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HomeMy WebLinkAbout0063 GINGER LANE - Health 63 Ginger Lane Centerville A= 247 — 144 i l i S M EAd No.2453LOR UPC 12534 smead com • Made in USA /l r Commonwealth of Massachusetts a7T r /�7 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane Property Address �«:'i Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in, way. Please see completeness checklist at the end of the form. Important:When A. General Information �/ p filling out forms ag9pL on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew T. Farrell use the return Name of Inspector key. J. M. O'Reilly &Associates, Inc. ICI Company Name P. O. Box 1773 Company Address Brewster MA 02631 CitylTown State Zip Code 508-896-6601 S13478 Telephone Number License Number B. Certification - 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 training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ ohditionally P s ❑ Fails ❑s Evaluation the Local Ap ving thority 3/15/18 Inspector's Sign re 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. ****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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �9�US I Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane 'M Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D . A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Cesspool with overflow leach pit B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•303 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of.Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed... ❑ .Y ❑ N ❑ ND (Explain below): ❑ distribution box is.leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below)` ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine 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 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public.health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip,Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to.a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic 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 passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No. ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters ❑ ® due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box 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 than 'h day flow L15,'ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 63 Ginger Lane M Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: None. ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. El 0 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. ❑ ® Any 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 must serve a facility with a design flow of 10,000 gpd to 15,000.gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. 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 0 El the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) 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 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13: Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® 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?. . El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® 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?. ❑ ® 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 maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑. Determined in.the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) D. System Information Residential Flow Conditions: Number of bedrooms(design): NA Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpdx#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CityFrown State Zip Code Date of Inspection D. System Information Description: System consists of a block cesspool with concrete overflow leach pit, see page 13 for details. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 73 GPD Detail: 2017: 41,000 Gallons. 2016:12,000 Gallons Sump pump? ❑ Yes ® No Unknown Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste'holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records. Source of information: No records Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: NA gallons How was quantity pumped determined?. NA Reason for pumping: NA 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank Attach a copy of the DEP approval. ® Other(describe): Single block cesspool with overflow leach pit t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 53 Years: Dwelling built in 1965 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: NA feet Comments (on condition of joints, venting, evidence of leakage, etc.): Property served by town water. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: - t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane M Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top.of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence.of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass. ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane M Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No . Date of last pumping: Date Comments (condition of alarm and float switches, etc.):: Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-.Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Ginger Lane M Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be.opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working orderi ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 @ 6'x8' ❑ leaching chambers number: ❑ leaching 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, damp soil, condition of vegetation, etc.): One 6'X6' Leach Pit with 18"+/-stone around. Effective size 5.75'X9'. No signs of failure.Ponding observed at 1 Staining level aproximately 12"from recent past operation. System operating at 17% capacity in the recent past. Soil and Vegetation available. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1@5'X5' Depth —top of liquid to inlet invert NA Depth of solids layer NA Depth of scum layer NA Dimensions of cesspool Effective: 5'X2.3' Materials of construction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 I Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No ponding. No solids observed. No sign if failure past or present. Soil and vegetation normal. Inlet pipe schedule 40 PVC. Outlet pipe schedule 20 PVC with 14" sanitary tee. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c�M 63 Gin er Lane 9 Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 7.5 Feet feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date 8 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: SDS plan for 72 Ginger Lane (11/20/12)on record at the board of health, established groundwater at EL=31.6 and ESHGW EL=36.8(5.2' seasonal rise). Grade at leach.pit EL=52.6 and bottom pit at EL=44.3. Subtraction: 44.3 -36.8(ESHGW) = 7.5 FEET(Datum based on plan @72 Ginger). Before filing this Inspection Report, please see Report Completeness Checklist on next page. L15ms•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts .. W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 7M 63 Ginger Lane Property Address Jason & Robert Savoy Owner Owner's Name information is required for every Centerville MA 3/12/18 page. CityTTown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information— Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 q ♦\� 43x2 / 47.7, LIGHT POST 'Az.CEL # 148 �/Limit rea= 14,510 SF:t_ _ `-0 6nstm? Oak of Work 5r`rP (30"-D6H) �(—Sdt Fence _ • x xTp 14�x ` 475 el - \ -x \ 6.4 46.5. UP#370/4 ZONING TA15 LE � ♦ gp N ® �� x 46.3 ZONE: (RESIDENTIAL) RB ♦ �p 5 46.2 FRONT YARD SETBACK 20 FEET . x 43.6 46 SIDE AND REAR YARD SETBACKS. 10 FEET BUILDING HEIGHT 30 FEET ` 4• w`�°� rt PROPOSED BUILDING COVERAGE 1 352 S.F. KEfffry FERNAN'DE��.9 ` CIVIL 45725 ITTHE LAYOUT AND DIMENSIONS OF THE J FROM THE PLAN.DATED 8/10/10, PREPARED BY DAVID F. .ALTEN 1 iabltat for Humanity. of Cape Cod 41 1. Main Street, Suite G, Yarmouthport, MA 02G75 iP OF ®® ~\\. �r^.. on'I ••�v. F 5ITE 5EVAG.E D15F05AL .5Y5TEM DE51GN 72 GINGER LANE, CENTERVILLE, MA J.M. O."REILLY & ASSOCIATES, INC. ® ,^ j am'• `1.4<ti .» Professional Engineering 8c Land Surveying services 36.1 r 1573 Main. Street — Route 6A P.O. Box 1773 Q 20 40 60 (508)896-6601 Office Brewster, MA 02631 (506)896-6602 Fax )/24f 12 DATE: SCALE:. BY: CHECK: JOB NUMBER: SCALE I —_20 1 1-20-1 2 As Noted rEF MTF JMO-000G G:\AAJob5\Habitat\Habitat 72 Gm -aer Lan GG.66\dwg\6GG6SITE*SDS.dwg I ' . ►ss ;= I,cer,fy thgton 10/24/05 I (Keith E.Fernandes)passed the examination approved by the Department of Environmental `t Protection and that the above analysis was performed by me } 5 consistent with the required training;expertise and experience DB described in 310 C'MR 15.017. \2 I'9'± ii^ C8 Exi5tmcg Oa0p 2 • 44.7 I (3G" DBH) 481je— ' \ 8.85 I. Re5errveJ x HIGH GROUNDWATER LEVEL CALCULATION5 (POLICY'92-000: X x� v X_ Depth To Water Table(3-22-05): 14.3'(EL=31.6 Appropriate Index Well: MIW-29 Water Level Range Zone: C(3-4') Current Depth To Water LeveLPor Index Well(1.0112): 9.0 - Water Level AdJustment: 5.2' 427 \ x 45,6 Estimated Depth To High Water: 9.I'(EL=36.8±) • 42 - . PAPCEL # 148 :\ Area=14,81'0 SF± 5D5 DETAIL. a� SCALE: I" = 1 O 40 CD x39.1 ® ® 1� / x 39.3 `;#• +I +I N '♦ PLAN+1 SCALE I"=20' TH15, AREA IS SERVED _Rs BY TOWN WATER. TOTAL - PGA 35.3 �0 posed EL=48.0± Proposed EL=48.0± - ok e��j ♦ � ���" 5 .., BORDERING 36"Proposed (9"Min-36"Max) 6,2—A VEGETATED 45.00 A WETLAND 2"LAYER OF 1/8"- 1/2"STONE 3/4"- 1-1/2"STONE /44.25 N N ,� ALL STONE SHALL alb .50 / / BE DOUBLE WASHED ;OP - 11 42.25 ♦ USE TWO 5HOREY PRECAST Ak- 500 GALLON LEACH CHAMBERS 5 5± Longest Run WITH 4'OP STONE AROUND , 7� 36.1 15± (END VIEW) LEACHING CHAMBER 5 2�-EL=3G.8±HIGH GROUNDWATER 25.0'x 12.83'x 2.0' �[—EL=3 I.6±OBSERVED GROUNDWATER 10/24/12 G:\AAJc D i OYR 8/G 1 NONE I L \v Bea Batn Kitchen EL=50.2+ (Assumed datum)I SOIL SOIL OTHER Bath Living/Dining COLOR MOTTLING 49.7 (MUN5ELL) Ex*tmg Foundation To Be I OY Bea Bea Demolished and Debris R 3/4 NONE Removed I OYR 5/8 NONE. Covered Porch D I OYR G 8 NONE PERC 48" D I OYP.8/G NONE x so.1 133.70' . . SO x 50.7 � � x 50.4 C I" "C2"LAYERS. i 3'REILLY*ASSOCIATES, INC. — ' '• PROPOSED 3LE H coEALTH DEPARTMENT a> Q +1 BELOW GRADE IN TEST PIT#3 4g`_ 1+ 1 x 49.6 1+ RAVEL DRIVEWAY JG OF SOIL ABSORPTION SYSTEM. SO yr 6_ ° 18.G'± u. ,'irises _ / •5.8 1 passed the 48x2 t �- 28.4'± 48x2 Drimental / p uS .Led by me \\ \ Z ' BH { gx — 8, Existing OaO4 21 .5± PR® 48 O; �44.7 (3G OoC . x 4 �asss DWELLING .