HomeMy WebLinkAbout0167 SEA STREET - Health (2) Oy, l� �
C
LO C.AT_LO-N 5EW- - E_P_E-R-M-IT U O._
KT
I ST
D A7-E_P_E R�N�aT-�551J-E.D�����_�•_ _ _
Sr �
ir}�.
No ....<<.4:� - Fxay.....ls ..�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................OF.........................................-----................---------.......-----.......
Apphration for lliipniitti Workii Tomitrurtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
- -•-------------•------.......... -----•---....�k. .hl .S .-----•.....................--
L n- ess� or Lot No.
.................... ..... o ` f� .� ------4nf-----..............................................
Owner Address
--------------• '.Vk4'6 ................................................. --........------.. ..-----•--•-------••-------•---------------
Installer Address
dType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............... .......Expansion Attic ( ) Garbage Grinder ( )
Other--:-Type of Building No. of persons............................ Showers — Cafeteria
dOther fixtures ----------------------------------------------
W
Design Flow................................ - --gallons per person per day. Total d-Ely flow----- .a _.--th---gallons.
WSeptic T4�nk—Liquid capacity/ gallons Length.... Width.... Diam
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching ar ...................sq. ft.
Seepage Pit No..................... Diameter.........---.--..... Depth below inlet.................... Total leaching a ..._......._......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-----------------•--------------.---------------
•---•-------------------- Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
0-4
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................--..
a' •---•----------•---------------------------------------------------------------------------------------------- ----•-------------------------------------
0 Description of Soil----------------------------------•--...-----------••----...--------•...._......---------•-•---------•-•••--.........----------......---------••----•-----------.....---
x
W --------------------------------------------------------------------------------------------------------------------- P-v-.....................................................................
x
U Nature f( gp s or Alterations—Answer when applicable.............H-.-..2.Q.......-t!2QQ........� Y-C—A& �......
----------------•--••-----••--•---•---•-------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE: 5 of the State Sanitary Code The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee bg t13, boar ealth. �
,.,
igned ..--�----... U ................................ ��
A Approved PProved By................... .. ....... . ....... e...
Date
Application Disapproved for the f ollo g reasons---------------••-----------...---•---•--------------•----------------------------------------------------....._
-----------------------------••--•-•---------•---------...•..............------.....------•---............--------...........---------------------•----------..............--•--•-•----•---••------------
Date
PermitNo.......................................................- Issued.......................................................
Date
.............................................................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
(Intif iratr of Tompliatta
THIS IS TO CERTIFY, That the.,3 dual Sewage Disposal System constructed ( ) or Repaired f�)
by----------------------------------------------•------ Lv
L... �-7' .....D.h -.-E -•--•--------•----•--•----•--------•----•....................................•---
�� 3n®staller
tj
at.. l-(�7.......... T...... Nr� ...S---•--------•----...----•---••...................................................•--
has been
with the provisions of
application installtd in
forDispo alcWorkseConstruction Permit No..I 5� 'i 1 e.State Sanitary dated ..Cod i as de(`ril .. the
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT-BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.. .... Inspector '.------•----•----•----•---•------------------------------------------------
i \
t__ -------------------------------------------------------------------------------------------------------------------------
-4
:s
No................--....... , � Fps:.........................
_
THE COMMONWEALTH OF MASSACHUSETTS
J30A RD OF HEALTH
.............................O F.......................................----------------...................................
Applirattion for DhiposFal Works Tonstxnrtion rrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sys/6 7tem at N-..... ....
.Lo n.' eS •. ..._.... or Lot No..........................................
rad rJ «e � �".fit^'
..... -
Owner .....Address
a ....�.��!4 .r
Installer Address
U Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............:.........:....................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ...._..... No. of persons............................ Showers — Cafeteria
a YP g ----------------- P ( ) ( )
a Other fixtures --------•-----.....--••---••-••......-----•---
W Design Flow..........................................:gallons per person er day. Total.. it flow........... .._.....j
............gallons.
.
WSeptic Tank—Liquid capacityi/0.gallons Length___.f�_______ Width___.::__..___._ Diam ..._..... th................
x Disposal Trench—No.............._..... Width....................~Total Length.................... Total leaching ar ..............sq. ft.
Seepage Pit No..................... Diameter.__......_._.._..... Depth below inlet.................._. Total leaching a ....._..._...sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
�-' Percolation Test Results Performed by--•---•--•-•---------•--•------_.".......-•••--•----......-•------ -•-- Date.......................................
aTest Pit No. I...............minutes per inch Depth of Test Pit.................... Depth to ground water.......................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ------------------••------------------------................................................................................................
DDescription of Soil........................................................................................................................................................................
