Loading...
HomeMy WebLinkAbout0286 STRAWBERRY HILL ROAD - Health 286 Strawberry Hill Road PF Centerville P A = 247 103 0 i 1111 � UPC 12534 No.2�153 OR NASTINOS.UN i Barnstable �IMEt, Town of Barnstable Regulatory Services Department ;���j saxivsrasce, NAM t639. ♦0 Public Health Division rED1`AA�A 200 Main Street, Hyannis MA 02601 2Q07 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFIED MAIL 7006 0810 0000 3524 5331 March 7, 2012 Hector Sanchez 286 Strawberry Hill Road Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 286 Strawberry Hill Road Centerville, MA was inspected on March 7, 2012 by Timothy B. O'Connell, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received at.TheTown of Barnstable Health Division. The following violations of•the State Sanitary Code were observed: 105 CMR 410:450 Mean�srof Egress: Room within basement being used as a bedroom without proper means of secondary egress. 105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms There is no CO alarm located on main floor or within finished basement. Smoke detectors not,functioning within basement or main floor. You are directed to correct the violations listed above within (24) twenty four hours of your receipt of this notice by removing all beds from the room within basement lacking proper egress and ceasing and desisting from using this room as sleeping quarters; by installing Carbon Monoxide and Smoke detector alarms on the main floor and within the basement. 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. ER T 0ARD.OYHEALTH omas .,McKean, R.S., CHO Director of Public Health I Town'ofBarnkf ble ►.,�_ iz�,z� , r :., a c.:.t tx.. � •: r d .- ;4:. �._: 7;: .� „ # P „i rt- TOWN OF BARNSTABLE LOCATION a�r6 t� `� SEWAGE # VILLAGE : �''.,4 " ''� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. /� SEPTIC TANK CAPACITY i i od o (U l _ LEACHING FACILITY:(type) ) 0041 �' (size) NO. OF BEDROOMS 2- PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNE A-AA DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,� . W h I �/� II '�� G � _ �D/A 5 a h �,�� �� � — ��'-b R-�� s�t� Town of Barnstable Barnstable Regulatory Services Department fty BAMSTABM MAS& Public Health Division 200 Main Street, Hyannis MA 02601 2007 4 Office: 508-862-4644 Thomas F.Geiler;Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFIED MAIL 7006 0810 0000 3524 5331 - - March 7, 2012 Hector Sanchez 286 Strawberry Hill Road ` Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 286 Strawberry Hill Road Centerville, MA was inspected on March 7, 2012 by Timothy B. O'Connell, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint eceived at The Town of Barnstable Health Division. - The following violations of the State Sanitary Code were observed: 105 CMR 410.450- Means of Egress: Room within basement being used as a bedroo without proper means of secondary,egress. _ 105 CMR 410.482-Smoke Detectors and Carbon Monoxide Alarms There is no CO alarm located on main floor or within finished basement. Smoke _ detectors not functioning within basement or main floor. You are directed to correct the violations listed above within (24) twenty four hours of your receipt of this notice by removing all beds from the room within basement lacking proper egress and ceasing and desisting from using this room as sleeping quarters; by installing Carbon Monoxide and Smoke detector alarms on the main floor and within the basement. 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. ` 76mas rZcKean TOF HEALTH' , R.S., CHO Director of Public Health Town of Barnstable i f i FORM30 Caw HoBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH CITY -T T WN 4 W ADDRESS NE Address _ Occupant__� � Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_ No.Siones Name and address of owner �- Remarks Reg. Vio. YARD Out Bld s.: Fences: V. Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: An = Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: tv Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: 17) Obst'n.: — Hall, Floor,Wall,Ceiling: �1 Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. 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 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 EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF �R INSPECTOR TITLE ?� A.M. DATE �In I TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1)" Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns,shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. - ...�,-.�-�+.-�+'.,-^-r- ,..tir'^T_rc-....sy-^.^-.'...,.„-.,.r^-,�.-....,.�..,�vr...r�,•,:,,•.�w+-.*,..-..:..,.�...,..--,�..,,....un.....-r^,•,.../''+,rr'-i'^^v�-'''N'.,'Fr}.lac•"ham+-++''1--^..r.-- .,.