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Home My WebLink About0023 NEW HAVEN AVENUE - Health 23 New Haven Ave Marstons,Mills A 103 A72 _ - o TOWN OF BARNSTABLE LOCATION .23 Alf 15.9v�g.s/ 441 SEWAGE # 93- yA VILLAGE /t 4,f M114(--t ASSESSOR'S MAP & LOT /O '!) 'INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 000 e,'—,4 LEACHING FACILITY:(type) Z,4/ / size) .3 NO. OF BEDROOMS -- PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: -- DATE COMPLIANCE ISSUED: '"� -9,3 VARIANCE GRANTED: Yes No r r � � 16 No...71 w 'Dar (1 ...._.__ .......... 9 1"A A4MONWEALTH OF MASSACHUSETTS _\y- -- X!fEQA RD OF HEALTH �3 AWN OF BARNSTABLE , pphration for Diripw tl Worbi Cfa mitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (6-� an Individual Sewage Disposal System at• Location-Address or Lot No. tt_ ct i Yt c �P./� i owner - � A. ......... Installer Address Q Type of Building Size Lot___________________________Sq. feet Dwelling— No. of Bedrooms---------------- ......_____________---Expansion Attic ( ) Garbage Grinder ( ) p� Other—Type of Building __________________________ No. of persons..................._........ Showers ( ) — Cafeteria ( ) Q' Other fixtures _______________________________ _ _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench-- No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No--------._ --------- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit__._________________ Depth to ground water........................ (Xq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ------------------------------------------------------------------------•- -------------- 0 Description of Soil-----------------------------------------------------------------------•-----------------------------------------------•---•--•--------•-----------...---•....._....--- x ----------- ------------------------------------------------------------------------------------------------------- ---------------1- / U P P A 1 i .. .... N ure of Repairs or Alterations—Answer when a icable.__717S.7f��1l_,_____..7...............�2_._..._._....__._____.._.....____.____._. Agreement: The undersigned agrees to install tli'e aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the and of health. Signed ------ ------- ---- /' 1........... 'C C„c.t.,............. .......�.. '.`................... Dace Application Approved By .............. ....n.. .- ........................ r,�.�..7...:-.. Dace Application Disapproved for the following reasons: .. .............................................................................. .................... ................ .................. ............................ . ......... ..... ......................................... . .. .......... ........................................ Date PermitNo. ......?a.. ..... 6_s----------------- Issued ................Dace....................................... "'r.ww—..'..,,,,., ..�..,F,�};,.. 'S,,,.......t�.�+,...v+1iw^—.-...,...�.. 'fir°--r-�...+4.w..J..�.�.•—�-^,» •: �.-. i - .:., «:,..,-., •�T-r+- ,iiferyw: THE COMMONWEALTH OF MASSACHUSETTS f8OARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripit ial Wvrkii Tonfitrnrtiun Verntit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: Location-Address or Lot No. Ow r _ Address W .)? 1��l)1.C? ..........................C�-.. .. J' r_.......-- ,� •.. .-, Installer Address Type of Building Size Lot............................Sq. feet ..� Dwelling— No. of Bedrooms...............J-.__-__________-_--_--__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _____________________ _____ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- -----------------••-------------•-----••-•------•...---.----- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length________________ Width---------------- Diameter---............. Depth................ x Disposal Trench-- No. .................... Width-------------------- -rotal Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter_______--_--.--..___ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ .`.1 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ..................................................•-•-•--.................--•---•---...................-•---------...........---................------....... 0 Description of Soil........................................................................................................................................................................ x U --------------- •---------- ---•-----------••---•-•------------- •----------------------- ----------------------------------------------------------•-------------- ------------ • ------ UW ----••....--•----------------------•-•••••-••----------•---._....._..---•------------•••---•------•----••......•---- ------------------- Nature of Repairs or Alterations—Answer when applicable_.. 4..c 7�i-t-/- _..____�'..... �i Jf✓!4 T�o/S--_---.•• '. r�_ >�t. �. �'...--.-•< <._....__. � oy,2...................