HomeMy WebLinkAbout1379 HYANNIS-BARNSTABLE ROAD - Health 1379 HY.-BARNS.RD:, BARNSTABLE':
A;297-007
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K C01MMONWEAL H OF MASSACH SETTS
EXECUTT T OFFICE OF ENVIRONMENTAL AFFAIRS
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DEPARTMENT OF ENVIRONMENTAIf PRE PNECYl M
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PARCEh '' O® f' V1,1N OF BARNSTABLE
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W O .._. rxL.TH DEPTi.
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TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: &in yl iAMA
Owner's Name:Car l .lnit. .___�
Owner's Address: c�a,nnis :3a rP��4� Q�
moo- t Say
Date of Inspection:
Name of Inspector:(please print) Jzck Al. /
Company Name: ft n✓;1&A 4 47spec4f0 k,.S
Mailing Address: in aL�IR� "nd
Telephone Number: OZ6q/
CERTIFICATION STATEMENT-
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
am a EP
train' and experience in the proper function and maintenance of on site sewage disposal systems.I D
� XP P Pe
approved system inspector pursuant to Section 15340 of Title 5(310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving
authority:
Notes and Comments a R
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
r
Page 2 of I 1 *�
OFFICIAL INSPECTION FORD-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DMSPOSAL'SYS'TEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:i 79 Qr�rTiS — iRnN ,
!S 7 -
isrM
Owner:
Date of inspection:• lot
,
Inspection Summary: Check AAC,D or E/ALWAYS complete all of Section D.
A. System Passes:
1 have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CUR 15.304 exist.Any failure criteria not evaluated are indicated below. .,
Comments: s
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section ., to be replaced or LL
repaired The system,upon completion of the replacement or repair,as approved by oard of Health,will pass. ,
Answer yes,no or not determined(Y,N,ND}in the for the followin menu.If`blot determined'°please
explain-
The septic tank is metal and over 20 years old*or the tank(whether metal or not)is structinally
unsound,exhibits substantial infiltration or ex tfution or failure is imminent.System will pass inspection if the
existing tank is replaced with a complying septic tank as mved by the Board of Health.
*A metal septic tank will pass inspection if it is stru ly sound,not leaking and if a Certificate of Compliance
' that the tank is less than 20 old is fable.
indicating Y�caking
ND explain
Observation of sewage backup break out or l4lt static water level in the distribution box due to broken or
obstructed pipe(s)or due to a bro settled or uneven won box.System will pass inspection if(with
approval of Board of Health):
broken per$)arexqAaced
obstructionis,umoved , :-
distriiWcm box is leveled or replaced '
ND explain:
The m required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass' n if(with approval of the Board of Health):
a broken pipe(s)are replaced tww
d
obstruction is removed a
ND explain:
2
Page 3 of 11 '
OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:
Owner: fea e4 .
Date of Inspection: D firofr
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require farther evaluation by the Board of Health in order to det ine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 3 CMR 15.303(1)(b)that the
system is not functioning in a manner which will protect public health afety and the environment:
_ Cesspool or privy is within 50 feet of a surface water µ
_ Cesspool or privy is within 50 feet of a bordering vegetated land or a salt marsh
2. System will fail unless the Board of Health(an ublic Water Supplier,if any)determines that the
system is functioning in a manner that protects public health,safety and environment-
The The system has aseptic tank and soil sorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a s ce water supply-
- The system has a septic tank an AS and the SAS is within a Zone 1 of a public water supply.
_ The system has a septic and SAS and the SAS is within 50 feet of a private water supply well.
_ The system has a septi tank and SAS and the SAS is less than,100 feet but 50 feet or more from a
private water supply well .Method used to.determine distance
**This system
passe f the well water analysis,performed at a DEP certified laboratory,for coiiform
bacteria and volatil organic compounds indicates that the well is free from pollution from that facility and
the presence of onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria a triggered.A copy of the analysis must be attached to this form. '4
3. Oth " u
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Page 4 of l l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE D o&4L_SWTEM INSPECTION FORM r.
PART:A-
CERTIFIECA•I 16N(cowed)
Property Address:
Owner:
Date of Inspection:
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for aII'inspections:
Yes No
Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
e to an overloaded or.
waters du
Discharge or ponding of effluent to the surface of the ground or surface .
clogged SAS or cesspool
Static liquid level in the distribution lox above outlet invert due to an overloaded or clogged SAS or
cesspool
Liquid depth in cesspool is less than 6"below invert or available volume is less thau'h day flow
ed or obstructed s .Number
e to clogged )
' the last year NOT du P�
ore than 4 times in y �
— � Required P��m .
of times pumped
Any portion of the SAS,cesspool or privy is below high ground water elevation.
Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
Any portion of a cesspool or privy is within a Zone 1 of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
PeAny portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis.{This system passes if the well water.analysis,
performed at a DEP certified laboratory,for cofform bacteria and volatile organic_coatpimads
indicates that the well is free from-pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is.equal<to or less than 5 ppm,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to.this form.)
(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails-The system owner should contact the Board of
Health to determine what will be necessary to correct the failure:
E. Large Systems:
To be considered a large system'the system mast serve a facility with a design fiow of 10,000 ggd to 15,008
You must indicate either"ye!?,or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
the system is within 400 feet of a surface drinking water supply
— _:the system is within 200 feet of a tributary to a surface drinking water supply r
s ,
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area=rWPA)or a mapped,
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large system has failed.The owner or operator of any large system considered a.
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15304.The system owner should contact the appropriate regional office of the Department-
4
Page 5 of 11
a ,
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST .
r
Property Address: /J7 Q '�✓"r'� "`'
Owner: ado r
Date of Inspection: O D�
Check if the following have been done You must indicate"Yes"or"no"as to each of the following:
Yes No f f
_ Pumping information was provided by the owner,occupant,or Board of Health
Were any of the system components pumped out in the previous two weeks'
Has the system received normal flows in the previous two week period
Have large volumes of water been introduced to the system recently or as part of this inspection 2`
— Were as built plans of the system obtained'and examined?(If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up
- — Was the site inspected for signs of break out?
_ Were all system components,excluding the SAS,located on site?
by _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition
of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum?
_ Was the facility owner(and occupants if different from owner)provided with information on the proper
tenance of subsurface sewage disposal systems?-
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
Existing information.For example,a plan at the Board of Health.
J
Determined in the field(if any of the failure criteria related to Part C is of issue approximation of distance
is unacceptable)[310 CMR 15.302(3)(b)l
5
Page 6 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION N'
Property Address: /1, 2 9
Owner:
Date of Inspection: td _
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): ' Number of bedrooms(actualj:
DESIGN flow based on 310 CMR 15103(foi example: 110 gpd x#of bedrooms):
Number of current residents:
Does residence have a garbage der or no)
:IVO
Is laundry on a separate sewage system(yes or no): Vo[if yes separate inspection required] "
Laundry system inspected(yes or no):
Seasonal use: es or no):/�
(Y ,
Water meter readings,if available(last 2 years usage(gpd)):
Sump Pump(Yes or no):AD
Last date of occupancy:c=G�Li
COMMERCIAL/INDUSTRIAL
Type of establishment: u.
Design flow(based on 310 CMR 15.203): Qpd
Basis of design flow(seats/persons/ tc.):
Grease trap present(Yes or no): ,
,
..
Industrial waste holding tank p ent(yes or no):
Non-sanitary waste dischar to the Title 5 system(yes or no): ;
Water meter readings,i vailable:
Last date of occup y/use:
OTHER(d ribe):
GENERAL INFORMATION
Pumping Records
Source of information:
Was system pumped as part of the inspection(yes or no):
If yes,volume pumped:,gallons—How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
Septic tank,distribution box,soil absorption system
_Single cesspool
—Overflow cesspool . .,
_Privy
Shared system(yes or no)(if yes,attach previous inspection records;if any) -
Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight tank _Attach a copy of the DEP approval
—Other,(describe)
Approximate age of all components,date installed(if known)and source of infoririation:"
6 .�Q
Were sewage odors detected when arriving at the site(yes or no):
6
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page 7ofII
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
_ � �Property Address: /3 GLI ��„
Owner: Wi 9'4,VZ5
Date of Inspection: t
BUILDING SEWER(locate on site plan)
a _
Depth below grade: _
Materials of construction:,cast iron _Ar 40 PVC_other(explain): '
Distance from private water supply well or suction line:
etc.
r
venting,evidence of leakage, ): ,.