„o - i FORMj30 C&w Hoees Wna eNTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY TOWN DEPARTMENT ADDRESS ^M yve y`0� TELEPHONE ' Address _ Occupant_ Floor Apartment No. No. of Occupants ' No.of Habitable Rooms No.Sleeping Rooms— No. dwelling or rooming units No.Stories Name and address of owner r_ fo Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage li Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof / Gutters, Drains: I / �' ,,,�,,, _ / / A Walls: / v ..- , m y, Foundation: P Chimney: J { I; BASEMENT Gen.Sanitation: v Dampness: `y' Stairs: Li htin .i ' j� STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: - _ Hall Lighting: Hall Windows: HEATING Chimneys: „��. . ,.^*Central ,❑ Y-.❑_N. _E, ui .Re air.__x.� _ _ Y.. __ �_ _ - __ __-_ . . ._ TYPE: Stacks, Flues,Vents.- PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: i H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: �. ❑ 110 ❑ 220 Fusing, Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: .DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen—. BaLtKibom— Pant 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: • E- ress 1'.""". 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 RERJURY." INSPECTOR TITLE j A.M. DATE TIME �i 1 P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. • s mac,,_: ♦:I{,... ..--..,._ .. '++.tr.-s+J`"''..r � r 1 ,. a.-iI_ -r.. r s * - - t • i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not,included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size.and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. C Health Master Detail Page 1 of 1 Logged In As: TOWN\oconnelt Health Master Detail Wednesday, March 7 2012 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 247-103 Location: 286 STRAWBERRY HILL ROAD, CENTERVILLE Owner: SANCHEZ, HECTOR R Business name: Business phone: Rental property: r Deed restricted: r Number of bedrooms Contaminant released: r--j Fuel storage tank permit: r m Save Parcel Changes �W`�n� b,R to LLookup Parcel Info Parcel ID: 247-103 Developer lot:LOTS 1, 2, 3, 27 & 28 Location:286 STRAWBERRY HILL ROAD Primary frontage: 115 Secondary road:PEARL ROAD Secondary frontage: 170 Village:CENTERVILLE Fire district:C-O-MM Town sewer exists at this address:No Road index: 1546 Asbuilt Septic Scan: 247103_1 Interactive map Town zone of contribution:WP (Wellhead Protection Overlay State zone of contribution:IN District) Owner Info Owner: SANCHEZ, HECTOR R Co-Owner: Streetl:286 STRAWBERRY HILL RD Street2: City:CENTERVILLE State:MA Zip: 02632 Country: Deed date: 12/17/2003 Deed reference: 18043/282 Land Info Acres: 0.36 Use: Single Fam MDL-01 Zoning:RB Neighborhood: 0104 Topography:Level Road:Paved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area11352 Living Area Bedrooms Bathrooms 1 1977 3022 1352 3 BedroomsI Full + 1H 1 008 3022 3 Bedroom 1 Full + 1H Buildings value:$106,300.00 Extra features: $37,000.00 Land value: $68,700.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=247103 3/7/2012 BIKE Town of Barnstable Regulatory Services * BnxtvsrnaT.e, « Mesa �, Thomas F.Geiler,Director 0 9.RFD A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 8, 2012 Hector Sanchez 286 Strawberry Hill Road Centerville, Ma 02632 Re: Order to Restore to Single-family Home Dear Mr. Sanchez: This letter is to recap our discussion as a result of an inspection that occurred on March 6, 2012. At that time, I was accompanied by two police officers, Paul Roma, local inspector and Tim O'Connell, health inspector as well as two National Grid employees and Richard Burnham, our gas inspector. You voluntarily admitted us for an inspection of the lower level of your home. The inspection was arranged due to the concern of National Grid staff when they responded to a service call request from you concerning the odor of natural gas in the basement. The gas company determined that a water heater you installed without a permit was improperly vented and as such carbon monoxide was being drawn back into the dwelling. National Grid staff contacted us to insure that no other hazard remained. During the inspection on March 6`", I found the lower level to be configured as a separate dwelling unit without reliance on the primary unit upstairs. The lower level consists of a living room, kitchen& laundry area, bathroom, bedroom and living room were found. Some furnishings were located through out the unit including a full sized bed in a room obviously used for sleeping purposes. You were advised that this room could not be used for sleeping as it lacked the necessary means of egress and was completely windowless. Inspector Roma immediately issued an exit order and provided you with a signed copy on site. Subsequently, I reviewed a list of items you are required to address as follows: • Obtain a building permit to restore