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b and of health. Signed . .. ............, n r�.. ........... .......9..-�.`.. .3.......... J Dare Application Approved By .__......... .. VVV .............................................................. ------ �1e 7.-.. .. Application Disapproved for the ollowing reasons: ...................................................:. ,......... ...........-...... ......................... ... ..................... ......................................... ..... . ..................................................... ........................................ .9j..Permit No. ...... .. .. ......: 6.,s.........._...... Issued ....................................................-- . e...... Date ---------------------.------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Qlrrtifi ate of (11j ampliancie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .........._f1.. .n:.--------i► .C..Q---..._..................... _....... ......_....... . ..............._................... ............--- ................ ....... at ---a:_3........../ ?.lr/.........,( . .I PdJ.. ....../.1ixe_- t4.n.a.......4�?.%�l ............................. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......F,3-----11-,4—5-_.... dated .............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ 1 ✓- .-.- ..... _...._...... ......... Inspector -------.........................-----........ -------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE --• FEE..............••---••--• �inn �tl nrk� Trrnrrtuan erntit Permissionis hereby granted--------- ........... rg-------------------------------------------------------------------------•-.---------- to Construct ( ) or Repair (,.-.,)—an Individual Sewage Disposal System at No. s'� '' -�/-J�/[s? �,��,�_.._..... .�.'.�j =-------------------------------------- --------------------••-•---....... Street ! J / as shown on the application for Disposal Works Construction Permit No.-7:__-,_!r_ _ Dated........ ...... Board of Hcalth DATE —. _. -------------•------------ FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS No.. Q..@....... l Fl :..0-d.......... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F......................................................................................... Appl rtttiun for Uisp asttl Works Tonstrurtiun Vrrmit Application is hereby made for a -Irmit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: C'Z/� LO l �G 4-- ,�(� .. c r. Esj � ...__.._. 1�� ,�T.ok-.....fY/.��.5..... ............ ......... •------ -- ..... .a----- ---•- ...... Local ioa-A or Lot No. ddress .......1N.. 1.�L!`lr......... ... itl................_._.... .. _...... `� = --�u ,� Iddres C... .......:.f !�!Yav1�i` . Owner Installer Address Type of Building Size Lot.............................Sq. feet aDwelling—No. of Bedrooms......a'................:................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ............... •....._......--•••••-•-...----••---.........................._...................-•-••-•.....•-•-•-....-•-.......----•-•-•........ Design Flow.........d............................gallons per person per day. Total daily flow........oUd........................gallons. Septic Tank—Liquid capacity./.l1_C gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No.-........__ Width.................... Total Length.................... Total leaching area........ _. Sq. ft. Seepage Pit No. 0.0x._..:. 4./�epth below inlet.................... Total leachin area ,t!11 'y� tameter-•-.....--•- g «��......... ft. F:� Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.......................••..._..........-•--••..........--................. Date........................................ Test Pit No. 1................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.................,,;::.. -------------•---••-----•........ .-..------......_......-•---------- ........ .••••-•--- ...........-.--•-- -------............ . ...... Descriptionof Soil...............................•--........................-••-----•-•-••................-••-............................................................ :..._........ _.................................. . �_.: .:-....... • :... s.__._....... ...................................-----•- --......--•-- jNature 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 Article XI 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 h th. Signed... . ..... .. ...--•_.. '17........ Date Application Approved By----•-_. �� .._....... .64-fe , .....:........ -- ._... Date Application Disapproved for the following reasons:................................................................................................................ ...... •---•-.. Date............. PermitNo......................................................... Issued......... ....... .. ............................... Hate THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ...........::............................OF............ ./1.................................................................. Cnrrtifirtttr of fjum;jIittnrr THIS IS TO CERTIFY, That the Individual Sewage.Disposal System constructed ( ) or Repaired ( ) by........::.t:.�.......�t�..........::......�:.'._`.,,............^ V ..........-Installer.... .-1-�,•J"Cn�—i: . -.......................-•--•--..................--•--....... Ir,at ............................... .. __ ____ _ _ has been installed in accordance with the provisions of yl Article ;as of The State Sanitary egAe e wjjJied in 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 UNCTION SATISFACTORY. DATE-••••a. -..�•,,,5.../7 ............. Inspecto _. .._. .. .. ................ ...... ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD O•,F HEALTH No... �P........... ..........................................O F.................................................................................... FEE........................ �' �i�tru,�tti �nrks. C�un.�#ru•r#iuit,.�rrmit - Permission is hereby granted..:........ ........... ....................................................................................................................... to Construct or Repair ( �� an Inrlividual,Sewa e.Disposal System at No _ . ...._........................................j..._....._.._.+•.................. Street .� �, as shown on the application for Disposal Works Construction Permit No.......; ....... Da d.......................................... -••••..............::: DATE....:...................................................: Board of Health' -' FORM 12S' ROB139 & WARREN, INC., PUBLISHERS 3 ��Qy�fTME o��o� TOWN OF BARNSTABLE i BAUSTAHL i F oMya,� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ... :. ... L � .. ,,,,,.,,, ; TYPE OF CONSTRUCTION ...... l.7a ' .. ....... ... 4t c. .,rk.�:.... ..r.... ........... ......................./......... .............. ... k:?: .../.... .......19, t TO THE INSPECTOR OF BUILDINGS- The The undersigned hereby as plies for permit a cordi g to the following inf rmotion: Location � �r!rl .�(f Z :`... � z, ,�.� '�:'.` �!!�,:: ...,l. .�;�:4 22.Ia.. .� ProposedUse ..... .. ... .... ............... f ....... ....it ��,.. .... !. .............. ............................................................ Zoning District .. k.. ......... Fire Distri //.flh!1lk ... ....�.. :::��.:...... • "tom`' // / Name of Owner (/.,�: ....... .fw�. :�✓!!��ir'ti .Address Name of Builder ....................................................................Address .............................:...................................................... Name of Architect .............. ................................................Addres ............................................. �............. ........ s ... y� 7 Number of Room .......... Foundation Jd "L`i.•T =� -'�f;'1�� ' Exterior .. 'lr.7... .. .... II .. '.. . ' /,:: 4 L1.,: Roofing y .:4 .s.: ! .�. . . ,.� .. �•1,11....... ... Floors /. .Interior ./ �' fit: �..,.1.••..,IQL•, •,;, ��.... / ... ....................................... ,! ....1.. ....... v .. ..... ... Heating3 '.'.......:..C<l•:.:4.L........................Plumbing .........:-! Vf .. ................................................ Fireplace .... ...........................................................Approximate Cost ................................... Definitive Pla�Approved by Planning Board t Diagram of Lot and Building with Dimensions lo"oo. e SUBJECT TO APPROVAL OF BOARD OF HEALTH LQ LJ �_ a v �`�m = z tl. � 4i Q" > X :lZ� W `ry V1 F`-J LU V =l I^\ N +. r lil y (o L i i f I hereby agree to conform to'all the Rules and Regulations of the Town of Barnstable regarding the above construction. s Name ..Jr:�,!1.!Ga:: ...........�r -.:.::4: .. .. In. .. . . -4 . . i , . l v • r No.. +�.. FBE ...... d........... 1 'THE COMMONWEALTH OF MASSACHUSETTS BOARD OR HEALTH ►oil .........._.. ................•---OF......................................................................................... Appliration for Elisposal Worko Tiami#rurtion Vrrufil Application is hereby made for a to Construct ( ) or Repair (_ ) an. Individual Sewage Disposal System�at: ��- � 2� 2= 0................................ . . Ls' 1 /ISTd - .. .......... 1 L Location DAddress - or Lot No. L _/* s t Ur •-----.....--------Gf.. . --•------ �1w.�D.d£f ----------- •-- ) ------ / /Zc_I --------- -Own1 ._�t�! W er / - ... Address a Installer Address d Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms____._"................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures --------------- --------------- - ---- W Design Flow....... ...z........................gallons per person per day. Total daily flow........ -------------------------gallons. R; Septic T.ink—Liquid capacity_M0 -gallons Length---------------- Width...........-.... Diameter---------------- Depth_-.-_-_--.--_--- Disposal Trench—No............. Width.................... Total Length.................... Total leaching � area____ _-_- .