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0189 HIGHLAND DRIVE - Health
189 Highland Avenue v10, -,( Centerville F/R Ay= 190 123 r�r Y 1 0%,f rd. NO._1.52 1/3 0RA u • • �I i J t 'S h , Y o� 1 s 'V I 4 °7 Q Commonwealth of Massachusetts Title 5 Official Inspection Form 1, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .............. 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection 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. Inspector Information 61* (Sg( filling out forms on the computer, use only the tab Michael Sears key to move your Name of Inspector cursor-do not Robert B Our Co INC. use the return Company Name key. 363 Whites Path. VQ Company Address South Yarmouth Ma. 02664 City/Town State Zip Code 508-477-8877 SI 14430 Telephone Number License Number B. Certification I certifythat: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I hav6 determined that the system: 1. ® Passes a►uu nuuu� o OF 2. ❑ Conditionally Passes ����`ya`�••""" •.•sq�;%� MICHAEL '?N' 3. ❑ Needs Further Evaluation by the Local Approving Authority =o; SEARS _*: No.SI14430 :*_ 4. ❑ Fails • �, o: �'%'r'•FRTIF��•' o �� IN 3-23-21 Inspector's Signat 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 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 DER. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 ti Commonwealth of Massachusetts Title 5 Official Inspection Form I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v � 189 Highland Dr. u— Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: System is in working order 4 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form <ii Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is Centerville Ma. 02632 3-23-21 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): 3) 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. a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 189 Highland Dr. V� Property Address t Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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 t - 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. c. Other: i 4) 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 %day flow ❑ ® 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 water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 ❑ ❑ 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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? ❑ ® 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 2019- 51000ga12020-310000ga1 Detail Sump pump? ❑ Yes ® No Last date of occupancy: PresentDate t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ill' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u- 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No - Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 c , Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. u— Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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. r ElOther(describe): a Approximate age of all components, date installed (if known) and source of information:. 8-11-03 #2003-376 Were sewage odors detected when arriving at the site? ❑ Yes ® No z - 5. Building Sewer(locate on site plan): Depth below grade: 29"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 19"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1500 gal If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal 1„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18 How were dimensions determined? Sludge judge, tape - Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 gal tank with two in tees and out tee in place inlet cover 10" below grade t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ........... 189 Highland Dr. u� Property Address Jacqueiine Dutra Owner Owner's Name information is Centerville Ma. 02632 3-23-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No i 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): D Box is 16x16 with 2 outlet pipes, Box at 37" and cover at 16" below grade t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form ' I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): 4. If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 4 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form iI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u!% 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is 4-500 gal dry wells, wells are clean with 6"water and no sign of failure 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer ; Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 c , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ........... 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form l; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v, % 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is Centerville Ma. 02632 3-23-21 required for every — ---- — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 #189 A�•�1'B3•�8 = M ICHAEL '.N =o SEARS ' ) No.SI14430 it t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c� Commonwealth of Massachusetts �n Title 5 Official Inspection Form <I, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 138" 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: 1-12-06 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: No ground water per plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts I1p Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 189 Highland Dr. u Property Address Jacqueline Dutra Owner Owner's Name information is required for every Centerville Ma. 02632 3-23-21 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of:, ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 62 Ted Certified Mail#7006 0810 0000 3524 7595 Town of Barnstable Regulatory Services sn�uasra;$a�> MASS Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 21, 2006 Alma L. Purcell 189 Highland Drive Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 189 Highland Drive, Centerville (rental apartment on the left [North West] side of the main house)was inspected on November 20, 2006 by David W. Stanton R.S., and Timothy B. O'Connell, Health Inspectors for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.201: Temperature requirements. The temperature of the rental unit was observed at 59 Degrees Fahrenheit. 105 CMR 410.354: Metering of Electricity and Gas. Gas has been shut off to rental unit. 105 CMR 410.480: Locks. Rental unit is not secured from unlawful entry. The following violations of the Town of Barnstable Code were observed: 4 170-4 of the Town of Barnstable Code: Owner's Responsibility to Register Rental Unit(s). The unit is not currently registered with the Town of Barnstable Health Division. It is also alleged that you rent other units at the same property location* Note: No carbon monoxide detector was present in the rental unit during the complaint investigation. The rental unit contains gas heat (once the gas is restored as ordered.) The COMM Fire Department has been notified of the lack of a c arbon monoxide d etector being present and may be contacting you to comply, if you are found in violation of the State Fire Code. QAOrder letters\Housing violations\Rental ordinance\189 Highland Drive.doc i d It is also noted that we attempted to contact you via phone on November 20, 2006 and you hung up the phone during the conversation. *Enclosed please find a copy of the Town of Barnstable Rental Registration application. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by immediately restoring the heat (must be maintained between 68 and 78 degrees Fahrenheit from 7AM-11PM a nd a t 1 east 6 4 d egrees Fahrenheit from 11:01 PM-6:59 AM from September 16th to June 14th) and gas to the rental unit, by securing entry doors into the unit from unlawful entry by installing door locks (facing the correct way) and by registering all your rental units with the Town of Barnstable Health Division. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Mike Craig, Tenant Q:\Order letters\Housing violations\Rental ordinance\l89 Highland Drive.doc YOU WISH TO OPEN A BUSINESS? l For Your Information: Business certificates (cost $40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which h ch ou must do by M.G.L.- it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is r required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: a0cj t,u h y'UA Qr- BUSINESS YOUR HOME ADDRESS: 147 �a TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS - n� ' TYPE OF BUSINESS v IS THIS A HOME OCCUPATION? YES NO �A J ADDRESS OF BUSINESS v MAP/PARCEL NUMBER -1 0 a'� (Assessing] When starting a new business there are several things you must do in order to he in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has. ad of the permit requirements that pertain to this type of business, t7fra(V Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS [LI EN51N.O AUTHORITY] This individual has bn infq'rr� Ic�f�the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 0 TOWN OF BARNSTABLE LOCATION 7 H 1*9 D2 SEWAGE #b o o 3 .3 �>.6 VILLAGE f-A u J�I� ASSESSOR-S MAP & LOT 1 1 D. 2 3 INSTALLER'S NAME&PHONE IN0. S? C.v s'U 8 7-Z i-G:2 SEPTIC TANK CAPACITY a LEACHING FACILITY: (type S o� �eh�E/+J (size) 13 9 NO.OF BEDROOMS S� ' BUILDER OR OWNER 17,) .? J)y .y PERMITDATE: . 