HomeMy WebLinkAbout539 South Street Grease Trap Tie CardSewer Connection Form ( Rev ; 2010 )Page : 1 of 4
Town of Barnstable 4791
Department of Public Works Permit Number
Sewer Connection & Trench Opening Permit
Connection : X Disconnect :Mod or Repair :
Map & Parcel # : 308 - 153 Water Supplier : DPW – Hyannis Water
Street : 539 South Street Sewer Account # :
Village : Hyannis Permit Fee & Check # : $875.00 Chck #
1. Residential Bldg Fee - $420.00 ; Commercial/Industrial Bldg Fee - $875.00
Septic Abandonment Permit # : N/A 2. Surcharge for Each Additional Bldg on Same Service - $200.00
3. Surcharge for Pump Station - $300.00
4. Minor Repair or Disconnect of Existing Service - $50.00
Project Contact Information
Contractor Name : Bortolotti Constr Inc
Owner Name : Little Beach Gallery Contact Name : Mike Leone
Mailing Address : 68 Joyce Ann Road Business Address : 45 Industry Road
Centerville , MA 02632 Marstons Mills , Mass 02648
Contact Phone : 508 – 771 – 9399
Telephone : Contact Fax : 508 – 428 – 9399
Property Use Information
Residential : Commercial : X Commercial Use :
Industrial : Standard Industrial Code :
Number of Bldgs : 1 Size of Parcel ( acres ) : 1/8 Acres
Pipe Dia & Material : 4” Sch40 Pipe Length :
Before excavating in a Town Way or on Town owned property, the sewer installer must obtain a Road Opening/Trench
Permit and comply with the Construction Standards & Specifications outlined therein. Applicant must notify DPW
48 hours prior to installation. Failure to comply with the regulations shall be grounds to revoke this permit.
The Sewer & Trench Permit is valid for 180 calendar days from DPW approval and the installation must be completed within
that time period. Engineered drawings must be submitted, with this application form, to the DPW for all commercial or
industrial installations. The drawings must be approved before a permit will be issued.
Contractor Signature & Date : Mike Leone 12/29/2014
DPW Approval Signature & Date : K Perry
Sewer Permit Expires : June , 2015
Sewer Connection Form ( Rev ; 2010 )Page : 1 of 4
TOWN OF BARNSTABLE
Date : 12/29/14 DEPARTMENT OF PUBLIC WORKS Permit : 4791
SEWER CONNECTION COMPLIANCE
Installer : Bortolotti Constr Inc
Property Owner : Little Beach Gallery
Property Location : 539 South Street Village : Hyannis
3 ft 6” SDR35
Map & Parcel : 308 - 153 Pipe Length : 22 ft Pipe Dia & Material : 4” Sch40
The work has been done in conformance with the Rules and Regulations of the Department of Public Works
Signature : DJ Anderson Date : 23-Oct-15
Department of Public Works