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HomeMy WebLinkAbout0493 RACE LANE - Health 493 Race Lane A = 126-069 Marstons Mills 1 I ���119 vim � °��� � ,, � ��;� ��� 9 f 0 Town of Barnstable, RECEIPT w�Mar ngie�. 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-4186 Date Recieved: 12/27/2018 Job Location: 493 RACE LANE, MARSTONS MILLS Permit For: Building-Alteration INTERIOR Work Only-Commercial Contractor's Name: STEPHAN A BOUDREAU State Lic. No: CS-102091 Address: OSTERVILLE, MA 02655 Applicant Phone: (Home)Owner's Name: CAPE COD CHURCH OF CHRIST Phone: (Home)Owner's Address: PO BOX 727, HYANNIS,MA 02601 Work Description: UPDATE KITCHEN WITH NEW CABINETS-CLOSE ONE DOOR-ENCASE OTHER-ADD PASS THROUGH WINDOW-RELOCATE AND RECONFIGURE LAYOUT Total Value Of.Work To Be Performed: $1,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages it work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certiti that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: STEPHAN A BOUDREAU 12/27/2018 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $1,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $160.00 °_- Total Permit Fee Paid: $0.00 THIS IS NOT A PERMIT., �oFa►+�, ti Town of Barnstable Board of Health • BARNS[ABL.E. y MASS. $ 200 Main Street,Hyannis MA 02601 rFD1639. �m Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. John Norman March 28, 2019 Mr. Andre Reggio 73 Starbuck Lane Yarmouthport, MA RE Cape Cod Ghurcl of Clrlst, 493 Race an MarstonsMlllsGrease Trap Ua�iarice Dear Mr. Reggio, Your request for a variance, on behalf of Cape Cod Church of Christ, from Section 322-3 of the Town of Barnstable Code, is granted. This variance will allow the Church to serve coffee and other food items without an exterior grease trap with the following conditions: (1) No more than twelve (12) food events are authorized at this facility each year. (2) The menu is restricted to coffee and the reheating of pre-made food items. (3) Due to the limited capacity of the onsite sewage disposal system, no more than 96 seats are authorized within the dining area at this facility. (4) An interior grease trap may be required by the Town of Barnstable Plumbing Inspector, in accordance with the MA Plumbing Code. The applicant, or the hired plumber for the proposed renovation project, shall request a determination by the Plumbing Inspector in this regard. (4) This variance is not transferable to another owner or lessee of this facility. mcerely your s Paul J. Canni D. M.D. i Q:\WPFILES\GreaseTrapVariance CapeCodChurchofChrist RaceLane 2019.docx I ■ Complete items.1,2,and 3. 7A- 8ignature■ Print your name and address on the reverse ❑Agent so that we can:return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, ilB. Received by(Printed Name) C. Date of Delivery or on the Yront if space permits. IV 4 d-1 K,(, " 1. Article_Addressed to: R l a3 _ D. Is delivery address differentfr Yes If YES,enter delivery add`` !� o i Prop ID:20704( +O KERNS,J�HN J IV&i JA.�3�'Nz. ''9 O 410 dtA[IN STREET vE?:TERVII_ E,MA 02632 II I IIIIII IIII III I II II II III I I IIIIII IIII I II I I III 0 dinService i Type st rI press® , ❑Adult Signature ❑Registered=PTm r 0 Adult Signature Restricted Delivery0 Registered Mail Restricted 9590 9402 3798 8032 9079 12 0 Certified Mail® Delivery 0 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transferfrom service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmationlm - ❑Signature Confirmation F — 7 018 0 0 4 0 0 0 0 0 68 4 6 '—6 51 1.• ;16 ;w)il Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACK NG# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 940�'''1-' 7q8i•8032 9079 12 United States °Sender:Please print your name,address,and ZIP+4®in this box* Postal Service PUnkhorn Services P. O.Box 483 South Dennis,MA 02660 i I I � ��le�1�1't�1'�"Il�ll,e,rt,t��►1,�lll.,f'J+„j��,�l,Ji,.