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Home My WebLink About0026 TISQUANTUM ROAD - Health 2.6�TISQUANTt1M.R.OAD `� �anlstable• r ov, Scou A = 352 - 016 f B u J a m � c tji 2.6 TISQUANTUVI. ROAD . Barnstable A = 352 016 41 y. r7 w . TO THE INSPECTOR OF BUILDINGS: The undersigned. hereby applies for a permit according to the following information: n /J •!•vk A A �Ir Fr{ 1E4 K3Tf 1...... �h� �li .Y',A : . _ .. ................ � PP .1, .... ... : Location ....... .... ..... ::... k.41. 'G?!T'I-TI...............:......:....:.. ....... ........ .... .......... Proposed Use "' "' Fire District .. . Zoning District f�.�........................................................ .. ........ :...... �. ..�., ....... ..... I 17-5, ... Address �l"f2:�..�f � . �.r-�. ... Name of Owner ..1:.1�1..17�. .L"l"/...... r.... ✓ �'..7.1,�:... .... . . :... ....... - Name of Builder ,.IR...vJ 7. P... .fie•- �0.........Address .�� ••%l �2 Name of Architect ./.�1.C:C1 a-i. CI.1.,.... �I /�'�A ...Address .�.............. :........................ i [ / Foundation ...t ti?f'',!:� � �.... �rl.S.� ........ N tuber of Rooms .... . . ..1 ....... _. / j .:.�.r/ �?%/ .Roofing /<..�� . Exterior ............�.( ............... Floors .............Interior / , ..: .. ...-f ::.................................. Heating ,.. . G /�/..�.................................................Plumbing ........ �.a1%a ,,.... ...... ... ..... ............ Fireplace ......... /ll ...............:.... ...:..... Approximate Cost:.:..�`/�.� Definitive Plan Approved b Planning // PP Y g Board -----------------------�9-----. Area :.. . .SP s.5-��-.----.....1.. ..._ Diagram of Lot and Building with Dimensions Fee .... SUBJECT: TO APPROVAL OF.BOARD OF HEALTH p.D, )D TD .. ,,� 9�.. ---- - 1l9 > -- _._. F-YISrIIV New�DDlrtloN, _V— D E:c I hereby agree to confom to ail the Rules._and:regulations of the Town of Barnstable regarding the above construction. .1 APPLICATION FOR PERMIT i`O :t!'.l. .f� (CIA... i TYPE OF CONSTRUCTION ........ ....... C�.4 .......19.77 TO THE INSPECTOR. OF BUILDINGS: The undersignedhereby applies for a permit according to the following information: Location J''j UC Proposed Use 1�. �y! Zoning District ........................ .............................................Fire District. ........... ]� #- Name of Owner u:Y1!�. .�I ' ..., 5..�....j,L.�...►.1. :..........Address .............1�.f'.1.�2�>Y�s.T../Y:F.tt�...�Q1:��'4..�?..7.� L 1 I . - Name of Builder !• . .�.1/.Yi'I:�:� �:::.�!~:��-t'..1^.?!Y.!4�.:.....Address Name of Architect ... 1 ..... ...........Address ........J�Lg�,:....I...7.... :1.�?/.::t1..�1.��/�d:i;,l..'/��<. Number of Rooms Q / n /, LL9.f?....� �aa!!�,�i�� Z..S.... ....Foundation ...l..P..ep-zAAi ....�1r/4 <K- ........ 1� Exierior ......j71. �. �� .�L�;i,(rlc� ?G ....Roofing � �.. c . Floors :......... ..............................Interior Xl�....... ,Lf1' Heating. _ e .......... .� eG F t _............... ...........Plumbing .................. Fireplace ...........ND.... ........ ......... .................:...............Approximate Cost �.,-.U` Definitive Plan Approved by Planning Board _ -________19 Area ...... S I :.... Diagram of Lot and. Building, with Dimensions ® - Fee '.. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTHok ------ ° .'bill �Il 17,0 ,/ - R0 3 0. 60 `j V� 1 .Assessor's map and lot. number /,/-/ /I 7— ' ��S �L�6cjL �/.... O AI&O olt ! Segoge Permit nuber °`7HEr° r TOWN OF �BARNSTABLE �♦ i i 8AX33TADIi"6 9 BUILDING INSPECTOR `u . APPLICATION FOR PERMIT 1'O .:. .. .�1.�.�.�%� l!! ... l,Gl. ...................... 7 ........ ..................... TYPE OF CONSTRUCTION ......... . ............................... .................:. ........ .... .�.......19.�7 TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the following information: Location .............J...l.•S..t Va.Y. ..ry l. ......R.00d, /....'