HomeMy WebLinkAbout0803 SOUTH MAIN STREET - Health 803 South Main Street
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TOWN OF BARNSTABLE
LOCATION 303 So n SEWAGE I d.3 65Z
V I L L A G V,/ 'ASSESSOR'S MAP& LOT_ _ �
INSTALLER'S NAME & PHONE NO. A & B CM
SEPTIC TANK CAPACITY
LEACHING pACILITY:(type) (size) 0O/0G°"/
PRIVATE WELL OR PUBLIC WATER
No.OF BEDROOMS'_____
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED•
VARIANCE GRANTED: Yes
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Barnstable
�oFj�Erow� Town of Barnstable
Ali-MmicaC-dy
Regulatory Services Department ,
��• BARNSTABLE.
9a�t639: Public Bealth Division
-- 200 Main Street Hyannis MA 02601 2007
Office:508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A:McKean,CHO
CERTTIFIED MAIL 7007 3020 0001 3429 7977
March 24, 2009
David Miller
P.O. Box 303
Churchville, MD 21028
NOTIC_E TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 803 South Main Street Centerville, was inspected
on March 24, 2009 by Jaime Cabot, R.S. Health Inspector for the Town,of Barnstable. .
.This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements:
Cinder Block steps at base of ramp are damaged. Walkway has loose boards and
deteriorated wood.
You are directed to,correct the violations listed above within thirty (30) days of your
receipt pf this notice.
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.
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF E BOARD OF HEALTH
�=li - c an, R.S., Cl
Director of Public Health
Town of Barnstable
R
FOR w� JYU (-Aigv' OATIf 4- 23 O TIME f P.M.
M r� h rze4
_PHpNEq ;i.
OF
PHONE �I / '`� (�v �/ d� �Y �I �I YOUR CALL•.
AREA CODE. NU BEER a�.�jEXTENSION
MESSAGE rQ ODE an (gala IC" 1► Y rd ALfASE CALL
1NILL CALL
I►un Vbffv 1.) JaCA V a All
SIGNED V iverS 48003
NOTESt •;
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Postage $ MA
Certified Fee
r=I Postmark
p Return Receipt Fee
O (Endorsement Required) g 3��
O Restricted Delivery Fee d`Y
O
(Endorsement Required)
C3Total Postage&Fees
m senkse,
U/.'4i 17 �'l.i l,l.f��
O SfreetUApt.No.;----------------------- -
O or PO Box No.
O �°'----?•�-----------------
Cdy,State,ZIP+4
Nv�C VAN/ �A 2 10 Zb
Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Made or Priority Mail®.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a.postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present It when making an Inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
COMPLETEeN COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricto Delivery is desired. ❑Agent
■ Print yodr name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. of elivery
■ Attach this card to the back of the mailpiece, \��
or on the front if space permits. f
D. Is delivery address drfferent.frcm item 1? ❑Yes
1. Article Addressed to: If YES,.enter delivery address below: ❑No
C3o 3 03
3. Service Type
2 2� ❑Certified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail. ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
i
2. Article Number I
(Pansfer from service labs 7007 3020 0001 3429 7977
PS Form 3811 February 2004 1; Domestic Return Receipt 102595-02-nn 1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
r. Ptrmlt No.G-10
-�
• Sender: Please print your name, address, andiZlP+4 W8his b'ox•
Ci 'Y7
�C4 Town of Barnstable
''' Health Division tv 2
200 Main Street —
I 1 Hyannis,MA 02601 rr,
I
1ilIf i i !F-. }HIii �( 17 fl1 -114It / 174 - IP7Ii4
,. °pTHE
Town of Barnstable Barnstable
PAlAmedcaCRY
f Regulatory Services Department P
BAivis"rAULE,
�"Ass.039. Public Health Division
Ed M 200 Main Street Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geder,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTTIFIED MAIL 7007 3020 0001 3429 7977
March 24, 2009
David Miller
P.O. Box 303
Churchville, MD 21028
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 803 South Main Street Centerville, was inspected
on March 24, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements:
Cinder Block steps at base of ramp are damaged. Walkway has loose boards and 7
deteriorated wood.
You are directed to correct the violations listed above within thirty (30) days of your
receipt pf this notice.
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$100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Board of Health
Town of Barnstable
No .� P.O. Box 534 d=�VI��2�_ �n�y �' '►� F�s.... 0..'"............
THE COMfDLSQ �IVpASS4CH�lJSETTS
D 1 BOARD OF HEALTH
tti b 11
� b ..;i............I.........O ur .-_. L..................................................
A liration for Uh4patial Morkii Tonti$rurttltu rrutit
Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal
System at:
.....$..o3...:;kA..9)01 .. '!4,....Cemterwilp....... ..................................................................................................
Location-Address r Lo No.
.......................................................... $43_ 'Qk' _. �tih_.��� �.. en r..�i��--------••-------
Owner Add
re s '
?! Qn�Q--------------•--•---••••---....--•------.......................... ,3 a.. ..fU��. 4 C/11A(t `!!'.......
Installer Addres
Q Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures ............................... ..
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................
xDisposal Trench—No--------------------• Width..........._........ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No._.------_-----.._.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..._..-----_-_-_-----
(i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------..................
a ....-•-•-•••-----------------•---•---••--•••--•---••--••••-••••-••••-•..._.........-•-•--•-•-----•--.........................................................