�,+.11 jiii`i� ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X - ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B• Received By(Printed Name) C. Date of Delivery or on the front if space permits. rJ A /Y 1_._Article Addressed to: _ - D. Is delivery address di $# Q ❑Yes If YES,enter delive r se s-belo o No I rop ID:20812744 DTIIL,C ARK E&DELUCA,E& + z MAR 2 2 20 i STF I',ET �ycr T r L 3. Service Type 13 Priority Mail Expresso II I'lll'I(III III I Illl II III I I IIIIII Ill I I II I I'll ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted 9590 9402 3798 8032 9079 05 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery O Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm -- ---- ------W -��--_rr,-�_,r p_InsuredMail ❑Signature Confirmation 7 016 `00401 100010 `6 8 4 L: '0 6 4 4 ` ''0e)it Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return_Receipt t uspstw # First-Class Mail Postage&Fees Paid USPS (- e Permit No.G-10 I , I 9590 9402 3798 8032 9079 05 I United States •Sender:Please print your name_,address.and zip+e®in this box• I Postal Service i punKhorn Services I P.O.Box 483 I South Dennis,MA 02660 I I �l ", _9 fiiilii�li'lilliiiI111iIllJill III iil1fl}rlJifl.liilflfiiyl1iiiitii • e le Complete items 1,2,and 3. A.. Si ture C� Is Print your name and address on the reverse. ❑Agent so that we can return the card to.you. ❑Addressee ® Attach this card to the back of the maiipiece, B• eceived (Printed me)' 0 ate of Delivery or on the front if space permits. 1. Article Addressed to:, _. �_ . _ _._ ---- D. Is delivery address different from iteED 0 Ye 't If YES,enter delivery dddeess below. ❑"'d I ` Prop ID:208085007 III COR Rl'DAN,STEJPHEN G&.ANNj � a338 KING CHARLES ROAD II f POR 1 S u'{•U H,TU 028713. II I IIIIII IIII Iil I II II II III I I IIIIII I li II(III ❑AduIlS Signature Restricted Delivery ❑Registice Type 0 ered MailMail p*Mess® g ry ❑Registered Mail Restricted 9590 9402 3798 8032 9078 99 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for -F1 in Delivery Merchandise 2. Article Numhor rr ^^ ---- -- jn Delivery Restricted Delivery ❑Signature ConfirrnationTM' a 0 4 a 0 0 00 6846 6 3 all ❑Signature Confirmation 71318 nsured Mail Restricted Delivery Restricted Delivery _ (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt LISPS„TRACKIN ;s: « First-Class Mail Postage&Fees Paid USPS :.. :' Permit No,G-10 9590 9402 3798 8032 9078 99 United States 'Sender:Please print your name,address,and ZIP+4®in this box• Postal Service PUnKhorn Services i I P. O.Box 483 South Dennis,MA 02660 ► �SFIE DATE: 3 �� 1 $95.00 FEE*: _ BARNSTABLB, MASS. 1639. Town of Barnstable REC.BY: �fD MA't A SCHED.DATE: 3�t�-i 9 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul I Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Amichi Sawayanagi VARIANCE REQUEST FORM LOCATION Property Address: eep571 C (- _ �S r�Is ' I LLIS Assessor's Map and Parcel Number: 1 ZC- /oG9 Size of Lot: ID - L e e ` Wetlands Within 300 Ft. Yes Business Name: CA f6 COO 6•l-10,4Z(0 I oi- 6IP-Is No Subdivision Name: NO APPLICANT'S NAME: n�7t�= 1�CC-E-I0 Phone 5 7A Did the owner of the property authorize you to represent him or her? Yes X_ No PROPERTY OWNER'S NAME CONTA/C�T-`PERSON Name: Q —P& C(.:D GHOOJCN,f CH e-CY Name: Address. 2yX_ L1� /�, ��(�S Address: `T `q jocL 1\,' l (20k Phone: 50'6 ``T Z� ��1 Phone: S�� �7 EMAIL: 11J F6W A AD(00) 6 /--1 C&LI VARIANCE FROM REGULATION(tncl.Reg.Code#) REASON FOR VARIANCE(May attach separalr sheet if more space needed) -9-3 E reciS-e Toi,55 ROA C0 WA►- ` TU UV 601 E C4 1✓11 C• S Ai�D iW Co 0 Ft6- ?17Q A'--� Qc)2k- F&OUJ NATURE OF WORK: House Addition LJ House Renovation Repair of Failed Septic System OF t,-6p-s-k1f Checklist (to he completed by office staff-person receiving variance request application) Please.submit first four on list as S collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). —C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: healthCtown.barnstable.ma.us �1 D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or.R.S. ,I Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or \ local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3) New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- Cape Cod church of Christ 493 Race Ln, Marstons Mills Variance request form Specs: Walls, high gloss painted surface Countertop, epoxy compound or linoleum Floor, linoleum plank tiles Menu: Only fresh coffee is made on premises. Regular foods prepared at home and brought to potluck events. Salads, Cookies, Broiled chicken, assorted Ham sliced, assorted Turkey, assorted Lasagna various configurations Chicken casserole, bean casserole Beef stew Vegetable trays, Brunswick stew Chowder, of course. Desserts, cakes, pastries, occasional ice cream, store bought confections Items are brought on a volunteer basis so no real indication as to what may be offered Can be definitively established. I I I �p '—�.