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Home My WebLink About0036 PUTTER LANE - Health 36 Putter Lane Centerville -=247=2-1-5 - /// S M E A D No.2-153LOR UPC 12SU amead.com • Made In USA �4kr� 01ROFUSAFMOmm 1*scow mamy �T5VVMIINSFVFDORAMM TOWN OF BARNSTABLE „r- SEWAGE # LOCATION _ VILLAGE S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY r l LEA4U*FATL (t Py ) i� i ' G�' (size) ��L� 41 X�� NO. OF BEDROOMS BUILDER OR OWNER l L PERMIT DATE: clv 15 U COMPL CE DATE: 01 3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 07 2t? IVA �o� � � ad�1 P, � k- TOWN OF BARNSTABLE ° LOCATION ?V TT-� ',.,*UV f— SEWAGE # '?(9 VILI`.AGE A. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO'.7� SEPTIC TANK CAPACITY ;.LEACHING FACILITY:(type) �-- 1! (size) ?-f he NO. OF BEDROOMS PRIVATE WELL OR�UBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED: 1; ^�fj DATE COMPLIANCE ISSUED:- �l &2-f' VARIANCE GRANTED: Yes No x Ll r �Q rx, � � a LL� L U:12S c2f'jZC TNT ... + Map Page 1 of I Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Size 0 E3 ZOOM Out flillfilifiEln Turn map layers on/off by Ke 1 49 K JPC- selecting check boxes below F7 i Town Boundaries ..... .......... .............. ............................. IF Road Names C. Voter Precincts ............. -T-1 ................ ............. a .............. ............ F, map&Parcel Numbers C . Parcels E F,-i FEMA Q3 Flood Zones(Current maps) Not for official flood hazard determination. .... ... AE(100 yr flood) AO(100 yr flood) 0 VE(100 yr flood w/wave action) 1-4- 43 XSOO(500 yr flood) ... ..... ... F-! FEMA Preliminary Proposed Zones(subject to change) Expected Adoption:Summer 2013 AE-100 year flood AO-100-year flood AH-100-year flood 13 VE-Velocity Zone 0.2%Annual Chance Flood Set Scale 1 Aerial Photos rElI MAP DISCLAIMER Copyright 2005-2010 Town of Bamstable,MA All Fights reserved.Send questions or comments to GIS Barnstalblef,lA v1.2.4672(Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertylD=247215 11/1.9/2012 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size ® Zoom Out I I fiIn "" ".' ® -=7PG Turn map layers on/off by ,R �+• t41 .""""I selecting check boxes below .... WP ....... .. r.i:.: i .::....:.. ... � . Town Boundaries .................................................. .................................................. r; Road Names ................................................. F- Voter Precincts id r Map&Parcel Numbers iiiiii - .................................. Parcels 4S E FEMA Q3 Flood Zones Current Maps) Not for official flood hazard determination. AE(100 yr flood) 111 AO(100 yr flood) VE(100 yr flood w/wave action) X500 500 yr flood �. FEMA Preliminary Proposed Zones(subject to change)*Sryt: Expected Adoption:Summer 2013 ; 10 AE-100 year flood ' 'i ............::ii.....„ AO-100-Year flood Q : 10i7F et AH-100-year flood ' VE-Velocity Zone �0.2%Annual Chance Flood Set Scale 1° = 107 I Aenal Photos I MAP DISCLAIMER Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send questions or comments to GIS BarnstdbleMA v1.2.4672[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=247215 11/19/2012 X1 CDLJ30 L/ 4 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pplication for MigY)Upgrade of bpgtem Cougtruction 3perm�it Application for a Permit to Construct( . )Repair( ( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. e_Vk"e_ Owner's Name,Address and Tel.No. Assessor's Map/Parcel 5 o NX(2_e 1_ InAsNme, ddress,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions f Title 5 of the Environmental Code and not to place the system in operation until a ertifi- cate of Compliance has bee 'ssue b Bo d o Si ed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Soo —6 Date Issued 3 ------_ ---------------------------------- t Fee15 s i r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ys ,' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for &.5po ar 6pgtem �tConetruction Permit Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. :34 Owner's Name,Address and Tel.No. Assessor's Map/Parcel of Installer', s Name,Address,and Tel.No, Designer's Name,Address and Tel.No. ^ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) r Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil �r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions �f Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu b s Board of� 'ealih. I (f Sig Date Application Approved by Date�1 5 O TJ Application Disapproved for the following reasons Permit No. _ _c0�) Date Issued 5 �� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CEM, , that the gn-site�Setwage Disposal System Constructed( )Repaired(�)Upgraded( ) Abandoned( )b 4.1 at ,- - has been constructed ' accordance Jl with the p visions of Title .and the for Disposal S stem Cons �.ction Permit No. o,)l..l_nC1� dated S/�� Installer �,PYUL Designer The issuance of �et shall not be construed as a guarantee that the system wi function designed. Date 3 ( Inspector yin N �. ——————————————— --- ------------ No. �C`_CJ 1 LS _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION , BARNSTABLE, MASSACHUSETTS Mig ooar bpelem Conztruction Permit Permission is hereby granted to Construc ( )Repair Upgrade(, )Abandon( ) System located at D � /I �ju 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:Cons ction, ust be completed within three years of the date o(f/this pe I. Date: _1 Approved by\y� .TOWN OF BARNSTABLE e� LOCATION � t��`C"C -r.� SEWAGE # �®, VILLAGE S�T� ASSESS ' MAP & LOT INSTALLER'S NAME&PHONE.NO. � SEPTIC TANK CAPACITY M LEACH�G FAPII Pe) 1 �12 .(size) �� // X N t NO.OF BEDROOMS L BWLDER OR OWNER 1 01 PERMUDATE: ` 15 /�- OMPL �ATE:— Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 Furrii9hed by Io �tl S, Y.? i97 SENDER: COMPLETE THIS SECTION COMPLETE THIS,SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signs , , item 4 if Restricted Delivery is desired. X-- / gent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. eceived by(Printed Name) C. Dat ��f )bfivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. - D. Is delivery address different from Item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No I Helena Carneiro 36 Putter Lane 3. se)viceType -West ann H ish ort, MA 02672 � `d Mall ❑Express Mail I y ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 1 4. Restricted Delivery?(Extra Fee) ❑Yes 2 (Transfer from Article Numbe service label)! 4 7,008i 3230 40002 5:178 0684 ; � � PS Form 3811,February 2004 Domestic Return 102595-02-M-1540 77 UNITED STATES POSTAL SERVICE I First-Class Mail Postage&Fees Paid USP Perms No.G-10 I I _ I • Sender: Please print your name, address, and ZIP+4 in this box • f I I I I I Of'Barnstable I Town .4 H ealth Division ' Street 200 Ma�nMA p2601 f Hyannis, 6`0 I Certified Mail#7008 3230 0002 5178 0684 Town of Barnstable Regulatory Services =ARNSrABLE, MASS' $ Thomas F. Geiler, Director r Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508:790-6304 November 26, 2012 Helena Cameiro 36 Putter Lane ' West Hyannisport, MA 02672 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. The property owned by you located at 36 Putter Lane Hyannis, MA was inspected on November 19, 2012 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received at the Town of Barnstable Health Division. The following violations of the State Sanitary Code was observed: 105 CMR 410.300 and 310 CMR 15.00: There were a total of four (4) bedrooms observed in this dwelling; two (2) were observed on the first floor, (2) two were observed on second floor. However, the existing septic system (permit# 78-278) was not designed for four (4) bedrooms. It was designed for three (3) bedrooms. 105 CMR 410.450—Means of Egress. Observed a room being used as a bedroom within basement without proper second means of egress as required by 780 CMR 3603.10.4.1of the Mass State Building Code. You are directed to correct the violations listed above within twenty four (24) hours I i of your receipt of this notice by removing all beds from basement and ceasing and desisting from using any part of basement as sleeping quarters. Due to the fact this room in the basement does not have the proper egress it is not considered a bedroom by Health Division. Also, it may not be used as a bedroom due to septic restrictions. I If you choose to install an egress window in said room you must remove a bedroom from the main part of house. This can be done by removing door and enlarging. opening to five feet cased opening or upgrade septic system. i QAOrder Ietters\Housing viol ations\Rental ordinance\36 putter hyannis I i You are ordered to correct the violations listed above within sixty (60) days of your receipt of this notice by pulling any required building permits (if applicable); You are ordered to either upgrade the septic system to accommodate four bedrooms or remove any one of the bedrooms from the main part of dwelling by removing entrance door and by opening door-way entrance to room in to a minimum of five feet wide opening. This will bring the total bedroom count down from (4) four to the appropriate (3) three as designated by your septic permit. Due to the fact you are not within the Zone of Contribution to public water supply wells you are eligible for the septic upgrade option. This will entitle you to be able to keep the current number of bedrooms. 