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MAY. 2.2006 3:24PM BARNSTABLE COM/ECO.DEVELOPMENT N0.183 P.2i5
Town of Barnstable health Inspector
Office Hours
Regulatory Services 8:30-9:30
Thomas F.Geiler,Director 1:00—2:00
~ Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
ANMSTY PROGRAM APPLICANT— SEPTIC QUESTIONNAM
1. General Information, Size of Property:--L4-L
Address:g Map I Z 3 Parce
Name: Phone*
2a. How many bedrooms exist at your property now?
2b, Are you planning to add any bedrooms? f)��O If yes,how many?.
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?\.3
2d. Please include a copy of the floor plans for the entire property-showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or
If the dwelling is connected to public sewer,ski questions#4 through#9 below.
4. Location of dwelling is �INSID OIITSID9ZIZone of Contribution to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to PU C WA 7
6. Is a disposal works construction permit on file? YES or NO
.a
6a, If yes,how many bedrooms were approved according to this permit? Bedrooms,
7, Were any building permits obtained for eonstmetion of additional bedrooms? YES or NO
S. Is there an engineered septic system plan on file at the Health Division?, YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
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FOR OFFICE USE ONLY
The Public Health Division has no objection tom bedrooms at this property.
Special Conditions: M -� �� G �t�►,
Signed: Date:
Q;1hea1 shAvpfil es/amnesryapp
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The Town of Barnstable
snxxsrns�.
3 9. � Office of Community and Economic Development
230 South Street
Hyannis, MA 02601
Kevin Shea Office: 508-8624678
Director Fax: 508-8624782
April 27,2005
Mr.John C.Klinun,Town Manager
GaryR-Brown, Town Council President
Barnstable Town Hall
367 Main Street
Hyannis, MA 02601
Re:
William and Audrey Anderson- 23 Elliott Street, Centerville- a single-family accessoryunit
Nelson and Wanda Andrews - 79 Suffolk Ave,Hyannis - a single-family accessory unit
Gentlemen:
This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received
requests for a project eligibility letter under the Community Development Block Grant (CDBG)
Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the Criteria
for the Local Chapter 40B Program.
The Program Coordinator is reviewing the requests.If the Town has any comments on the projects
please forward them to me so that they can be addressed in the site approval letter. This letter gives
you official notice of our receipt of the above application(s). We will issue a decision as to the
acceptability of the sites and the consistency of this development within the guidelines of CDBG.
Sincerely,
03
Kevin Shea,Director
Community&Economic Development w
N r—
cc: Town Attorneys Office `T'
Building Department
Public Health Department
SKETCH ADDENDUM
Borrower/Client Bergeron, Jo—Ann E.
Property Address 829 Osterville/West Barnstable Road
City. Marstons Mills County Barnstable State MA Zip Code 02648
Lender Cape Cod Bank & Trust Company, P .O. Box 1180 South Yarmouth MA 02664
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LOCATION. SEWAGE PERMIT N0.
0,5
VILLAGE
INSTA LLE NAME i ADDRESS
BUILDER- OR OWNER
d ,
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
ow -AddTess
Installer Address
1:4 Septic Tank—Liquid capacity/aP.O..gallons Length&.."a.."' Width._'KW."'. Diameter_-------------
Percolation Test Results Performed by.n_0N.A:<r_D. ......C_ ;S� Date.....
Test Pit No. L-c—'Z;?�t.minutes per inch Depth of Test Pit....1.1Z..... Depth to ground water-.-.*-V--V..&I.e.......
'------'-'-------------'--'—'-----------------'-'--------'---'''-'--
'�g -_-__.
The undersigned agrees to install the uforedescribul Individual Sewage Disposal,Sly'steminaccordance with
the provisions of TLIHE 5 of the State Sanitary Code— The undersigned further agrees^ oot � y�eHe ��cm �
operation until u Certificate of Compliance has been issued bv the 6oamlofroo}d6. ^ �
'. S� ----'-----' ---'---------'---
»°*
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Aool�u600 Approved 8},-.-- - -------- - _____._____~..�~_____
u*"
Application Disapproved for the following reasons:................................................................................................................
-----'----'------'-----''------'-------'''--------'--------'—'-'--'-----------'Da t e------- |
Permit
Date
---
����
N( FEic...............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................................
..............OF.......jM941.5.7
Appikat"; n for Uhipaaal Works Tomitrurtion "pautit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
1 ,
System at: 4.
M, Al I
.......................... ....................... ................ /...................... ...............................................3�....................
Location-Address or Lot No.
...............................................Owner.......................................... ............................................L�rcs.S...........................................
Instal I er Addres s
Type of Building Size Lot.g.k2f2qZ2...Sq. feet
U
Dwelling—No. of Bedrooms........ ...............................Expansion Attic 00) Garbage Grinder (NO)
Other—Type of Building .......N../.,A.......... No. of persons............................ Showers Cafeteria
Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------
Design Flow........11_6�.......................gallons per person per day. Total daily flow........ 0......................gallons.
04 Septic Tank—Liquid capacit/.OK�&.gallons Lengt1s.:5.;_'f!:_'r' Width.t."e:-�.". Diameter................ Depth.
..............
Disposal Trench—No.................._ Width.................... Total Length..........0......... Total leaching area....................sq. f t.
>'> Seepage Pit No...../........... Diameter.x�3............ Depth below inlet...d............... Total leaching area..&'t.4Ra..sq. ft.
Z Other Distribution box (111 � Dosing tank ( ) 0j tl '( .
Percolation Test Results Performed by7e!PiN!Aj�2q, ....A.!... Date.....C5/
�-j
Test Pit No. 1.4�...;4t--minutes per inch Depth of Test Pit... ...... Depth to ground water.-
Test Pit No. 2................minutes per inch Depth of Test Pit....................Deptl1jo ground water........................