� � � • Application Number........ ..�........�..............t........................ * MASS. � � v� � . Permit Fee...A... .�D.................Other Fee........................ i639• Ep NIP► � _� . . ..�__ Total Fee P1 TOWN OF BARNSTABLE Permit Appn BUILDING PERMIT APPLICATION J Section 1 - Owner's Information Project Address 67,3 .ORA CG t,4 (0 l Owners Name_ Owners Legal Address qq 3 "L& Ley '✓ City �.��`��S L�5 State OS S Zip Z Owners Cell# _ � S -7 St E-mail {� �-✓fl c�_G t�4r L , C�� Section 2 —Use of Structure Use Croup ,` ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System _ ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other—Specify. Section 4 - Work Description to l KA CH Dk� QQ EW&K C ,491 j�j i5-1--S C[ 1)S CAN L= t 0C MCA St C A Av iOpC/C C� - u3r1—� �—i Gc2 1�9C� Last updated. 11/15/2018 r "� __ �o- ��� J / ' ��, r� J� �������� � � "( IME 0 A, �v/;e/�Tpplication Number........-2, -7 MASIL —S1 Permit Fee.... ....................Other Fee........................ i639. TotalFee Paid............................................................... ....... TOWN OF BARNSTABLE Permit Approval by.................................On........................... BUILDING PERMIT ..................P=el................... ...................... Map.......... 0 APPLICATION Section 1 — Owner's Information and Project Location Project Address q'?'3 RA C/G t-A NJL- villag, eNVS-bNs M r LL5 Owners Name- C4i 0&,+1 0( ' a� ps--T Owners Legal Address qq 3 "L& L-OqN6 City State OV1 S S ZipCD-z- Owners Cell# rJ5G7 -7 SL(� E-mail W:F-6L,,6 44(t,', C C)N Section 2 -Use of Structure Use Group_,` f ,' ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,060 cubic feet ❑ Single/Two Family Dwelling Section 3 -Type of Permit ❑ New Construction E] Move/Relocate E] Accessory Structure E] Change of use F-1 Demo/(entire structure) El Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation . ❑ Pool El Insulation Other-Specify Section 4 - Work Description =10, K4 CH DNk 0 ),,j E�J EAQ C,49 i rJ��J -S 7— �(De— EA /A—) P(;CJC C"T OA9; :J&9bL)6-H JA,)tPQ OCR L--i VFW� Foe- 5 Last updated. 11/15/2018 I vJ�� Cow stn rn p�h o� From: Flick, Beth Fl Iic .n,n`r jri;t.�L>(11 Subject:,RE:Request for information Date: January 10, 2019 at 9:30 AM Good Morning ! Attached find the customer statement on file for your account. Our consumption history only goes back 5 years. In 201.4 the rate changed frorn a minimum of$35 which included the first 20,000 gallons of water. Any consumption above the 20,000 gallons was billed at a rate of$2.90 per thousand. Date Min chg (20,000 gal) Excess usage @ 2.90 per total thousand 1.1.2004 35.00 = 20,000 1 @ 2.90 = 2.90 37,50 21.,000 gal 1.1..2007 35,00 = 20,000 8 rz 2.90 = 23.20 58.20 28,000 gal 1.1.2010 35.00 = 20,000 3 @ 2,90 = 8.70 43.70 23,000 gal 1.1.2011. 35.00 = 20,000 4 cx 2.90 = 11.60 46.60 24,000 gal 1..1.2002 35.00 = 20,000 9 @ 2.90 = 26.10 61.10 29,000 gal 1,16,2013 35.00 = 20,000 20 @ 2.90 = 58.00 93.00 40,000 - gal 1.1.2014 35.00= 20,000 12 @ 2.90 = 34.80 64.80 32,000 gal 1.1.2015 30.00 15 @ 1.00 45,00 - 15,000 gal 7.1.2015 30.00 12 @ 1.00 42.00 12,000 gal I hope this helps! Best regards, tfeth F tic k, Centerville-Ostervil<fe-Marstc)ns Mills NVtter Department (Pff) 508-.428-.6691 (FX) 508.42 .350 bflickCO?co infit-e isti-ict.c°f� i WWW.001nill W te1*.001 fix r pU may, Barnstable Town of Barnstable bwlftyl a ♦ AHl�ainCRY MAM1ARN9TABIE, � , ' ' ' r Board of Health tbs� ,m c r +� 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 October 6,2015 Updated October 5,2018 IN-GROUND GREASE TRAP(1,000 GALLON 1MIINIlV1 JA4) VARIANCE REQUEST GUIDE According to 310 CMR 15.230 (1) of the State Environmental Code Title V, "grease traps shall be provided at restaurants, nursing homes, schools, hospitals, and other installations from which grease can be expected to be discharged." The Board of Health Regulation requires the installation of a minimum 1,000 gallon grease trap at food service establishments. I. LIST OF FOODS WHICH MAY BE PREPARED AND SERVED The following foods may be prepared without first seeking a variance from the Board of Health: .#J b • Sandwiches,including sandwiches which include mayonnaise.as a condiment,not including any sandwiches which utilize mayonnaise as a major ingredient.