0 COMPLIANCE DATE: �II�II U 3 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �rNn'fv��,1d vja No. W03_3 /O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mi5po5al *pgtetn Construction permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot o. r Owner's Name Address and Te No. / / Cam% vrt Assessor's Ma"p/?I .eG - ` /�/✓ Z(/ 17. 1.�1i�l /�!�� !/lam Jv �J Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. - r -2 :7(s- 13 6";� -7 3 i Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5_-5 ZVr gallons per day. Calculated daily flow 6*,6 c T gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. V 5-04' 11" ,4 A-3— Description of Soil Nature of Repairs or Alterations(Answer when applicable) e9 X 2� rJ/ Date last inspected- Agreement: 1 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by&ls Boar f Health. Signe Date �� Application Approved by. Date Application Disapproved for the following reasons Permit No. 7-M Date Issued C�3 NO. �J— a •1 r .7 i �r .lA.s Ir \. �. I ^;r+r � r f Fee i ! , ! c •+�" 001100<1- Entered in computer: I THE COMMONWEALTH OF MASSACHUSETTS yes PUBLIC H ALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for MiOogat *pgtem Con5tructiou Permit Application for a Permit to Construct(---)"Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot o. Owner's Name Address and Tel No. b /� cal f ��,� ,"� 1 � ` 1 Assess r'sMa-p/Par /'"�? �L"fd ✓` (C 1�(/J �if✓�ov/! f90" /33 S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: d Dwelling No.of Bedrooms .S Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow J�S gallons per day. Calculated daily flow ��6�G`. gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description-of.Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore d scribed on-site sewage disposal system in accordance,with the provisions of Title 5 of the Environmental Code and not to place"the system itsoperation until a Certifi- cafe of Compliance has been issued by is'Board of Health: _ Signe Date Application Approved by IleV ` Date Application Disapproved o the following reasons a: Permit No.. ?_CV 3 0 .7(6 Date Issued THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by A 2.el l-I 60 a S at / A 4P.+► ®/1 / �/ �r�?t Q 14 alias been constructed in accordance with the pro •sions of Title 5 and the for Disposal System Construction Permit No. dated 15 "11-D3 Installer e«Y 6 1.-r7 ACT Designer ,/)o 61.6I ?c'Yc.=-, The issuance of this permit shall not be construed as a guarantee that the syst m 11nction as de i e Date d - 1 ©� Inspector - No. 2003_ ?7h Fee 5-0 J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ig o5ai *pgtetu Congtructton Permit Permission is hereby granted to Construct(Repair( )Up ade( )Abandon( ) r System located at '_04 /1i r/ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this Date: Approved by LL iWi uld .b lan- ol rd . mu t kn .. law, -, >- ow .. O omeowners may be what theY're doing is not legal," L Y m r` said Paulette Theresa-McAuliffe, renting illegal accessory director of the Barnstable Acces- z ap�rtmentS Slnce most sgroryAffordable Housing Pro- • Iota on the Cape are Purcell's Centerville ranch house is on,a lot that,like most single-family zoned: residential areas in Cape Cod,is M only zoned to allow a single- By-MARC PARRY family home. I{ STAFF WRITER In these areas,Banstable,grants , 4 �l OMNTERVILLE -The realty several exceptions.You can rent listing pitched it as "so much rooms to up to three boarders.Or 0 hofise for the money,"and Alma you can apply for special permits Y PP Y sP P r Purcell was sold. to.rent to family members. She plunked all her savin s on Or you can join the accessory. „ P g Y j rY the-- down payment, about apartment program, which lets $41,°b00. She planiied .to help you rent to a nonfamily member cover the cost and cushion her as long as that person earns a 4 'r old._age -by renting part of the low to moderate income and you ` hou'se.as a separate apartment: agree to a rent ceiling. r,I. sr - '- A;nec in a few years she hoped . Ina letter to Purcell following,; hetdaughter would move in. his visit,Fitzgerald recommend- en the `Barnstable town ed she consider that option. } building inspector knocked on. She did. And she found that . her door. under its guidelines she can rent t 171have bad news for you,"in- the apartment for no more than s eetor Jack Fitz erald said,ac- $1,018 a month, including -utili j c4ding to. Purcell."You can't ties. re t this apartment." x� - p P Purcell said the mortgage,tax- "Why not?"she asked.. es and utilities amount to$1,500. rr 1`Because it's not legal." She had 'expected to charge at , That was in November.Today, least $1,300.for the apartment, Ptireell said she can no longer plus utilities. . ri afford the mortgage and could - "I cannot make ends meet on lose-the house to foreclosure this What they tell me.i should rent month: this"for, She Said. / KEVIN MINGORA/Cape CodTlmes - =.`I cry;every day,"said Purcell,a Barnstable.Office ofommu- pima Purcell of Centerville tried to rent part of her ranch as a separate apartment but was told that was illegal since her-ranch,like most,. seiuor.citizen who-lives on her nity and Economic Development residential areas in Cape Cod,is zoned only for a single-family home. Sdcial Security and pension,"I Director Kevin Shea expressed l can't sleep,my hair's.falling out. sympathy,at Purcell's Plight but Hyannis condo,she expected to. the building inspector's appraisal main a two-family home. Purcell.said her real estate 'min an awful mess" said the accessory apartment have no need for the amnesty.. of the house was wrong: Perry did not return a phone agent pointed.that out. But she- ; Ier story:illustrates the dan program is in place.to create program-because she believed He said the house was'bonvert- call seeking comment. also pointed out that the previ- eM of renting out,accessory more affordable housing. the house was for two families.' ed to a two Tamily home before ' The house's sale listing.states ous owners.had rented out the Z tments-without a full under- "It wasn't.intended to be for . She still believes it.Her lawyer, the district it sits on was.zoned. .that the extra unit attached to apartment, leaving her the im- sta ding.of the laws and without everyone,".he said. Paul Revere, wrote in a Nov 17 single-family Under the town's the house is not a Legal apart- pression that'she could,too. , auorization from the tow When Purcell moved to 'the letter 'to Barnstable Building laws for pre-existing uses, he went,but ideal for family-mem- "I didn'.t know I was supposed n. .q' Meople just aren't aware that new house from a comfortable .Commissioner Tom Perry.that. said, it should be allowed to re- ber or in-law permit", to go through the town,"she said. November 30, 2006 Alma Purcell, 189 Highland Ave, Centerville Tenants: Mike Craig&Danielle Smith(508-367-8634 and Michaela Craig, 2 yrs old Mrs. Purcell came into the Building Division this morning to complain about the cost estimate she received to completely demolish the apartment. She pressed Nancy about what plumbers and electricians would/should charge. Of course,Nancy could not provide her with any of that information and simply gave her the permit fee schedule and the corresponding application fee. Town of Barnstable pTHE Tp� -�•l, Regulatory Services o� Thomas F.Geiler,Director `* BaaxsraBLE. * Building Division y Mass. 1639. �0$ Tom Perry, Building Commissioner A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 30, 2006 Office Jennifer Ellis Barnstable Police Dept. 1200 Phinney's Lane Hyannis, Ma. 02601 Dear Officer Ellis, It was very nice to meet you Wednesday afternoon at Alma Purcell's property. I am enclosing a copy of the newspaper article that Mrs. Purcell referred to during our inspection. I am also enclosing a copy of her letter to David Stanton written on Thanksgiving Day. Ever since we left the site I've been turning this situaticyn around and around in my head. I now believe that Mrs. Purcell deliberately let the gas be turned off in order to inspire her tenants to leave. It dawned on me later that she had an electric stove and she admitted to using electric space heaters for herself. This means that she is not going with out for now and she thinks she can afford to out wait her tenants as conditions are likely to be more uncomfortable for them. (I believe the apartment has a separate electric meter so Mrs. Purcell does not have to worry about the electric charges). After we got back to the office David spoke to someone at the TOB Senior Center. That person will try to ferret out the names of her children for us but also told David that they think one of Mrs. Purcell's children is an attorney. The Senior Services contact promised to call when and if additional information came to light. Again, I would like to thank you for your assistance in this matter. I sincerely hope we can resolve this issue to the benefit of all. Si cerely, Robin Giangregorio Zoning Enforcement Officer CC:David Stanton,Health Inspector FPO Frank Pulsifer,COM Fire Dept. w Div �s_e 'Tl a �iiaiii ` � � � �• i � s ..