U ------------------------------------
•-------------
..... -•-------------------•---= ........
..............
•-•---------
-...........
.._..---------------
------------------------
•..
-----•--------- -------------------------------------------------------•---•---•---•---...-----------------------------------------•---------•-----•-----------------------------------•-•--•--
Nature f� epa}'s or Alterations—Answer when applicable........._.... : _Q_........161.0.0......._arc .7� _
---- ---------------------------•-----•-•--•--••-------------------••-------•--
Agreement 3`
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT1E 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee is thyrboard lth.'
igned --- . ---....................... ---- ---------------------------------
✓ Dae
Application Approved By................... . -----. ........ ....... ....... ....... --.....-•--
Date
Application Disapproved for the folio i g reasons---------------••-•--••-•--------•--••-----.....--------.......----------------------------------...-•••-•-_----
4,
.............................................................................................................__....__.._....__............_......._......_......._.•.._.._..---..............._.......---
Date
PermitNo......................................................... ------•-----••---Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.......... ..........................................................................
(Intifiratr of Tomphatt r
THIS IS TO CERTIFY, That the A.Wivi�al Sewage Disposal System constructed ( ) or Repaired f )
by---•--•.......••••-•....................................G.L-=---••TT---.---• Lv ,£----•----•.---••=-•----••----•••----._._.............---•....._.........---•-------•----
I stall r
at.............................1.6--)............`S.&.A....S.1 9`,�!�._�_!_...�...---------
..........
•-------------------------
has been install-d in accordance with the provisions of TITLE 5 of he State Sanitary Code as described in the
application for Nsposal Works Construction Permit No....!.:z ......ttt......... dated__..__....1.2......... _14..--.....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
J SYSTEMII WILL FUNCTION .SATISFACTORY.
DATE... -......-•----•..................•-----•-----.......-------•-•--••. Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.. -'....��'T? ' ..........................................OF.....................................................................................
FEE.....j.................
1. `;:
Disposal Works Tonotrnrtion Wrmit
Permission is:-;kz ,eby granted............C Li f F AL.V. L...................................................................................
....
? to Construct ( o'r;Repair ( ) an Individual Sewage Di posal System f
x 1 P �30
at No.-------- ;IJF^: �.- ---- �E. .5.7 f���N..!�tl1�Q. .- �--�- --�- --- C�+'='C..�............. _
Street
as shown on t c application for Disposal Works Construction Permit No.._...•.......•_..•._ Dated.:......................................
.................................... -- - `- ------••-•-•••.._......
oar o ealth
DATE -------•------
��• FORM 1255 A. M. S LKI INC., BOSTON "' -
f
Pd $5.00 12/1T/3% Map #30'17146
TOWN OF BARNSTABLE WATER POLLUTION CONTROL DEPARTMENT
t »„A f APPLICATION FOR SEWERAGZ PERMIT Permit N9 19 81
,E7°.
I j_d ILL - R,estaurant IrmeS_P1ace owner of the Estate hereby
Full Name
apply for a sewer connection from —167 Sea St-2 H ....._ for the purpose of draining the following:
street and No.Urinal Other
Water Closet _ __----- Shower - _ ------- Other
Sink _.... _ __ Lavatory Bowl Dish Washer Other
Bath Tub Set Tub ______r------- Washing Machine
lea S _ EXPIRES 1/11/85 Fixture Rate ❑
to the common sewer on street- Meter Rate �]
t/
a. And 'the undersigned furththeat agrees
re now in force or�may be adopted orm to the Lawsin relation and ances theretoe1andgalsosewers,
the
and to the rules and regulations
plumbing laws and ordinances so far as they relate thereto.
b. And the undersigned further agrees for himself, his heirs, devisees and assigns, that the said Water
Pollution ordinan es, rules and shall have
regulationssrelating toat alla the asewerbleoare urs omplledto theaid withremises, to see that all the
1 ,
Owner's Signature
Pip P ✓ �G _ Address
Accepted Date
B I ....._,_. Age t/Attorney
Y
Co tractor's Si nature
B __... . __._ . __ _..__ Address T_.__---2
y Wat re Pollution Con rot Bl oard
white - Office Copy; Canary - Treatment Plant; Pink - Company; Goldenrod - Owner
h
• �� Sty-e��'
a' r,
• BPS �J
�G� ` I
�ate,
N
4
I '
3'tell r
K cv }-
i
r
1
i
a
m i.)60
/ v;
1 J
`\ ` W
1
Locus MAP l
scZ.Lic: /" = 2000' ca�sfo p
• � ./ UU _
l
!4
59. 4 3
SEF� 57-�2EE
04'
H " A J i,5
p�par-ed �r
l2f ]A D/ Dl AJO
20 JAAJ .301985
r•
REFEoeEtiICE • PG-Ati.l BOOS' 24<0 %SAGE //7. - �•�y;, i•�
to r:�,
-cc AjcRE rE
- 5!j".9NEA0 W71
Sr-EL DG 95_.-
t �
a -
au,4'CJM,INIU I GrUT;`h
I
, 7LI,, „ '
cOAR D
` f _
1
L_
i
{
•
` C IJcs,c-re
-
�I
rr
l;Iy
t + 2
I
A
_ N hkD
` ,. I 1 1 ' l (�._ _,�F -�- - I r r 1 __ �•j F_ /�.i'�f:�. ��y/! _: / _. 1/ //jl/i!''� � �. / /..�i�rTii ti.. i �. /.a � / :�
� � � —
_ .. _Fit CAP ,QG
,
F RClN ELEVATION.
