HomeMy WebLinkAbout0244 SALT ROCK ROAD - Health . . Y . �
316-022 Barnstable
.. ..m...� � ._�.. ... .,. ., .... - ..._. �......_. ...
E
I
i
r
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION
Date p 3 Time: In Out
Owner 1" Tenant �2iC
Address Address a q
1
Compli;ag a Remarks or
Regulation# Yes NO Recommendations
2. Kitchen Facilities
3. Bathroom Facilities iQV2t�� "
a mc _.-
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service f
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal 1-5 5 f j -1
17. Temporary Housing
18. Driveway Width
19. Number of Tenants Observed
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max)
Number of Persons Allowed (max)
Person(s) Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION
Date V� 0 Time: in Out
Owner A Tenant
Address IV Address
�L �(
Com liayite Remarks or
Regulation# Yes NO Recommendations
2. Kitchen Facilities Approved: -
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities
8.Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal
17.Temporary Housing
18. Driveway Width
19. Number of Tenants Observed ( ( 2- v ,� d
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max)
01
Number of Persons Allowed (max)
Person(s) Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 01,l e
PMap _ Parcel ' T" / ON Permit# Y 1:2
Health Division l_� � Date Issued
79
Conservation Division'-�F, Si5/G 1 ) Fee
Tax Collector
�- �0
Treasurers
EM MUST BE
Planning Dept. SEPTI C w�T
INSTALL t ';i COMPLIANCE'
Date Definitive Plan Approved by Planning Board VvITi-- TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis TOWN REGULATIONS
Project Street Address - Z'q`l 'e-zqu< 27.)
Village &yJ5-r,4 e3 z
Owner fVX Aie/ts 7� Address Z GzF��-
Telephone 13
Permit Request i y elofQ✓5,2 T'" O Nk.
Square feel: 1st floor: existing 126o proposed_ 2nd floor: existing proposed' Total new
o Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type �66cic =
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. .,
Dwelling Type: Single Family Two Family ❑ Multi-Family #units
Y( ) �
Age of Existing Structure Historic House: ❑Yes ul o On Old King's Highway: ❑Yes Flo
Basement Type: ull U Crawl ❑Walkout `❑Other �B
Basement Finished Area(sq.ft.) „�[��" Basement Unfinished Area(sq.ft) '(�U
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing 7 new / First Floor Room Count
Heat Type and Fuel: Yeas 0it ❑ Electric ❑Other
Central Air: ❑Yes W'No Fireplaces: Existing � New Q Existing wood/coal stove: ❑Yes �ft�o
Detached garage:❑existing ❑new size Pool:❑existing O new size ` Barn:0-existing. ❑new--size------
Attached garage: +®'existing ❑new size Shed:0 existing ❑new size' Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes UdN If yes, site plan review#
Current Use S, 4- 1<4v f, 1 Proposed Use
All
� c2S BUILDER INFORMATIO
Telephone Number 4
Address License#
Z
mil; Home Improvement Contractor# c LL
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L-1fs4r^)0'7
eb•v i'�'LTo.�
SIGNATURE — DATE - _ �//
1