�. t �- , , f a T ` � � fj F � � �, 4 �! ` . '� ..+ r .�_ � � 2 . f ' F, �e �i e 4 r: �. �i c. �'� r 1, f � t 'f ' .i i{{ -1, 1 f l( d-lloG (,P /U .2S-� gin- l r I Citizen Web Request Page 1 of 3 Town of Barnstable Citizen Request Cer 11/20/2006 12:20:55 PM MASS -jTAW.E.�., AVS Citizen Request Management Search Requests Request Information Request ID: 20556 Created: 11/20/2006 10:27:28 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office � Chapter II Housing Anonymous: Yes Request Category: Substandard 19 20 21 22 23 T4226 27 28 29 30 3 4 5 6 7 Created By: Fontaine,Tina Priority: High Health Office Requestor Information Requestor Request DETAILS: LOCATION: 189 HIGHLAND DRIVE Centerville, Ma 02632 Request Parcel Number from earlier complaint landlord Map: 190 Block: 23 'Lot: has now shut off the heat in the apartment. The house is very cold Parcel Lookup and they have a young baby in the house. Email: Edit Requestor Information http://issgl/lntemalWRS[WRequest.aspx?ID=20556 11/20/2006 Citizen Web Request Page 2 of 3 G Track Request Progress Request Work History: Internal Note History: Entered on 11/20/2006 10:26:39 AM by Fontaine, Tina System entry on 11/20/2006 10:26:39 AM: Assigned to O'Connell,Timothy Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) j -. Spell Check Spell Check Add document or image link: I 7 Browse. . * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: F,7 Response time: 0 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. () Save changes 1-, Check to notify town employee below Save changes and notify to review this request. Health Office citizen* c7... Close request and notify citizen* Agostinelli, Joan L Brief message to reviewer: *notify works if email address was given http://issql/lntemalViRS/WRequest.aspx?ID=20556 11/20/2006 Citizen Web Request Page 3 of 3 Spqll Gh6 Printer Friendly Version http://issql/lntemalVVRS/WRequest.aspx?ID=20556 11/20/2006 Parcel Detail Page 1 of 3 r Ell T.-IL1 ASS Logged In As: Parcel Detail Monday, Novemb, Parcel Lookup Parcellnfo Developer Parcel ID j 190-123 I I LOT 41 Lot? Location 1189 HIGHLAND DRIVE Pri Frontage 1173 Sec Sec Road'IGLENWOOD AVENUE I Frontage 105 Village ICENTERVILLE I Fire District C-O-MM m _ _-___--------------- .-._-_._ __........ _ Sewer Acct I Road Index F0708 { - �� Interactive p 4 . a� Owner Info Owner PURCELL, ALMA L I Co-owner Streetl 1189 HIGHLAND DRIVE I Street2 F� city jCE TERVILLE state IMA zip 02632 Country US Land Info Acres 10.41 Use;Single Fam MDL-01 zoning RC Nghbd j0106 Topography;Level Road [Paved utilities E Public Water,Gas,Septic , Location Construction Info uilding 1 of 1 Year`1961 I Root ;Gable/HipI Ext Wood Shingle I Built Struct Wall Effect 2949 Roof As h/F Gls/Cm AC 1 None Area I Cover p p l Type I Style Bed Ranch wall Drywall Rooms E5 Bedrooms Model Residential Int Bath 3 Full Floor. Rooms 3 Heat- Total Grade;Average Minus Type Elec Baseboard Rooms 111 Rooms I http://issql/intranet/propdata/ParcelDetail.aspx?ID=13203 11/20/2006 Parcel Detail Page 2 of 3 h Y!.i �GGR FQ j � Stories`1 Story Electric Typical Fuel_ ation Heat Fou nd- t ............. ..... .... Permit History Issue Date Purpose Permit# Amount Insp Date Comm. 7/7/1998 New Roof 31957 $3,000 1/1/1999 12:00:00 AM Visit History Date Who Purpose 4/2/2004 12:00:00 AM Paul Talbot Meas/Listed 8/3/2001 12:00:00 AM Paul Talbot Meas/Listed Sales History Line Sale Date Owner Book/Page Sale P 1 8/18/2003 PURCELL, ALMA L C170231 2 5/11/1998 DUNHAM, WILLIAM G & REBECCA B C148461 3 10/15/1994 DUNHAM, WILLIAM G C135315 4 DUNHAM, GRANT W C71721 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2006 $189,500 $2,900 $0 $174,800 2 2005 $168,700 $2,900 $0 $160,500 3 2004 $158,300 $3,000 $0 $160,500 4 2003 $115,000 $3,000 $0 $46,400 5 2002 $115,000 $3,000 $0 $46,400 6 2001 $118,400 $3,000 $0 $46,400 7 2000 $90,400 $2,900 $0 $28,400 8 1999 $90,400 $2,900 $0 $28,400 9 1998 $90,400 $2,900 $0 $28,400 10 1997 $133,000 $0 $0 $21,300 11 1996 $133,000 $0 $0 $21,300 12 1995 $133,000 $0 $0 $21,300 13 1994 $111,700 $0 $0 $25,500 http://issgl/intranet/propdata/ParcelDetail.aspx?ID=13203 11/20/2006 Parcel Detail Page 3 of 3 14 1993 $111,700 $0 $0 $25,500 15 1992 $127,300 $0 $0 $28,400 16 1991 $143,400 $0 $0 $49,700 17 1990 $143,400 $0 $0 $49,700 18 1989 $143,400 $0 $0 $49,700 19 1988 $136,300 $0 $0 $20,800 20 1987 $136,300 $0 $0 $20,800 21 1986 $136,300 $0 $0 $20,800 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=13203 11/20/2006 �� '7 s�uw - lh � f P (jo o 7-2 y-4 I{ i Doc:935,612 08-18--2M 3r31 QUITCLAIM DEEDct fe a 17OZ31 BPADWABLE LAID CUM REGISTRY WE,WILLIAM G. DUNHAM and REBECCA B. DUNHAM,of 422 Meeker Street, South Orange, NJ 07079 in consideration paid of THREE HUNDRED THOUSAND AND 00/100 ($300,000.00)DOLLARS grant to ALMA L. PURCELL, Individually of 710 Pitchers Way, Apt. 35E, Hyannis, MA 02601 with QUITCLAIM COVENANTS The land, together with the improvements thereon, situate and commonly known as 189 Highland Drive, Centerville, and being more particularly bounded and described as follows: SOUTHEASTERLY by Beachplum Road, eighty-four and 22/100 (84.22)feet; SOUTHERLY by the junction of said Road and Cranberry Drive on a curved line measuring forty-two and 01/100(42.01)feet; SOUTHWESTERLY by said Drive, one hundred fifty-one and 76/100(151.76)feet; NORTHWESTERLY by Lot 42, one hundred twenty-five(125)feet; and NORTHEASTERLY by a portion of Lot 45, one hundred twenty and 07/100(120.07)feet. All of said boundaries are determined by the Court to be located as shown on Plan 30545-A(Sheet 2), dated March 1, 1960, drawn by Charles N. Savery Co., Surveyors, as modified and approved by the Court, and filed in the Land Registration Office at Boston, a copy of a portion of which is filed in Barnstable County Registry of Deeds in Land Registration Book 212, Page 21 with Certificate of Title No. 27521 and said land is shown thereon as LOT 41. There is appurtenant to said land a right of way over the streets and ways as shown on said plan for all purposes for which street and ways are commonly used in the Town of Barnstable, in common with others lawfully entitled thereto. Said land is subject to restrictions dated April 5, 1962 being Document No. 74,619, but only insofar as now in force o ce and of effect. Said land is subject to a Taking of Beachplum Road by the Town of Barnstable dated April 2, 1964 being Document No. 87,635. Said land is subject to a Taking of Cranberry Drive by the Town of Barnstable dated April 2, 1964 being Document No. 87,640. For title reference see deed recorded with the Barnstable County Registry District of the Land Court on May 11, 1998 as Document No. 725,985,with Certificate of Title No. 148,461. PROPERTY ADDRESS: 189 Highland Drive,Centerville, MA 02632 a WITNESS our hands and seal this day of August, 2003. ZZ/ William G. Dunham Rebecca B. Dunham COMMONWEALTH OF MASSACHUSETTS cc Barnstable, ss August 10 2003 Then personally appeared the above named William G. Dunham and Rebecca B. Dunham and acknowledged the foregoing instrument to be their free act and deed, before me. Notary ublic: My Commission Expires: 22 2 Q 6-5 Ty MY of DEEDS �0 COUNTY EXCISE TAX -TABLE DATE 09.18.'03 NON i 2:4VN 04 000000 AM TAX $684.00 TOTAL $684.00 F 4IM6.00 CASH t684.00 CXk *1026.00 CLERK 1 NO.016992 TINE 14:43 2222 BARNSTABLE REGISTRY OF DEE06 Docs957,106 02-09-2064 11:57 BARNSTABLE LAND COURT RE6I57RY HOME EQUITY LINE OF CREDIT MORTGAGE Loan No.901534362 MORTGAGE,MADE AS OF THE DATE OF EXECUTION HEREOF,between the Mortgagor(s), Alma L.Purcell of 189 Highland Drive,Centerville,Barnstable County,Massachusetts 02632(herein`Borrower") and the Mortgagee,The Cape Cod Five Cents Savings Bank,having its principal place of business at Main Street, Harwichport,Massachusetts 02646(herein"Lender"), WHEREAS,the