* C j • Ice-cream and frozen deserts using homogenized ingredients only* N p • Smoothies, .protein shakes* /,J • Pre-packaged foods may be sold *Applicff1n tdxckwdiTownFign=xDWftnatofPublicWo&ff`bd1 ¢igis dmpdAcsma IL LIST OF FOODS WHICH MAY BE HEATED AND SERVED The following foods may be heated,reheated,or cooked without first seeking a variance from the Board of Health: QS • Coffee • Hot dogs(grilled only,not steamed)* 4 • Pre-made breads,buns,and cookies may be heated(however;these items.cannot,I.be:prepared)* tjlb • Vegetables may be washed and heated without use of any oils Q:\POLICIES\Grease Trap Variance Request GuideAdoptedNOv2015.doc r �U • Popcorn(without added flavorings i.e without added caramel,chocolate,etc.)* *Apphcmtn=deckmh TownBW=a DTmtrntofMkWo&ft u9&giseame1tdtopublicsevA: III. FOODS WHICH REQUIRE THE INSTALLATION OF AN INGROUND GREASE TRAP All applicants who Eropose to prepare or cook any food items including and not limited to bacon, bakery items, hamburgers, clam chowder, dairy products, fish scaling and/or processing, fried foods, pizza, ravioli, roast beef, sausages,and steak and cheese sandwiches will be required to install in-ground grease traps. IV. VARIANCE CRITERIA The Board of Health may grant a conditional variance to prepare or cook other foods. However, when such a variance is granted,the following is a list of the conditions which will be enforced by the Board of Health: � $ a Paper plates and plastic utensils shall be utilized. J t�i b The under-the-sink grease interceptor,if required in accordance with the State:Plumbing Code,shall be. cleaned thoroughly on a,monthly basis. cu t-C11_DS; c Only those food items listed on the submitted menu may be cooked,heated,or prepared as specified.No other food items may be cooked,heated or prepared. d The variance may be revoked anytime a member of the Board of Health or an employee of the Health Division observes non-compliance with any one or more of the above listed conditions. e. The variance is not transferable to another owner or leasee of the food establishment. f. The annual food permit shall indicate the variance granted. g. The variance decision letter from the Board of Health shall be posted on the wall in an easily accessible location adjacent to the food establishment permit for viewing by a Health Inspector anytime food establishment inspections are conducted. DV_. EXEMPTIONS FROM IN-GROUND GREASE TRAPS Lodging houses and bed and breakfast establishments with nine bedrooms or less,churches which occasionally prepare meals (i.e less than a12 meals per year), and_workplace_lunch rooms are exe p from the in-ground grease trap requirement. ilGt=1L;e :G- -YV1�'�i�S 0►�' �— tl, VI.:, BUILDINGS CONNECTED TO PUBLIC SEWER-An applicant for a variance request involving a building which is connected to public sewer shall first seek a review of his/her application from the Town Engineer or other authorized agent of the Town of Barnstable Department of Public Works, Engineering Division: If the authorized DPW representative provides a written favorable recommendation to grant the variance,the Director of Public Health may grant the applicant a variance, in writing, on behalf of the Board of Health. The applicant shall strictly comply with conditions IV.a—g listed above. PER ORDER OF THE BOARD OF HEALTH Paul Canniff, D.M.D. Q;\POLICIES\Grease Trap Variance Request GuideAdoptedMv2015.doc tVl 0 AT10 / SEWAGE PER ,31T pO. IACE Its igSTA LE S gAt�E ADDRESS 55 : dcp le D UILDE OR 0Vp DATE PERMIT ISSUED DATE COMPII A RfCE 1 S S U E D, ��� _ r Clve a � L' I i000 9A } THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------------------------------------------------------------------------------------ �pp ira ivn for Ditipuittl i8orkii Tows rurtiun Prruti# Application is hereby made for a Permit to Construct ( V')"or Repair ( ) an Individual Sewage Disposal System at: ... �-40T'�S 9.....J2 ......_.._.... ..............•-•-•---•--•------------------------•--••---•----- .......------•--•-••-•-•----------••---....-----------•--......--••--•-----------.._.............. n F oFation-Addre s or Lot No. Owner Address :IT, a ----------------------------------------------I -----------------------------------•--------- --_------------------------------------------- dres.