Comments(on condition of�omu, n g, eakag
SEPTIC TANK: (locate on site plan)
Depth below grade: t
Material of construction: &concrete____metal�fiberolass_polyethylene
_other(explam' •
(attach a copy of
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):
certificate)
Dimensions: I SZb /
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: c3
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet to r baffle: I y
How were dimensions determined:-
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,Iiquid levels „
as relatedto outlet invert,evidence of I e,etc.): - IS
I '
•'fAP e
GREASE TRAP:_(locate on site plan)
Depth below grade:_
Material of construction: concrete I fiberglass polyethylene`other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum t op of outlet tee or baffle:
Distance from bottom of s to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pump recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet t ert,evidence of leakage,etc.):
' 7
Y
Page 8 of I! h
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PAINT C
SYSTEM INFORMATION(continued)
Property Address:/ Vrt5-"4? E74
Owner:
Date of Inspection:
TIGHT or HOLDING TANK: (tank musZpuerd of inspection)(locate on site plan)
Depth below grade:Material of construction: concrete mePolyethylene other(explain):
Dimensions:
Capacity: a11
Design Flow: ons/day a
Alarm present(yes or no):
Alarm level: Al in working order(yes or no): 3
Date of last pumping:
Comments(condition alarm and float switches,etc.):
DISTRIBUTION BOX: (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:_4eyGY1
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage Ip or 6 �out of box,etc.): P t a A t`Tfc,c i w n
tjA
PUMP CHAMBER: (locate on site pl
Pumps in working order(yes or no y `
Alarms in working order(yes ): ,
Comments(note condin pump chamber,condition of pumps and appurtenances,etc.):
• 0
Page 9 of 11
OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
l -
Owner. /GK
Date of Inspection: 6
lr-
SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required)
If SAS not located explain why: r.
Type
leaching pits,number._
_leaching chambers,number
teaching galleries,number
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number
innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,,dam soil,condition of vegetation,
etc.): 7-
e Ar
CESSPOOLS: (cesspool must be pumped as of inspection)(locate on site plan)
Number and configuration: a
Depth—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer.
Dimensions of cesspool:
Materials of construction: -
Indication of groundw r inflow(yes or no):
Comments(note co tion of soil,signs of hydraulic failure,level ofponding,condition of vegetation,etc.):
PRIVY: (locate on site
Materials of constru n:
Dimensions:
k
Depth of soli
Comments to condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
Page 10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: / rns` �• R40 x
Owner: W ; ,rmegsg
Date of Inspection•
SKETCH OF SEWAGE DISPOSAL SYSTEM "'
Provide a sketch of the sewage disposal system including ties to at lust two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building.
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e ♦Page 11 of 11 a
OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: L3 Zg r a,—.a
s
Owner. t e
Date of Inspection, D I toy
SITE EXAM
Slope �5
Surface water
Check cellarQS
Shallow wells OJQ
Estimated depth to ground water-.25:-feet r
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of,design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS) z
Checked with local Board of Health-explain:
Checked with local excavators,installers-(attach documentation)
iY Accessed USGS database-explain:
You must d scribe how you established the high ground water elevation:
W. .. r
1l
J
No. O / < }, Fee JD 1
e
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Y
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
0(ppYicatiou for Mtgaal *potem Con!Aructiou Permit apT 60)
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) El Complete System ❑Individual Components
Location Address or Lot No. q3,Q,kowner's Name,Addre �V
Assessor's Map/Parcel ®®
Installer's Name Address,and Tel No. YY�� tT Designer's Name,Address and Tel.No.
� r
Type of Building:
Dwelling No.of Bedrooms��� Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alte itions(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions aTitle 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been is a is Board Healt
Signed Date-7 -3 IQ
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 9 Date Issued '- 3
No./ / O "7 '/ Fee J 01
1.
_
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
sYei
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Mi-qpo!6ar *pztetn Construction 30ermit
Application for a Permit to Construct( )Repair( r')Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. ' 3 7 ¢+N It I,�1 w��';N Te No.
Assessor's Map/Parcel on
(/ '� +
Installer's Nam Address,[anndf�T(eell.No. - Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil i.._
Nature of Repairs or Alterations Answer when applicable)
M
Date last inspected: r �`
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions . Title 5 of the Environmental Code and not to place the system in operation until a Certifi- r
Cate of Compliance has been is is Board Heal i
Signed Date 4
Application Approved by Date 7'30— q
Application Disapproved for the following reasons
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO C ,that the Sewage Disposal SXstem Constructed( )Repaired( ✓)Upgraded( )
Abandoned )by
at I l-q5 has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. _?t dated
Installer Designer
The issuance of this peMut shall not _gconstrued as a guarantee that the sys m will function as designed
Date Inspect r
No.�l O '� �l/ --------------------- —---- Fee d1��
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS
lwigozal *p5tem Construction Permit
Permission is hereby rante to Cons ct( air(✓U rade( ( bandon(
System located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be c mpleted within three years of the date of thi ermit. �`
Date: / —�� / Approved b C ,�/
n
7/98
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
I, hereby certify thZthe application for disposal`works
construction permit signed by me dated Tl yU ^�g , concerning the
property located at( meets all of the
f
I
following criteria:
w4
e There are no wetlands located within 100 feet of the proposed soil absorption system.