Borrower has entered into a Home Equity Line of Credit Agreement(herein"Agreement"or "Note")with the Lender,of even date herewith,which pemrits the Borrower to borrow from time to time on a revolving credit basis up to TEN THOUSAND AND 00/100($10,000.00)DOLLARS and the Agreement,among its other terms, (a)requires the Lender to advance funds from time to time to Borrower up to the above-described maximum line of credit upon the request of the Borrower therefor without any discretion in Lender provided the Agreement is still in full force and effect at the time the request is received by the Lender and provided that the Borrower is not in default under the Agreement or under this Mortgage,or any other agreement the Borrower has with the Lender;(b)requires the Borrower to make minimum monthly payments based on a specified formula;(c)anticipates that from time to time there may be no indebtedness outstanding of Borrower to Lender,however,Borrower will have the right thereafter to incur further indebtedness to Lender pursuant to the terms of the Agreement by making a request for an advance under the Agreement (it being the intent of the parties that any such advance shall be secured by this Mortgage with the same priority as if such advance had been made on the date of this Mortgage thereby maintaining Lender's mortgage interest in the Property with priority over any and all encumbrances,whether voluntary or involuntary,which attached to the Property and were perfected subsequent to the date of the recording of this Mortgage in the applicable Registry of Deeds,including without limitation,subsequently recorded mortgages,attachments and liens). This Security Instrument secures to Lender(a)the repayment of the debt evidenced by the Note,with interest,and all renewals, extensions and modifications;(b)the payment of all other sutras,with interest,advanced under paragraph 6 to protect the security of this Security Instrument and;(c)the performance of Borrower's covenants and agreements under this Security Instrument and the Note. For this purpose Borrower does hereby mortgage,grant and convey to Lender,with the Statutory Power of Sale,the following described Property located in Barnstable,Barnstable County,Massachusetts: LOT 41 PLAN 30545-A(Sheet 2) Subject to and with the benefit of all rights,rights of way,reservations,restrictions,covenants and easements of record, insofar as the same are in force and effect. For title,see Deed recorded at the Barnstable County Registry District of the Land Court as Document No.935,612, Certificate of Title No.170231. Which has the address of 189 Highland Drive,Centerville,Massachusetts 02632(herein"Property Address"). TOGETHER WITH all the improvements now or hereafter erected on the property,and all easements,rights, appurtenances,rents,royalties,mineral,oil and gas rights and profits,water rights and stock and all fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument.All of the foregoing is referred to in this Security Instrument as the"Property". BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to mortgage,grant and convey the Property and that the Property is unencumbered,except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands,subject to any prior encumbrances of record. THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real property. UNIFORM COVENANTS Borrower and Lender covenant and agree as follows: 1.Payment of Principal and Interest. Borrower shall promptly pay when due the principal of and interest on the debt evidenced by the Note. 2.Application of Payments. Unless applicable law provides otherwise,all payments received by Lender under paragraph 1 shall be applied rust,to late charges due under the Note;second,to prepayment charges due under the Note; third,to the interest due;and last,to principal due. 3.Charges;Liens. Borrower shall pay all taxes,assessments,charges fines,and impositions attributable to the Property which may attain priority over this Security Instrument,and leasehold payments or ground rents,if any. Borrower shall pay them on the time due to the person owed payment. Borrower shall promptly furnish to Lender all notices of amounts to be paid under this paragraph. Borrower shall promptly furnish to Lender receipts evidencing the payments. Borrower shall promptly discharge any lien which has priority over this Security Instrument unless Borrower: (a)agrees in writing to the payment of the obligation secured by the lien in a manner acceptable to Lender;(b)contests in good faith the lien by,or defends against enforcement of the lien in legal proceedings which in the Lender's opinion operate to prevent the enforcement of the lien or forfeiture of any part of the Property;or(c)secures from the holder of the lien an agreement satisfactory to Lender subordinating the lien to this Security Instrument. If Lender determines that any part of the Property is subject to a lien which may attain priority over this Security Instrument,Lender may give Borrower a notice identifying the lien,Borrower shall satisfy the lien or take one or more of the actions set forth above within 10 days of the giving of notice. 4.Hazard Insurance. Borrower shall keep the improvements now existing or hereafter erected on the Property insured against loss by fire,hazards included within the term"extended coverage"and any other hazards for which Doca1s015v446 10-11-2005 12s40 Loan No.901534362 BARNSTABLE LAND COURT REGISTRY AMENDMENT OF HOME EQUITY LINE OF CREDIT AGREEMENT AND MORTGAGE (Increase Borrowing Limit) Whereas,Alma L.Purcell,is(are)the Borrowers(s)(hereinafter the"Borrower(s)")named in certain documents entitled"HOME EQUITY LINE OF CREDIT AGREEMENT,NOTE AND DISCLOSURE STATEMENT"and"HOME EQUITY LINE OF CREDIT MORTGAGE",which mortgage is registered as Document No.957,106,noted on Certificate of Title No. 170231 (hereinafter collectively the"Loan Agreement Documents"),respectively,said documents being dated February 5,2004;and, , Whereas,The Cape Cod Five Cents Savings Bank(hereafter the"Ban)C"),is the present owner and holder of the Loan Agreement Documents;and, Whereas,the Borrower(s)is(are)entitled to Borrower from the Bank the sum of Ten Thousand and 00/100 ($10,000.00)Dollars,consistent with the terms and conditions of the Loan Agreement Documents;and, Whereas,the Borrower(s)have requested that the Bank increase the amount of credit available under the Loan Agreement Documents;and, Whereas,the Bank is willing to increase the amount of the maximum line of credit available under the Loan Agreement Documents,in accordance with the request of the Borrower(s),and as hereinafter provided, Now,therefore in consideration of the mutual promises contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged and conclusively established,it is agreed that: 1. From and after the date of the recordation of this Agreement,and the expiration of any recission period,if applicable,the amount of credit available pursuant to the Loan Agreement Documents shall be Twenty-Six Thousand and 00/100($26,010.00)Dollars,and shall not exceed that amount,except as otherwise expressly provided in the Loan Agreement Documents; 2. This Agreement shall be binding upon the Parties hereto,their respective heirs,executors,administrators, successors and assigns; .3. Closing Costs. Total Amount Due$150.00 Title Examination Fee$150.00 Appraisal Fee$0.0 0 Credit Report$0.0 0 Recording Fee $ 0.0 0 Flood Certification$ 0-0 0 ; 4. In all other respects,the terms and conditions of the Loan Agreement Documents are hereby ratified, republished and confirmed; 5. This document is executed as multiple counterparts,each of which shall for all purposes be deemed to be an original,and all of such counterparts shall together constitute but one and the same instrument. Alma L. c Borrower Date: d� Locus: 189 Highland Drive,Centerville,Massachusetts Title Reference:Document No.935,612,Certificate of Title No. 170231 Doc c 1.039 P 847 07-24-2006 12:17 BARNSTABLE LAND COURT REGISTRY Loan No.901534362 FURTHER AMENDMENT OF HOME EQUITY LINE OF CREDIT AGREEMENT AND MORTGAGE Whereas,Alma L.Purcell,is(are)the Borrowers(s)(hereinafter the"Borrower(s)")named in certain documents entitled"HOME EQUITY LINE OF CREDIT AGREEMENT,NOTE AND DISCLOSURE STATEMENT"and"HOME EQUITY LINE OF CREDIT MORTGAGE",which mortgage is registered as Document No.957,106,noted on Certificate of Title No. 170231,respectively,said documents being dated February 5,2004,amended by a certain instrument entitled"AMENDMENT OF HOME EQUITY LINE OF CREDIT AGREEMENT AND MORTGAGE"dated October 5,2005,registered as Document No. 1,015,446,noted on Certificate of Title No. 170231 (hereinafter