- x 49.2 ocz Resery J' x +t o )N5 (POLICY 92-00 I�: *F®UN®AT-1,0N - . . ... x� r. 48 e »: o s DEL 49=:0+ ,` • " I. � 14.3'(EL=31.G_) \ "' MIW-29 \ \ �►`x r .M, c r 48.7 w D 1 2 a 9.0 \ t 32.G'±� 47.7 5.2' 42.7 \ - ��� \.48x2 / 47.7, 42 PARCEL # 48 \ Limlt ;\ Area= 14,510 5F-�- \ of Work Existm Oak • � � f Sift - \ -- -� ��rn (30,t-dBH) �0 La . .x X x 6,4 +I 0' UP# 40 x 39.1 — — .� x x z s x 39.3 N x•46.3 ZONE: (RE, .e � x 43.6 6.2 FRONT YAI _ /� 4 +I F LA�6 \ sr SIDE AND +�a'� „ BUILDING (00 SCALE "=20' PROPOSE! Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 3> 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name Cr) information is ✓ MA 3/9/16 required for every Centerville page. Citylrown State Zip Code Date of Inspection Ca Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. -Important:When A. General Information filling out forms �� �� on the computer, use only the tab 1. Inspector: key to move your - cursor-do not Matthew T. Farrell use the return Name of Inspector key. . J. M. O'Reilly &Associates Inc rah Company Name P.O. Box 1773 A If Company Address m Brewster MA 02631 City/Town State Zip Code 508-896-6601 S13478 . Telephone Number License Number B. Certification 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 training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluat� ocal proving Authority 3/22/16 Inspector's Sig ature 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 101000 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. ""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. t5ins•M3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 I - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °w 63 Ginger Lane M Property Address Patricia A Lally Owner Owner's Name information is required for every Centerville MA 3/9/16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,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 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Cesspool with overflow leach pit. 13) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Check the box for"yes","no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is,metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available: ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is required for every Centerville MA 3/9/16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced .. ❑ Y ❑ N ❑ ND (Explain below): . ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine 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 310 CMR 15.303(1)(b)that the system.is not functioning in a manner which will protect public health, safety and the environment: El Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is MA 3/9/16 required for every Centerville page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a.public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic 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 passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ° 63 Ginger Lane M Property Address Patricia A Lally Owner Owner's Name information is MA 3/9/16 required for every Centerville page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number 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. ❑ ® Any 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. El ® 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 must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. 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 El the system is located in a nitrogen sensitive area (Interim Wellhead Protection EP Area—IWPA) 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 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'c7n, 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® 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? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined? (If they were not El 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? ❑ ® 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 El ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example,a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): NA Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Ginger Lane Property Address Patricia A. Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every Town State Zip Code Date of Inspection page. City/ D. System Information Description: System consists of a block cesspool with concrete overflow leach pit, see page 13 for details. 0 Number of current residents: Does.residence have a garbage grinder? ❑ Yes ® No . Is laundry on a separate sewage system? (Include laundry system.inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No 0 GPD Water meter readings, if available (last 2 years usage (gpd)): Detail -Property has been vacant since 2013. Sump pump? ❑ Yes ® No : 2013 Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? El Yes El No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forma Not for Voluntary Assessments 63 Ginger Lane Property Address Patricia A. Lally Owner Owner's Name information is MA 3/9/16 required for every Centerville Zip Code Date of Inspection page. City/Town State . D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information. Pumping Records:. No records Source of information: Was system.pumped as part of the inspection? ❑ Yes` ® No NA If yes, volume pumped: gallons How was quantity pumped determined? NA NA 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) and a copy of.latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy.of the DEP approval. Other(describe): Single block cesspool with overflow leach pit Page 8 of 17 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System• Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Ginger Lane M Property Address Patricia A. Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every State Zip Code Date of Inspection page City/Town D. System Information (coat.) Approximate age of all components, date installed (if known) and source of information: 51 Years:Dwelling built in 1965 Were sewage odors detected when arriving.at the site? El Yes ® No Building Sewer(locate on site plan): 3 Depth below grade: _` feet Material of construction: cast iron: ❑ 40 PVC ❑ other.(explain)::.. NA Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence.of leakage, etc.): Property served by town water: _. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑,fiberglass ❑ polyethylene : El other(explain) Iftankyis metalMist a9 year s ,. Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes El No Dimensions: Sludge depth: Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 a5ins•3113 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is required for every Centerville MA 3/9/16 page. Cityrrown State Zip Code Date of Inspection D. System Information .(cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from.top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle . How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts v W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ,M 63 Ginger Lane Property Address Patricia A. Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every .State Zip Code Date of Inspection page City/Town D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):.. Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present:.: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 t5ins•3113 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 63 Ginger Lane Property Address Patricia A. Lally Owner Owner's Name information is required for every Centerville MA 3/9/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS-not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is required for every Centerville MA 3/9/16 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® One : overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): One 6'X6' Leach Pit with 18"+/-stone around. Effective size 5.75'X9'. No signs of failure. No ponding observed No staining level detectable from past operating level. Soil and Vegetation available. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): 1 5'X5' Number and configuration NA Depth -top of liquid to inlet invert NA Depth of Solids layer. NA Depth of scum layer Effective: 5'X2.3' Dimensions of cesspool Concrete Block Materials of construction Indication of groundwater inflow ❑ Yes ® No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No ponding. No solids observed. No sign if failure past or present. Soil and vegetation normal. Inlet pipe schedule 40 PVC Outlet pipe schedule 20 PVC with 14" sanitary tee. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 63 Ginger Lane - Property Address Patricia A. Lally Owner Owner's Name information is Centerville MA 3/9/16 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cone.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: �I9 ® hand-sketch in the area below 0 drawing attached separately T Y GENE . - - j tv, is l cm :7 _ I—A-1• s t5ins-W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �M 63 Ginger Lane Property Address Patricia A Lally - Owner Owner's Name information is MA 3/9/16 required for every Centerville page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells 7.5 Feet Estimated depth to high groundwater: feet _. Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3/22/16 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators,installers- (attach documentation) ❑ Accessed USGS database -explain:. You must describe how you.established the high ground water elevation: SDS plan for 72 Ginger Lane:(11/20/12)on record at the board of health, established groundwater at EL=31.6 and ESHGW EL=36.8(5.2' seasonal rise). Grade at leach pit EL=52.6 and bottom pit at EL=44 3 Subtraction: 44.3 -36 8(ESHGW) = 7.5 FEET(Datum based on plan@72 Ginger). Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 63 Ginger Lane Property Address Patricia A Lally Owner Owner's Name information is MA 3/9/16 required for every Centerville page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System,either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 47.T LIGHT POST PARCEL aP' 148 . Of�� � Limit • ork ,rea= 14,510.5E--a-- `'0 6nstm�j Oak �� Silt S x^—^x ^x475 �� �� 48 UP#370/4 46.5 ZONING TABLEVi O PGA• ` `� x 46.3 ZONE: (RESIDENTIAL) RB 46.2 FRONT YARD SETBACK 20 FEET 4 ` 0 x 43,6 � -SIDE AND REAR YARD SETBACKS. 