L _� �__
--� Q _ SCALE : ���' O�,
r
4D l�of St `l
1'. TkE COAJ`Ao v"rOR 5HA.LL -FIELD VERIFY
�. ? C C0AJ5RRaC7j7M,
s'p P• ^_ mob._ - - _ • .., - - .;, ..s,' :..[a ' . .p` .,,p p• ".� - .. -
r
r
FOUNDATION PLAN
SCALE , 4+0
ACM-204
; PROPOSED RESTAURANT_ BERNARDO �, lRMA DI D1NO 1—{YA Ni`Jf S,MA. A NO C
CONTRACTOR: GIUL.IO REALTY TRUST G5( RT. 28 WEST YARMOUTH M .SHEET I OF 3
0 ,
-
-
-1.
REcR57 o CA E T
&10� HEAD lwtth'
57M w IrH W.x, .
NRUD,iRP(L WALL R I R
w �tAAI�RFtl� E _
sro li rrr '" -
ii l 1 tkt
WALL
Jig CDuOMMKJER � � � HA�RRfI:
N Dllafkl� AREtq A+
`�k�..
bf
• y,�fC� '` 3 LCYJ7 � �6, f
I�1ACK=iu I `
_ 1
bR�
l i
POT S r ;s i�m 41
CIREAse TRRPcolt
PIZZA WA LL AIR
011 EAJ cD Aj D l£l oijER !
1
5ERylms
--F �T F-'I RS
R PLAN
( I SCA L E: 14N I' d'
S RVIC i
N 5rOVE -SINK I
• •_ �.Kirex��uv !
RILL
Ir
1 '
i �
(� k
ROE a
MUCRErE
a
J
StEPS kl1tN -
HA+uORAI L 8
G`- On
0
kI
1`5ER -
RY
Tn
PROPOSED RESTAURANT BERNARDO� .�RMA DtDl��Q- HYANNIS MA. NO. ACM-2O . ><
CONTFACTOR="GIU10 REALTY TRUST-651 RT.28 WEST YARMOiJTN;+' A. SFiEET'2 OF 3
:
.:I
,
t
a� a
c -
��"Qn
6
i
t
P.LATFor M
' A IRSDo lqkl
Oki
2 3 ;
i
/7F\
Vtj � �t
zt
c1c.5Er
tiAl
h
1} I • p�� i
S
w
}
. I
+
J �
1 t
1 MRR K N,+fu'�c?�� Si�E
yri t
-SECOND' PL A N
KAI,,
7 r-f
SCALE : 14t,
FIT,
I
PROPOSED RESTAURANT-BERNARDO 8 IRMA DIDINO-HYANNIS, MA. NO ACM-204
ONTRACTOR:GIUL.10 REALTY TRUST-651 RT. 28 WEST YARMOUTH, MA. SHEET 3OF3
-
„
i � d
� 'ice •h i.
- 1
n�
fo-
W f
,
+
I
.,
-
•
h
Ilk
i ^
71
F 04 w(i --`` �/ _G` , C14 =!8E'RGCPS6 ','u5 i-ATIOC�J v
IN
N -
fib UrilUM 4L"*E
. r
tt
54(1 „'�'s .t rV P)�
n
r,
'
•
Y
Il
\ _
.or,3zy4GCRS
,
t U
i
,
'y.Myw
-
s
o� FOCA Zi9'tJ#u WALL
-
i
-D C 10ju (S)p J n.C
-77
It
YPEAL \NA L L st-L, I N
R y
L
z.-
- ri f y •
,
It
sim
a S
• .• - ,: ,
s d,- t7.
7��J L f � c L � — 1 T 11 _�5j RT 2Ek WE"_ Y/�ptAOUTH, M�. � �,-