property to a single-family home. • Obtain a plumbing permit to remove the kitchen sink in the lower level. n • Cap the lower level kitchen sink lines behind a finished wall. • Obtain the services of a plumber to verify the lower level bathroom is code compliant and retrofit a plumbing permit accordingly or, • Remove the lower level bathroom completely. • Obtain services of plumber to correctly install &vent the water heater or replace. • Repair the gas leak on freestanding Empire gas heater(lower level). � • Open the walls up into the lower level "bedroom" eliminating the privacy. • Create cased openings on both sides of the lower level "bedroom". • Install a hand rail on lower level stairway. • Install all smoke detectors and CO detectors on each floor. All work to be tested and inspected as required by the permitting process. I fully anticipate your complete cooperation. Please feel free to contact me in the event that you require clarification. erely, c Robin C. Anderson Zoning Enforcement Officer �D� ✓ No. 'V JD Fee D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Zipplication for &.5pozar bpotern Conttruction Permit Application for a Permit to Construct( )Repair(Upgrade( )Abandon E3 Complete System El Individual Components Location Address or Lot No. i�`�', �fl�/�.?Q�/ /`7/�� Owner's Name,Address and Tel.No. Assessor's Map azGe �D -:70-1-jr+9 62�z2 Installer's Name,Ad ress,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). Are— i 2 eZ' /ee Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte ance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o Environment ode and not to place the system in operation until a Certifi- cate of Compliance has been ' su by this B d of �4 Sign � Date Application Approved by Date Application Disapproved or the following re s s Permit No. ff j Date Issued Searoh by JAddreits '. 'Pemets Project Review�inspections I C 0 0 SignoffJ GL, 1 Personnel I Reports I Web (Schedule) - .. Street: _ ... ... Review Status:Complete Issuep er.,ar Mouset •�;y 4VorkflovrlProjectRevieW 6u!laintl Aam:n Health ar I I'Permits to aiei a-mri�(ey F.m A E. 1, ... 64015-01 77 —.t L I r_, G4014A8248 - 8-2014-05"6 !�I ..... P-201444075 - I - G-2012-D1292 '''+{ Staff tssignmentf Project hfanagEnent I Show Project Review History (i#T1 Notify Reviewers of Plans Resubm!(tal - P-2D12-01293 FS:H ) �B-2011-02061 t� Last REYiEWEtl By:1PAR i --- * E-2008-03798 Project Comments&Requirements- pxrttRun UnrTea _ 1—}'rfvetE Conn nt Add -- B-2008-02316 a ngap% t Type you wrnurt MI.pr seiect lion.the Not ...... 'R TE.2008-02316 .,..m....,.mm.u„+. ,:..:..d«,.:w�",.+in�w.,ar m.��.,.- ^. .^.TM•n .,wWre »a• - ...�,,.U--a..� � ��! f � III Legend tt September HLTHJPAR:201405906:title V.38rmax J Permit Select ----- i L0 Show All Types `f 2014 J .,.. S ,_.�,.; _�, .. ....... _.... ... Community Dev. I + w } All Licenses DPW Health + I e .r e 1 �:Fire - + Fee---� 0`"�/ No. r ;. .F�E.COdV1M,ONWEALTH OF MASSACHUSETTS Entered in computer: Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNST LBA E MJ SSACHUSETTS_ V Application for r3itpo.5al *pgtem Construction Permit ` Application for a Permit to Construct( )Repair XUpgrade( )Abandon( ) ElComplete System ElIndividual Components Location Address or Lot No. 374 / /// Owner's Name,Address and Tel.No. Assessor's Map (,�^ .s • Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. POJh h Sti Y'2 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Y Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 4 Design Flow gallons per day. Calculated daily flow gallons. r. Plan Date Number of sheets Revision Date i Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)_n.a.•t-P_ role- 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 of Title 5 oftl�e Environment de and not to place the system in operation until a Certifi- cate of Compliance has been�'ssuqd by this B fid of H . Sign f C Date Application Approved by !� Date Application Disapproved or the following r �is Permit No. a CLr2 &Z ff J Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired�X Upgraded( ) Abandoned( )by 4y )7 4-r r at tf,, h,, has e constructed in accordance with the provisions of Title 5 and f the for Disposal System Construction Permit No dated 117113 Installer i( "J Ac a �5►tl r Designer The issuanc of this permit shall not be construed as a guarantee that the sy will function as des ne8. Date Inspector r. I't) /V" No.