10 FEET �O r o . BUILDING HEIGHT 30 FEET PROPOSED BUILDING COVERAGE 1 352 S.F. KMTI,� rs r FERNANDES ' r15VIs rnx .� fta 48725 X THE LAYOUT AND DIMENSIONS OF THE - c8a� `�°�� PROP05ED DWELLING HAVE BEEN TAKEN ' PGA FROM THE PLAN.DATED .5/10/10, PREPARED BY DAVID F. .ALTEN Habitat for Humanity ®f Cape, God 41 1. Main 5treet, Suite G, Yarmouthport, MA 02G75 O 51TE 5EVAGE ®ISF05AL SYSTEM DE51GN ® F 72 GINGER LANE, CENTERVILLE, MA �! J.M. 0TEILLY & AsSOCIATEs, INC. . Professional Engineering. & Land Surveying Services 44 X 36.1 C y 1573 Main Street — Route 6A P_0. Box 1773 O 20 40 GO (508)896�-6601 Office Brewster, MA 02631 (506)896-6602 Fax DATE: LA5 : BY: CHECK: JOB NUMBER: D/24/1 2 5 CALE I "=20' 1 1 -20-1 2 Noted KEF MTF JMO-GGGG G:\AAJob5\Habitat\Habitat 72 Gmger Lance GG.GG\dwg\GG-GG51TE*SDS.dwg • �5.8 n fflo ®f � Icerufy thst on 10/24/05 I (Keith E.Fernandes)passed the examination approved by the Department of Environmental t -g Protection and that the above analysis was performed by me consistent with the required training;expertise and experience D13 scribed in 310 CMR 15.017. \21.9 f Existmcg Oak[ 24_ 44.7 (30-D13ti)�%48. I 8.83 \ Reserve x HIGH GROUNDWATER LEVEL CALCULATIONS (POLICY 92-000: �—\-=-X X Depth To Water Table(3-22-05): 14.3'(EL=31.G±) v \�►ex. Appropriate Index Well: MIW-29 'Water Level Range Zone: C(3--4') Current;Depth To Water Level.for Index Well(1.0112): 9.0 \ x 45,6 Water Level Adjustment: 5.2' 42.7 \ Estimated Depth To High Water: 9.I'(EL=3G.8±) 42 PAPCEL # 148 Area= 14;810 5F± 5®5 DETAIL: SCALE: I" = 10' �1 —.25'+ �, O 4'± x39.1 x 39.3 r F m �. FLAN SCALE I =Rs. THIS AREA 15 5ERVED Ow BY TOWN WATER. i TOTAL L OPd 35.3 5� posed EL=48.0± Proposed EL=48.0± - e,� BORDERING 30 Proposed >,li� VEGETATED (9"Min-30 Max) 6,2— 45.00 WETLAND .a. . '..-.; 2"LAYER OF 1/8"- I/2"STONE 3/4"- 1-1/2"STONE ah, 50 j 4.25 N N ALL STONE SHALL / / BE DOUBLE WASHED ►. :OP A I 42.25 USE TWO 5HOPEY PRECAST 500 GALLON LEACH CHAMBERS 5 5± A L Longest Run WITH 4'OF STONE AROUND ` • X 36.1 1 5'± t�(IE/N�D VIEW) � 1-EACH I NG CHAMBER 5 2 —EL=3G.8±HIGH GROUNDWATER 25.0'x 12.83'x 2.0' Q—EL=3 I.G±OBSERVED GROUNDWATER 10/24/12 G:\AAJc D I I OYR 8/G I NONE I I Bed Batn I EL=50.2i- (Assumed datum)I Kitchen SOIL SOIL OTHER Bath Living/Dining COLOR MOTTLING 49,7 (MUNSELL) Exstmg Foundation To Be I OYR 3/4 NONE Bed Bed Demoirshed and Debrs Removed I CYR 5/8 NONE D I CYR G 8 NONE PERC 481, Covered Porch D I OYR 8/G NONE 33.70 - so - x so.7 x�.l % x 50,4 C I"t-"C2"LAYERS. )'REILLY*ASSOCIATES, INC. PROPOSED 3LE HEALTH DEPARTMENT h BELOW GRADE IN TEST PIT#3 : 4e I+ 1 x 49.6 I+ RAVEL DRIVEWAY 4G OF SOIL ABSORPTION SYSTEM. O °.a ) w18 #6 M. / -5.8 i 50—°� °. 1 passed the .28.4'± 48x2 48x2 anmental 48.9 red by me a ' experience pB 4' s n.. 0. ' 21.9,: lP 2 + \ j Existm Oak 21.5'_ PROFOSED� x s.4 44.7 (36"-DBH) �' x 4 `6ZEDRQ I ' o x 48, o \ Ga8.8s ;g±.DWELLI;NG' x 49.2 0 Re5errN�'. X n O �LYY.L.. �F s r` TDP r F- r X�4 gc4 p u )NS (POLICY 92-00 I?: -.��\x :lx x 48FOUNDATIO \l o l ° t \ 4-9 ' 14.3'(EL=3 I.G±) e,xg m �.�k MIW-29 . \ � � x r, 48.7 -4') � :. r < 32. D/1 2G'i� 47'7 ): 9.0 - x 45.6 5.2' 42.7 \ �1�. 48x2 / 47,7r 9.P(EL=3G.8±) !� 42 PARCEL # 148 �� �� //Limit +Area= 14,8 10 5F of Work 515tm Oak • - � � / Sdt Fence .: 4- (30"-d•BH) x 01 \40 UP#46.5 ± 41± x 39.1 x \ r 0 x 39.3 � N x ZONE: (RE! .46.3 46.2 FRONT YAf N ` x 43.6 �6 SIDE AND +I LA� \00 W rr � BUILDING PROPOSEI SCALE 1"=20' �_ - /d^� h1 +r }�`} .. 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'RECEIPT Cr (Domestic Mail Only; Ln For delivery information visit our website at www.usps.come cc 07FICIAL USE r-9 O Postage $ Certified Fee Oa nj Postmark �D O Return Receipt Fee HMB y O (Endorsement Required) W C3 WT Restricted Delivery Fee O (Endorsement Required) 43 -0 Total Postage&Fees r US+pC,` l l C3 89TM p Street,Apt. -o.; oror PO Boxy O tL� --------- ------------- -1_ 1�..,_.g j -- City,Stale,ZIP+4 11�JIL PS Form :Ir ALIgUst 2006 —See Reverse f�r Instr6dions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables;please,consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form'3811)to the article and add applicable postage to cover the fee.Endorse,meilbiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. � s For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post i office ,for.postmarking. If a,postmark on the Certified Mail receipt is notmeeded,,detach-and affix label with postage and mail. IMPORTANT:Save this rece:ipt,and present:it when making an inquiry. PS Form 3600,August 2006(Reverse)PSN 7530-02-000-9047 SENDER: COMPLETE THIS SECTION, COMPLETE THIS SECTION ON DELIVERY * Complete items 1,2,and 3.Also complete A. ign,t item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the r et A ❑Addressee so that we can return the Card to you. . Receive by(P*Iera . Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front If space permits. � 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes P9 ` ^ If YES,enter delivery address below: ❑No 1 K(O-iGh.. LALA y Y 0,,/4.,,{o M t4VPA— oLe S(- 3. Service Type jCertifted Mail ❑Express Mail ❑Registered ❑Return for Momhandise 62 �� ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 13 Yes 2. Article Number _ 7 7 ;2 6 8 0 ; 11 (ffansfer from service label 0 0 O 2 67 1; 8 5 2 3 a PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS v Permit No.G-10 • Sender: Please print your name, address, and ZIP+4.in this.box • c:. aw Town of Barnstable � I e M Health Division �-r[ 200 Main Street h� Hyannis,MA 02601 I I I I I I Cg34i N.Y. W-sjjl.ry j- `{ j( jj(( 33 (yjii j i ii jj I.1llli}}I11-1:Il31lii.3313.iiii-113.1ilt111l111111111111)111It 111 � I CERTIFIED MAIL., RECEIPT ti D. Only; .•. L-n For delivery information •. o CO r� OFFICIAL O C� Postage $ Certified Fee ,�`S 0 ru Postmark tso M ReturnReceipt Fee Here j Q (Endorsement Required) r ,,,�y Restricted Delivery Fee - 20 f3 (Endorsement Required) ED .0 Total Postage&Fees $. ti USPS se 1 - t r3 St et,Apt.No.' 4 1 .ram --PO Box No. l w btu�"' .Qom'( ....... ZIP+4 PS Form 3800,August rr. See Reverse for Instructioris Certified Mail Provides! ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: t ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& ■ Certified Mail is not available for any class of international mail. is NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece,Return Receipt Requested".To receive a fee waiver for a dupllicdate return receipt,a USPS®postmark on your Certified Mail receipt is reqir■ For an.additional.fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cleat the post office for postmarking..If a,postmark on the Certified Mail receipt is not needed;detach and affix 1abe1 with postage-and`mail.< IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047_ T Town of Barnstable Barnstable pfTF{E P� Oki Regulatory Services Department AI-AmericaC'P BARN S-MBLE. t67q. Public Health Division �p �0 m Arf°MAC a, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO opy CERTIFIED MAIL 7007 2680 0002 7601 8509, October 1, 2008 Patricia Lally and David McGurl 4 Old Mystic Street Arlington, MA 02474-2224 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 63 Ginger Lane, Centerville was inspected on September 25, 2008 by Jaime Cabot, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.350- Plumbing Connections. Faucet at kitchen sink leaks. 105 CMR 410.500—Extermination of Insects. Flies were observed in the dwelling. 105CMR410.352- Occupant's installation and maintenance responsibilities. Stove in kitchen is unusable due to improper storage of kitchen goods. Overall condition of interior of dwelling is not sanitary due to lack of sufficient storage space and an offensive odor present in the bathroom and bedroom due to the use of a litter box for multiple house cats. IO5CMR410.482- Smoke Detectors. Battery not provided for smoke detector. 105 CMR 410.551 —Screens for Windows Screen not provided for kitchen window. iA The following violations of the Town of Barnstable Code were observed: 1704— Certificate of Registration. Property is not registered with Town of Barnstable Health Department. 353-1-Nuisance Regulations. No water proof and rodent proof containers provided for rubbish. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes and by Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the window screen, repairing the leak in the kitchen faucet and providing containers for rubbish storage. You-are required to register the rental property with the Town of Barnstable. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable cc: John Sarkies Citizen Web Request Page 1 of 2 �f __'�';;_ • i Citizen Request Management - Internal Use Request ID: 22199 Created: 9/24/2008 3:58:27 PM Status: Assigned To Staff Assigned To: Cabot, Jaime Health Office T Anonymous: No Category: Chapter II : Housing Substandard E.C. Date: 10/8/2008 Created By: Wadlington, Ellen Citations: Health Office I Time Worked: 0 Response Time: 0 Requestor Details: Email: Request Location: 63 GINGER LANE Centerville, Ma 02632 Parcel Number: Map: 247 Block: 144 Lot: 0991 Request: Reported by Senior Animal Control Officer Charles Lewis to Tom McKean, Debbie Lavoie and Judy Redd. Mr. Sarkies who rents the property is very tempermental, had had dealings with him, see old complaint data base. Mr. Lewis went to house on 9/23/2008 and states the house is in deplorable, unhealthy situation with an elderly gentleman. See e-mail from TMCK Request Work History: Internal Note History: Entered on 9/24/2008 3:58:27 PM by Wadlington, Ellen Jamie am forwarding the e-mail to you. I have personally encountered Mr. Sarkies on the phone. System entry on 9/24/2008 3:58:27 PM: http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=22199 9/25/2008 Y- - CID qo ej L'. 17. i r • t r i• . t t; �_f �- ; �- w.�.- 1. 'I""' ! 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T � + � .. _t. �+..�.r - 1 t _ _ � �_. .. _�. i � —�—�_ ..i._ __k . —�.--— {— --4— �. �- -- i ! , �. � � � � � � � � � � ! I � � _ � . � � � 1 , `�Atti- hl ? ;� _ t 44 �P IL- (,�74cl L , - -� ----�-----*----t- --t--�- - -is-�---- t t--�--{-- -+----+- -�---�--� -�---` ---�- -� - - -t �- - 1 , r F i Zt-"'�i �_ ��'� CSC! L����'A•� � �,Q+,_, + _,+� _ + ..