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 OFT E BOARD OF HEALTH mas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Robin Anderson; Zoning Officer r QAOrder IettersViousing violations\Rental ordinance\36.putter hyannis Health Master Detail Page 1 of 1 rtP art GP', re. r .w x°.;q +�,-, ., ,. Logged In As: TOWN\oconneit Health Master Detail Monday, November 26 2012 Application Center Parcel Lookup Selection Items Parcel Septic Perc I Well I Fuel Tank Parcel: 247-215 Location: 36 PUTTER LANE, CENTERVILLE Owner: CARNEIRO, HELENA 1 Business name: _ Business phone: I Rental property: r� Deed restricted: r Number of bedrooms :l Contaminant released: C Fuel storage tank permit: r. Save P el Ch g s y w f Return to Lookup__ 1 Parcel Info Parcel ID: 247-215 Developer lot:LOT 6 Location:36 PUTTER LANE Primary frontage:25 - Secondary road: Secondary frontage: Village:CENTERVILLE Fire district:C-O-MM Town sewer exists at this address: No Road index: 1325 Asbuilt Septic Scan: 247215_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay/ District) State zone of contribution:OUT Owner Info Owner: CARNEIRO, HELENA Co-Owner: Streetl:36 PUTTER LN Street2: City:WEST HYANNISPORT State:MA Zip: 02672 Country: Deed date:5/8/2006 Deed reference:20981/273 Land Info Acres: 0.61 Use: Single Fam MDL-01 Zoning:RB Neighborhood: 0105 Topography:Level Road:Paved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1978 2748 1224 Bedroom 2 Full + 1H Buildings value:$106,000.00 Extra features: $37,900.00 Land value: $107,200.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=247215 11/26/2012 DATE: November 19,2012 TO: Building File FROM: R. Anderson RE: Complaint—Illegal Apartment (s) LOCUS: 36 Putter Lane, Centerville PRESENT: Martin MacNeely, COMM FD,Jeff Lauzon, Local Inspector, Tim O'Connell, Health Inspector, Barnstable Patrol Officer Kevin Robin\Anderson, Zoning Officer See Photos -Jeff COMM FD reported to this site last week for a medical call in the rear unit. The occupants were less than cooperative and may have been involved in a domestic so it was recommended that police officer accompany us. The FD report also contained information about multiple landscaping trucks and cars as wells as a reference to a lower level apartment. EMTs responded to a call in bedroom that appeared to be a former mudroom converted into an additional segregated living space.. We found the property to have a Roney's Landscaping sign out front as well as a trailer of his. We walked to the rear of the property on the driveway side and found a separate entrance underneath the deck into the lower level apartment. No one responded when we knocked on the door. We proceeded up the rear staircase to the deck. Three doors opened onto the deck. A patio door on each side. The left door was blocked by furniture inside and deck chairs outside. A large refrigerator was outside with the doors still on it. The outside light fixture was missing and wiring was exposed. The receptacle for the refrigerator was hanging out of the wall but the fridge and another item was still plugged into it. The center entrance to the main level was a double patio door that opened into a hallway. Dead ahead was another interior set of French doors that locked. An occupied bedroom was on the left(the source of the medical call) and vacant room on the right—small but still satisfying the spatial requirements of a bedroom. The occupant has no access to the main house and comes and goes through the rear patio doors without interacting or disturbing the residents in the primary dwelling. The owner, Helena Cameiro admitted us. Her son spoke to me on the phone and actually came right over to talk to us. The house contained two bedrooms upstairs—one had a locking door with a key still in it. This made a total of 4 bedrooms in the main house. The basement entry was through a closet that was littered with miscellaneous items. The stairs led to unfinished area with a washer and dryer. A sign advised users to turn the water the off after each use. The electrical panel was of great concern. The house had a mix of hard wired and battery operated smoke detectors. Most were inoperable at the time of inspection. There were no CO detectors. Martin reinstalled all units and replaced the batteries before he left. A door