------ � ————————————————————— Fee_ `)/ /THE COMMONWEALTH OF MASSACHUSETTS �vT PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwizpozai *pgtem Conotruction Permit Permission is hereby grantqdy Constru t( )R p (/ r tie A andp( IVAI/S System located at 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: Constr ction ust be completed within three years of the date of this Date:_. Approved by /e f a�z P-6-er y I..fo �_ _ _ ,_ Property c:naracneristLics Address: 286 STRA VIBERRY HILL ROAD Pro'p �Use: 01,0 � 01�rner SANCHEZ, HECTOR�R Lotkea: "f 5682 s PorcellID: 247-'03 . Year Built: 1077 Zoning: E, , Book Page: 8043182 IN Buildings B-2014-059 6' . � CoticWo � I o MNEALTH O F M�SACHUSE-I`I'S - ExzcuT vE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECT. MAP PARCEL . 1 0 3 F E B 1 12003 LOT TOWN OF BARNSTABLE TIT S HEALTH DEPT. OFFICIAL I�YSPEC'I'ION FORI�t r�—NOT FOR VOLUNTARY SUBSURFACE SEWAGE AL SYSTEM FOMIOR1�t DISPOS -LvLE`(TS PART A O I CERTIFICATIO N Property Address: �d 6 ,S?rc ` LDS Owner's Nwwne: T n Owner's Address: Lv, I p ems : or Date of Inspection: Name of c: lease rs t Iaspecto (p p •g ) Company Name: v/tD — MAilinE Address: O C a g Telephone Number. o S- � CERTIFICATION STATE,-VTEN I C=fy that I bave persooaQy iasp=cd the sewage disposal below is sue.acczu=e and complete as of the time of the rilt=at iaspet as The is dress that the iafocm2don etported tminiag and e:cpe:ieace is the proper tbnction and boa wu Performed based on my approved system inspector Pursuant to Section 155-U0 o�tie S(310 C lam a DEP ' Passes system: - Coccuonaiiy Passes Needs Fuithar Evalu=.Qn thie EAc;d Appteving Y Inspector's Signature: • Date: /� 0 The system atspe shall sabmit a copy of this inspection - DEP)withia 30 drys of completing this' report to the App�g 8Pd or graue1.the' �spec;dom.If the system is a dsared �t+sh°city( of Health or C)d The ari ' for and the system owner submit the eepoet d"em or has aVpqprim"ga aaw of 10.000 authority giaal should be seat to the sysum owner and copies seat to the buyer.d appac*jr d the of the g Notes and Comm=ts ""T3is etpoct Only describes conditions at the time of' eoaditio s inspection of�oo does not address how�l,��1�arm is the futurom and under e underconditions of ax at that the same at afferent r2p 7-Q I l - OFFICUG IYSPECTIpiY FOR. (_ NOT FOR VOL' SUBSURFACE SEWAGE DISPOSAL SYS NT'ARY ASSESSI�(EMS TEtiI 4YSPECTIOY FOR PART A D[ CERTIFICATION (continued) Property Address: / Owner.- C©r,.) Date of impecttaa: _ — O Inspection Summary: Check A.B,C,D or E/ALWAYS complete an of A. /Sys�e� per; Section D V i have not fecund any infocmadon which iadicrtes that�.,of 15.303 or in 310 C�1R 15.304 a`dst Aav failure citer4a not t anv t the&Rare ffter'2 descztlxd is 3 IO ClvtFt Comments: are indicted below. B• System Coudidonally pass _&-octe Or MOM The system.4M'M Completion thenCMU as rep m the"Coadtioaal P��seCtrO4 a RP�Cemeat or fir.as appca„��,the Ba�'d�af Hc�il�tk w�cp� Answer Yes.no or not deteraiiaed(y��)�the L,=.- for the foilo vino statemc=If"not determince please The septic talc is metW and over 20 Years old-or the taak Uwund,=bibits e-'uning tank is cepiaced CItradaa or�ltrsdoa ar��is (Whether metal or not)is mil mp Yiag tmrrurd o S p�. Y metal SepaC tank will pasa 04 if i jsC tank as 2IVrcvcd by the Board of Heytit,Will MsPectica if the indicadag that the tank is kss theca c Years old st a a=lle�d.not kalcag and if a Certificate of Compliance �e:cptai4: Ct=vadoa of searage badcp oc bcetk out or hi o pipe(s)or due to a broken. 6h static*4tcr�d aPPruvzl of Board of Health): settled or aaevea box Sys �'aoa box due to bmo or ��doa P�msP=dOn if(with —_. broken pipe(:)are replaced oo4 is removed distribution box is leveled or replaced lairs: The Pass iaspecu�on�(vnth�ypp�.�� more�t y times a Year aue to bcokea or t Board of Health): wed PPKs)-The system.vile bt a Pipes)ace replaced — obszruc�oa is removed NO�tptaia: IPage3 of l l OF'FICWL iYSpEC-ROY FORM - NOT FOR VOL SUBSURFACE SEWAGE DISPOSAL SYS VARY ASSESSMENTS TErt OfSPECTION FORM PART A CERTIFICATION(continued) Property Address: ,6 / Owner- Date of Inspection: C• Further Evaluation is Required by the Board of Health: Conditions Wda which mquire � B Pm public hplt f�uther evaluation by the Board of Health is eta tic the eaviroomeat. order to detettaiae if the svgem 1- System will p=3 unless Board of Health determine is accordance system is not functioning in a manner which will protect with 310 CMR 15303(1)(b)that the Cesspool or privy is within public health,sated,and the environment SO of a su f .wace; Cesspool or privy is within SO feet of, bordering vegetated wetlandor a wit mark r Z System w'D fail naiess the Board of gealth(wad Public Water System is functioning in a manner that protects the public health,safety and d y)determines that the eariroament The system a septic dak a soil absorption surfs-watersupply or trbutary to a aufx.