- Seel - _ �r I } -T-44 I __T_f - I I J 4 7­1 1 t 4. I I 1 ; , i - ' 4 I � j r - -I-r-+ - - --�- - 4- 7 -- - - l - - - I - - - t � �- I ; I -F+-4---4-- -el- NO 4- A, _ -rt-- -4---4- 1 -+- -- C - J - - _ -F4 ir b �4- f � 1 fr j j -r t � � y" I: � I �/�G► 171 _DLI, kvi 1 t 1 i 4 + 1 4 j _ 1 { { I j , f t {. 1 �Op tHE Tp� Town of Barnstable Barnstable Regulatory Services Department erica CO k BARNSTA©LE. "Ass.i6gq. Public Health Division �p �0 ATf°MAC A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7007 2 276018509 ro Qt, , October 1, 2008 Patricia Lally n a y and Davig McGurl I i 4 Old Mystic Street Arlington, MA 02474-2224 �J NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 63 Ginger Lane, Centerville was inspected on September 25, 2008 by Jaime Cabot, Health Inspector for the Town of Barnstable. This inspection o duct o the bas' of mplaint received by the To n o Barnstable. � � 5 VOL- ss t State Samt�Code were observe —=� '�' �// 105 CMR 410.350- Plum 'ng ti Connections. ucet at ketch eaks. 105 CMR 410.500—E e alion ects. Flies were served i the dwelling. a P a 0 �S��- A� 105CMR 10.352- Occupant's installation and maintenance responsibilities-. c. Stove in kitchen is unusable due to improper storage of kitchen goods. Overall c "nQ ; of interior of dwelling is not sanitary due to lack of sufficient storage space and an offensive odor present in t e bathroo and b droom due t the use Q�a litt r `���r multiple house cats. r �V 105CMR410.482- Smoke Drs..B ttehl Del ov e fo smo e t t 105 CMR 410.551 —Scree r An s o W � Screen not provided for kitc en window. i The following violations of the Town of Barnstable Code were observed: 170-4—Certificate of Registration. Propert is not regist red with To f Barnstable Health De artme t. J ,�. k 353-1-Nuisance Regulations. No water proof rodent pr�conta ers v ide U-UY�W rubbish vV f i G a' You are ir'ed to correct the violations listed above within twenty-four (24) hour of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes and by Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the wi repairing the-"Iq the kitchen faucet and providing containers for r ' ag ou are required to reg er the rental pr y with the Tow 413ar0tie 6& C IV& w - � PER ORDER OF THE BOARD OF HEALTH CO Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable cc: John Sarkies Town of Barnstable �pF SHE Tp� Regulatory Services BARNS-TABLE. = Thomas F. Geiler, Director 9 MASS. �A 1639. Public Health Division ArfO MAI A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 25. 2008 Attn: C.O.M.M. Fire Health Inspector Jaime A. Cabot conducted a housing inspection in response to a complaint. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if.there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 63 Ginger Lane, Centerville,Assessors Map-Parcel: (247-144) Smoke detector not working (no battery) Ja' e A. Cabot, Health Inspector QAOrder IetterAHousing violationARental ordinanceUire VlolationsTIRE TEMPLATE.doc FORM 30 C&w HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN W 4 0 o DEPARTMENT 'ZOO ���� SCI. �A 02,(e.0 ` ADDRESS I e4ti W y 0 y`0 TELEPHONE Address 6u cfey, 6_4 LPL 6�11411 Qccupant OA41,4-,1 1S Floor "_ Apartment No. No. of Occupants—L."- ccJ 1 No.of Habitable Rooms No.Sleeping Rooms_ No. dwelling or rooming units No.Stories Name and address of ownerzi a UL-CS - �` s`1 I L1 jAj ,M46Z47z4 Remarks Reg. Vio. YARD Ou Bld s.: ences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: FNJ i Ad STRUCTURE EXT. Steps,Stairs, Porches: ..� i Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: S S ( ti G t) 7svi Roof Gutters, Drains: Walls: r Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: U WE- 1!_ C;-1 Obst'n.: Ivtz Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. LgtnQ,, Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen - / i.L L 44 4> Z 6-6 Bathroom Pant ? C It II 0 lr) � Z Den Living Room el c- MlJv?et Bedroom 1 C C 4 ^, c 6 DI U Bedroom 2 U & Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: avoc Kitchen Facilities Sink NJ wnZKrt„ Stove f-- jit,/11S Bathing,Toilet Facil. Vent., Plumb., anit'n.: Wash Basin,Shower or Tub: tv 0 2 i ti Infestation Rats, Mice, Roaches or Other: ^ L (, asL pa-f�f,,Jl 6116 v � Egress Dual and Obst'n: O�," C�F >Z S't.'� General BuildingPosted L� f.5 ��' "r a F �G(.0 a!h?iUtil ZJ zl Locks on Doors: v Lti (Li;-c,,1 St ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PERJURY INSPECTOR ° TITLEE `' A.M. DATE V TIME /(1 A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. A Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary ( ) P PP Y q Y P P Y needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for period of 24 hours or longer. P P 9 (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other or dangers impairment to health or safety. 9 P (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in. 105_CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the-owner to remedy said condition within the time so ordered by the Board of Health. - . -.+w......rr-`_"1'.. ,r" .+.r ' '1.R""+"f4"3..f'R'a..t�+.'^!""A.+.'mrH'�•-v-.....^-.ice"'^'f,..rywc.v.•.x.�,*..,..i'r0.^-n._., .,,7^^.. .,F„ `.k.`.,n+Y"�.r,,,,�,,.,-W'A.. r: \ " FORM 30,C&W Hosssa WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN o DEPARTMENT � ADDRESS GSM SyO y`eo TELEPHONE Address63 �-{/rV 4454, 44r,.E CX1,f0CP/W-ccupant-Stj_kl_I� ���►'129 Floor Apartment No. No. of Occupants--1-��? '7 b 7 No. of Habitable Rooms 1 No.Sleeping Rooms_ No. dwelling or rooming units No.Stories' Name and address of owner �N/1� � t�: �'�`�, A L. t �L-CS 1' A"� J-f { 5j"'�, //#,r CLf -r&M .M IA,6Zq744 Remarks Reg. Vio. YARD Ou6 Bld s.: ences r Garbage and Rubbish Containers: Drainage Infestation Rats or other: C A'(S h.a f:N'ff_l N4 WoLj, . STRUCTURE EXT. Steps,Stairs, Porches: t XU1^00\ G 6,-.r Dual Egress:and Obst'n.: E ❑ B ❑ F ❑ M Doors,Windows: CA(Q Roof Gutters, Drains: _ Walls: r Foundation: ` Chimney: BASEMENT Gen.Sanitation.- Dam ness: Stairs: Li htin : I STRUCTURE INT. Hall,Stairway: (M U Vj_ -r C-1t (L., —Obst'n.. Hall, Floor,Wall,Ceiling: Hall Lighting: , Hall Windows.- HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels,Meters,Cir.:0110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: ` DWELLING UNIT Ventil. L to , Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen — i L4 L. 0A Cea 16..T b ' Bathroom Pantry 1 '7 C Lry oV G--r CZ ?704 /G1S'z. Den Living Room / S If CeC.sn +E./L Cvti-% cA e,, L .A Muu?y Bedroom(1), �' .u ti./iG 64 na _/I Dv Bedroom 2 '7`U ti -I A A ix_—& Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: -r(>w hj 09; n4dA S r�GI& 69Oe Kitchen Facilities Sink t,,j 0 t_.,A,If�(, V R.t xt F 1(._UQ Stove O C"< f-- & k t .,&rt.3 V yak 1� r Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: o 'r L �-� Wash Basin,Shower or Tub: e-(.r'_wat-C)0�a(�-'t:r.a "' -infestation" ~-_ ----rRats"'Mice,Roaches or Other: `Egress Dual and Obst'n: - Tp 4," v. U F A CL'r S t-C_ General Building Posted C-" 1.10 CX-4-'r• a F jZ C-4 tL-?ev%11gAj ` 11�1 D '- Locks on Doors: N a (Zc 4 r S{C2£.,,p - i ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE ` OCCUPANT AS DETERMINED BY 1:05CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over)' "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY. INSPECTOR ' TITLE lArl-AL71 _ Zip. , T "r, DATE 0 TIME �(/� aS Of, P.M. j - J A.M. k THE NEXT SCHEDULED REINSPECTION ' t P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The•following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such'violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents,cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. .. __� .. ,y_,_,• ..�r"n..:,..•,r..-.... y,.. ...,..-. - ., ,,. n._._ , 9•a•M^.,'*.-..^r+-n...-S'T..,,K,,,...y�. .+��-'r..^..•--,+w.'�.r,..•....-...•« .-.- �-.-.......—., •,- 4- TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager �l `� '0 ' A``` tam. .. � Address of Offender /- OLD ' :..+ T . MV/MB Reg.# Village/State/Zip A iLin.% i•k 64 i o tA �,4A 01414 Business Name P'el /A 10,0,P am/pm, on 20! Business Address P+1A ; --- , ,-* Signature of Enforcing Officer r Village/State/Zip Location of Offense 6 ; VA No k'I .• Enforcing Dept/Division Offense �A y t Facts .. ti► . ter ►-� �`.. ; a This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Oz F Y6 � Cc I f r i i , GLCi I JR r,,- -� - - -+ - 7Q_ ik_u M4 f i i J P_l�j'1.,� DAe- elf — A- -7 741,us ~�- -- R--o- kkJ'A `_ -f-i A&A T�_ i ! 1 t _ r ! I k 1 f ' t 1 do �d-ck 1 � � 1 nil(� D �- �1 , Ni 4p-- � Tl 1 t iI I ------fi--�--�- j11--i-- -- ,- - 11 2zi 6 -N4 ;Zf W-1 I 1 I 1 1 ` i 1 f 71 {� IT - - - �- + -t 1 E ; t t f 1 1 t ' ' 1 I�j � Z � �• *_ � a . - . _ . _ !_ ._ ja 1 - N Li.- 5- C1J 0(//7n MA 4 1a4 - -iot �—v -46-a-1 4- i 1 ' I ' t 1 7 Iyy 1 � I J _ t . � - — ___ _ �- --�--- —�---� -� ► �- t-- . - _ _fit--- --s --fi f 1 1 U —Ili ::T�I Tfll�t t�- ............... Qt1 eON� .01 a "A" T6 Ge I _ I e r s ` L If Tj4- k. / r NA ♦ 1�4 1- .Sq i a b i � �r Y t ! ! ! ! I a5 � ' ♦ Y 1 1 . �' �! aS a t•— f � t ' l e t E ay f� Town of Barnstable do Regulatory Services BAMMBLE, 9 MASS. Thomas F. Geiler, Director •i6S9 �0 1639 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Bar(s): 69836 (also issued 69837-69839) Name of Offender: David P. McGurl, DOB 05-19-1954 Address of Offender: 4 Old Mystic Street, Arlington, MA 02474-2224 Location of Violation: 63 Ginger Lane, Centerville Date(s) of Violation: 6/27/06 (also 6/30/06, 7/5/06 and 7/6/06) Violation(s): Town of Barnstable Board Code § 170-7: Posting of names, addresses and telephone numbers. Facts: On 6/9/06, The Town of Barnstable Health Division received a complaint regarding rubbish,tall grass, running a business and rental property at 63 Ginger Lane, Centerville. On 6/12/06, Health Inspector David W. Stanton,RS went to said location to investigate the complaint. Mr. Stanton spoke with the tenant, John Sarkies. Mr. Stanton xplained to the tenant that he would mail a warning notice to the owner of the property to pe y post the pro erty in accordance with the Town of Barnstable Code § 170-7.' On / 0 M . Stanton 1 a warning notice ar-W 3465) and•a copy of the regulation o t wne �. t e p operty t e'the property roe t t posted by 6/26/2006 or receive 10 .0 ay c" ti ns. 7/ 6, Mr a ent o Ginger Lane to see if the owner d complied wit t r.The ow r i o comply with the order. The owner was found in vi ation of th o arnstable egu .on §170-7. On 6/30/06, 7/5/06 and 7/6/06, Mr. Stanton went to 3 inger Lae a'n to see if the owner had complied with the Town of Barnstable Regulatio § 70-7. A , the owner did not comply with the order. Mr. Stanton has not been back to the property si ce 7/6/06 to see if he has complied yet. Attached please find copies of the Town of Barnst ble Regulation §170-7, warning notice, four citations, and photos of the property not posted properly in accordance with the dates the violations were observed. PWctfally Sub mitt d, avid . Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Town of Barnstable OF THE 1p� o Regulatory Services ; Thomas F. Geiler,Director * snxxsene[e, ",39. ,m� Public Health Division pTED MA'S A Thomas McKean,Director 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 15, 2006 Mr. John L. Sarkies 63 Ginger Lane Centerville, Massachusetts 02632 Dear Mr. Sarkies: Thank you for your complaint. Enclosed please find a written report of how your complaint was investigated. Health Inspector David Stanton handled this complaint in a perfectly satisfactory manner. A damaged storm door and bricks are not considered rubbish in the Town of Barnstable's Health regulations. However, State and Town regulations do require posting of landlord's name, address and telephone number. If you should have any questions,please feel free to call(508) 862-4644. Very truly yours, omas c ean, R.S., CHO Director of Public Health q:\boh complaint ltrs\sarkiescompresp.doc NAME OF OFFENDER \1 4 y; f .' r— ;0f*` J wl � C � � BAR 69839 t �) TOWN OF :1 ADDRESS OF OFFENDER ©V M(d�k { .54 BARNSTABLE CITY,STATE,ZIP CODE AT )f PA 4, n4 /t 0 3 t fr ,f 114E 1'p� VHS" +-/1 4/J C// MV/MB REGISTRATION NUMBER RAHNSI'ABLE, �, 1 fj((}} .y� /� ��// / /� y CL y %I—Ss $ OFFENSEw.ti.v� 1� �1 W f /i�1 I A (r14+/"'� r � , t� f V... �. r!� el�IF t� d i679. �0 tf Y O TIME AND DATE F VIOLATION LOC N OF VIOL TIO t j w NOTICE OF0 (►M�/ P.M.)ON 04 ' '" ' tY :� f sl SIGNATII E OF E FORCING PERSON ° ENF6 CIN D fy BADGE �/�• - LLJ VIOLATION ' .:V' �! ' Pew, �f ��.�''0 1' , O. OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATIONLU ORDINANCE X Unable to obtain signatuf',e of offender. f Date mailed /tJ T NONCRIMINAL FINE FOR HIS OFFENS $ �» /0 J W Uj OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w Cn REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)'If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Sianature t NAME OF OFFENDER \`� r� ,�/ j � �` v f t DAD U V (• jFX, [/l�yY r D„n M d 41 TOWN OF ADDRESS OF OFFENDER q Q V. BARNSTABLE CITY,STATE,ZIP CODE /j +f,^ �, h yA 0 Y t l - t/ �� ME ip I! ° lf1i. `I7 7 MV/MMBB"'R`EEfGISSTRAATITIOON,(NUMBER NAN\\l'ABLE. `� OFTEN E �} t j lra are QED MPy Y rfLU f TIME AND DATE`OF VIOL TRIO CA N��g9F IOL, IONt w NOTICE OF t)'.3t1 (A. ./ P.M.) S� , I O /1-1 l( �+�.'t t = 1JI Ve— �'� SIGIE-OF.EN� A PERSON l NFOI ICING E 11 f � BADGE NO. N VIOLATION �" �`P� 1yl/ �. ' o OF TOWN I v ~ HEREBY ACKNOWLEDGE RECEIPT OF CITATIO _ a ORDINANCE Unable to obtain sl,natu a of offender. j,Date mailed A THE NONCRIMINAL FINE FOR HIS OFFENSE IS $ /V _ w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w Cn REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ! tt{ I NAME OF OFFENDE , (I �1J� ��,�r } - BAR69837 � { V A t�/'r1 �r TOVKOF jj ADDRESS OF OFFENBER' t; q oU At.., c BARNSTABLE CITY,STATE,ZIP CODE kh �ME TOw . ° % MV/MB fl GISTRATION NUMBER OFFENS RAH\STAHIX. ' Fh' -7 r w 9$e 1. 11S `0S O Wd! Olt *11^i1 S / qV; 0. vi / J /�+�,/✓r�', CL o dt j ,rCt`ylvt d t✓ �7� f�W P U/i74?c t !w1 t71, Z I TIME AND,DAATj IOLATION ! LO TION OF L To NOTICE OF /. 7 (A.M. P. . ON ,20+� ' r� g�c +�.' le- . Q SIGNAT ORC NG PERSON E ORCING OEPT. BADGE NO.,, rL,IJJ VIOLATION /) ri - qufH 4 �, t 0 OF TOWN j I;IEREBY ACKNOWLEDGE RECEIPT OF CITATION X ( a ORDINANCE ® Unable to obtain Si ature of tfender. r Date mailed THE NONCRIMINAL FIN FOR THIS OFFENSE $ ��U�� _ w LLJ OR YOU HAVE THE FOLLOWINt ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION 1 You may elect to a the above fine,either b appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q O Y pay Y PP 9 P Y 9 Y, 9 Y P w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ei of / . �y c &v f DAD .1y�y� jay TOWN OF ADDRESS OF OFFENDERa/ 2 °�,�•A' fr'tl/� a D„n '�.iV iJ BARNSTABLE CITY.STATE,ZIP CODE„!7 .� t 01}�OW MV/ B REGISTRATION NUMBER • OFFENSE BARNSTABLE, ARNSTABLE0,$ TjmA F 1L ,,/t ^Y/' J�A/ , -7�- IJj froper ]ce n. O Irn" TIME ANQ d TE F VIOLd 1OfV F ) LOC TION OHVIOL TI (' n W NOTICE OFL. 4(�:M"?'/ P.M N ; -7! 20 /+tt s 'C61' Q LLJ VIOLATION Sll NATUREgOF CING,_PERSON , �I�'DEPT`M � 3 x BA 0 CD OF TOWN I,K REBY ACKNOWLEDGE CE T OF CITATION X a ORDINANCE t Unable to obtain/�ignature�of nder. THE NO RIMINAL A FOR THIS OFFENSE IS w ~ Date mail edf � J OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHE OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL w DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (t)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ::-.-.,f.•-r*-. ..r ,.- ,,rcr. .r + . .�.: r..`"� v-:r .-,.-..— ?^"'•"r:'+.�..,+*;a.,..^ +F,"a`+yM.^i".y�!*t+'rc: y r .. . TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager or-V'r/ ! /fir Z�d Address of Offender. L� MV/MB Reg.,# Village/State/Zip s 1Y7 Q-) U-74/ Business.. Name J fir. - %pm; on y ►/« A0W. +r+ Business Address �" Ov, Aes . . S ''gnat of forming Of ice .. Villa e/State/Zi �+ t g P Location of Offense 6t'f'1m�. G9✓7E'. . ?i/t.f Jw� { lam / ! c *11 rcing9/Dept°/Divisi6n Offense :We j &4r0II(4.h/0: ! � � 1 l ' � ' � �:�� �lu�J�r�+�a �?�5,�,mac, &�r�r„ Facts �,1 rt1,,7rl`j r,S � �. ` This will serve only tas a warning. AAt this time no legal action has been taken. It is the goal of :Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. », K WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W r 7f x 103465 . s !� i Ordinance or Regulation ? ,, WARNING .NOTICE ' i f /�Name of t"Offender/Manager t��� � h � Address of Offender ; f r '` MV/MB Reg.# Village/State/Zip ,- r'7 - J ,r• , Business,,-Name /- A ram/pm, on /'« /2014 *--Business Address " 1 Signatur of .nfor ing Of ; icer 1 Village/State/Zip Location of Offense r f V \ J), forcing'/Dept/Division ` Offense T-IM r' 4Wr ..r ',. , r Facts i r 't r r �ftr jur C This will serve only',as a warning. rAt this time no legal action has been taken. It is the goal of 'K.Town agencies to achieve voluntary compliance of Town -- Ordinances, Rules and a {:Regulations. Education efforts and warning notices re attempts toIg.airif voluntary compliance. Subsequent violations will result lin appropriate'legal action by the Town. k Y WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD.-ENFORCING DEPT. Town of Barnstable �pF 1HE Tp� do Regulatory Services Thomas F. Geiler, Director * 1ARNSrABLE, • 9� 16 ,� Public Health Division ATFD MA't a Thomas McKean,Director 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 15, 2006 Mr. John L. Sarkies 63 Ginger Lane Centerville, Massachusetts 02632 Dear Mr. Sarkies: Thank you for your complaint. Enclosed please find a written report of how your complaint was investigated. Health Inspector David Stanton handled this complaint in a perfectly satisfactory manner. A damaged storm door and bricks are not considered rubbish in the Town of Barnstable's Health regulations. However, State and Town regulations do require posting of landlord's name, address and telephone number. If you should have any questions,please feel free to call (508) 862-4644. Very truly yours, omas c ean, R.S., CHO Director of Public Health q:\boh complaint ltrs\sarkiescompresp.doc '?3'`� yrr �e Ra fr° :Ka r Citizen Request Management Request ID: 20035 Created: 6/9/2006 9:30:44 AM Status: Assigned To Staff Assigned To: Stanton, David Health Office Section 353-1 Garbage Anonymous: No Category: and Rubbish E.C. Date: 6/26/2006 Created B Wadlin ton Ellen 'y Health Office � Time Worked: 2.00 Response Time: 9.00 ► Requestor Details: ► Email: Request Location: 63 GINGER LANE Centerville, Ma 02632 Parcel Number: Map: 247 Block: 144 Lot: 000 Request: Rubbish, tall grass and running a business; this is rental property. Request Work History: Entered on 6/12/2006 4:21:31 PM DS went to said location and spoke with tenant, John Sarkies. The damaged storm door will not be considered rubbish, as he plans on fixing it and putting it back up. The tall grass has been mowed recently. He is not running a business anymore "Electro technics." It is a rental property, and must be posted per Town of Barnstable Code: 170-7. DS will send a copy of this code to the tenant as well, as he believes there is no such law. He thinks it is a bad law. DS will mail a warning notice to the owner of the property to have it posted properly by 6/26/06. Entered on 6/14/2006 8:20:37 AM On 6/13/06 DS mailed a copy of the TOB rental ordinance with the posting of owners name (170-7) highlighted for Mr. Sarkie to review. On 6/14/06 DS mailed a warning notice to the owner of the property to have it posted. ► Internal Note History: a i■■i MOM ■■■■ , , / ■ ■■■■i - o• ' ■■■ on ■■ i■■■■i o ■■ ■■■■■■■■■ ■i ■■ ■ ■■■ ■■ _ ,� ■■ ■■ ' iii■■iii ii ® � � ■ ■■■M■■■■■i■■■■ ii o ■ � , � a ■■■■■■■■■■■■ME ■■■ ■■i �� ■■ ■■■ME ■ d ■■ ■■ � I f ■■■ MEE ■ iii 7 I 9 e ■■■ ii MOSIMMEM ONE No M=MMMMl , ■ , ■9 ■ ■ ■■■■ iiii / Pr moil ME IMME ■■i ■■■ ME 0 ■ii �► ,. o ■■■ ' ®■■■i■■ © D ■■■■ r > ��� Milo ■■■■ � / � � _ � ■moil ■■®■ ` � �'-�� ►�°� e _ a. �a, ■ � - iii 11 moil ® , , ._r e �. ■ No ll iii■ IS h ; ■ i'iiii ■ l ® ■i0 ■■iii■■■■■■■l■lli■■■■■l■■■l ■■ f • f t +--1 - 1 ' , - { - I - i-I ��-cis � -��i:� 1 -�--- -� pill i ✓t • ( i f I 1 ; i i ¢�I� � , C�JUC J - _ 1 � 1 l�i�".�-i I - ' - � -ice--� --+- �-- --t-- -•�--�- � I � 1 I -4--t- 1 Hr'z� V3 i I - - I- -� +- --f 11 -- I !"l V. , �� .� E t , ■ ME■OMM■MEMEM MEN■i ■■■■■■■ ■■■MEMO■ MEMEME ■ ,� ■ ■■■■■■■■■■■ N ■MOMEN ■■■■■■■■■■■■■■■■ ■NONE 0 ■■ •P ■ ■ , f ■■ NNN No No ■ON NEE ■■ /. n ' 0 c ■■ NEE _• EMEM■M■■MEME■M■MEMEMEM■ OEM NONE NEE MEMENO■ONEEMM■M ON 6 • ■ ON /, ■ OMEN ME No / / R/ . o, ■■■ NM MOON MEN ■■■■ No NONE N■NN � �.