-------------------------........... � Installer Address -.— �-.f-, �< Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons..�.S_ ..'S'—'t�howers ( ) — Cafeteria ( ) a Other fixtures ..-----•-------------------------•-----........ _ ------•--•-----•--------.---•------------------- Design Flow......................�3....2&ar Q..gallons per person per day. Total daily flow........................................... ons. W 1�` � Septic Tank—Liquid capacity......_..:_.gallons Length..�..._.�:__ Width.. ...........-Diameter................ Depth.. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___-----I............ Diameter....../..�'<.-_...... Depth below inlet......<°°......... Total leaching area.. .S1.....sq. ft. Z Other Distribution box (✓S Dosing tank ( ) _ _ ..----.. Date----- 11 �� a 9 2— Percolation Test Results Performed by...... _r�1_c__�i._._Iz_�.. ?_ r_ _ ,l ..... ................. P P Test Pit No. 1---_--.2—minutes per inch Depth of Test Pit-.� __C?.___.. Depth to ground water...� Z`�...... Gz, Test Pit No. 2---L.?-..minutes per inch Depth of Test .... Depth to ground water-__---- ....... �'+ --- ---- - ----- ...f------r------�a............................................ 0!V Descri tion o Soil --�c"..... ...-_��� :� o S �' =`a=�l / icr c, �.. ^ " - -� W . . -- . .... - .. ------- � �, _1�'� ------- --.. UNature of Repairs or Alterations—Answer when applicable.............. Agreement: A-A,(--, The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wiih the provisions of TTTLE 5 of the State Sanitary Code—The undersigned further agrees not toEDate st� � /��� operation until a Certificate of Compliance has bee ssued by �boarofh. ymar�Signed-- ._........ -------------- Application Approved By---- - = •/Q.... ...---•----•---------•---• ----•- -----••-•--- OQ Application Disapproved for the following reasons----------------•-----------------------------------------------------------------•.......................... --••......................•----------•--..............-------------------•----------•--------------....•.------------------------------------------------------------------------------------•--•---•--- Date PermitNo................................................... Issued....................................................... Date 1 l�'��}' � - �' �'� � i3 0 No.. t p�_/.. Fss.......�, ..'.'..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ............:.............................................................................. AV.VIira#iun for Biopoa1 Works Tonotru Lion Frrulit Application is hereby made for a Permit to Construct ( V1 or Repair ( ) an Individual Sewage Disposal System at: q ........:......'_L......) ct c�- ............................................. --•--------..................................--------..........•-•---..............----........... ��JJ//I ( ,L�o ation-Addre$ys- y. or Lot No. CG '� r�_WSJ..._� ©�......................... ................••------•--•-••--•--•---.......----...----•-...................•.................. Owner Address W :.. ..... - .---•-----...... � Installer - Addresdies s —•-� f Type of Building Size Lot........................_Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ))-., Other—T e of Building C.11 v'" G" No. of ersons.__�_Y ._..............e.. `Showers a YP g . P ( ) — Cafeteria ( ) P' Other fixtures -----------------------••-•---......------------------.....-----------...-•--•---------- ---------•-••-_ Q W Design Flow...................... :....` _gallons per person per day. Total daily ow.___._-5...��.............f........gallons. G4 Septic Tank—Liquid capacity.--_._...._.gallons Length Width..!.'..._:_.._ Diameter................ D6pth..4........... Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ ........... Diameter....../_-•2...... Depth below inlet...... ......... Total leaching area..:;�q'1....sq. ft. Z Other Distribution box (✓S Dosing tank ( ) `" Percolation Test Results Performed b ...... .�t.t_.........Z.....� .�.. __. .... Date.....3 �..�._//_e�2- aTest Pit No. L.A...2-_minutes per inch Depth of Test Pit.-1 ...©___. Depth to ground water....��.`M_._l fs, Test Pit No. 2................minutes per inch Depth of Test Pit... _:_.___ Depth to ground water....2....... O Description of Soil----.....�-� `�--••-- ��-�-�..