collectively the"Loan Agreement Documents");and, Whereas,The Cape Cod Five Cents Savings Bank(hereafter the"Bank"),is the present owner and holder of the Loan Agreement Documents;and, Whereas,the Borrower(s)is(are)entitled to Borrower from the Bank the sum of Twenty-Six Thousand and 00/100($26,000.00)Dollars,consistent with the terms and conditions of the Loan Agreement Documents;and, Whereas,the Borrower(s)have requested that the Bank increase the amount of credit available under the Loan Agreement Documents;and, Whereas,the Bank is willing to increase the amount of the maximum line of credit available under the Loan Agreement Documents,in accordance with the request of the Borrower(s),and as hereinafter provided, Now,therefore in consideration of the mutual promises contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged and conclusively established,it is agreed that: 1. From and after the date of the recordation of this Agreement,and the expiration of any recission period,if applicable,the amount of credit available pursuant to the Loan Agreement Documents shall be Thirty-One Thousand and 00/100($31,000.00)Dollars,and shall not exceed that amount,except as otherwise expressly provided in the Loan Agreement Documents; 2. This Agreement shall be binding upon the Parties hereto,their respective heirs,executors,administrators, successors and assigns; 3. Closing Costs. Total Amount Due$0.00 Title Examination Fee$0.00 Appraisal Fee$0.00 Credit Report$0.00 Recording Fee $0.00 Flood Certification$0.00; 4. In all other respects,the terms and conditions of the Loan Agreement Documents are hereby ratified, republished and confirmed; 5. This document is executed as multiple counterparts,each of which shall for all purposes be deemed to be an original,and all of such counterparts shall together constitute but one and the same instrument. Alma L.Purcell Borrower Date: y 7-~/ Locus: 189 Highland Drive,Centerville,Massachusetts Title Reference:Document No.935,612,Certificate of Title No. 170231 Stanton, David From: Fontaine, Tina Sent: Wednesday, November 29, 2006 10:09 AM To: Stanton, David; O'Connell, Timothy Subject: Highland F.Y.I. David, Tim, Barnstable Police called to let you know that they found out that there is a third apartment at this location. They spoke to elder services and they told them that they have a third apartment. The B.P.D. said they are going out there with the building department this afternoon. The tenant and the landlord have an agreement that there is no heat in the room they use a space heater instead. The room is located between the garage and the house. Thank you, Tina C. Fontaine Tower of Barnstable Health DMs6on 11/29/2006 :: P. 1 COMMUNICATION RESULT REPORT ( NOV.21.2006 11:01AM ) TTI BARNSTABLE BOARD OF HEALTH FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE ---------------------------------------------------------------------------------------------------- 654 MEMORY TX 915087902385 OK P. 2/2 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION +Y 'Iowan of Barnstable .�. Regulatory Services Tomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 DATE: d NUMBER OF PAGES TO FOLLOW: TO: ,n n ` FROM: ` V /v! t �4✓+ Agri _- M 0 0, "A . PHONE - 3 5� PHONE: (508)862-46" FAX FAX PONE: (308)790-6304 cc: Town of Barnstable a Regulatory Services BntiNSTABLL « Thomas F. Geiler, Director MAM Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 21, 2006 Attn: COMM Fire On November 20, 2006 Health Inspectors David W. Stanton, RS and Timothy B. O'Connell conducted a housing complaint investigation. The State Department of Public Health has not promulgated regulations for CO detectors into 105 CMR 410.000 the State Housing Code to date. It is the policy of the Town of Barnstable Health Division to take similar actions for CO detector violations as is currently required for smoke detector violations (under 105 CMR 410.482), which is to notify the Fire Department if there is a violation, or possible violation observed. The following property had possible CO detector violations: 189 Highland Drive, Centerville, Assessors Map-Parcel: (190-123) (apartment on the left (North-West) side of the main dwelling: -No CO detector present in the rental dwelling unit. Said rental unit contains a gas furnace. ***Note, at the time of the inspection, the gas had been shut off to the unit,but the owner is under order to have the gas restored within 24 hours*** i,- 1P.-Z , vid W. Stanton, RS- ealth Inspector Q:\Order letters\Housing violations\Rental ordinance\\Fire Violations\189 Highland Drive-Fire.doc Stanton, David From: Fontaine, Tina Sent: Monday, November 27, 2006 10:22 AM To: Stanton, David Subject: Highland Drive The tenants from Highland Drive called back. They received your letter in the mail stating that if the landlord didn't turn on the electricity she would be fined. As of Saturday she has not turned it back on. They received a letter stating they have to be out of the apartment in 14 days. Because they abused the electricity and they had trash all over the house. They don't know what to do next. Her number is 508-367-8634. Thank you, T�nca C. Fontciine Town of Barnsta.bte Health D6v6sIon 11/27/2006 f� �., � � .. f � r 1 �� e. r e O i;•IAA f s iY kpurcelt� , i50$77 -1257 t 89 Fiig}}��land Dr #1'� - ent rW 02632le,Mq 3 M y 6-0 _ �� jMl�sxd,�. ... ..:�:� ..>..��..:I:e - .-t1i4i3}}{t�il'lti•�!}I}II��.t�itl lt-t}l��.tfi}'I�i':�t}�}il�ifi11�i 13I a - __ � � - q� yr` ,.,: �' •,,,.^'•'�"-.v�—�..-' .. r.�:v4%eL ,:3L�i=3���c^`.y�^"1i#-:tiC ew.�[3�.�;` rvv:itq: �r e�,;e�r'.:i�a — . q q , •/f,. '� Rat L` ° ' � . . _ . .. ./�`�. . J t w / s 04 i VL C4 . I �= 4 44 kZ, f P f , 4 .. p. G� � c l� i � r .- � .- - ,,.-�� . FORM30 C,,__W HOBBSBWARREN M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/T W o DEPARTMENT 74 ADDRE S 1 y 14 TELEPHONE Address ` C � C Occupant Floor Apartment No No. of Occupants �- No. of Habitable Rooms 3 No.Sleeping Rooms l _ No.dwelling or rooming units o.Stories Name and address of owner _ _ 18 q I - ' Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: L4 0. (�,. . Roof #� Gutters, Drains: Walls: J (� Foundation: ' r , Chimney: BASEMENT Gen.Sanitation: di, Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: �G, G 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) v• 55 gklr4f,U ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: p AMP: Gen. Cond. Distrib. Box: r Oro — 0 T3 6 efe- 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 WaterEacIL 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 v TITLE A.M. DATE — — �� TIME v� � 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 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. FORM3O HAW HOBBs&WARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT it ADDRESS (- U ) fit ?h 1 j L. (,f {��TELEPHONE II Address_ C i T L L �. {k'sy� .Occupant i�"�t.r? ! ,1`•4 I Floor Apartment No. No. of Occupants �- No.of Habitable Rooms No.Sleeping Rooms I _ No. dwelling or rooming units No.Stories Name and address of owner s,. A)A ; , can,n. .,. Remarks Reg. Vio. YARD Out Bld s.: Fences: ° Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: ,••) K Q %-A Roof Gutters, Drains: Walls: 04) Foundation: 0 Chimney: f a r BASEMENT Gen.Sanitation: I W _t Y) _ lqkL // b Ae., r Dampness: 1 -.r z ! Stairs: Lighting: n STRUCTURE INT. Hall,Stairway: uo co Obst'n.: 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 Vents 11 0 I t) - ' S 7 Ari� , d e-If ,C.r.7 r-1 ELECTRICAL Panels, Meters,Cir.: ` 1 c - -or JP ,,,, , k ❑ 110 ❑ 220 Fusing,Grnd.: , AMP: Gen. Cond. Distrib. Box: ►i ► D(o — (� oc/¢ '70 Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den k Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 , Hot Water Facil. Sup.Ten:;Gas,Oil, Elect.: 11 J 'y Stacks, Flues,Vents,Safeties: ; Kitchen Facilities Sink z 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." f INSPECTOR i�a�...( . .iitrr�"�," TITLE {' A.M. DATE TIME f iP•M? A.M. THE NEXT SCHEDULED REINSPECTION r.{� At*�f P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety 9 p Y 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. NAME F OFFENDER , v f 1� BAR 70306 TOWN OF ADDRESS OF OF!F DER BARNSTABLE CITY,STATE,ZIP CODE P'n IMP 1 Ile,+ �✓T oa 6 3�- NUMBER OFFENSE NAa\.TAa1L. ! , + u;\A.5 F / l C M R L 0, MYer,�Aj c flr c�f itioq d. O pfav• d"E' �t(� � f C� " J w TIME ND DATE OF VIOLATION ��''��,, LOC TION OF,VIOLATIOJ - - / / W NOTICE OF �" 0 ,(A.M./P.M`)oN i)� � � ,20 U� C�,�r�1;r��t �r>t � CtY�k rL, 4e SIGNATU416F ENFORCING PERSON ENFORCING DEPT;1/ i BADGE NO.. LU VIOLATION .0 y" Ml.� e-r(4V!~?