ Location-Address No or Lot .............=........_......W..i......'vg� Tx.......................... .....180K. A4f0-•----•-.........Tl _........_...- ^Owner Add e s �' ,AGtf oyl�da Installer Address l .........._. Type of Building Size Lot___-... , ? .Sq. feet U Dwelling—No.No. of Bedrooms................. •..•••• ._-__Ex Expansion Attic.-� g— --------- p ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of ersons____________________________ Showers — Other—Type g ---------------------------- P ( ) Cafeteria ( ) Otherfixtures ..---•-•-----------------------------------•----------.•••---•••••••-•-•---...----•--•----------•-•---••-•-••••-••••-•- W Design Flow.....................55.................gallons per person per day. Total daily flow.............------------ O.__gallons. WSeptic Tank—Liquid'capacityl. ?_.gallons Length................ Width................ Diameter --------- O.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............_.......sq. ft. Seepage Pit No......... Diameter......1-�:........ Depth below inlet...�'�......... Total leaching area__&_�-�....sq. ft- z Other Distribution box (✓) Dosing tank ( ) I '-' Percolation Test Results Performed by.__. . , .-�.�, ..' S t i� 1 ? Date.........`_.I_o.lk es...____._... a Test Pit No. I... ......minutes per inch Depth of Test Pit-------- . Depth to ground water_____ _____________ f14 Test Pit No. 2......7'...minutes per inch Depth of Test Pit.........11_.... Depth to ground water..-_"'............. a' ----•-•••••------------------•----•••-•••---•••-.........••-•••--••-•-••••••._...-•-•.........--••--......................................................... Description of Soil______________________ ........... .1"g a ----------------•---------_----------------- ...... �._. " '.---- ............................................................ 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 TITLi: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate o ,C gllr oa s been ' sued by the b of heal -- •••_.. . °"..-------�-P-'---------------------------------------------------- ................................ Application Approved By.................. ................................. ................................ C -_-Da .•-.._-••-•- .t--- III Application Disapproved for the following reasons-------------------------------------•-------------------------------------•---------...•----•--•-••---•••---••- _......._..••••--•••-----.-••-••--•--•--••-----.....•--•-•-••...•--•••-••-•-•p-•••.....•--•••••••..._--•••--------------------------••-•-••-...•--•-•Uf -----------------•••--- Date PermitNo......................................................... Issued_................--- ... ................................. Date rNo .. ._1.�� Fu$........ ....... THE COMMONWEALTH OF MASSACHUSETTS �--, BOARD OF HEALTH p..w.... .........oF........... ...... i iT.... t. Appliration for Uiipusal Workii Tomitrtirtion Vautit Application is hereby made for a Permit to Construct ( c''S or Repair ( ) an Individual Sewage Disposal System at: � ��z4� ................_........-..............1. .. ----•••------- !!...[..... ...............•----•---•............---•- --ram ................ Location-Address or Lot No. ....... ...: �f t 1 T3"...................•-_... ..�?K....1:3' �??- c n cr M� _._........... ......... ..... ...... ,r..._ _.._.. Owner Address_ ' . . ---------- -------- -- -----. . __.._...........--- Installer Address ' � '�3 S feet Type of Building 1 Size Lot..............:............ q. U Dwelling—No. of Bedrooms................. _________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixture .-------•----------.•••--•-•-----••••--••-•••---•-•---•--•---•••...................... Design Flow.....................`5......___._ _____.gallons per person per day. Total daily flow____.._....._.._.....___._-..:._.___U..._gallons. WSeptic Tank—Liquid*capacity�._��__o._gallons Length................ Width................ Diameter................ Depth-....__.._...... W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...-----2-__-__. Diameter......�_�........ Depth below inlet___ -':S........ Total leaching area__�':_�.�....sq, ft. Z Other Distribution box ( ) Dosin tank ( ) Percolation Test Results Performed b ___ rZ__}_ ��___._.1' -IdA11� Date.___._..1.1__ 1 Y l Test Pit No. 1....:?^......minutes per inch Depth of Test Pit.........I v::�. Depth to ground water..... Test Pit No. 2........ '=_..minutes per inch Depth of Test Pit..........LP.... Depth to ground water...... a •••-•--••-••---•.....................•••..............•-•-•-`-----.........._...._.......-••-•---•---•------•--...••--•--...•------•--....-••••-•--•--•-•••- ODescription of Soil......................••. . -----••-••-• ------ --------------- ------------------- x ................................. 1� I `f7 . W UNature of Repairs or Alterations—Answer when applicable.-_____________________________•................................................................ Agreement: The undersigned agrees /toinstall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI" t ►itary Code—The undersigned further agrees not to place the system in operation until a Certi Comp fiance has been issue by the board of} alth. p 4 , Signed...-li..... .................................................... ------------ --....-6g- �r ` ` Die �-g•-- Application Approved BY---••----••............:�w� - 1= �" ::- /� Date Application Disapproved for the following reasons:-------••••-•-•---..._..-•-----••-•---•--•-•-•--••--••••••---•••••-•--•-••••-•-•••--......-••.........•---•---- ..•-••••-•--•••-•-•••-•-••-•........................••--••••••-•----•--••...--••••••••--•----••...•••-----••...-----••-•--•-•----...._.. ..-•-•...-•-•--••••-•-•• -- -------------- PermitNo........................ ------4.s.` Issued------------------------------ ...................... Date THE COMMONWEALTH OF MASSACHUSETTS ----- BOARD F HEALTH (9rdifirtt#r of Tontpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( L115/or Repaired ( ) by............................... .... n( l Installer at..................................... .......�1. ('........ �``�r= �_ �v� rfE . . ... has been installedJTft ac .ord ith the pro v ions of TITI,i; of The State SanitaryCode as eicj� m the application for Disposal Works Construction Permit No..................... dated ...____-..._-_- / -------_----------------•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........,y !, .±J.........OF.............:....... i."7Tr r.a( ...................................... .................... No............... ............�,g. G FEE. . Disposal Workii Tonarmtioulphrutit Permission is ereby granted........................ 3�+ -— -------------•-........................................................ to Construct ( or Repair ( ) an Individual Sewage Disposal System atNo...........................................' x r ��`'= S ••••-•..............•--•......•.... �r treet r / 1 i as shown on for Disposal Works CAstruction Permit Now�............. 1 ........ ..... ......._____.. ____ 7/F/V Board of Health DATE................................................................................ ,.. FORM 1258 HOBBS & WARREN. INC.. PUBLISHERS I ; i -7/406 011 _ 1 I ��OPt7SE'� �• S_ �* . .... V. 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