into the apartment was blocked on the inside by kitchen furniture. We found a complete kitchen and full sized refrigerator, a full bath, a bedroom containing a queen and twin sized beds with inadequate egress. Multiple extensions cords were noted through out the house. The owner's son, Valber dos Santos arrived. We discussed how many people live here— mother& boyfriend, Roney, son& girlfriend, man in the mud room, and two men downstairs. We also discussed having Roney remove his sign from the front lawn and his equipment from his property. (I relocated the sign to an area by the front door and it laid it flat on the ground). The son told me he is leaving to go Brazil soon. I said we still needed to talk about the apartment and that the number of bedrooms may be a problem as currently, this is a three bedroom septic and they have 5 bedrooms. He stated he would come into the office to see me this afternoon at 4 with his mother in order to investigate what options are available to her. Valber dos Santos (the son) came in with his mother at 4. Tim came to the counter with me. We discussed Amnesty, upgrading the septic, removing the apartment and eliminating the rental of the rear room. Provided them with information and options. They must return by Monday with a decision. FORM30 Caw Homs&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE L T H CITY/TOWN (� � DEPARTMENT ADDRESS ff t TELEPHONE C Addressb _ Occupant Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms___ No. dwelling or rooming unit4--,.N nVtos Nameand address o��er :�f� Re arks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish if Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: 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 ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusin ,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities 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 CONDITIO 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 WRORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENA R f� ! -I S C O TITLE PE T R t IN r DATE _ f TIME ` P•M• A.M. THE NEXT SCHEDULED REINSPECTION } P.M. v 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 iri 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)t 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). 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. , n -v "+....-�T1'art-•-F'../l4r�w�.-..�.dl��' ...-..+a'r+ry:.;.*,.Cis,,:,,,-,y^r-y;�..e+,�y«i'.....;y-,,.`w�.. THE COMMONWEALTH OF MASSACHUSETTS - FORM 30 C&w HOEms&WARREN'" BOARD OF HEALTH Ti CITY/TOWN 3::DEPARTMENT ';.ADDRESS .° s v�M' SVBy`ow . 7 TELEPHONE Y -Addressb Occupant Floor Apartment No. No. Occupants ,QQ No.of Habitable Rooms No.Sleeping Rooms_^'\ No.dwelling or rooming units No Stori.s Name and address of owner 6 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage ' Infestation Rats or other: z-I STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: ` Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: ;. Hall Windows: `` HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair ;€ TYPE: Stacks, Flues,Vents: PLUMBING: - Supply Line: ❑ MS ❑ ST . D-P.. Waste Line: H.W.Tanks Safety and Vent(s)r 't ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusin ,Grnd.: "..1 AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen i Bathroom Pantry Den Livina Room Bedroom 1 . Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: 9 Stacks, Flues,Vents,Safeties: ,r Kitchen Facilities Sink ` Stove _ _ Sa3hing,;Toilet FaciF. Went Plumb °Sanit n ; Wash Basin,Showeror Tub. •. Infestation Rats, Mice, Roaches or Other:_ n Egress Dual and Obst'n: ��7t'7►^��- � � I%ir^--7� f fl lL General Building Posted A L nA-A <D, 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*hD CERTIFIED UNDER THE PAINS AND PENALTIESa-F`FRJURY." 11 INSPECTOR tTITLE ' DATE ._ TIME ' P.M. t A.M. THE NEXT SCHEDULED REINSPECTION Rn. 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 Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control,.105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (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). .Failure to eliminate rodents, cockroaches, insect infestations and other pests as required'by,105 CMR 410.550. (P)4 Any other violation of 105 CMR 410.000 not-enumerated in 105 CMR 41'0.750(A)'thirough•`(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. x "" 'M E THE COMMONWEALTH OF MASSACHUSETTS ' FORM 30 C&W HOBBS•8 WARREN ;+ BOARD; OF HEALTH > e +%,CITY/TOWN aiyDEPARTMENT ell ;,ADDRESSi S� V r _ TELEPHONE `"'Address Occupant Floor Apartment No. No.of.Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units Not Stories Name and address of owner en Ic ' ; J„ j C3 ��1 . ) Remarks Reg. Vio. YARD Out Bld s.: Fences: ' 1 ( t/1i_ .•.giN- Garba e and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof , Gutters, Drains: Walls: Foundation: . Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. • Hall,Stairway: 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_ x,4j, ,.....,,.h + �� i H.W.Tahk s Safety and Vent ELECTRICAL f. Panels, Meters,Cir.: '� ❑ 110 ❑ 220 Fusing,Grnd.: 1? met AMP: Gen.Cond. Distrib. Box: s 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 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: & Stacks, Flues,Vents,Safeties:-. Kitchen Fadilities. Sink I Stgve I G: y e Wash Basin,Shower`or Tub. Infestation °' ' Rats, Mice, Roaches.or Other, Egress Dual and Obst'n: General Building Posted A , ' t2�.i� �, ¢ ,�� ,�..� �� (1 V Locks on Doors: �(s-�tli. 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) R' "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES-OFI-ERLRY." # INSPECTOR rTITLE .-- �i\ DATE ! 1 ' �''" -TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 0 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(8), 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. LOC"AT ION SEWAGE PERMIT NO.� V I L L AEG E INSTA//LLER'S NAME & ADDRESS B UILDE R OR OWNER 0 /�v/3,Pirr �/✓D/�if'r� /��yoys Gaye DATE PERMIT ISSUED �` �s^ 7P DATE COMPLIANCE ISSUED 7,/ 2 - 7f-. � 1 r i 1 �v7Z"V � � a r �, No......... 7 Fizz..... 1....��e..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tonstrnrtinn ramit Application is hereby made for a Permit to Construct (i') or Repair ( ) an Individual Sewage Disposal System at: P49R- - ---------------�.Q.r...... ........................................................... Location-Address or I.ot No. �..........:..........•-•---------............-- .......... �i�Zt................................................................. ..... ............. Owner Address Installer Address 0.1 A Type of Building Size Lot.;Z.6_381.7....Sq. feet U Dwelling No. of Bedrooms-.-..---:: .................. .....Ex Expansion Attic�-•a g— --•------ p WO) Garbage Grinder (E,3A) aOther—Type of Building ..../11./-h............ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------• ......••-• --•-•------•-------•--•---•---------•-....•--------••--•--•-•-••----•---•--------•------••......•---•-• 8ZD"0M W Design Flow....ll10.............................gallons per popsen per day. Total daily flow-------.3.a-................._....gallons. WSeptic Tank—Liquid capacityll?M.gallons e ength�.r .".. Width.49_ 10!`_'- Diameter................ Depth.a.'&..`/.. x Disposal Trench—No. .._t.............. Width....3............. Total Length...2-0.......... Total leaching area./.'Y&........sq. ft. Seepage Pit No------------- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. (z Other Distribution box Dosing tank ( ) Percolation Test Result Z Performed by._.�OMhAD.....IJ-A A�l�D.....%1�-.S._..... Date..Y�6/91�.C �_��1 Test Pit No. 1. ._....._._minutes per inch Depth of Test Pit__.9............. Depth to ground waters}..._.............__. 44 Test Pit No. 2_ 5;::9..-_....minutes per inch Depth of Test Pit.(5............... Depth to ground water_.................... M ............. -• •-•-----•------•----•....-••-•--•------••----••-•.......••-----------•..............•--•--------•-•-••••-•----•-•••-•......_•---...--..•-- O Description of Soil....O.n-./8_.......4V M..../_Qt-up..........5a.t3S.0 r �t� ��= �� r •,4 0.7 . . cxjjo--•--•---•-••-•---_.... . W /.lPr"A. 5�V-e.------. r io�l.D.Zrzdws.......-1-------g07Y.......7z.-5T..... ��,�. ----•----.... UNature of Repairs or Alterations—Answer when applicable............................................................................................... -•--------------------------•-------------------------------------------------------.......-•-•....---•--•••-•-•-•••--•---------•--•-•-----•-------•----•--•-••--------•--•--••----••-•------•.......•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss e by the bar of iealth. Date Application Approved By..... -----• ...................... -.. f".._7S1'...---- Date Application Disapproved for the following reasons---------------••-------------------------------------------------------------------------------------•-••-....._ � ��ate Permit No. ... Issued_ --------- -----•-----•-- •-------- Date 1 .4C10 , S - L � --No........... 7 THE COMMON.INEALTH OF MASSACHUSETTS • BOARD OF HEALTH ----- 0"/.. ----:.OF........ ftl.