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0168 BARNSTABLE ROAD - Health
168 BARNSTABLE RD., HYANNIS Iry awe tl COr 041 r 0411 � s 0 q17 r J DAVID C. NUNHEIMER, ESQ. THE SMALL BUSINESS&ESTATE PLANNING LAW GROUP, P.C. 540 MAIN STREET,SUITE 8 - HYANNIS,MA 02601 P:508-775-4700 F:508-778-4600 26 GEORGE RYDER ROAD SOUTH P.O.BOX 1489 WEST CHATHAM,MA 02669 P:508-945-1000 F:508-945-1011 November 20, 2020 Thomas A. McKean, RS CHO Town of Barnstable Director of Public Health 200 Main Street Hyannis, MA 02601 RE: Notice to Abate at Unit 6WB, Crossroads Condominium Dear Mr. McKean: I represent the owner of the subject property who forwarded to me you Notice to Abate. While I have not seen the complaint, I am writing to let you know that we have been trying to address this for some time since the owner and I first received notice of the condition. The tenant has not be entirely cooperative and has a very limited window of permissible time for a repair person to enter the premises. When we were first notified, I immediately had Scott Frank Septic go there and inspect the condition. Without setting out the entire unusual history, I have secured the permission from the unit owner below this unit and am coordinating with the tenant and have a plumber scheduled for December 2 to go in and make the repair. Thank you for your attention to this matter. Should you need further information please let me know. Very truly yours, Davitfi u eimer, Esq. Bellaire, Dianna From: McKean,Thomas Sent: Tuesday, November 19, 2019 1:10 PM To: 'bburgo@ymcacapecod.org' Cc: Bellaire, Dianna Subject: Delivery of Snacks to Sites In Hyannis TO: Ms. Barbara Burgo YMCA FROM: Thomas McKean Director of Public Health RE: Delivery of Snacks to Sites in Hyannis DATE : November 19,2019 ----------------------------------------------------------------------------------------------------------------- The Town of Barnstable Health Division has no objections to delivery of snacks to several sites in Hyannis, which will be prepared at the permitted kitchen at Camp Lyndon (YMCA) in Sandwich. The listing of the various types of snacks was recently reviewed by the Director of Public Health. The snacks will be delivered to the following sites in Hyannis: - Cromwell Court Apartments. - HYCC - Village Green. I hope this memorandum meets your needs. If you should have any questions, please feel free to call us back at 508 862-4644. Sincerely, Thomas McKean, RS, CHO Director of Public Health TOWN OF BARNSTABLE HEALTH DIVISION 1 f 1 N 30i � Town of Barnstable ' Regulatory Services '� Public Health ]Division 4i i63q. �0 lf0 Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-86 -4644 C Fax: 508-790-6304 August 1,2019 Charlene Mahone 168 Barnstable Rc ad Apt. 7A Hyannis, MA 0260 168 (7A) Barnstable Road Hyannis, MA Time Restriction — Limited Access to Premises This notice is t inform you that you are granted permission to access this property to make necessary rep irs to the dwelling between the hours of 7:00 a.m. until 9:59 p.rrti. on any particular day No person shall enter the premises after 9:59 p.m. Any and all persons must vacate the premises before 10:00 p.m. each evening. _ On Jtljly 16, 2019 the Barnstable Health Division issued you a finding that the dwelling owned by you Id cated at 168 (7A) Barnstable Road, Massachusetts was/is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E) the Health Departmjent further finds that t1e conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding... The w1tten.orcler notified you that any and all occupants were ordered f to vacate and the landlord/o �ner was ordered to secure the subject dwelling within 48 hours.' Once vacated, you were notifi ad this dwelling may not be occupied without the written approval of the Board of Healffi. Anyo e who fails to comply with any order of the board of health maybe subject to fines ranging from $10450 00. In addition, you are subject to non-criminal disposition of$100.00. Each day's failure to comply-with an order of the Board of constitutes-a separate violation-. Note: This is an important legal document. It may affect your rights, PER ORDER I F THE BOARD OF HEALTH Tho as A. M Kean, C.H.O., R.S. Dire for Publi Health Q:\Order Letters\ ondemnations\168 Barnstable rd.doc �FTHE Tp,�, Town of Barnstable �r� O Inspectional Services + BARNSTABLE, " MASS. ��rED MPS� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7015 1730 0001 4990 1055 July 16,2019. Cromwell Court Pres Association LP 168 Barnstable Road Hyannis, Ma 02601 Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.I 11, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter It: Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on March 10, 2017 conducted an investigation of a dwelling unit located at 168 (Unit 7A) Barnstable Road , Hyannis, MA. The owner's name of this dwelling unit is Cromwell Court Preservation Corp. The tenant(s) name(s) is Charlene Mahoney. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E) the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanizer or Impair Health or Safety 410.750 (G) - Failure to provide adequate exits from said unit as determined by 708CMR 3400.5.1 of Massachusetts State Building Code. (Large amount of debris blocking egress was observed from apt. entrence) 410.750 (I) —Failure to comply with any provision of 105 CMR 410,600, or 410.602 which results in any accumulation of garbage, rubbish, filth or other Q:\Order Letters\Condemnations\168 barnstable rd(7A) 7-16-19 + 4 causes of sickness which may provide a food source or harborage for rodents, insects or other pests (Large amount of stench and animal feces was observed from apartment entrance.) Based upon these findings any and all occupants are hereby ordered to vacate within (24) twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. You may request a hearing before the Board of Health if written petition requesting same is received within forty-eight (48) hours after the date the order is served. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied until the garbage and filth is cleaned. Note: This is an important legal document. It may affect your rights. PER ORDER OF THE BOARD OF HEALTH T om cKean, CHO\RS Director of Public Health Town of Barnstable Cc Charlene Mahoney, Occupant 168 (7A) Barnstable Road Hyannis, MA 02601 I Q:\Order Letters\Condemnations\168 barnstable rd(7A)7-16-19 JAN-17-2017 10:52 From:Ctomewell Court 50877e4649 To:15087906304 Pa9e:1,'4 I�QA A POAH Cominugity COMMUNfrir-5 Pra(essiat7zily M nailed by POAI! Commoniiies LLC PAX TRANSMITTAL DATE: ju ,/'7 —l LG"L` D1-LIVER TO: �e FAX NUMBER, SENT BY: SUBJECT: MESS .4 PC r n r Numhr�r of pages {iiiciuding this sheet): . If yOt, do not receive all Piss, plE,ase call as socin as Possible. THIS'TRANSMITTAL AND ACCOMPANYING DOCUMENTS ONLY FQFt THE USE Or THE INDIVIDUAL TO WHICH IT IS ADDRES ARE INTENDED . AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONF DEED AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW 1=NTIAL . ,If tftie re:ider otthis rrless:lge is riot the intended recipient, or the em io ce or agent responsible for de1iVerin p y g the message to the intended reci iont Nearby notified that :an lly dissel-nitlatio distribution or co p ' you are communication is strictly prohibited. If PYirlg of this error, please notifys im you have received this cot»monication in ph to us at the address below viarthelU.S tele Post 1 one, Ser and return the original message «.. Tharlic you. 168 BarmtaWe Rd. Hyannis, MA 0)6ol Phune: (SO8) I'll-4550 Fax: (SOB) 778-4 43 TTY: (800) 439.2370 . 31Y Spanish: (066) 930-9252 JAN-17-2017 10:52 From:Ctomewell Court 50877e4648 To:15087906304 Page:2/4 page : i OA Eris COMMUNITIES UNITEES Cromwell Court Work Order No. 640141 168 Barnstable Road Date Call: 01/13/2017 11:20 AM Hyanis,MA 02601 Office(508)771-4550x Date Due: 01/17/2017 12:00 AM Status Call Brief Desc: Treat apt for roaches Sob Site: 121517/07M 168 Barnstable Road Apt.7M Hyannis,MA 02601 Caller Name: Cherissa Sharpe caller Phone: Occupant: Sharpe(t0022817) Priority: 2-Corrective Ok to enter? YES Category: Routine Pest Control SubCategory• Roaches Problem Description: Treat apt for roaches per Board of Health 5chedulnd For 1-17-17 Parts&Labor Quantity/ Item Type/ Hours Employee Name Description Unit Price Total .0000 .00 .00 Total .00 Authorized by: Signed by Dated Invoke No. 01/17/2017 10:59 AM JAN-17-2017 10:53 From:Ctomewell Court 5087784648 To:15087906304 Paae:3/4 Cromwell Court Apartments Professionally Managed by PBAH Communities S08-7714SSO ph SUB 77BA648 !x C;herissa Sharpe 7M January 13, 2017 Ehrlich,pest c0atrol services will be out Tuesday January 17, 2017 between 8:30aru-11:30am to treat your unit for pest activity. *77tere is then necessairy fnr you to.