•a ��� G■ ONE OEM , MMEMME No ME ME NMI MEMO OMNI ME ME ME MOMMS ►, ► I% u ■■ ■■■I ON �, u► - ' ■ENE ME MON NMMMMI NONE MI ME No 0 ON ME OMEN ,�,U �, ■■■ SOMENo ME ■M■ r , MEMO OMEN ME MENEM O■■■ ®■■MEMO■ J • l+ r _ a ` 4 TTi t t 4- 1 y m--4 4 • I LI Ll �,_ r .., i s. 9 � , � �..�_' *°h RTC" -- - 'ar •r! 9 f.t", t „S ^es" , ',t,_rF w.'y,t;Q'.. a M �� �- VIMbiEl, tip a 6!� ti. 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(�J f� tl t a•h l f'r ���, ry 1 i"`r 4 :y� 15 t ..,� Q ..r^�� �s ^"^,.`tw' tt�•r �,�5.. �• , .'S _4:k t ,'�+ . ', r E;O .J,ti COMPLETE • COMPLETE7HIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign item 4 if Restricted Delivery is desired. X 9eM ■ Print your name and address on the reverse flj, ❑Addressee so that we can return the Card to you. Re eived by(Printed Name) J C. Date of Delivery INAttach this card to the back of the mailpiece, or on the front if space permits. D. I delivery address different from item 1? ❑Yes 1. Article Addressed to: I YES,enter delivery address below: ❑ No �,--� C' / Patricia Lay 8 4 Old Mystic i Arlington, MA 0 474 3. jervice Type b..� rtified Mail ❑Expmss Mail - � ❑Registered O�ketum Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7006 i 08:1� ��DO 3524 5256 -1 TO (Transfer from service labeq { .- PS Form 3811, February 2004 Domestic Return:Receipt 102595-02-M-1540 UNITED STATES POSTAL 0,* M VWz[Firs-CI t s Mal p e p1d Permit[V6.G-1 • Sender: Please print your name, address, and ZIP+4 In this box • Town of Barnstable Health Division is 200 Main Street Hyannis,MA 02601 J SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signa re item 4 if Restricted Delivery is desired. X Agent ■ Print your name and address on the reverse ❑Addressed so that we can return the card to you. B. ceived by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, orpp the front if space permits. e. delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Se ice Type Mrtified Mail ❑Express Mail ❑,Registered GQRetum Receipt for Merchandise ❑1nsured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number c� 1! € 11170061 0 81 :0000 35 2 4° 5 2 4 ,�/ (Transfer from service labeo 1 i ( � f ( P PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-16x40 i UNITED STATES POSTAL SERVICE I First-Class Mail � Postage&Fees Paid LISPS Permit No,G-10 I% I I • Sender: Please print your name, address, and ZIP+4 in this box • I I s Town of Barnstable Health Division I 200 Main Street I Hyannis,MA 02601 I HE RFM RN ADD • -... I Op tME r Town of Barn table $' ' U.S.POSTAGE>>PITNEYBOWES J Public Health Division �:�' ■+ RARNaSTABLE�e` 200 Main,Street ." =•'-MASS ro� Hyannis,MA 02601 LIR'0260 00.7.95° ` . 00013614.75 FEB. 01. 2012 -47006 0810 0000 3524 5270 1 .y -John Sarkies ; 63 Ginger Lane - Centerville, MA-02632 ' NIXIE 029 DE :t 00 02/19112 ' RETURN TO SENDER UNCLAIMED UNABLE TO FORWARD BC: 02601400200 *20E,4-08993-10-05 O28O1.Q400 I COMPLETE3NMOMUOU IV lip • COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature j I item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee 1 i so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this'eard to the back of the mailpiece, �. or on the 466t if space permits. .. I D. Is delivery address different from item 19 ❑Yes 1 I . Article Addressed to: If YES,enter delivery address below: ❑ No ( I i I I I John Sarkies I. I 63 Ginger L. 3. Service Type I �ified Mail ❑Express Mail Centerville, MA V� 'O Registered Return Receipt for Merchandise ---- - -- I ❑ Insured Mail 'LJ Cro.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I # 1 2. Article Number 1 7006 0810 0000 3524 5270 I (Transfer from service label) I PS.Form 38111,Febrriary 2004 `i! t Domestic Return Receipt 102595 02-M-1540 I �-'•`""i5..,,-�-r�,'orr+n�.i�abr�.F:.��.: riw'�R`Fii4c�.«h�+�..n-.. ...✓'�'3-�re.,3.ttlw.��+�'�"+-�'0 � &w Homs&WARREN,n THE COMMONWEALTH OF MASSACHUSETTS FORM30 C BOARD OF HEALTH CITY/T WN ! a k W � a DEPARTMENT �J ADDRESS G,M SVey`ew TELEPHONE Address 3 Occupant �'� Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_ No Stories r Name and address of owne (( � �•Lvt r tom{ ` .s t�l ��y�/ , !' I - Remarks Reg. Vio. YARD Out Bld s.: Fences: r Garbage and Rubbish Containers' —Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: �vw `.w.�. Hall, Floor,Wall,Ceiling: Hall Lighting: �� Hall Windows: �° �+-c.�r�- t)r HEATING Chimneys: �p , r Ar 0 _,:' B 1 Central ❑ Y ❑ N Equip. Re air ' A / s TYPE: Stacks, Flues,Vents: � ., �► ? C. I)A PLUMBING: _ _ Supply Line_ - ol ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safet and Vents „ rf ELECTRICAL Panels, Meters,Cir.: 11110 ❑ 220 Fusin ,Grnd.: VIV a AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT ` Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks? Kitchen G iN ,..� F, Bathroom � ,..• R / Pantry ' r , Den —Living Room { Bedroom 1 '" K(A-426 1 11 7 G K I Bedroom 2 j Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: }Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove,_ - Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: ,Wash Basin, Shower or Tub.- Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." INSPECTOR TITLE .-- �M. DATE I ' - TIME v �•M• ,�..•- A.M. THE NEXT SCHEDULED REINSPECTION r 7/ �.✓ P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. Barnstable °F T"e ram, Town of Barnstable , r ' R►R;WABM ' Regulatory Services 9 i6 �0� 039. Thomas F. Geiler, Director 2007 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 CERTIFIED MAIL 7006 0810 0000 3524 5263 January 27, 2012 John Sarkies 63 Ginger Lane Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property occupied by you located at 63 Ginger Lane, Centerville was inspected. on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable from COMM Fire Department The following violations of the State Sanitary Code were observed: 105CMR410.352(A)- Occupant's installation and maintenance responsibilities. Electrical power strips were observed to be in disrepair(melted). Observed power cords under rugs. 105CMR410.352(B)- Occupant's installation and maintenance responsibilities. -Overall condition of the interior of the dwelling'is unsanitary due to poor cleaning r = practices within kitchen; ground in filth on carpets; offensive odor throughout dwelling due to cat feces; spoiled food and general poor house keeping. 105 CMR 410.4517 Egress Obstructions. Observed that occupants bedroom second means of egress (windows) is blocked due to clutter of boxes. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by removing any power cords placed under rugs; by removing and damaged electrical power strips; by keeping dwelling in a clean and sanitary condition and exercise reasonable care in the proper use and operation thereof. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Patricia Lally, Owner Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority -a• 5 Barnstable SME Town of BarnstableELUW9rA MAM Regulatory Services m D ter,. Thomas F. Geiler, Director 2007 Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 CERTIFIED MAIL 7006 0810 0000 3524 5256 January 27 2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474-2224 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE 11—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 63 Ginger Lane, Centerville was inspected on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable from COMM Fire Department The following violations of the State Sanitary Code were observed: 105 CMR 410.100 (2) Kitchen Facilities: Stove not working as intended to. (burners not working, ect) - 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The bulkhead leading into basement is in disrepair and needs to be replaced. 105 CMR 410.500: Owner's Responsibility to Maintain-Structural Elements. The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. i 105 CMR 410.200 (A)—Heating Facilities Required. The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Therefore, heating system deemed inoperable. 105CMR410.482- Smoke Detectors. Battery's not provided for smoke detector or carbon monoxide detector. I You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing batteries in smoke detectors and Carbon monoxide detectors in accordance with Mass Fire Codes; by compiling with COMM Fire so that heating system is working as intended to; by ensuring stairs are structurally sound. Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the stove, replacing bulkhead, and comply with building Department requirements on foundation issues listed above. PER ORDER OF TH OARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority j i Barnstable SFIE Town of Barnstable BA MAS& ` Regulatory Services Ee► " Thomas F. Geiler, Director 2007 Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601. CERTIFIED MAIL 7006 0810 0000 3524 5263 January 27, 2012. qQ() John Sarkies 63 Ginger Lane i Centerville MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property occupied by you located at 63 Ginger Lane, Centerville was inspected on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable from COMM Fire Department a i The following violations of the State Sanitary Code were observed: 105CMR410.352(A)- Occupant's installation and maintenance responsibilities.�� Electrical power strips were observed to be in disrepair(melted). Observed power cords 1 under rugs. 105CMR410.352(B)- Occupant's installation and maintenance responsibilities. Overall condition of the interior of the dwelling is unsanitary due to poor cleaning practices within kitchen; ground In filth on carpets; offensive odor throughout dwelling due to cat feces; spoiled food and general poor house keeping. I- 105 CMR 410.451—Egress Obstructions. Observed that occupants bedroom second means of egress (windows) is blocked due to clutter of boxes. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by removing any power cords placed under rugs; by removing and damaged electrical power strips; by keeping dwelling in a clean and sanitary condition and exercise reasonable care in the proper use and operation thereof. i I i PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable `Cc: Patricia Lally, Owner Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority I i I U !. J J oF1HE To Town of Barnstable Regulatory Services BMW&rABUEMass. Thomas Thomas F. Geiler, Director 1639. DMA'S Public Health Division' Thomas McKean, Director f` 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 / b LI Fax: 508-790-6304 P.76 Certified Mail. 7006 0810 0000 3524 5249 January 27,2012 Patricia Lally 4.Old Mystic Street Arlington, MA 02474 . Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code,Chapter I: General Administrative Procedures and.105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on January 27, 2012 conducted an investigation of a dwelling unit . located at 63 Ginger Lane Centerville, MA. The owner's name of this dwelling unit is Patricia Lally. The occupant(s) name(s) is John Sarkies. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E) the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) - Interior of dwelling had an accumulation of garbage and filth which may contribute to the creation or spread of diseases. 410.750(K)—The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 410.750(K)—The staircase leading into the basement not structurally sound. 410.750(L)—The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Q:\Order Letters\Condemnations\63 ginger lane 1-27-12 Based upon these findings any and all occupants are hereby ordered to vacate within (24)twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from$104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. PER ORDER OF BOARD OF HEALTH omas A. McKean, CHOIRS Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority. QAOrder Letters\Condemnations\63 ginger lane 1-27-12 �w Date ja To Whom It May Concern: voluntarily grant permission`to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector)to inspect my dwelling unit Llocated at 1 h Codury zmZ � /—In accordance (Hous #, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code(Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on J�n /2 �'-I hereby authorize and name (Date of ins ectign) el V '�-t be my tenant representative for the Veldd (Occupant representative purpose of this inspection. d 'i an adult person O c cupant:repres entative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.)' s i Occupants ignature \ Date ccupa Representative Signatur \ Date Q:\Rental Ordinance\inspection permission 2.doc I " Health Master Detail Page 1 of 1 aae_[F�' Logged In As: TOWN\oconneit Health Master Detail Friday,January 27 2012 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 247-144 Location: 63 GINGER LANE, CENTERVILLE Owner: MCGURL, DAVID P & Business name: Business phone: Rental property: r Deed restricted: r Number of bedrooms Contaminant released: r Fuel storage tank permit: ..._ � Save Parcel Changes_a � ,� ,Return#o Lookup • Parcel Info Parcel ID: 247-144 Developer lot: Location:63 GINGER LANE Primary frontage: 100 Secondary road: Secondary frontage: Village:CENTERVILLE Fire district:C-O-MM Town sewer exists at this address:NO Road index:0604 Interactive map: � - AP (Aquifer Protection Overlay Town zone of contribution:District) State zone of contribution:OUT Owner Info Owner: MCGURL, DAVID P & Co-Owner:LALLY, PATRICIA A Streets:4 OLD MYSTIC ST Street2: City:ARLINGTON State:MA Zip: 02474-2224 Country: Deed date:05/15/1985 Deed reference:4549/260 Land Info Acres: 0.11 Use: Single Fam MDL-01 Zoning:RB Neighborhood: 0105 Topography:Level Road:Unpaved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1965 1900 1950 3 Bedroom Al Full + 1H 71 Buildings value:sr69,200.00 Extra features: x22,000.00 Land value: x93,600.00 s http://issgl2/intranet/healthMaster/flealthMasterDetail.aspx?ID=247144 1/27/2012 a a 4: Fax Send Report JAN-30-2012 09:42 MON Fax Number • 15087906304 Name BARNST HEALTH Name/Number 915087789312 Page 3 Start Time JAN-30-2012 09:42 MON Elapsed Time 00'36" Mode STD ECM Results [O.K] 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 200 Maio Street, Hyannis,:MA 02601 DATE: NUMBER OF PAGES TO FOLLOW: TO: FROM: Tv' PHONE: PHONE: (508)862-4644 FAx P�xo '7-7 FAX PHONE; (508)790-6304 cc: NoTr,:s/covfwNTs: G i Q Tax rofmaor `v I P�oFIHerowti Town of Barnstable ,STM Regulatory Services Thomas F. Geiler,Director �rED MA'S A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 :Y DATE: NUMBER OF PAGES TO FOLLOW: TO: FROM: _ , �c PHONE: PHONE: (508)862-4644 FAX PHONE: FAX PHONE: (508)790-6304 cc: NOTES/COMMENTS: c QAFax Form.doc I oFtHE,�,, Town of Barnstable Regulatory Services snMMIBLE. 9 MAS& Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3524 5249 January 27,2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474 Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on January 27, 2012 conducted an investigation of a dwelling unit located at 63 Ginger Lane Centerville, MA. The owner's name of this dwelling unit is Patricia Lally. The occupant(s) name(s) is John Sarkies. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E)the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) - Interior of dwelling had an accumulation of garbage and filth which may contribute to the creation or spread of diseases. 410.750(K)—The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 410.750(K)—The staircase leading into the basement not structurally sound. 410.750(L)—The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Q:\Order Letters\Condemnations\63 ginger lane 1-27-12 FtHE r Town of Barnstable do Regulatory Services * 9,►FtxsrnBM « MASS. Thomas F. Geiler, Director a Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3524 5249 January 27,2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474 Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards.of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on January 27, 2012 conducted an investigation of a dwelling unit located at 63 Ginger Lane Centerville, MA. The owner's name of this dwelling unit is Patricia Lally. The occupant(s) name(s) is John Sarkies. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E)the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) - Interior of dwelling had an accumulation of garbage and filth which may contribute to the creation or spread of diseases. 410.750(K)—The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 410.750.(K)—The staircase leading into the basement not structurally sound. 410.750(L)—The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Q:\Order Letters\Condemnations\63 ginger lane 1-27-12 r Based upon these findings any and all occupants are hereby ordered to vacate within (24)twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. PER ORDER OF BOARD OF HEALTH omas A. McKean, CHOIRS _ Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority. QAOrder Letters\Condemnations\63 ginger lane 1-27-12 Based upon these findings any and all occupants are hereby ordered to vacate within(24)twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone.who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. PER ORDER OF BOARD OF HEALTH 1:::T omas A. McKean, CHOIRS — Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes,'Barnstable Housing Authority. Q:\Order Letters\Condemnations\63 ginger lane 1-27-12 FORM 30 C,W Hoses&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH CITY/ W b � � DEPARTMENT�•/ , ADDRESS �G,M SVey`eW TELEPHONE Address 63 Occupant Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms-5 No. dwelling or rooming units o. tories Name and addres f owne _S i CNZA M Remarks Reg. Vio. YARD Out Bld s.: Fenc s: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: ==a ` Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: it 1A �O� PLUMBING: Supply Line: a ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box.- Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. WiW. Doors I Floor5 Lock L-1 t6 0). Kitchen51 Bathroom Iwo —Pantry1 ! Den Living Room Bedroom 1 . &<1A Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND j PENALTIES OF P�F.�i INSPECTOR' TITLE DATE -I a— TIME ( �/ ` 3� M• A.M. THE NEXT SCHEDULED REINSPECTION �� P.M. r . ✓,.` .x.r' ,-f `,�.-,,5..;y,iy(„W; • .1.�..,:1:*.6. v. t. - �: .a,�`. it ,� 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. V`�^•�;-.,.,F...a..,.,..ti-'.•r'-�..,.-..�• •"•�.ti.•. `..-..�.-^7rn-m-^'sx"K"'tt'�•.t„.-r•i'!'•"-`'Y`'y""•'E`�"'•'T.•.-,wer4+'"i.-..«...r•-.•--,,.-..v---.-.�^•",'+--�•! N y FORM 30 &w HOBRS 8 WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY�/TOW N W DEPARTMENT ADDRESS - 4•,M yvey`e TELEPHONE Address Occupant_ Floor Apartment No. No.of Occupants No.of Habitable Rooms - No.Sleeping Rooms_ No. dwelling or rooming units—,No.,cStories D An Name and addres of R;L� 4"h . MA Remarks Reg. Vio. YARD Out Bld s.: Fences: d F Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 'j Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: If Li htin : STRUCTURE INT. Hall,Stairwa Obst'n.: Hall, Floor,Wall,Ceilin II'I Hall Lighting: r_ - I' Hall Windows: �l},vl } WIW HEATING Chimneys: A A ol w ,Q Central ❑ Y ❑ N Equip. Re air r w TYPE: Stacks, Flues,Vents: I /01 PLUMBING: Supply Line: / ` �• t� ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vents ELECTRICAL Panels, Meters,Cir.: UA 147 ❑ 110 ❑ 220 Fusing,Grnd.: „ AMP: Gen.Cond. Distrib. Box: (/t� j Gen. Basement Wiring: DWELLING UNIT 4�►" Ventil. L to . Outlets Walls Ceils. Wi Doors I Floors Locks? KitchenL j Bathroom ► 13 \ 14%-'60 A I �► �ri� erg._ i —Pantry1 Den Living Room An 0 Bedroom 1 ( i Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: `Stacks, Flues,Vents,Safeties.- Kitchen facilities Sink �« _.Stove. Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: 1 Infestation `Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES U,A " INSPECTOR TITLE ' I 3� hD DATE �— TIME v M• �'•.� ID A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shali be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor.shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency. 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. it , t :L Barnstable. SHE Town of Barnstable `^ KAM ` Regulatory Services i6 ��r� m Fc ram" Thomas F. Geiler, Director 2007 Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 CERTIFIED MAIL 7006 0810 6000 3524 5256 January 27 2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474-2224 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 63 Ginger Lane, Centerville was inspected on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint_received by the Town of Barnstable from COMM Fire Department . The following violations of the State Sanitary Code were observed: 105 CMR 410.100 (2) Kitchen Facilities: Stove not working as intended to (burners, not working, ect) 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The bulkhead leading into basement is in disrepair and needs to be replaced. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 105 CMR 410.200 (A)—Heating Facilities Required. The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Therefore, heating system deemed inoperable. 105CMR410:482- Smoke Detectors. Battery's not provided for smoke detector or carbon monoxide detector. J You are directed to correct the violations listed.above within twenty-four(24) hours of your receipt of this notice by installing batteries in smoke detectors and Carbon monoxide detectors in accordance with Mass Fire Codes; by compiling with COMM Fire so that heating system is working as intended to; by ensuring stairs are structurally sound. Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the stove, replacing bulkhead, and comply with building Department requirements on foundation issues listed above. PER ORDER OF TH OARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority I c li V y FORM30 Caw HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 13&r►l 5�0�b/� CITY/TOWN ,., (jDEPARTMENT \rr ' ADDRESS M sey`e r TELEPHONE Address 6 Occupant_ �tir � 5 Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms 3 No.dwelling or rooming units_ No.Stories Name and address of ow er Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Draina e Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 1, Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: or�f1t7 Roof Gutters, Drains: Walls: Foundation: Chimney: e 5(`V BASEMENT Gen.Sanitation:— 0Q 7W(o/q Dampness: Stairs: o Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: 7510 X) Hall Windows: HEATING Chimne s: Central ❑ Y ❑ N Equip. Re ai TYPE: Stacks, Flues,Vents: Cezn ._ PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities 5 k Stov — , Bathing,Toilet Facil. Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU INSPECTOR TITLE //��� DATE 274— TIME 0 r'/17d P. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- -mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410:150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway"or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention,and Control, 105 CMR 460.000. ,(See M.G.L. c. 111 @@ 190 through 199.) •,.ram (K) Roof; foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. . (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. 7+�'/�.`':;,wk �,�...--....r.�`tr-x :��:,..i.e '-'�'n,-=�:rTM�....-,K`�-z°L-;,.-.`•::.`.+�„,':-..'..�P + "p.,*;j�'„r.��f"et''""''�"t�"�"z„'+r.,1'�,`'�'tfi"Y+'r-�t`47tiy, ,��.'�"'r,;..�, ^„�,:,,.--'t�''\. % FORM C&w HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS R ., BOARD OF HEALTH 13ArN 5t 10��f� CITY/TOWN ^ b rye � DEPARTMENT ADDRESS TELEPHONE Address 6 Occupant_ -' f ',' Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units_ No.Stories _. Name and address of ow er +'��• a. Remarks Reg. Vio. YARD Out Bld s.: Fence's: 'd /7 n / )Garb4"e,and Rubbish W `Corifainers: ''` 1' .j n r l,- . �•s..,, .�,.,. Drainage d Q1/-_ `7 eZeiv ., Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: +j2 � ' Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: i Roof Gutters, Drains: I I JA4,7 50 K Walls: Foundation: Chimney: V ^ a �,.� v �! b 5 6V BASEMENT Gen.Sanitatiom— Dampness: i t0; ,5w Stairs: ( p ��t,�,s•t.d'`_ lG", Sr�U Lighting: STRUCTURE INT. Hall,Stairway: V Obst'n.: ) Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: n �1 Central ❑ Y ❑ N E ui ' RepaiQOX 1Lxe42 -� TYPE: Stacks, Flues,Vents: c,.,, Esc., ( � �.�-.c„ ♦ ` ,�•�.c� 601 PLUMBING: Supply Line: V V ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vents ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: .� DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen ` Bathroom Pantry Den `' —Living Room Bedroom 1 . Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: - Kitchen Facilities Si ` (Stove 1�1i`d r+---1 .. / /t 411�'jk—I C�l(�•� Bathing,Toilet Facil. `Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: -- - - Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted - Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 1-05CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF c ( . INSPECTOR t TITLE r . ' Y A.M. DATE TIME i v " � P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. r (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (I Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- age, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) QeKRoof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or r dangers or impairment to health or safety. 0 Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or owledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. pFTHE rOk, Town of Barnstable 0 Regulatory Services BAMRrABMASS.'E� Thomas F. Geiler, Director, MA'S Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3524 5249 January 27,2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474 Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on January 27, 2012 conducted an investigation of a dwelling unit located at 63 Ginger Lane Centerville, MA. The owner's name of this dwelling unit is Patricia Lally. The occupant(s) name(s) is John Sarkies. Based on the results of that investigation,the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E)the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) - Interior of dwelling had an accumulation of garbage and filth which may contribute to the creation or spread of diseases. 410.750(K)—The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 410.750(K)—The-staircase leading into the basement not structurally sound. 410.750(L)—The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Q:\Order Letters\Condemnations\63 ginger lane 1-27-12 Based upon these findings any and all occupants are hereby ordered to vacate within (24)twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone.who fails to comply with any order of the board of health.may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. PER ORDER OF BOARD OF HEALTH omas A. McKean, CHOIRS _ Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority. Q:\Order Letters\Condemnations\63 ginger.lane 1-27-12 .q. Barnstable Town of Barnstable ILA s Asp _ Regulatory Services 639. Thomas F. Geiler, Director 2007 Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 - 4 CERTIFIED MAIL 7006 0810 0000 3524 5263 r January 27, 2012 John Sarkies 63 Ginger Lane Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE U—MIhTIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property occupied by you located at 63 Ginger Lane, Centerville was inspected on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable from COMM Fire Department The following violations of the State Sanitary Code were observed: i 105CMR410.352(A)- Occupant's installation and maintenance responsibilities. Electrical power strips were observed to be in disrepair(melted). Observed power cords under rugs. 105CMR410.352(B)- Occupant's installation and maintenance responsibilities. ' Overall condition of the interior of the dwelling is unsanitary due to poor cleaning practices within kitchen; ground in filth on carpets; offensive odor throughout dwelling due to cat feces; spoiled food and general poor house keeping. 105 CMR 410.451—Egress Obstructions. Observed that occupants bedroom second means of egress (windows) is blocked due to clutter of boxes. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by removing any.power cords placed under rugs; by removing and damaged electrical power strips; by keeping dwelling in a clean and sanitary condition and exercise reasonable care in the proper use and operation thereof. I i I - I i ; i G:. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Patricia Lally, Owner Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority - I i i i i i I i i f - V { Barnstable r� Town of Barnstable AFAMMUM '" XAS&` Regulatory Services 9 1�j39, 10� a a ` Thomas F:Geiler, Director 2007 Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 CERTIFIED MAIL 7006 0810 0000 3524 5256 January 27 2012 Patricia Lally 4 Old Mystic Street Arlington, MA 02474-2224 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you-located at 63 Ginger Lane, Centerville was inspected on January 27, 2012, by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable from COMM Fire Department The following violations of the State Sanitary Code were.observed: 105 CMR 410.100 (2) Kitchen Facilities: Stove not working as intended to. (burners not working, ect) 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The bulkhead leading into basement is in disrepair and needs to be replaced. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The foundation wall within the basement on eastern side of the home was observed to be bowed and leaning inward. Its structural integrity has been questioned by Barnstable Building inspector Jeff Lauzon and will require a structural engineer to deem it adequate. 105 CMR 410.200 (A) —Heating Facilities Required. The oil storage tank has failed inspection by COMM Fire and may not be filled until deem safe. Therefore, heating system deemed inoperable. 105CMR410:482- Smoke Detectors. Battery's not provided for smoke detector or carbon monoxide detector. _ I i I �k You are directed to correct the violations listed above within twenty-four(24) hours '.`.. of your receipt of this notice by installing batteries in smoke detectors and Carbon -`` monoxide detectors in accordance with Mass Fire Codes; b compiling with COMM � Y P� � g Fire so that heating system is working as intended to; by ensuring stairs are structurally sound. Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the stove, replacing bulkhead, and comply with building Department requirements on foundation issues listed above. PER ORDER OF'T OARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: John Sarkies, Occupant. Madeline Noonan, Senior Services Kim Gomes, Barnstable Housing Authority