$'r /4,4 Cn CD OF TOWN „I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE E Unable to obtain,signature of offender. )0? .Dv 1 i THE NONCRIMINAL FINE FOR THIS OFFENSE IS S t Date mailed 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 REGULATION 1 You may elect to a the above fine,either appearing In Person between 8:30 A.M.and 4:00•P.M.,Monde through Friday,legal holidays excepted, Q O Y P Y by aPP g P y 9 Y. 9 y P uu before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceedi you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D 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 fall 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�OFFENOER f�,j,In A A11'r r r �l BAR. 7 p 3 0 7 TOWN OF ADDRESS OF OFFENDER�j r ��1� BARNSTABLE CITY,STATE,ZIP CODE ")_P,� e G•ft/r 1/ 0�6 OFFENSE ,/� 1yX f" [�.""' l/ NAN\�'IARIJ:. J S [� )�yA[ 1` ( r Locks . 7 't Ui'� , .fi n Ur1•- LAF� ,fSIA C ,' ! , �� ' of T 1.l�t`�- �1, 6W. V I �� ,639. ED AUD S4 ► U� t : ` l ert rs puo,' lot.K t ! n�t?.t sPt > TIME ANDiDATE OF VIOLATION /I— - f LOC TION Of VIOLATION - W NOTICE OF �Q (A.M.i P, )oN II a-7f 20.0( � i 14-� �, hn �}r,', r >�t'I � SIGNATURE OF'NFOHCI G PERSON ` ENFORCING DEPT. BADGE Nam --- W VIOLATION �f tn1'. 0yu1N�r1.� , H .. N OF TOWN � ,I�HH--EREBY ACKNOWLEDGE RECEIPT OF CITATION X r a ORDINANCE b1 Enable to obtain signature)of offender.. OV Date mailed ; �! THE NONCRIMINAL FINE FOR THIS OFFENSE IS S tl ' LLJ 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. y REGULATION (1)You may elect to pay the above fine,either.by appearingg in person be or ytween mailing8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w Hyanni,MA 02601 bW TH N TW NTY-ONE(in 211)DAYS OF THEDATE OF THIS NOTICE,money order or postal note to Barnstable Clerk,P.O.Box 2430, a (2)If you des ire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D 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 + .A _ _. NAME OF OFFENDER A 1 m 4 r f e 11 DAD 70308 } 0 3 0 8 TOWN OF ADDRESS OF OFFENDERC r ., , A)cso r 0'r(11�.. 1 BARNSTABLE CITY,STATE,ZIP CODE(, i• C^ � i pR Tlw*E►q,. MVIMB REGISTRATION NUMBER - O0 ENSE n (R� BARNS AB.e. ti. o— sir trf f r �' f-' 'E°"u`��• VM'll lw "] '`C'd �at,Vr 6^fn� +�4U i�' 13E1W/4l d ffe ��4A LU v! > TIME AND DATE OF VIOLATION t LOCATION OF VIOLATION WI NOTICE OF ;fl:� (A.M./ P. .)ON f I 7 1 ,200 I$ >'t� 17)H� ��f've, �.1 kryw1/c? -j SIGNATURE�'OF ENFOfiCING PERSON RCING DEPT.' LLr BADGE N0. W VIOLATION ,� � °r�,��+tut7v `J}�� ti,�Tf1 c v t OF TOWN ,HEREBY ACKNOWLEDGE RECEIPT OF CITATION X Ii ORDINANCE ® Unable to obtain.signature of offender.. it+�� THE NONCRIMINAL FINE FOR THIS OFFENSE IS W Date mailed ' 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 REGULATION , maTh. elect to a the above fine,either b a() y pay y appearingyannis,MA In person be or tween g8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w Hyannis,MA 02601,Barnstable THIN TWEN 200 TY-ONE(in 21)DAYS OF THEDATE OF THIS NOTICCE�.money order or postal note to Barnstable Clerk,P.O.Box 2430, � (2)If you desire to contest this matter in a noncriminal proceeCL'ng,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARMS ABLE,MA 02630,Attn:21 D Noncriminal Hearings and encloses 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 R 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 /} i J f jj - -]BAR 7,0311 TOWN OF ADDRESS OF OFFENDER } 'gtl�IAf Pr .. H BARNSTABLE CITY.STATE.ZIP CODE. � J rL i�J n SIRE► .. r h' MV/MB`RIE.GISTTRRATITION NUMBER 'NASA g OFFENS UWP , t / ! +°,�f 1;/. - LLi � f67q. �� rP'A•1.:F17 .J�'f` fN� Olt 1011, 0 :/tir✓'.f�"�/��d�C' 3 t F"1 �� j TIME At� 'DATE OF VIOLATION 1 /� LOCATION OF VIOLATIO ( Z NOTICE OF ' �° (A.M./�M N !( ;.9 ,20 (7 C�� sty ' Pit,v� Ce'4 !'4, LLJ SIGNAT RE OF EN aCING PERSON I ENFORCING DEPT. d BADGE No. W VIOLATION --- �r a rTy f, fA c OF TOWN NEREBY ACKNOWLEDGE RECEIPT OF CITATION X IAj aORDINANCE Unable to obtain,signjtur fe offfender. OV THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed ! uw 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 CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W . REGULATION < (t)You may elect to pay the above fine,either by appearing m person between 8:30 A.M.and 4:00 P.M.;Monday through Friday,legal holidayys 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, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making wrmen 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 �} )r ' BAR 70349 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE a y� ` t (�tp � �1NE►qy '(ef MV/MB REGGISTTRR•ATTION NUMBER � OFFENSg � t ,r•� 1 XAX\S7 ANl.f:. F /.�� / S. S (f,� (� fv. . `: I�i1E' P rl n l o r F4o c f r,,r 1 ��. 5, �f�Ct l j k.••'y, w . TIME AND GATE QF VIOLATION LOC TIONOF I`OLATION Z NOTICE OF ` �U (A.M./'P ON f l � ,20 0 �� lG.r, ;- ,✓�� � ur ,.4. 'f,� J SIGNA U OF ENFOR ING PERSON ' ENFORCING DEPT BADGE NO.. . y VIOLATION 1. �v- w►y af� , r OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE El Unable to obtain signaturdof offender. 118 11 2 C U f THE NONCRIMINAL FINE FOR THIS OFFENSE IS 5,� Date mailed p 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 DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w 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, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (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.21D Noncriminal Hearings and enclose a copy of this citation fora 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. ❑ 1 HEREBY ELECT the first option above,confess to the offense•charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ' BAR 70314 TOWN OF ADDRESS OF OFFENDER £'Ve BARNSTABLE CITY,STATE,ZIP CODE V l OF IKE►Cyr MV/MB REGISTRATION NUMBER OFFENSE f. (/,���fy j) /,l J' t' NAN\AIARLEA fi � �/S I' �V. V V. ""'V� � FA'f a/ Q � JF-0 vAl d Y 'TABS ! - v W ayy. �e 4AIf PIP or I cf rP rfwr;� LU TIME A D DATE OF VIOLATION LOC TI N F IOLATION j `Z NOTICE OF ' / (A.M./ P.Mp ON 20 VIOLATION SIGNURE�E}JFURCINGPE SON f r ENFORCING f BADGE NO. W „�. ray IV } , r ' •�l rr , ° 0 OF TOWN I UJI ,HEREBY ACKNOWLEDGE RECEIPT OF CITATION X ! ORDINANCE ,HEREBY to obtain signat eS of,offender. �1e THE - THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed I PTO w OR w YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL o DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N 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, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d �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 ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNS TABLE,MA 02630,Attu: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 I plena Purcell CARE C(-- D PW A 0-2.5...02'�R 508-775-1257 nb_ Mand_DT. #1 189 Hig f !Centerville,Fy1p02632 04 D: 3 :;1-0-6 PfU € L' >> i jj ! J jj ijj ljjj j }i) iF 3 j i) ij ) Fi F ..... !'77FF!?fF7lF?If1?FFI??1P?fitiil.F?IIIFI?tlilf?t!?itJ-?tFI:lFF7 .' , � ,,� ,� � � � .� �rg1 P ����w �. t t IN Z=i �. j— —�- d= p� t. oltla i 14, jWma Purcell -775-1257 Highland Dr. #1 terville,MA 02632 j �-� C '� _ „q. � � S� 4.�r > S � � h _ � 4e � -.7�s,`.:. t -- _.. . ,I S. ,a d r 1 t COMPLETE1N" COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sigw4ue item 4 if Restricted Delivery'is desired. - -0 Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed.Name) C. p to of Dblivery ■ Attach this card to the back of the mail piece, �J/ L or-on the front if space permits. 3. D. Is delivery address different from item 1 1. Article Addressed to: `wn \ If YES,enter delivery address below: ❑No f Q�1�2 C�l`1�� 3. Service Type t ' IN Certified Mail ❑Express Mail ' ❑Registered W Return Receipt for Merchandise { ❑Insured Mail ❑C.O.D. { 4. Restricted Delivery?(Extra Fee) ❑yes 2..Article Number i �, ; I I=�r� _' I=70Q6'` 08`10'=000`0r 35247595`'" (rmnsfer from 9e►i�lce la6eQ l! :d c t ' PS Form 3811;February 2004 Domestic Return Receipt 102595-02-M-154o UNITED STATESIS �1k}' ' ' � . 'R f I • Sender: Please print your name, address, 1'�LPPf�'ttY I I '�� o��ri♦5� �� o Z 1�o� II I i 4. 7- � l' g t Fe, ! i n f 1 d��1 . Gtiy c Gar, CA f ��� � �� b�°�� � -3��� -�� � �� � _ � _ � � i l i � o , � Certified Mail#7006 0810 0000 3524 7595 Town of Barnstable Regulatory Services RA SW AL 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 November 21, 2006 Alma L. Purcell 189 Highland Drive Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 189 Highland Drive, Centerville (rental apartment on the left [North West] side of the main house) was inspected on November 20, 2006 by David W. Stanton R.S.,and Timothy B. O'Connell, Health Inspectors for the Town of Barnstable,because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.201: Temperature requirements. The temperature of the rental unit was observed at 59 Degrees Fahrenheit. 