.Vla! 114,I41. .4LI-c`./•.................... ................................... ProposedUse ........B..'e.dE ay.M..s...................................................................:...................................I......................... Zoning District .................................... ................ ..Fire District Name of Owner .. .u.11'4. '[..... .. .. .�,1:�:!.L.1...........Address .............12.eIli.q.Y. A.T../Y; Tfr.$gy..C?;24,"L7 Name of Builder 1.4V.Yis-e.... ..1-i Ler.!"!4:1.......Address .........RP-i,J.2� '..... P�rrr..o...P.637 Name of Architect ..... Lct.mb ..............Address ........gcx 2 Number of Rooms Q ..��.9.f�....!..1.9.ckE!i. ................Foundation ..... .:G'.i'1!l.Cc2:�... G>4K.................................. Exterior ...... .:.Iq.,O. ......Elk(•waget. ..........Roofing �t?C� _..��c.'.f....S.�?4�7�1:r................... ............. ............ ..... Floors 1.(�.�.�1 ?�%�........................:......................Interior ......... ......pinla.G ��.................................... Heating .......41c .... .............................Plumbing Fireplace ........... .. O..............................................................Approximate Cost .......... ...................:................ Definitive Plan Approved by Planning Board -------__________-----------19_______. Area ��... .. ...... .. .............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -- -�- � J R0o 3a G ` a I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 1 �144K .... 6y, .............../ ............. Bettie Humbert S. No 31735.. Permit for. :.......Adati6n......... .............. ... .. ................................... Tip uantum Rd _ - Location � .._ .. ............. W. ............................................... Owner Humbert S. Betti ............... - Type of Construction ..FZAMC........ Plot ... Lot ...3.5.2-1.6............... ...: . Permit Granted ....... Nov....7 19 77 . . bate.of inspection ��.. .....19 19 Date- Completed ..o21a�71..? ................ PERMIT REFUSED - ...... .. 19 ..................... ........... ........... .... ...... ........................................................ . .. Approved ................................................ 19 :. Assessor s and lot number ... ...� .............. Sewa rmit number ...7. .r...•................ ....................... THE'TD�yw T N OF BAR NSTABLE BARNSTABLE. o "6 ILyDING INSPECTOR �1 am a. APPLICATION FOR PERMIT TO .A ern- V-: .' ........................................... TYPE OF CONSTRUCTION .........../ d'.a.Gr'7W..................................................................................................... .44 '..../�.................. 9.7...3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: c ,r Location .. . :t� . ....e t.f ................... ...... a 6'' .. o.. ................................... 12 ProposedUse ........U:Fk--.f.TY*1 ITI........................................................................................................................................... Zoning District ........!!...: ...................................................Fire District ....... . •. �1✓H'1 l`9(74 • .••�4J•1'y�lyrf-r(�•7�IC� Name of Owner .............Address r9�.1?>..... ,1.4P y,... .... /. Name of Builder , I�l.1JyY. P_...../ <../..(.f.�':. Y7.1c1.�2.........Address ( .lr... ..1/�1�/T�,�r...i ?.G' l/�� / 7 / Name of Architect /.liE .1.�.... �1 �f � ...Address ....................... Number of Rooms ..../ .,r("1'Y.1............f M...........Foundation ...rvn...c1.lc....h?ly .�............................. Exterior ............ /1, .....................................Roofing ........./ ..................:................................... Floors ............ /.G.. 1�'�r7� ....!. f�.... p ��f ....Interior ........1�....... ��?r/1+ 1............... r Heating ...... .. . (r �/..r¢..............................................Plumbing ......./.A/?�z. ... Fireplace .... /.��'l.7 ...::................................................Approximate Cost .... ... ....................................................... J �} Definitive Plan Approved by Planning Board ________________________________19_-_____. Area ....: ... ..