�,sq' ft. Seepage e Pit No.1QOl1*1..:.. tameter____________4./ e th below inlet.................... Total leachingarea _ :- -----__sq• ft. �;- Z Other Distribution box ( ) Dosing tank (' ) Percolation Test Results Performed b ............................................. Date......................................... Test Pit No. 1................minutes per inch :Depth of Test Pit.................... Depth to ground water---- ___-.-----_-__< Lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-__---___--____-- P; yP Descriptionof Soil................................................................... s`" U F"1 ------•----•-----------------•-------------• •-------•----------------------------------------------------------------------•--•-----------------------------------------------------=-- ----------- 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 Article XI 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 h 05h. Signed-- ...._. r!^v-cr---ll --- ------- Date Application Approved By---....-- ; .. . ..... -- .......... • ----....---- ---------------------------------------- Date Application Disapproved for the following reasons-----------------------•--------------------•---•-------•-------•----------...................................... ----•-----------------------•-------------------•-•--•------------------------------.....----------------•---•-------------•-----••--•-•----------...... --------- ------- -- Date Permit No....................................----------------•--• Issued.---- -•-,", 73 Date --------•--------------- r..� f /f . e' ...................... r FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH _.._._.._.. .....................O F......................................................................................... Appfiration for Miipoiitt1 Works Tonfitrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage S Disposal System at ogarion Address_.�.�-�- _'';'. t ,✓z or Loj r Owner • •- Address $4 Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms ..........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) f-4 Other fixtures •--------•••---•-•-•-- -- ---------------------------------------------------- Design Flow., ..?l.._..•...._._.....f.............gallons per person per day. Total daily flow............................5__�_ __gallons. WSeptic "Tank—Liquid capacity %`__.___gallons Length---------------- Width---------------- Diameter_.___-__..._._ Depth______-_._.__... xDisposal Trench—No...,..._r .......... Width.......-,:.......... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No:"=_______'_________ Diameter...... .......... Depth below inlet.................... Total leaching area-_---_-.--_.------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...-_--__--._-_.--- r1 Test Pit No. 2______-_-•---___minutes per inch Depth of Test Pit.................... Depth to ground water.......:................ 94 --------------------------------------------------------------------••--------------------------------------------------•----------------------•-------_----- ODescription of Soil---------------------------------------------------------•_--------_-----------•---------------------------------------------------------------------------------------- x 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 Article XI 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. Signe = ` ' f 1¢ q' •, v is f____.._.. , J 8_•Rr Date Application Approved By-------------- ----- r'- -------------------' =`- �/ Application Disapproved or the�p�loelrto ,_.___ '. Date PP PP f f G ° Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF... �ertif irate of QuIontpfianret. THIS IS TO CERTIFY, That the Individual Sewage kDisposal System constructed ( ) or Repaired ( ) _ f —••-__-__-1__ . by = ° ' Installer t at.... ==' has been installed in accordance with the provisions of Artiele, X� of The State Sanitary Co_ie,;.s �es din the 6') , t > application for Disposal Works Construction Permit No........................................ dated..--__-___-______:__-_-_-_-_.-----------___--_-• THE.ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SATISFACTORY. DATE....... / ................................... Inspectoy 59__X_;*4�_ _A?A..........V.............. THE COMMONWEALTH OF MASSACHUSETTS 3 _ BOARD O„F HEALTH � r ............................. a. No...:: 2_3 . FEE........................ �i��o�ttl ork� Lgn�trnr�ion.. er�it Permission is her granted,_; �__` -- to Construct ('. ) or Repair. ( t an -Individual,Sewage pisposal System at Street PP P :x............ Dated--------_---------------- -------------- as shown on the application for Disposal Works Construction Permit No.____ „•� •---=-•---•-•-------•-----•-•-•--------------•------- Board of Healtl4l DATE_.'-........................................................................... FORM 1255 HOBES & WARREN. INC.. PUBLISHERS r f�'^