ODescription of Soil........................................................................................................................----------------------------------------------
x
--------------------------------------------------------------------------------------------------------- •----- --------------------------------••--------------------------------------/
U Nature Re irs or Alterations—Answer when a ph able-4)9_A ---!,Tq ?� ..�CtOA_ .��4d-f?------ .
._y�.__�.�n�_ �c-�+..P�tn�..c� -t_2th-.-'..`--COW-
Agreement: -r
6fj�eov)A-L,
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TAI: y g g p y of the State Sanitary Code—The undersigned further agrees not to Lace the system in
operation until a Certificate of Compliance has been issued by the board of health.Signed ..... pp
:. ... ..... --. .. .. .. --7-/�81..........
.� 7 Dat C
Application Approved By....._..... ..
Date
Application Disapproved for the following reasons:---•----------•---••-------•--•-----•-----•---•----•---•-•---•-----•----------•----•--------••••-----•-•--_.....
...................................•------•-•--------•--••---••--•--••--•--••----••--------•------..........-•-•••••••••....-- ...••--- ...---•••-•--•••••-•-•---••---•------•......••--•••--...•---•-
j Date
PermitNo._.!!;;>....` ............ Issued-.......................................................
Date
Ivm ., i4 f tZ Ar y '4E-1 A w FE$.........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�:. ..........................................OF.....................-........-..........................
Appliratilan for Uispvs al Warks Tonstrnrtion Pumit
Application is hereby made for a Permit to Construct ( ) or Repair ( - ) an Individual Sewage Disposal
System at:
...............................................-- - -----------
Location-Address or Lot No.
•----•-•-------------•--•-••----._......................------.._....._...---....-••---••-•----... _.........••••-••--•--.....-•------------•------._.....•---------••--•------------••••---•---••-•-
Owner Address
W
Instal Ier Address
Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms____________________________________________Ex Expansion Attic� g— p ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons...................._------- Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date............................ -----------
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-----------_............
rZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P •-------••--•-------•--••---•-•------••------•-••---...---••-•--•---•-•--••••-•••-•------•................................................................
ODescription of Soil....................................................................................................................................................................
W
UNature of Repairs or Alterations—Answer when applicable..........................................:.....................................................
Agreement: 0CCU; A0200 AZ,,,
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TTL y g g p . y
5 of the State Sanitary Code—The undersigned further agrees not to Lace the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed............................................----•-......•--•---•••-••••..............
w. Date
tiApplication Approved By_Y
r ...
Date
------------------------------•------...---._....__••••-•-_•----
Application Disapproved for the following reasons_________________________________________________
---•-••---•-•--••--•--••••-••--------•-•--- --•••-------•-
..-------••------------------•---....----....---...----------------------••------...----------------.....-•••-•-••-•--••-•--•-••-••-•-•-•-••••-••-•--------•-••-••••••••••-----••----•-•---•--•••-•-•---
_ '>` --,—_ Date
,,.� ' _. Issued-------------------------------------------••••---•----
Permit No. ---• •-•••--•• -
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................O F..............................:..................................................
....
C1rrtifirFate of ToutpliFanrr
THIS I 0 CERTIFY, Th the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by - A A ... inst -
at-----------------------`,.' "`---` .......
has been installed in accordance with the provisions of TITIE 5 of The tate Sanitary Code as described in the
application for Disposal Works Construction Permit No y.�...........___________......... dated_.�__--:_I___I•:"' ...............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE......................... Inspector- =t --•----------______--••------__________-------
THE COMMONWEALTH OF MASSACHUSETTS
c�. a> BOARD OF HEALTH
r^
...........................................O F.............._..._.._.._..._............_...._...._.._.--........__.._._........._..
�"�`•�'r. `' No -- ---« � FEE........................
z` RoposFal Works Tnntrudiaan rranit
Permission is hereby granted__._ 1 ?r . -:c =I..... '°!.nn -----------•-------------------•-•-----•----••---._...-••----......._......--
to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systegi
atNo.._ _ ? ' ;�es-1- e._n.._. "1 -.. Lie'`:- -✓r----- -----------------------------------•-----------•..-----.......-•--
----- _
Street WN6-1
as shown on the application for Disposal Works Construction It No �_.__� ��Dated_. ...................
a..�....
�1 Board of Health .""
DATE-------•-•�. . `.:..........................................................
�.
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS��� •" •N """�
0E5 �,�' �f- 'L�J FAY,.. � < �ult2�
TOWN OF BARNSTABLE
LOCATION $03 So /yj;,�,H YvL ' SEWAGE #
VILLAGE[t9 kro11f (ASSESSOR'S MAP 6i LOT
INSTALLER'S NAME 6z PHONE NO. A & B CANCO 775-6264
SEPTIC TANK CAPACITY 1 rbQ a;,. l
LEACHING FACILITY:(type) oT (size) Gow6 1
NO. OF BEDROOMS PRIVATE WELL.OR PUBLIC WATER 1004t
BUILDER OR OWNER DAVdi 9.,11t�
DATE PERMIT ISSUED: - l �i • `I
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No a ''�
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