�..s5. Diagram of Lot and Building with Dimensions Fee �e! .............r:'.... ............... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH I� QD _ U _ I -- r-xlSri)y H003E NSW�1 pDi71 oN, �`�' N' 7-G DOCK: I hereby agree to conQxn to all the Rules-and- Regulations of the Town of Barnstable regarding the above construction. o-P � r ¢ Name .!Vf .. ........ . ' 8ettl, Humbert G. ` 16743 ' add No -�.�[.�.. perm ............... -..-..��±�...��±��.-.--------_-. � Locohon'jU Tia Road .----..��..--------.^-- ........................ «^............. i ^' S. Bett� ' - Owner, �'~ ' --.---�^---^ ~-- ------------. ` fraooa ' Type of Construction .......................................... � � -----^-----`---------`-----' Plot ""' . November Ig 73 - Permit Granted ----.. ----..��.-.]9 ' 1^�� ,� � ^Y 011r �� Date of Inspection --'.---.-----��*''�c ,' ' Dote Completed PERMIT REFUSED ' o� .................................. .------- lA ' | � ' � ---��-- ---'------''-------' � | __._.___.___._____________.__ ---.--.-------^-.-..-.-------.. ` - ---------..-.-----------.---... \ . _ App,ove6 .---------------. 19 ^ -------------------^--'----' � - ----.---------.------.---_.- � . No........7.2-r..... ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 01;p ° `°l O iGc* ... _ --. .OF............�'% ,�pplirFation -fur Di,gVuiittl aark Cn�at atrti�tt rr�ti Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ' - /yki y vim. LYss ---............................. Location-Address Lfor Lot No. �• a Cf� 'tl G v— _5 Address ..............'........................--•---.........---•--------......------•------_._._.--•--- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._..-�................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-------..-.---.------------- Showers ( ) — Cafeteria ( ) Otherfixtures ---------------------------------------------- ------------------------------------------------------------------------------------------------------ W Design Flow.........�Q.........................gallons per person per day. Total daily flow...............X.20---............._.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 ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------.------------ Depth to ground water........................ L� Test Pit No. 2_-------------minutes per inch Depth of Test Pit-------------------- Depth to ground water_..-_---.-_-- ---..._. --------------••-------------•----------------•---------•-----•-•-----------------•----•--------•--...-•---.-..---------------------------------------------- 0 Description of Soil------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------- x x ---------------------------- -------------------------------------------------------------------------- ------ ---------- - --- f U Nature of Repairs or Alterations—Answer when applicable.__....---------.._ j ---- ------ ---------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system iti operation until a Certificate of Compliance has been Iissipid by the bo r h alth. Signed.... ; '. ---- --•-----••--•--•-- -------------------------------- Date Application Approved By-)-_A-----------------------•-•-•----••------•••--•----•-•----••---•......----•-------... -------..-../. -.l.�f'.73.----- Date Application Disapproved for the following reasons:................................... ---------•-•--------- --....-...-•--•-•-•-•-------•----------------•------------------.•...-.----------------------...------------------------•--•--•----....._...--•-•-------------•---....----------------••--------------- Date PermitNo.----- .................................. Issued........................................................ Date - r No...... t - y Fa$. , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _....... (tl/LE'`. -.........OF............A�9�W#&4 -r- Appliration for iliivoiitt1 Works Cnowitrurttott Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Location:1' ""s 4r l "f. 5^ or Lot No ------ u r• --------*41-11..................