�s 5 '- t a ------------------------------------------------------ xU ✓7 . ' �.---------------------•----------------..:...___........................._.--------•--•---•--•••---------•-•-•-•-----------------....•----•--------------•--------------------...........-----•----....._ 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 TITI. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...x-----------------------------•-----•-•-•---.....----.......------.........-- ................................ D to Application Approved By... _- .. , ` �. Date Application Disapproved for the following reasons:........ --------------------------------------- -----------------•--•----------- - ........--•---------•----•......................•...--•------....•-•---•---------•....----•----.....-••••-•-...._...._....•---------•-••-----------------------•-•--------------------------------_..... Date PermitNo...............:........................................... Issued....................................................... Date M. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH %rr#ifiratr of Toutplittnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by......... �.;Z..Y...�5 GL c. ...�c.!. ...-•--------•---•--------------•-•-•-•---•--.....•--.....--••----...._........---•----....---.................•. Installer at................... ------------------••.........•-••----------------------...-----•-----...--- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No __-gZ�_, r/1........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. c DATE...............................................-�.:1 .= �----- Inspector..4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i rG � �� ? ....OF....: .....-.tole- FEE ......... ffloposal Workii Tunotrnrtion rrntit Permissionis hereby granted.............................................................................................................................................. to Construct (X) or Rep�>r ( ) an Individual Sewage Disposal System atNo. G 7 ....../camC.�•---1'Cx-.�.................•----------......---------------------------------•---••---------------------------------........-•-----••- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ------•---------------------•-----•- Boar of�a ti h DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS . . .... .......... . . . ----- ------ ------------- ---- -------— . IKE Application Number. ......I... ......... ............. BARNSTABLF, • MAS& Permit Fee.......................................Other Fee......................... %639. TotalFee Paid............. ................................................. ...... TO" OF BARNSTABLE Permit Approval by.................................on........................... BUILDING PERMIT Map........................................Parcel............................................. APPLICATION Section 1 — Owner's Information and Project Location Project Address— :I�Z"-7) Village M Owners Name— 21 Q#eK 1+ Q) �V Owners Legal Address_� City M A PS[O 1Q5 (LLS State P-1A Zip Owners Cell# `® -7 9 Y E-mail A A L CO Section 2—Use of Structure Use Group_ - F1 Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit F-1 New Construction ❑ Move/Relocate [] Accessory Structure E] Change of use ❑ Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild 0 Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall Solar Renovation ❑ Pool El Insulation Other—Specify Section 4 - Work Description A/cij c ::21 e-Do&L4 W I tl-crJui - LZn !( Last undated:11/15/2018 a �--`" J All measurement in inches R v :,. -alranniki' Project name AndreKltchOl Project K a - 1 m x '.�< va .? ,.- Y�.` °"-•`� ra,;.. 'k. s't' ..� s ject number k�'4�� �'+ „tea.x. ' ����. '� `� E �•�"�"^'� ���s �.�� !�? 0001-1566-7614 Or ."- �EMIR!, ^^ i k .� tig ��:�`• k, �•. '��'�,��' +' �t'S�t�i'l�`�`�'mr,`l2W' ri��^. .��,R t�. {^.�'� .,.,rri�e�. II 'x r lm�K ; '4. !'j'Q, �,t�uy �, + I : •Y I �`{ .( i'lA 3�.