105 CMR 410.354: Metering of Electricity and Gas. Gas has been shut off to rental unit. 105 CMR 410.480: Locks. Rental unit is not secured from unlawful entry. The following violations of the Town of Barnstable Code were observed: 170-4 of the Town of Barnstable Code: Owner's Responsibility to Register Rental Unit(s). The unit is not currently registered with the Town of Barnstable Health Division. It is also alleged that you rent other units at the same property location* V- Note: No carbon monoxide detector was present in the rental unit during the complaint investigation. The rental unit contains gas heat (once the gas is restored as ordered.) The COMM Fire Department has been notified of the lack of a c arbon in onoxide detector being present and may be contacting you to comply, if you are found in violation of the State Fire Code. QAOrder letters\Housing violations\Rental ordinance\189 Highland Drive.doc It is also noted that we attempted to contact you via phone on November 20, 2006 and you hung up the phone during the conversation. *Enclosed please find a copy of the Town of Barnstable Rental Registration application. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by immediately restoring the heat (must be maintained between 68 and 78 degrees Fahrenheit from 7AM-11PM a nd a t 1 east 6 4 d egrees Fahrenheit from 11:01 PM-6:59 AM from September 16th to June 141h) and gas to the rental unit, by securing entry doors into the unit from unlawful entry by installing door locks (facing the correct way) and by registering all your rental units with the Town of Barnstable Health Division. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Mike Craig, Tenant QAOrder letters\Housing violations\Rental ordinance\189 Highland Drive.doc COURT DATE APPEARANCES Issuing Officers and Christine Palkowski Noticed on April 17, 2007 (Revised: Christine noticed on 4/20/07) 9:00 AM ARRAIGNMENTS and/or PTH (a. Barnstable First District Court DATE OFFENDER BAR NUMBER ISSUING OFFICER 4/27/07 Alma Purcell 70306:70311&70298 Stanton & Edson Clarissa Pryor 75705 Lounsbury 5/3/07 J Bruce MacGregor 77471&71872&77420 Hinckley Erum Arshad 77425 Hinckley Theodore Hitchcock 72613 Giangregorio Elizabeth Schwarzhoff 70329 Edson Sign Man 74765 Hinckley Evan Brann 70020&70021 Lewis 2:00 PM CLERK'S HEARINGS aC� Barnstable First District Court DATE OFFENDER BAR NUMBER ISSUING OFFICER 4/26/07 Frederick Mycock 67363 O'Connell Kimberlee Range 72666&72667 Lewis Note: Please see Sgt. Caiado or Det. Morse @ 8:45 AM at Barnstable First District, Court Clerk's Office, for ARRAIGNMENTS or at 1:45 PM at Barnstable First District, Court Clerk's Office, for CLERK'S HEARINGS, to discuss case details. q/I ois/caforms/courtdateappear.doc Revised 2/20/07 1 a O� affp w, VN= .(,„�, �' y l-✓'kuu.uW&,.�, K ..e. ,/ia,,,, Il�ll.,,,,, 16 u.�E 1.t H 4*1 Citizen Request Management - Internal Use Request ID: 20541 Created: 11/9/2006 8:48:34 AM >r; Status: Closed Assigned To: O'Connell, Timothy Health Office Anonymous: No Category: Section 353-1 Garbage and Rubbish E.C. Date: 11/14/2006 Created By: Barrett, Caitlin Citations: Health Office Time Worked: 1.50 Response Time: 13.50 1 Requestor Details: Email: Request Location: 189 HIGHLAND DRIVE Centerville, Ma 02632 Parcel Number: Map: 190 Block: 123 Lot: 000 Request: Owner is renting out portion of house. Tenants are piling up trash in the kitchen and it is leaking onto the floor, tenants refuse to clean up. They have also changed all locks on doors so owner cannot get in without taking the hinges off. They haven't paid rent and as a result, the owners' heat has been shut off and she has been served an eviction notice because she has been unable to pay her mortgage. (She is an elderly woman living on her own, and she rented out the portion of her home to create another source of income so she could keep her house). Request Work History: Entered on 11/14/2006 11:28:33 AM by O'Connell,Timothy On 11-14-06 at 11:20am called She was very upset and she can not hear well so the conversation was not going well so I told her I will come out and met with her at 1:30pm. There is not much we can do about her complaint but will bring out legal services number for her to call. Entered on 11/14/2006 3:55:34 PM by O'Connell,Timothy On 11-14-06 at 1:45pm went to 189 highland drive. and gave her legal services number. She said this will do her no good and became emotional. I told her we can not gain access to apartment without tenants consent. She also told me her heat is off and she has no food. So when I returned to the office I was informed by DM that there is Elder Services for this situation. So I placed a call and informed them of the whole situation, Le age, no heat, no food. Then at 3:30pm Robin from Zoning Dept. told there has been a lot of trouble with So with this information I will close this complaint. Internal Note History: Entered on 11/9/2006 8:47:44 AM by Barrett, Caitlin She is very upset and scared and cried the entire time on the phone with me. System entry on 11/9/2006 8:47:44 AM: Assigned to O'Connell,Timothy Entered on 11/9/2006 11:08:04 AM by Barrett, Caitlin Just so you know, I did tell her we do not have the authority to evict anyone, and the only thing the health inspectors can do is look into the trash problem. Told her to contact legal services &the police department to see if they can assist her. System entry on 11/14/2006 3:55:34 PM: Request Closed System entry on 11/14/2006 3:55:34 PM: -Please Review- email sent to McKean,Thomas System entry on 11/20/2006 10:14:01 AM: Request Reopened System entry on 11/20/2006 10:15:41 AM: Request Closed NI t 1, L 1. f AjW �h NO .��: r . r-" - .�. �. �ylh! ��Yr ,�.'t i. � r. ! .� *." ' � � � ��. �: �h �' .� r � . c • THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I m ^C&E DATA w ti ti t� KEEP )t 1-100 i \'%111 N1R1 t it Rl :1 k P� RF 1 t1Rt t\1RN oR RI I"klR I l ea a et liarastahk• Re�Abta� tiexsices 1'ttl+lfc lieahh [�.i�iott Wttklrr' a.8warn,. V.k f�tit siff+:.11{ti.kf.i IS i��Re.itJl6�li: log0tof.hx 494 t".mft-MOW a to bbobwwIMs.s,.C'srpr.M�t r WWI !"'W".eo i]tssi M ft.S..Mt 7 a is'trwtl d �t�.iar+v 7.w.-:.N tOrvrabk M;�i air 1�C1M!lti.gN 1ar6s �an+es s��t„s.•r,w, Sr.�.a„+a...+ti4.�._. . 1r.k�Mw 14"OlAt— r1e::.•..��4 'rw«s''0. w,. ..-r.--A�,•. :ee' 4Iof" :Rryolrwwmn sr tterer.. *.wad dsi:\tr tCta ra#.,S,V 1 :- Nr` wM^E s-s 1— All- err,.�,f+r .�'n .:.cr .•a Iru r cu VLJ ML ) T i 4. .r f�M i l rt •. W { , 4 r f r x b x . n e a Ys M x • A r }} , .d s r r ipilld,.wy {3 cm C) cu 41,1 t g r r ;.a r i j n 3 d i r ' ) _ f P � f= NOP 20 2006 +� r ,�t �1' ', '�. � . ��'�' �. %IF ' ��r I� ,,� ,1,,;f �� .K ;, ���: �, �,,,��, G',, :'i ;,, L. f -. '�( u . �� , ` , i• t i �i Health Complaints 10-Dec-03 Time: 9:00:00 AM Date: 12/10/2003 Complaint Number: 17190 Referred To: DAVID STANTON . Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: Business Name: Number: 189 Street: Highland Village: CENTERVILLE Assessors Map_Parcel: 190 123 Actions Taken/Results: Investigation Date: Investigation Time: D � 1 Health Complaints 11-Jun-03 Time: 3:00:00 PM Date: 6/10/2003 Complaint Number: 4092 Referred To: DONALD DESMARAIS Taken By: DENISE PERRY Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: Number: Street: SEE BELOW Village: CENTERVILLE Assessors Map_Parcel: Actions Taken/Results: THERE IS NO CORNER OF BAYBERRY LANE AND GLENWOOD, THE TWO ROADS DO NOT INTERSECT. WENT TO HOUSE ON CORNER OF BAYBERRY LANE AND HIGHLAND DRIVE, #167 HIGHLAND, NO ONE WAS HOME, BUT THE YARD LOOKED CLEAN AND WELL KEPT. THEN PROCEEDED TO THE HOME AT THE CORNER OF GLENWOOD AND HIGHLAND DRIVE, #189 HIGHLAND DR. THERE WAS NO ANSWER AT THE DOOR. THE LAWN IN THE BACKYARD WAS WAIST HIGH AND THERE WAS A PILE OF BRUSH AND LEAVES, ALL VISIBLE FROM GLENWOOD. IN THE FRONT YARD THERE WAS A NUMBER OF HUBCAPS AND TIRE RIMS AS WELL AS EMPTY BEER CANS. THERE WAS NO DISTINGUISHABLE ODOR COMING FROM EITHER RESIDENCES BACKYARD. 