-waoa (SAS)and the SAS is within 1Qo fat of a -- The system has a septic tsnlc and SAS and the SAS is wi Chia a Zone 1 of a Public water supply. • � The hem has a septic belt and SAS and the SAS is wi Chia SO feet of a private water suPthan PIY well The system,has a septic trait Md SAS and the SAS is lee private water supply we"O.Method used to deter di_Sa 100 fat but So tic more tiom a "This if the well Pates '��analysis,perfortaed at a DEP bacteria wad volatile organic the p of ammonia of ids indicate that the well is -'stied�0�0�'•for aliF ilmi failure cziteria are triggers p`a and nitrate nitrogen is equal to orku m pollution ti om that facility and copy of the analysis must be attached to� PPM Pmvided that no otbc 3. Other. i ` OFFICL-kL INSPECTION FO%,.I—NOT FOR VOL SUBSURFACE SEWAGE DISPOSAL SYS UNTARY ASSESSMENTS PART A TE�I ZIYSPECTiON FOR:�i CERTIFICATION(continued) Property Address• a�6 AIf Owner: Cap 6.'1 Date of Imp on: D. System Failure Criteria applicable to all systems: You mutt iadicue"Yes"or"ao'to each of the following foc aI] ta�ons: Yes _ i/ ac.ICup of sewage into elciiity or system component due to ova Discharge or paneling of effiueat to the om of the ground or oaded or clogged SAS or c�..sspoal zclogged SAS or cesspool mrfue waters due to ai overloaded or J[ Static liquid level is the dis�'butian box above Duties invert due .. cesspool ,Liquid depth is �o'�o�d or clogged SAS or in is less that 6-below invert or /��Pimping mots than 4 clam in the Lotbk volume is Ness tlun'/� /vf�Pumped YOT�e to Clogged oc �Y flow /Arty portion of the SAS- ° ptpe(s)•IYcun(xr !// Pool or is below VQund water boa ._/ i portion of cesspov!or privy is withiy. n too feet of a�surfzce portion ACa cesspool ec water xFPIY oc tributary to a surface -7 " portion of a emspool or�Y within a Zone 1 Of a public wjL Any portion of a �Y is anthta SO feet of a pate water supply weu, �PPIY weu with p°pi m P�t'Y is less than l00 feet but greater �7- *1e water quality anal stem�a so feet livm a private water performed at a DF.P ceroi-ud[abontocp,for co w bacteria Pyres if the well water analysis. indicate that the well'u tree from pollution from that facz7i cia noel�^olaule nitrogen and nitrate ni ty and the organic compounds are triE�ertd.A co tt�ea u equal to or less than s pp�prided pace of ammonia PY of the analysis must be attached to that no other failure criteria J this torm.1 �/ (Yes/Ya)The system L14 t bave determined that one o described in 3 to Clot 13.303 therefore the system r tnOtt of the above failure criteria CxLu as Health to determine wb t will be necessary to Correct �r1gem Owner should contact the Board of F- Large Systems: To be considered a lar;e system the Epd. �+system must serve a fatr•Gty with a deai�u %.,,of t0.000 You must indicate either"yes'or gpd to ls.o0o Me following criteria applY to " to each of the following: �8e sYneau in addition to the Criteria awe) Yes no _ the system is within 400 fact of a su t=drinking water supply _ the system is within 200 feet of a tributary siafaee v to a . d�dno water supply the S.MCm is located in a nib Zone II of a public water sauitive area Raterirrt We Peon Area-iWPA)or a Hopped supply 1Y well llyou have answered yes'to any quesioa is Section E the sy�Yes" in Section D above the Urge system bas bilad.The ot� is CO dead a ut ctu thrtat,or answered si"c=t tht,=under Section E or failed under Section D sha11 operator of any large System coruiderod a 15.304- system owner should co te�aasl otfiee of the The �a� ul�de the cd�rtce with 3 IO CivQt :4 ` Page S of l I OFFICIAL INSPECTION FORM(_NOT FOR VOLUNTAR SUBSURFACE SEWAGE DISPOSAL, YSESSNtEIYTS SYSTEM[ +�SpECTiOIY FORMt PART B /Property Address: � 6 Owner-. coc p DJ 6:, 2 Date of Impec�oo: Check if the fall wing have been done.You must indicate"ves" or"ao,as to esch of the followin , y a ping iaforcntion was Provided by the owner,oc-"U FanC or Board of Health Wero say of the system comPonc=pumped out in the. . / Previous two weeks -K — Hut the system receivednorm Q°ws is the prev1au two we*plod .� Have lane volumes of water been iaa'odslced to the system roteatly or as pan of this inspection Were as built plant of the svucm o �— W� boined and e0mined?(If they were not available note as MIA or dwelling iatpected for si ) j � of sewage back up Was the site iaR=cd foc siPs of break out were all system cou"nents.CmIudin g the SAS,located on site of es cc tea,mztezia(oP c0nun�owcm n. o and the uidti a of the task v " �F�of 4qui4 depth of sl4Vecwd foo the condition Was the and de{xh of maintenance of aabsur p(Ind cif dtffeteat'MM owner)provided with infon=oa one the proper The sae and location of the Soli Absorpdoa System (SAS)oa the ate bas no E �detam+aed based oa iafarmatim For emmp(e.a plan at the Board of ESealth Detanited in the Se(d if Ls�Ptable)PLO CNN 1S.302(3)(b) °f the failure criferia R Wed to Part C is s issue app, of distance �� I Pagc6oflt OMCLkL INSPECTION FORUM—NOT FOR VOLUNTARY SUBSURFACE SEWAGE DISPOSAL SYSTELNI NSPECTIO E OMt"S PART C 1SYSTE`[ MO&NIATION Property Address• C b a""j-/ HC11 4�� r-Ai v� Owner, Dite of Inspecri �? RESMENTLIL FLOW con moms Number of bedrooms(design);3Number ofbedrooms(acn=0:.'F' DESIGN flou bash 3 IOC1�,15.203(for smp{ ; 10 gad;t#ofbNumber of ctrisatresidents- edrooms): .