� tea• 1N1 A�.uR WE _ Y,��Cii� JJ,AR�5 � , I �, i• � t �d - � 81 4. P •�� I b S i gr f� i r h. _ 5 - l' l 3, Included in the total price Lighting $172.94 Appliances $4245 IKEA FAMILY member price $8706.82 Total Price: 1 1 ■ �j Username(Email address or IKEA FAMILY number) Important IKEA cannot accept any liability for the accuracy of measurements or furniture layout. Prices in this program are for products you collect from IKEA, take home and assemble yourself. All requested delivery, assembly and installation services are charged separately and not included in the price. Although we do try to ensure that the information in this program is correct, we apologise for any product alterations that may occur. Arl Measummervt in inches a� K Project name AndreKitch'ol Project number' 0:001-1:566-7614 .:._ t, . n ,_= a g,ma uta_ ;,tee - 1kp-pF"Fa�rc $4245 $8706.82 Total Price: 9674.27 ..................... .........................................................._......................................................................._.................................................................................................................. .P srzei'eici QE titaif ffi e-3s yr IKEA EAM:i@.V number) . I porta nt _? A car<rxc*ac._r.any i.abOtt;. r.t the ucvrac-,r S€ or fur-r-O.ture layout.Fames.;n this.grogram ame for products you cotiee from IKEA,take home ar•d a_s r,-bbte yvurseif. Alt naquested€erlvsry asssembly ar-d E��€labo t= rdi es are cha€r d separatehy amd nat ixe` sided.iq the price.A90taa,gh,Vr� trj to er—mu._that: i-eformatar,in this prcc_.,am:is curer_€,we a tstss€Fr %r any prod.sor-t as3beeradzns that may occur. An&-e�'f601—East+ver, All r � sxccasai rat in;Aches Milt h G {, 1 > If oI Iir ,. ........... P MEN... Mea�sa cement in in�Eses f r za r� ass y^ .Pvi S.7�kA'. � iw. ..e•wzrr�.uu.✓axu.wu. i���S: :.... F'.1"''w��i.w'' wwu.»,w.+.-,: g„�,���,I } M..... `. a i r' a < s i Pf 01 TA S 3 i � f s f 3 r f - I � _..1 :.. .. ......... .. ......,,. :.. Gti.,_.ww_z.�y...�....���x._...s..s,...»......,...�». ..�,.....�......:.....»,....�,.....,:...�.�,�..r,..•<...w.,..,..�u........::...M_r.�:w....�w...�y..:.....Wwnw,._.�..,..�.e.....�+.._�...v..w.......u......_�..................F..........,.........�»....._... �......« V(f I6 1 . b7 � g A 1 r co ��� 1 Town of Barnstable RECEIPT 'G¢ 200 Main Street, Hyannis MA,02601 508-862-4 038 i3 APPlication for Building Permit Application No: TB-18-4186 Date Recieved: 12/27/2018 Job Location: 493 RACE LANE,MARSTONS MILLS Permit For: Building-Alteration INTERIOR Work Only-Commercial Contractor's Name: STEPHAN A BOUDREAU State Lic. No: CS-102091 Address: , OSTERVILLE, MA 02655 Applicant Phone: (Home)Owner's Name: CAPE COD CHURCH OF CHRIST Phone: (Home)Owner's Address: PO BOX 727, HYANNIS,MA 02601 Work Description: UPDATE KITCHEN WITH NEW CABINETS-CLOSE ONE DOOR-ENCASE OTHER-ADD PASS THROUGH WINDOW-RELOCATE AND RECONFIGURE LAYOUT Total Value Of Work To Be Performed: $1,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: STEPHAN A BOUDREAU 12/27/2018 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $1,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $160.00 ' 3 ......................._......................................._.................................................._._....................................................................._.._..........................................................................................................._... . Total Permit Fee Paid: $0.00 IS Cape Cod church of Christ 493 Race Ln, Marstons Mills Variance request form Specs: Walls, high gloss painted surface Countertop, epoxy compound or linoleum Floor, linoleum plank tiles Menu: Only fresh coffee is made on premises. Regular foods prepared at home and brought to potluck events. Salads, Cookies, Broiled chicken,assorted Ham sliced,assorted Turkey, assorted Lasagna various configurations Chicken casserole, bean casserole Beef stew Vegetable trays, Brunswick stew Chowder,of course. Desserts,cakes, pastries, occasional ice cream, store bought confections Items are brought on a volunteer basis so no real indication as to what may be offered Can be definitively established. BIKE Town of Barnstable Board of Health snRxvr,►st.