• O er Address a ------------C ' ------ �aS Installer Address :Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms........ + ..........................Expansion Attic (#{ ) ` Garbage Grinder ( ) p, Other hype of.;'l3uilding g <� _______________ No. of per�Ziiaa r Showers.( ) — Cafeteria ( ) etherfutures ----------------------------- ........................ ....... •-----•---•---- --- ---•--•---•- ----•---••--•- ' W Deslgrn Flotiy _*: `• �{.___ � .o�_R gallpns per person per day. Total daily flow______________mZ-G0-----------------gallons. WSeptic "1_,,in Liquid capaclt� E 5gallons Length________________ Width..___.. Diameter_.____ Depth _-.._.__ ___... x D>s osai Trench—No $_- }�p _.. . Width_______________ ____ Total Length-------------------- Total leaching area--------------------sq. ft. __-- Diameter.................... Depth below inlet-_--_---_______--_-_ Total leaching area---------- ft. Seepage Pit No_______________ p g< 1. Z Other Distribulibn ox ( ) '",4 Dosing tank ( ) aPercolation Test Results,,c ' ` Performed by-------- ---------------•-•---•---•---••......-__...........-------------- Date------_--••-•------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water-----------.---._-.----- �14 Test Pit Nq 2 ______________minutes per inch Depth of Test Pit------------ ;---- Depth to ground water_. ......__._.._____... 3. - ---------•-•- -•---------------•-----•-•---•--•-•------------------ -----------•----- --•-••-•------------------------- - ': O tDescription of Soil--------- -------------------- -----------------------------------------------------=-------------------------- ----------------------------------------------- c� ---------------------------- -------------- -------W Nature of Repairs or Alterations ------------ .U p —Answerwhen applicable -- ---------------- ----------------------------...._.....- Agreement: The undersigned agrees..to install the aforedescribed .Individual Sewage Disposal System in accordance with the provisions of Article XI d the State Sanitary Code—The undersigned further.agrees not to place the system in operation until a Certificate of Com`pjiance has been by the bo h lth.. t r Signed M �v . Date APPI}eatlon Appro ed:,B3 fi a - ti + . ------------• ' .:.. ............ ------ ,• t�ti:�i,'+';i .;p.`'s"y4. L".V ^_ Date �. Application Disapproved for the following reasons-------------------------------------------- ----------------------------------------....--------•••-•-••----•••- -•-••--•-•-----------•-••-•••...••••--------•-------•----•-----------==--------------•---------------------------------=--------------------------------------------•---•-......------------••--•-•----- i Date Permit No..... p•-------------•-_._.. Issued...................'`•-s; t Date s' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifirate of Tom ti-aurr THIS IS TO CERTIFY T t the Individual Sewage Dtsposal�-System constructed ( ) or Repaired (4-< - b /p�/ fc y , ------------------ ---- ---- Installer has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works,Gonstruction Permits ---------------------------- dated ._.________.___.......__ ..................... ;,;,THE SSUANCEOF"THIS CERTIFICATE SHALL, NOT BE CONS ED AS GUARANTEE.-THAT THE SYSTEM ViIILL WNCTIOW SATISFACTORY. DATE.__ __ Inspector -------------------------------- ---- cv THE COMMONWEAL T,,HS,OF MASSACHUSETTS BOARD . OF HEALTH .............. No. ............. ,_FEE--'l--•--- �i��Ix�tt1. Permission is hereby granted----- f?! -. .. G/1G = to Construct (A) or Repair ( ) an Individt ('Sewage Disposal System at No. "f� L: Wj'� ---Il--- --------------------------------------------------as shown on the,application for Disp6, Works ConstrtfcY>oti Pe tr`i>t"IVo. -_--�_-_- Dated._.._.l�_._ '_7 ______.__ - - ....... -------------------- - - - ...................................... Board o yHealth DATE. GE FORM 1255 OBBS�&.WARREN INCPUBt1SHERS V' �'= •- 't''1'2 _ d' G '