O There are no private wells'located within 150 feet of the proposed septic system.
• There is no increase in flow and/or change in use proposed:
• There are no variances requested or needed.
• If there are any wetlands located within 250 feet of the proposed soil absorption system;the '
observed groundwater table is 14 feet or greater below the bottom of the leaching facility.
• I understand that the attached Title V Calculation Chart may only be used for the design of a
septic system if the existing naturally occurring soil is classified as Class I(sand or loamy sand)
in the most hydraulically restrictive layer included within the five foot zone beneath the proposed
soil abs system. If the soil conditions are not Class I within this above described zone,a
pr ssional en 'neer or registered sanitarian is required.
SIGNE A DATE: .
LICEN PTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
Please complete the following: n y
A)Elevation at top of ground in the location of the proposed soil absorption system
" l
B)Elevation of groundwater
[Attach a sketch plan of the proposed system. Also if the licensed installer possesses a certified
plot plan,this plan should be submitted].
q:health folder:Cert2
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Home: Departments:Assessors Division: Property Assessment Search Results
fye 1379HY N IS— NSTA LEE —ROAD
Owner:
TRIPP, CARLA M Property Sket h Legend
Map/Parcel/Parcel Extension
297 /007/
Mailing Address ;
TRIPP, CARLA M
1379 OLD HYANNIS RD
P
BARNSTABLE, MA. 02630
N.
3•
2005 Assessed Values:
Appraised Value Assessed Value
Building Value: $163,100 $163,100
Extra Features: $4,200 $4,200
Outbuildings: $400 $400
Land Value: $ 128,100 $ 128,100 interactive Property Map: ap requires Plug in:
Totals:$295,800 $295,800 1 have visited the maps before s � . First time users
Show Me The Map
Click Here
April 2001 photos available
Sales History:
Owner: Sale Date Book/Page: Sale Price:
TRIPP, CARLA M 5/15/1990 :7159/271 $1
TRIPP, ROBERT M &CARLA M 2130/205 $0
BLAKELY, GEORGE W 5150/262 $0
BLAKELY, GEROGE W 5693/155 $0
y
2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation)
Land Bank Tax $53.69 Town Fire District Rates Other Rates
$6.05 Barnstable-Residential $2.12 Land Bank 3%of Town'
Barnstable-Commercial $2.80
Barnstable FD Tax(Residential) $627.10 C.O.M.M.-All Classes $1.01
Cotuit FD-All Classes $1.28
Town Tax(Residential) $1,789.59 Hyannis-Residential $1.52
Hyannis-Commercial $2.39
W Barnstable-Residential $1.44
W Barnstable-Commercial $2.10
Total: $2,470.38 Due to rounding differences these values may vary
Land and Building Information
Land y, Building
Lot Size(Acres) 0.23 Year Built 1967
Appraised Value $ 128,100 Living Area 1755
Assessed Value $128,100 Replacement Cost$196,529
Depreciation 17
Building Value 163,100
Construction Details
Style Cape Cod Interior Floors Hardwood
Model Residential Interior Walls Drywall
Grade Average Plus Heat Fuel Oil
Stories 1 1/2 Stories Heat Type Hot Water
Exterior Walls Wood Shingle AC Type None
Roof Structure Gable/Hip Bedrooms 4 Bedrooms
Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms
Total Rooms 7 Rooms
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
BRR Bsmt Rec Room 400 $ 1,700 $ 1,700
SHED Shed 64 $400 $400
FPL2 Fireplace 1 $2,500 $2,500
Property Sketch Legend
BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished)
FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
. II
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TO OF BARN LE -11
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LOCATIONoiq nM SEWAGE # -I
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) c�`6�'1/�k, (l QA (size) 10 X 30
NO.OF BEDROOMS
1 .;" I i '\
BUILDER OR O -� R
PERMIT DATE: ";-1 COMPLIANCE DATE: I C�
0
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility-(If any wells exist .
n site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
n 300 feet of leaching facility) Feet
Furiu'shed by
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