& MASS. 200 Main Street,Hyannis MA 02601 1639. �e Office: 508.862-4644 Paul J.Canni D.M.D. FAX 508-790-6304 Donald A.GGadagnoli,M.D. John Normtln March 28, 201 1 Mr. Andre Reggio 73 Starbuck Lane Yarmouthport, MA RE: Cape Cod-Church of Christ, 493 Race Lane, Marstons„Mills, GreaselTrap Variance Dear Mr. Reggio, Your request for a variance, on behalf of Cape Cod Church of Christ, from Section 322-3 of the Town of Barnstable Code, is granted. This variance will allow the Church to serve coffee and other food items without an exterior grease trap with the following conditions: (1) No more than twelve (12)food events are authorized at this facility each year. (2) The menu is restricted to coffee and the reheating of pre-made food items. (3) Due to the limited capacity of the onsite sewage disposal system, no more than 96 seats are authorized within the dining area at this facility. (4)An interior grease trap may be required by the Town of Barnstable Plumbing Inspector, in accordance with the MA Plumbing Code. The applicant, or the hired plumber for the proposed renovation project, shall request a determination by the Plumbing Inspector in this regard. (4) This variance is not transferable to another owner or lessee of this facility. irrcerely your Paul J. Canni D. M.D. QAWPFILES\GreaseTrapVariance CapeCodChurchofChrist RaceLane 2019.docx Application Number.................. ......................................... Section 9- Construction Supervisor Name %�r/%.r/f Telephone Number Address 9 4-,e City O.S7/, State sK i Zip C-j S: �License Number f) 0 License Type (/C Expiration Date 5 y a-�? Contractors Email 7>4c J �'p 5i Q)g /lo a k,ca ov" Cell# 56S )3 7 8f 1 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature y<' Date � Section 10—Home Improvement Contractor Name 'j-��� ��,U /�d� 1 U J Telephone Number I-U(' 7 3 7 ?- 1 7 Address 71 �, v, 14 u/ City D S �r f., ��-� State y/�f, Zip � r Registration Number I ,` Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and th Town of Barnstable.Attach a copy of your H.I.C... / Signature Date Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date v Print Name s����� s„ � c/ Telephone Number ' 7 E-mail permit to: Last updated. 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Q Historic District ❑' Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, arj o,4, /J 1T0 6610 (05S(6 ? , as Owner of the subject property hereby authorize_'_31`&-P+}L 1\J 1130 L) 7&xLAi to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Own date Print Name Last updated 11/15/2018 `�t ► ti Town of Barnstable Board of Health BARVSrABL& y MA55 g ?OU Main Street,Ifyannis MA036U1 '�fa rrar° Orrice: >08-962-4644 Paul J.['annul'.DAID. FAX: 508-790-6304 Donald A.Guada_noli.M.D. John\onnan V i` r t March 28, 201 d Mr. Andre Reggio A. 73 Starbuck Lane Yarmouthport, MA RE: Cape Cod Church of Christ, 493 Race Lane, Marstons Mi11s .Grease Trap Variance Dear Mr. Reggio, Your request for a variance, on behalf of Cape Cod Church of Christ, from Section 322-3 of the Town of Barnstable Code, is granted. This variance will allow the Church to serve coffee and other food items without an exterior grease trap with the following conditions: (1) No more than twelve (12)food events are authorized at this facility each year. (2) The menu is restricted to coffee and the reheating of pre-made food items. (3) Due to the limited capacity of the onsite sewage disposal system, no more than 96 seats are authorized within the dining area at this facility. (4) An interior grease trap may be required by the Town of Barnstable Plumbing Inspector, in accordance with the MA Plumbing Code. The applicant, or the hired plumber for the proposed renovation project, shall request a determination by the Plumbing Inspector in this regard. (4) This variance is not transferable to another owner or lessee of this facility. Sincerely your Paul J. CannicAD. M.D. it QAWPFILES\GreaseTrapVariance CapeCodChurchotChrist Racelane 2019.docx a M N 2.1 3 7. 7/ t i O 90 I TN "� I 1 1 1 1 Tom_ l ; i I I I B,Q.s.,r L• t I I I 1 I i I E2 9,q ► Inc rt P J rr^/ I DQ t E99. p , a ' 2 �2f< 1 nl ' 30 W.P � 3 � �'7 L f-�crr PST . l N , I I I 4 1 1 00 1 I 1 1 t' _1 I ► t ---- f is J I , v0 gp'T•�c S .7.A1NK, Q-- 1- 9 1 1 t Zg Z _ 1 S$ 'PA Qv _ c R rt'-t N G-r a Fr E I c. I U5 D F'JZor'' 1 1� 1 i3 IN v te..L�` �7 C I I 0 I i 1 1 . J ,2 f C) I � I i 30 L .7 ,v N O 1 7S t r. 0 I I — PROPQ.SGI� , I 43,O S' I I 4 7 J . 4 92 - P OC-) ti! SCALE DRAWN BY cRnk� s a". .,,. c A34 _ CAS RAi�ONi7 / 1 3C? REVISED +_ r h7o. 274R3 y F. 1 GI N CIS"t77- .. DATE BY DRAWING NVMBER I�w11 u ALSANtNt0 105885 - "5J / ��T �. 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Rea, of v MPSs CAPE co . cy &r_H CF CNiZ� fEE 5 GAS R o1Z p�tc-CAyT z•` 3 FLZ* .L- ,3,l3Js Z. QA 3 1 ENGINEERING DESIGNING �CMRM BUILDING ._ ._ _ ..... INC N ALT" 63 APMOVAI- DENNIS, MASS. 3853