�3 Does ctsideace'=ve a age Wider(yes or no):ZVa Ls Immdry an a separxe sewage system Laundry n es or es or ao: inspection .JY ) f�Y�sum �uredl Seasonal use: ).(yes or no)• D Water meter m4ngs.if available(tut 2 pears v,ge(gpd)):Sum '.. p pump(Yes or no): 1=date of occupancy. COMMRCLALlNDQSTRLkL Type_r---IbtLshm= Design flow(based on 310 ISZ03): and Basis of design flow(Sc Wpe=Qdsgfk�p Grose Map pmeseat(yes or no): Indtsssrial route holding teals pM3=(yes or no): Non-=itary waste aych'argod the Tide S Water meter codings,if avagable: ty (yes or no): Last dace of oazay/nSe: OTHER(desmiibe): Pumpiat Records GEC RAL WOJLMATION Source of information: 06)Was System. — © (•✓vt��� pumped as part of the won(yes or no): 4-0 If volum Reasoa for pump�iag ins—How was quatit ►pumped mad? =SYSTILI�[ Sic tams,distribution bo:,soil absorption rluem Siagic cesspool Overflow ccsspoot ivy --Shared system(yes or no)(if yes,attach previoers ie�poaioa reco ccft.if my) o�ed fmm��rtechnology.A=cIL a copy of die*nTc t operation and Mains cones(to be Tim tank a Acach a copy of the DEP approval Other(describe): Approdmate age of all companea>x daft' (Itea)aid so rove of information: were sewage odors detected when w6ving at the site (Yes a oo):/fv page I of I I OFFICLkL L`(SPECn4N FORM_NOT FOR VOL UNTAR SUBSURFACE SEWAGE DISPOSAL SYSTE`l U(SPEECTION Off,NTS PART C SYSTEL-*(/LYFOR IATIOK(coati) Property Address: qg% v GrG✓�Gi^ (x K ��0�6 Date of 'on: 13UMDLYG SEWER goC11 //`site pUn) Depth below grade: Mverials of Construction: cut iron Distaa� Z4OC ocher from prince water supply well or suction One: (explain): Comments(an Condition of joints,venting.evidence of leainge; Py ------------- SEPTIC TAaYK:_(locue on site per) Depth below grade:_�� Macerfal of cation:�ncetc mewl fiberglass_Polyethykne If tank is meml list age:_ �) ge nfismed by a Cettificue of Compliance(yes or no): (attacha copy of Sludge dcpdL Dimmsionx S'C n wP oft°bottom Of outlet toe or baBIe: OCum thi� DistcCe Brow top of scum to top of oariet CM or baMc: O How w=ere fmd'meuiactsm bottom ofdaamiaed; ttof'/fOUdvM or e: Comments(on pumping teenand fl as lated to Outlet, Cv � ofo f g�ems): outlet We or bagle Bond oq integrity.�d ids pu �o /ov CREASE TRAP-.0ocate an site plan) Depth below grade:_ Mste w of Constrution: commete met —Mx=gk=__polyethylene al Dimensions: �chicicaesx Distance from top of to top of outlet toe or badL— Distan=fmm bottom of saam to bosom of outlet tee or bsQ Date of Last Pumping: °111(m PvPng eaomatcndauon%inlet and Outlet we c."tto y Gquid as teiated to owlet iavM evidence of °f bane 4 Aga eec.): wry. kids Page 8ofll OFFICL-kL INSPECTION FOR1v(_NOT FOR VOLUNTARY SUBSURFACE SEWAGE DISPOSAL SYSTE�,t INSPECT O FpE NTS PART C t SYSTEM �O�'�nOtY Property Address: �O K� (continue Owner- Date of IMUSP— tioa: — —O TIGHT or HOLDING TA&NX-�taalc must be pumped at time of WSp=tjonxlocate oa site Depth below gam:_ Pam) Material of construction; concrete'meW Dime sons: —aber�� P°ly 'leae�other(acpLain): Capacity: Design Flow: o,nOOS Alarm Present(yes or no); day Alarm level:_ Date of last pumping: in woti°IIg o or no): I COmmc is(condition of alarm and goat switches,etc,): D1STRjMUTI0I4 Boy-L of PceSCnt must be o oa site Pam) Depth of liquid level above outlet invart; Comments(note if box is level and age into out of bo. d=fl; °on to outlets egtaal.any of solids =73/'0ta,any Mdeace of pQMa'CHA,IMER; (locate on site pLU) Pumps in wodaag ocder(yes or no): Alarms in wonting order(yes or ao); Comaseuus(note condition of pump ,condition of pump wad I page 9oftI Y OFFICL-kL LNSPECTIOK FORM—PLOT FOR VOLUNT SUBSURFACE SEWAGE DISPOSAL ARY ASSESSMENTS SYSTEIM V(SPECTIOtY FORM PART c SYSTEM IiYFOpb"TIOY(con Property Addrm: ��pH Owner. C� Date of Inspection: SOtI.ABSORP'IIO 4 SYSTEI((SAS): (locate oa site Plea,auyatioa not re ni q r If SAS act located cq:laia why: T( !