1 Health Complaints 11-Jun-03 Investigation Date: 6/11/2003 Investigation Time: 10:15:00 AM 2 d I LIMA 00 4 �5 Citizen Request Management - Internal Use y 11/20/2006 10:27:28 Request ID: 20556 Created: AM Status: Closed Assigned To: O'Connell, Timothy Health Office F Chapter II : Housing �- Anonymous: Yes Category: �{ Substandard f E.C. Date: 1/5/2007 Created By: Fontaine, Tina Citations: v Health Office Time Worked: 4.50 Response Time: 4.00 Requestor Details: Email: Request Location: 189 HIGHLAND DRIVE Centerville, Ma 02632 Parcel Number: Map: 190 Block: 123 Lot: 000 Request: from earlier complaint landlord has now shut off the heat in the apartment. The house is very cold and they have a young baby in the house. Request Work History: Entered on 11/21/2006 10:13:37 AM by O'Connell,Timothy On 11-20-06 TO and DS went to said property and met with tenant. While at said property we noticed that the doors leading into landlords side of house can not be locked from tenants side giving the landlord free access into tenants space. We also noticed that the gas meter seems to missing and tenant said it use to be there. TO called the gas company and they were not sure about the gas meter. Further investigation of property showed no CO detector and the ambient air temp. inside was 59 degrees F. When TO returned to office he called owner of said property and she screamed at me and said she was not turning heat back on until her rent was received. Will follow up on 11-21-06 Entered on 11/27/2006 8:17:54 AM by O'Connell,Timothy On 11-22-06 DS went to said property and posted order letter on front door. Photos linked below. Entered on 11/28/2006 8:11:57 AM by O'Connell, Timothy On 11-27-06 TO and DS went to above property met with Tenants. Took interior Temperature of apartment where heat is shut off. Temperature was 62 F in room where they have self provided electrical heater. The temp. in the rest of apartment was 60 F. We then talked with Owner of house and told her she has to turn back on heat or she will get tickets. She stated that all the heat in the entire house has been shut off by gas company. She also grabbed DS coat as she was stating she has no money. Entered on 4/26/2007 9:29:14 AM by O'Connell, Timothy RG from zoning has told me this women has sold this home. Will close. Internal Note History: Entered on 11/20/2006 10:26:39 AM by Fontaine, Tina System entry on 11/20/2006 10:26:39 AM: Assigned to O'Connell,Timothy System entry on 11/21/2006 10:13:37 AM: Estimated completion changed from 11/22/2006 to 11/27/2006 System entry on 11/27/2006 8:17:54 AM: Estimated completion changed from 11/27/2006 to 12/1/2006 System entry on 11/29/2006 4:03:36 PM: -Please Review- email sent to Stanton, David System entry on 12/1/2006 8:17:46 AM: Estimated completion changed from 12/1/2006 to 12/8/2006 Entered on 12/5/2006 3:09:26 PM by Barrett, Caitlin Received a letter today from Alma Purcell. Filed. System entry on 12/8/2006 8:05:16 AM: Estimated completion changed from 12/8/2006 to 1/5/2007 System entry on 4/26/2007 9:29:14 AM: Request Closed by oconnelt .......... NOV 28 2006 0 60 . +r�Lu;LLaJ1 SO O 60 �0 1 11 . � M •r t t • � t K, • • __ � � , i' x .y � � � K � i.;� �� 6 �a' , . , �. 'ii ¢�,�.6. Z �� a -�.�, a 1 .i 4 , V 1 x op 00 - O f 0 Q � C) cm {u cu cm VN i C) C) cu CD ru cm t . i cm :ICU CD cu cm X h . r ,c •-f MON. - rive Centerville . Improperly1 1 �189 Highlan abandoned ce pool caving in. 4DS Health Complaints 24-Dec-03 Time: 9:00:00 AM Date: 12/10/2003 Complaint Number: 17190 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: Business Name: Number: 189 Street: Highland Village: CENTERVILLE Assessors Map_Parcel: 190 123 Complainant's Name: Rebecca Dunham Address: 189 Highland Telephone Number: Complaint Description: Arch construction installed a septic system there on 8/14/2003. There is now a huge hole in the ground in the backyard. She has made several attempts to call Arch, with no return phone call made to her. She would like someone from health to go see it. Actions Taken/Results: DS WENT TO SAID LOCATION. HOLE OBSERVED, PHOTOS ON FILE. DS SPOKE TO ARCH THAT DAY, WHO WAS GOING TO CORRECT PROBLEM. NO FURTHER ACTION REQUIRED. Investigation Date: 12/10/2003 Investigation Time: 10:00:00 AM 1 Barnstable Assessing Search Results Page 2 of 2 Total: $2,544.89 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.41 Year Built 1961 Appraised Value $ 160,500 Living Area 2596 Assessed Value $ 160,500 Replacement Cost$ 195,493 Depreciation 19 Building Value 158,300 Construction Details Style Ranch Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Average Heat Fuel Electric Stories 1 Story Heat Type Elec Baseboard Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 11 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 FPO Ext FP Opening 1 $600 $600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full,Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.barnstable.ma.us/tob02/Depts/Administrative S ervices/Finance/Assessing... 12/10/2003 Barnstable Assessing Search Results Page 1 of 2 s ----�_. r �$ 4 vi Olt ✓ y t r' sl... kwt y ' E 3• r ,fir Home: Departments_Assessors Division: Property Assessment Search Results � 9 HIGHLAND DRIVE OEM Owner: EI!3 C 422 MEEKER ST r i SOUTH ORANGE, NJ. 07079 Assessed Values: M , Appraised Value Assessed Value Building Value: $ 115,000 $ 115,000 Extra Features: $3,000 $3,000 Outbuildings: $0 $0 Land Value: $46,400 $46,400 M requires Plug in: Interactive Property Map: a Totals:$ 164,400 $ 164,400 1 have visited the maps before Fa Show Me The Mapes F April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: DUNHAM,WILLIAM G 10/15/1994 C135315 $ 1 DUNHAM, GRANT W C71721 $0 DUNHAM,WILLIAM G& REBECCA B 5/11/1998 C148461 $ 1 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,545.36 Town Fire District Rates Other Rates 9.40 Barnstable 2.88 Land Bank 3%of Town Tax C.O.M.M. FD Tax $253.18 C.O.M.M. 1.54 Cotuit 1.88 Land Bank Tax $46.36 Hyannis 2.89 West Barnstable 1.96 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 6/11/2003 IBarnstableAssessing Search Results Page 2 of 2 Total: $ 1,844.90 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size (Acres) 0.41 Year Built 1961 Appraised Value $46,400 Living Area 2596 Assessed Value $46,400 Replacement Cost$ 174,286 Depreciation 19 Building Value 115,000 Construction Details Style Ranch Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Average Grade Heat Fuel Electric Stories 1 Story Heat Type Elec Baseboard Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 11 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 FPO Ext FP Opening 1 $600 $600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story (Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 6/11/2003 Health Complaints 10-Jun-03 Time: 3:00:00 PM Date: 6/10/2003 Complaint Number: 4092 Referred To: DONALD DESMARAIS Taken By: DENISE PERRY Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: Number: Street: SEE BELOW Village: CENTERVILLE Assessors Map-Parcel: Complainant's Name: ANONYMOUS Address: Telephone Number: Complaint Description: COMPLAINANT STATES ON WARM SUNNY DAYS STRONG FISH ODOR COMING FROM NEIGHBOR'S YARD AND UNABLE TO OPEN HER WINDOWS. NOT SURE OF HOUSE NUMBER, IT IS ON THE CORNER OF BAYBERRY LANE AND GLENWOOD. Actions Taken/Results: Investigation Date: Investigation Time: 1 ASSESSORS MAP : 190 TEST HOLE LOGS NOTES: PARCEL : (2.3 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH S> � FLOOD ZONE : E �-SOIL VA UATOR :�•" - >e R•S' c4se THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF X - - � � WITNES �AV 1; BOARD OF HEALTH REGULATIONS. �o REFERENCE: C 14'6% 1 DATE : SUt✓� 2rx� 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, PERCOLATION RATE: SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO INSTALLATION. 14 L L TH- I �� _ D,�',0 TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE $ f(u, DETERMINATION. I 10 A S'mL)y I�lol ��37 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS 1� M 1 3� 2O SPECIFIED OTHERWISE) L 0 CA T I ON MAP(9 7t'S) (_OA � py►sl I(� 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A (� 1'1 A GARBAGE DISPOSAL. �eC) 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) S4-tj 0 R MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON C- 10YA11 3S.lZ. A BASE OF 6"OF CRUSHED STONE. 7) EXIS /Aj CkSSPO04-- 70 8E Pilm PDOI,,�USA _e. ,((vc.) qo ; SEPTIC SYSTEM DESIGN 9) 12U y� i b ll�0 11�►z-j�.+�1��..._.)~�M 7�°7Z� �..U�w_C���?-�.�Z?�i!��f_ FLOW ESTIMATE UF 14 P ? lb �� Djz•ty� �, � 5-BEDROOMS AT �/DGAL/DAY/BEDRbOM -SS(�GAL/DAY �_�___._____...__. __�,.,.._..._..�,....�_,_..-..__.�_.__�.__.�.___.._._..�._.__..._..._�._.... fA- 1 _SEPTIC TANK QGAL/DAY x 2 DAYS - /� GAL r \ L USE / 1'?0GALLON SEPTIC TANK ,ti/et4 �+ �� �`� \ C► SOIL ABSORPTION SYSTEM �� _----- 40 ,� SUDS L( &N P i L cwA r 1&nS �. A-tt.. .5rDE5 Z L K ' _ - � � `7 ( / SI ')E AREA: 2 +-(13 2 ' x 2 k ©. ?`�/ 1✓1�( ' � L Y / ` BOTTOM AREA:_ x !?, x o. 5 y = y0q.0y n l o7/ 'a / � I -foil r Ott � � ti l >SSo �y a D re 1W � o ` SEPTIC SYSTEM SECTION Ex / — ..w.- _ _ la" l= = 0 r •� z, _ ,��a C�'° rye. u :;: D-BOX ! ! GAL 37.�° tut/rr *s,1 4•70 �; SEPT I C TANK G.- � � `G 1...�' �-/ �' V Cam• ?'JG Tt0 itit OF 7tS l�'/-v be l � l t! "°F'fISS, SITE AND SEWAGE PLAN TTER pFQ,sT�V. PREPARED FOR (6A1S71ev6-Tr0A) DARREN SCALE •�_ � P6 ��f,.►���'� ( � M. MEYER, R.S. 43 VINE STREET DATE: 7-ZP, �jo�►��S �R Li Nl�.S DUXSURY, MA 02332 U., FE HEALTH AGENT (781) 585-0293