....................................... .............................................................7.......................................................
0 Description of Soil... .......4-r.-V J��M
............................y!E42
U ......... .... ...
...................................................................................... ..................................................................................
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 TLITTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b�en issued by the board of health.
Signed. . . . ................................................................ ................................
" I X - 7 D�, �
Application Approved'By.......... ..... ................ ...........................t. ........
�? 7 Date
Application Disapprov�dj br."the following reasons:................................................................................................................
......................................... .............................................................I.............................................................................................
Date
PermitNo..�'.......................I............................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... ..........OF...............d.4.w'.�.. . ............................................
Tntifiratr of Tomplitturr
'Z TH14 IS ITO C(kJIFY, Thrae Individual Sewage Disposal System constructed or Repaired
W4Vy...!n.. ---------------------------- ---------A-----------------------------*-----------...........................................
/stali;;
A
at.... ..... . ....... ...............................................
----1!5.. ...y . .................................X
has been installed in accordance with the provisions of Z P , of The State Sanitary Code as described in the
-,------------------------------------- dated.-..;L.-I ..
application for Disposal Works Construction Permit No -.7-.791
... ... ....................
THE'ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
-SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............. .......................................... ��nspector....... ...............................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 0 HEALTH
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................................................
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]ROV0.0alf rk 0 n prrufit
... ........ .....
Permissiono!>ereby granted.. ---y ...... ..It.................................................................................
to Constr �p ir4 d.;ual S,�.Wa? ,.spo$ �yylerr� or�,
S
........... --- - - --- - ----- -----------
at No..ZV�X.or.. ............je�w. ..................................
Street
as shown on the application for Disposal Works,'Constructi P Vt X'Vo..... ..........Dated... —/_�...............
-- --------
00
.............jo._� ..�..
Board of Health
DATE.........*.*..................................................... ...........
1255 HOBBS WARREN INC., PUBLISHERS
± k
OF WE 1p�
P� ti
y000- The Town of Barnstable
► BAMSfABLF,
MASS.
i639. Growth Management Department
�0
RFD MA'S A
367 Main Street, 3rd Floor
Hyannis, MA 02601
Tel:508-862-4678 Fax:508-862-4782
March 21,2006
John C.Klimm, Town Manager
Henry C. Farnham, Town Council President
Barnstable Town Hall
367 Main Street
Hyannis,MA 02601
Re: Lane Hopkins - 40 Arbor Way,Hyannis - a single-family accessory unit
Strawberry Limited PartnershiD- 438 Craigville Beach Road, Centerville- a multi-family
accessory unit
Gentlemen:
This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received
a request for a project eligibility letter under the Community Development Block Grant (CDBG)
Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the criteria
for the Local Chapter 40B Program.
This office is reviewing the request.If the Town has any comments on,the project,please forward
them to me so that they can be addressed in the site approval letter. This letter gives you official
notice of our receipt of the above application(s). We will issue a decision as to the acceptability of
the sites and the consistency of this development within the guidelines of CDBG. =mom
Sincerely,
j rJ
Madeline Taylor `
Amnesty Program Coordinator
Growth Management Department '
cc: Legal Department
\ Building Department
\Public Health Department
t. Y
Town of Barnstable Health Inspector.
oF1NE t Office Hours
o Regulatory Services 8:30—9:30
; Thomas F.Geiler,Director 1:00—2:00
9� �� Public Health Division
ArFD WIp�A Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
1. General Information: Size of Property:
Address: q �e( ✓ S[64LUMap J Z 3 Parcel o 2—
Name: J 0 &II-V"y nl,_ Phone #: Z g
2a. How many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? If yes, how many?
2c. How many bedrooms total are proposed at this property (including the amnesty unit)?
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room_clearly on the plans.
3. Is the dwelling connected to public sewer? ��y yy�� 7 9 S 7L__ YES or NO
If the dwelling is connected to public sewer, skip questions#4 through#9 below.
4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells?
i
5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER?
n.3
6. Is a disposal works construction permit on file? l YES zor NO
;2
6a. If yes,how many bedrooms were approved according to this permit? -,1 gl drooms.
7. Were any building permits obtained for construction of additional bedrooms? %,t YES or NO
8. Is there an engineered septic system plan on file at the Health Division? YES or_ 1V0
9. Has the septic system been inspected by a DEP certified inspector within the last two years? ES og NO,
------------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: Date:
Q;/health/wpfiles/amnestyapp
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Town of Barnstable Health Inspector
optNe tq�, Office Hours
o Regulatory Services 8:30-9:30
* Thomas F.Geiler,Director 1:00—2:00
* sasivsrnat.E,
MASS.
1639. Public Health Division
�0
ArFp �a Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE
1. General Information: Size of Property:U> (p
Address: (�/ &-my, f7 y/ L � Map Parcel
Name: 741& Phone #:
2a. How many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? If yes, how many?
2c. How many bedrooms total are proposed at this property (including the amnesty unit)?
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or NO
If.the dwelling.is connected to,public"sewer;skip questions#4 through.#9 below.:.
4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells?
5. Is the dwelling connected ONSITE WELL or to (PZUBLICATER?
6. Is a disposal works construction permit on file? YES or NO
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES or NO
8. Is there'an engineered septic system plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
--------------------------------------------------------------------------------------------------------------------
I ED FOR OFFICE USE ONLY - �i C— .
The Public Health Division has no objection to bedrooms at this property.
Special Conditions: G ,15- , >` - nwg,k
Signed: Date:
Q;/he altivwpfiles/amnestyapp
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508.362.6866 CHECKED BY DATE
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