/I=chin Pits.number leaching ch=be:s. maatber; teaching gacics.Mumber: Icaching mcicheS.number,Img ; ,leaching deW number,boas: overflow cesspool mamber. iancvativelaltamnive�T ypc(=Mcof technology: Coma eatzn (note condition of soiL etc.): �of hydraulic thalur,level of pc G dam so' / p d.Condition of vegetation. o r ►� ez- CESSPOOLS:.,L(=Mpool Must be pumped as tm of inapettion)ooate an site Nua�r and configuration: p ) Depth-top of liquid to inlet iaivest; Depth of solids taxer; Depth of scum layer: Dimcatsicat of cesspool: Materials of cousmuaoa Iadicadoa of growwwa=i8fiO„(yes or no Contaaents(note condition of soiL sips of hydr�taiic tail Icvel of poadiat,Con of" , PRIVY:AZ(Ioc=an site pLm) Mateviais of coa uctioa Dimeasioox Depth of sotidx Comments(note condition of soil signs of hydranl;e&au,,level of pondiaag, Condition of reget2tio4 ` Pzge 10 of 1 t OFFICUL L`fSPECTION FORI�t—NOT FOR VOLMfrARy LN SUBSURFACE SEWAGE DISPOSAL ASSESS CENTS SYS'[EMt INSPECTION EORIrt PART C SYSTEM[ ENFORA, �j TION(concur �Pe�/Ad�dn=. J7-�q�, /�r Owner.=ow N C?�c(0-?J Date of SKETCH OF SEWAGE DISPOSAL SYSTEri beacIudeaaa*etch of the wwap dipoW im.L=m as wt � including des to at least cave p��tef°� fatCeL Locue where public ' laadcnarfcs or �� M.1Y etas the binding. �6 WI L) OFFICIAL LNSPECrION FORIN(-P(OT FOR YOL�ARY . . . SUBSURFACE SEWAGE DISPOSAL SY STEM( INSPE ASSESS�CENTS PART C C`tiO I FORM SYSTEM MOR L4,TION (cancinucd) �pem�aa�s: � 5���cr•�i.� �/� N Owner, oo Date of Inspect on: Qj SM E.`AM Slope Surface water Check cellar Shallow wells Esu=ted depth to pound water Pl=w indicate(duck)all methods=rd to&tam=the high ground wata•dev=m — obtained from start �` gn Plans on tts:otd•If cheated.date of design p� ed site(abutting / Checked with fool °bservatiaa hole tbia 130 tEet of SAS) wed --_.Checked with local cc=wawM��ej, •0 S ttscs aatabase.cTlabL (�ch Haan) You hog„� e� Gram' f•3�the high ad w,ue elcy: ioo: wiL11:1j, ion je coo0 K: 0 Q =�< I` o �. r 1� 6;6C4 V7c-� ' �R tj t -" __. . NN - i V6. r tE r+ Ok let i - `f f ..._ i a nkt ic —_ W ---- Io LP u f f f� �3 r� YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it•does not give you permission to operate). You must first obtain the necessary signatures oh this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE: APPLICANT'S YOUR NAME: Z 4:tf "i LJ Try.,j )BUSINESS YOUR HOME ADDRESS. ZSG >�L c f¢ O26TL LEPHO E # Home Tele hone Number. 3G S NAME OF NEW BUSINESS (���f� °s TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES /NO Have you been given a• pproval from the building division? YES NO ADDRESS OF BUSINESS A4 MAP/PARCEL NUMBER. 2 QZ6S t— When,starting a new business there are several things you must do in order to be 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. I. 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 bee infWed of the permit requirements that pertain to this type of business. MUST COMPLY WITH ALL HAZARDOUS MATERIALS REGULATIONS COMMENTS: Authorized Signature" G 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE DateM /2J / J TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �� � `s &n�ede—� " � c�, &Z, BUSINESS LOCATION: �lCG spa-t�J ��-�.,� ,�r-�L 27 INVENTORY MAILING ADDRESS: ,a , 3 D)( ZZ z p 2 o TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ft�!()36 s r-o Sys MSDS ON SITE? TYPE OF BUSINESS: LGee�-w S'e-yU,'ce=- INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants 41� s#4w_e,, Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) f Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials NAME OF OFFENDER (,,t6`'1)ty) P �� D D A„n D TOWN OF ADDRESS OF OFFENDER II �b -k rfA Wborr ,1j Q eu CITY,STATE.ZIP CODE `�wU nn, A 0/ BARNSTABLE `pf INE tp� MV/MB REGISTRATION NUMBER P�C •HAH\SlABLE. OFFENSE /Q��q/ ter P MASS. `0� ��J !n/IL�' Un��olP Mp rG'✓!-✓f 1'> t t"'vV i �,✓n �i o �prFD MPS s, / a J lJ�f InfI A rrPr, Mn If1\Pr� t<FSbc �t�tE/S Gtn(� 7�/nS� nn�qS- z NOTICE OF TdM�ANOID�E0fVI0LA(AM./ P. . ON ION ' 2003 L0 ION.OF VIOLATION+r".'borr ' kcl f/ 0""' f Q SIGN GR OF EN ORCING PERSON r EN- R IIINU Ut T. U�/ B OG��,//� w VIOLATION ,N;�J �1J. S �� � ` f/7 Np OF TOWN J " I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE ® Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS I S Date mailed LU w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FI Al_ a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION < (t)You may elect to pay the above tine,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,230 South 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. a (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 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 �.....r•. ...r. -.-' J`r1b. rY^J -"...,,.n "5....+ `�.-r,.......-r`.•-in..�,�..r.�r� ,a...ry(4..,...fr�.-..,.w+a,`.r ,4....i+!r;'...^"'k+.nr,4�✓w'-. - • ._�..- .,.....r..-�.--. TOWN OF BARNSTABLE BAR-W C 3761 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Gull 0ti�, ' /�'��� � ~? Address of Offender MV/MB Reg.# Village/State/Zip I , f `t ' ( _ 1 1 . Business Name , . fi Business Address v ' / d# Signature of Enforcing Officer''l f. 