�-48'. -------------_-.--------•-- Appliration for UiipniFal Vorkfi T11witrn.rtinn Prrntit Application is:hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at Location-Address or Lot No. t73E.2'1 �l Ot�2ER. EN►EZQ1LLE. _ - __......._... .................................................... -------------------------------•--- •-_. .I..........._--- . . ...- --' Owner Address ,-a ••. . ..................•-••--- Installer Address Type of Building Size Lot_ .&38.'?_-....Sq. feet Dwelling—No. of Bedrooms..........:.................................Expansion Attic (410) Garbage Grinder (IVo) aOther—Type of Building ....0A........... No. of persons............................. Showers ( ) — Cafeteria ( ) "t+l or.i Oter fixtures ....................... ......... Design Flow--- 0.............................gallons per phi,per day. Total daily flow_______ as_._....._ .._...•..gallons. W Septic Tank—Liquid"capacity/ _gallons i engthd..0..._..Width' tl _ Diameter______ _•--- Depth S -__- x Disposal Trench—No_.................... Width_._ ............. Total Length__. S ......... Total leaching area_ ..______sq. ft. Seepage Pit No-------------.Diameter.................... Depth below inlet.-.................. Total leaching area._..........._....sq. ft. Z Other Distribution box ( ) Dosin&tank ( ) aPercolation Test Result' ...... ... nit!......or per inch Depth of Test Pit.. .............. Depth to ground water---------------- Test Pit No. 2'!��..._minutes per inch Depth of Test Pit_ ._'�_..._____._. Depth to ground water.&'................ ............................................... x Description of Soil---�.'�� ............!M&..A4 -��-�-----------S.00��d --- ---rf� �•�� r �ul SAW,D W - ` UNature of Repairs or Alterations—Answer when applicable---------------------------------- _________ ______________________ ______________________ .........................-..................................................................)_........................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has,been issued by the board of health. gned4 ..................•---•--------•------............................... .........................._.... Date Application Approved By.... 1 . Date Application Disapproved for the following reasons----------------•----•-•----•-•------•-----------------------------------•-•-••----••----•= ---•----••---_:.._ -----------------------------------•-------------•-----------------------------------:..__...---------------•-•-•-----...----------------------------------------------------------------------...----- - Date Permit No. :.. -----•--------•-----------=--- Issued_.................................. ---•-- ate THE COMMONWEALTH OF MASSACHUSETTS �F s BOARD OF HEALTH I�W iJ .............................. ...................................... Trrfifiratr of ffuntpliFanrr T` tS-jI�S(T10,r17RT-IF- hat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------v---------------------------------`''�c...(---------------------------------______---------------------_____-_--------------------------------------------------__-_-----___-_-_----------___- Installer I.�T QUTTE2 L_AQE at.......................................................................... �.... y N l a has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ; dated.'. �_ _ ................ PP P - ±�-.�.. _. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - : :. DATE.......................... Inspector........ == ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,,HEALTH �. ...........wA?...............0F.� 2llI.S_I.A 3LE-_..-_......--•------.............---•. M s z .a No.. ...:. �'`.... FEE.2.S............... %Vns al Worko Tnniir ion amit Permission ' hereby granted_V E TO tZ I►JO120T FI RS -•--- •. •---•. .............. .•-------- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No... � �`' =•-(�UT.. _._..I RIDE W= -µ �MIJ1Sf .."-------------------------------------•--------•--•----•-- Street r as shown,on the application for Disposal Works Construction PImit o -__ _..___ Dated. ' �--------_-___ oard of Healy DATE------ 1_P.-. ..• 7�----•-•-•---•----------------------•---.....° FORM 1255 HOBBS & WARREN. INC., PUBLISHERS N. - i .Z ITEST HOLES 5 ^, LOT 5 LOT 6 t� a 6{ f / MARCH q, MF6 0-6384 4's a+ ' 1 ASSUMED s PALIL MURRAY — ,gTB EL.EV .,L N5.PfC.TQR ` S Pnc +�' '° �•, ,r, - /e- rt 1-04M AND P ? TANK' �r'* U ;�-- 7O'* TQ <, J �. _ , S / A ; T1LCoHTERLINE - 9k S/3ND TEST Dt5 ( d ! 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