'Village/State/Zip J Location,of Offense ' Enforcing Dept/Division` Offense FactsRio , r. This will serve only as a warning. At this time no" 'legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations .,will result in appropriate legal action by the Town. p �-< ,rl�� f �. I WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLtD'-ENFORCING DEPT. e TOWN OF BARNSTABLE BAR-W •i' Ordinance or Regulation 1MRNING NOTICE Name of Offender/Manager t - ' sa . r, Address of Offender MV/MB Reg.# Village/State/Zip f Business .Name am/pm- ; on s2 0 .„Business Address T Signature of Enforcing Officer 'Village/State/Zip 44 L&cation of4- Offense ` Enforcing Dept/Division Offense. - f Facts I This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations ;will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Health Complaints 09-Jan-03 Time: 9:00:00 AM Date: 1/7/2003 Complaint Number: 3885 Referred To: DONNA MIORANDI Taken By: DONNA MIORANDI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 286 Street: Strawberry Hill Road Village: HYANNIS Assessors Map_Parcel: Complaint Description: Many bags of trash on property, especially in the rear Actions Taken/Results: DZM investigated and gave tenant Gladys Hercules a warning. She said BFI will pick it up on 1/16/2003. Gave her'til then to clean up i Investigation Date: 1/8/2003 Investigation Time: 3:55:00 PM 1 I Town of Barnstable " B"R"ST"B" NAM Regulatory Services g 1659. Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 6, 2003 On February 3, 2003, David W. Stanton, R.S. and Samuel H. White, R.S., Health Inspectors for the Town of Barnstable, Investigated a complaint at 286 Strawberry Hill Road, Hyannis, MA. The complaint was in regards to a lot of rubbish present at the said location. There was a large quantity of rubbish observed at the said location including tires, a mattress, plastic jugs, and several black trash bags strewn throughout the property. A warning notice (Bar-W 3761) had been issued to Gladys Hercules by Health Inspector Donna Z. Miorandi, R.S. on January 8, 2003 for several bags of trash. Health Inspector David W. Stanton, R.S. issued a citation on February 3, 2003 for a repeat violation of the Town of Barnstable Board of Health Nuisance Control Regulation no. 1. Respectfully, David W. Stanton, R.S. { Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax : (508) 790-6304 Q:\health\ordreI etters\refuse\Hercules.do t �v• ti.. MAIL Town of Barnstable' !Public Health Division lJg P��~,:'1�' 1� '4GE»PITNEYBOW ES BARNSfARLE.g! 200 Main Street MASS. I . . �`EED NIP��O Hyannis,MA 02601 ZIP*1 0000136 q, 005.750 7006 0810 000_0 3524w 5331— �SMAR. 07. 2012. j Hector Sanchez 286 Strawberry Hill Road Centerville, MA 02632 1N3:X'IE 029 OE 1 00 03127112 I RETURN TO SENDER UNCLAIMED UNADL.E TO PORWAR0 mc: 02801400200t *1394- 054E-O?-42 - -.t.3�.� s."'a '�`M"'�����-4�"�"•''"�`O`d �I'1I111I1I1I'llllli111)�11�11I"ill�flll ll'I�I�.IIl��11I1�1�i� �. .. . . . ... . tit: Nip SENIDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature I item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee , so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. I D. Is delivery address different from item 1? ❑Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑ No I I I I � I I I I Hector Sanchez II 286 Strawberry Hill Road s. Service Type MA 02632 1�Certified Mail ❑Express Mail i Centerville, ❑Registered �Retum Receipt for Merchandise --- - - -" ❑Insured Mail ❑C.O.D. I ' I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7 p 0 6 0 810 0 0 3524 5 3 31 - (Transfer from service Taber? -- _ 4 PS Form:3811,February 2004 Domestic Return Receipt - -102595-02-M-1540 i t z1s z19 z13 z12 zn 3--10" 3'-10' 10'-2" 5' 16'-6" S_5" ry o ry ry e ry v rv � - �' ka Sill 'S' Sill '-6' Sill '-6" Sill '-6' ill -6" Sill -6" cImE, 15 3• N �: ��� .�• 9'2" x1w FIR EDUNGEI— - I Ex*.CnannEr$URRGURU xwO FIR . CONSULTANTS 6 66 CARROx I . s MCINESS LLO6E OOM n -. .KNEE WRLL. nwDFR6 CONSULTING PE BEDR =6 P.O BOX 1182 1s•-�" 6'-9•• �l EAST SANDWICH MA 02537 m ��R°aoN x�G RJR 'S 11'• zoz - - — - S• uVilOav TILE / \\ mE 4.-0•. i / S AIR DOWN T.IE ON£R wr '-son =E \1 a ATnRDOI R ea A t5•-0" Sill '-6" Sill Z-6 s. '6" S91 '-6" - Sill Sill Snl '-6" Sill -6" Sill�'-6" m 5'5.. c+- 5'S.. ^ 10•-8•' ^�I e 3,1„ ry e 3,i ry v 201 202 2Q3 209 205 206 _---�7i 208�----�(1~L \l 2nd FLOOR 4' 2nd FLOOR PLAN ADDITION EXT DECK - 286 3 i STRAWBERRY A4G HILL RE) 107 (os Sill 6" ON TD 6 6EME 1/J ExT.FIRE RUCE EXT.—NORM 102 UP TO 2ND FLR — 18'-2 1/2" — -- S -c-- ------------- __ . -------------- i DE OFFICE ulEA MO 71 r�1 Tx aT-E. ENT—ROOM N w DN _ MARK DATE DESCRIPTION 2 U1 2 ` PROJECT NO:#Project Code MODEL FILE: Sill 'A" Sill '-8" Sill 2' 1/9" Sill 2 1/9" 3.ptn 18 DRAWN BY:#CAD Txhnioian FDO Nacre COPYRIGHT: N v 01 102 103 10� SHEET TITLE 3 1st FLOOR PLAN 3 1st FLOOR PLAN A-1 .0 • SHEET 2 OF 15 � . to 5 I S 1