—, As this will require spraying. Prep will involve removing all items from kitchen cabinets. This includes making sure that there are no dishes in the sink, clear countertops. Any foodstuffs properly packaged. All areas thoroughly cleaned and vacuumed and rubbish/recycling properly disposed of. It is advisable that you not he in the area, especially small children for at least 4hrc following spray treatments Afollow-up has been.scheduled for.1131117 you will receive a reminder. A member of maintenance will accompany the service provider in the event you are not available and will secure the premises upon completion. If you have any questions about this please feel free to call the office at: 508-771-4550 168 Barnstable Road Hyannis, Ma, 02601 SW771.4550 ph 50843-4648 k �/ JAN-17-2017 10:53 From:Ctomewell Court 5087784648 To:15087906304 Paae:414 Gltutt w!_KS .p(��_ ���� Date ! _.._... .gypl WATCHALL J City.State ahmt Qi�airmcM m finv I�yr Coeo*01 � c .. '•-� :: '"' . .era:::,i�,,ay.','t..t'�.'R'%'• .,resi",--� Vohtme Product 1/0 Metttpd Location&Type of Treatment -- The following Teport contains an outline of the work performed by the service technician.In addition,recommendations may be inc a'da for sanitation improvement,structural modigcadon,or other conditions. Please read this reps t as your prompt attention to these nmt tern is essential to the overall effectiveness of the pest managcMent program. OJ 2VI Tedinic It i Ohm r • pyppa Watch All,hw. Citizen Web Request Page 1 of 2 BARINST li14 ` Logged In As: Friday,January 13 2017 TOWN\oconneit - Citizen Request Management J r� j� Route to Users Search Requests Create Requests t " U Request Information Request ID: 58069 Created: 1/11/2017 12:44:25 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 1/25/2017 Change Estimated Dec January 2017 Feb Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 25 26 27 28 29 30 31 1 2 3 4 5 6 7 r8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 Created By: Soto, Kathryn Priority: Medium edit Health Office Citation.Numbers: edit Requestor Information - _ __ Request— `',st Cromwell Court DETAIL`'- fION: 168 BARNSTABLE ROAD ' `. __ 7M Hyannis, Ma 02601 Request Parcel Map: 328 j Block: 013 ;Lot: 10000 Tenant has been having Number issues with beetles and many roaches for the past three Parcel Lookup years. Exterminators are not getting rid of the bugs at all. Email: yN . Edit Reguestor Information Track Request Progress Request Work History: Internal Note History: http://issgl2/intemalwrs/WRequest.aspx?ID=58069 1/13/2017 • TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date ( Time: In Out rr1r, Owner V � Tenant Address � '� � 'v� Address - Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities oe 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities A 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements — 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allo ax) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here «. `r+ +..,^ter;w....•..., w, ...++.,-,,..-Pi..•...,•.is,,.,.,..+,».;r..w,..-.;• _r, ..« '-� ,: -.. TOWN OF BARNSTABLE ° BOARD OF HEALTH W ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION t, Date �� , ' / Time: In Out � l Owner 3 r Tenant r ^•^�.._ Address ' Address F'i G - Compliance Remarks or Regulation# Yes ],,,'NO Recommendations 2: Kitchen Facilities 3. Bathroom Facilities 01, 4. Water Supply 5: Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8.Ventilation Ijr ---- 9. Installation and Maintenance of Facilities- ' -10 Curtailment of Service' / 11. Space and Use 12. Exits v 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents a 1 --,x 15. Garbage and Rubbish Storage and Disposal �..... 9 9 P 16. Sewage Disposal 17. Temporary.Housing 18. Driveway Width 19. Number oT,enants"Obsed�, PART 11 37. Placardin of Condemned Dwelling; 9 9 Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowee�(max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here . •.r e YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at'2.00 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. n+r.:':.:,stItkM;T:.c:y:il'zt',:::;•d�'r�ua:,:l'uYa:�.,,,,,,.F.Z,`;' a � Fill in please 6 : /4 p,APPLICANT'S YOUR NAME/S: I U \� 1�'��?�"y"'>;'�'-Y��•�%�=�1� �''' -per.;' BUSINESS YOUR HOME ADDRESS: a pU s`fw(�„T a!: d1`2,""i 0�-�'7 AD TELEPHONE # Home Telephone Number � tid'•SJzyii�lrreil gL E—MAIL:' 1e .: of;.i.:• .nt';it. ;}<:•;? OR E I N #: �{ NAME OF CORPORATION: PeA L L NAME OF-NEW BUSINESS TYPE OF BUSINESS I` IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS" . S�n3,5 MAP/PARCEL NUMBER [Assessing) n When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you.may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 'I. BUILDING COMMISSIONtirme �fermn�iit MUST CO This individual has bee r i em th certain to this type of busines RULES AND REGUPLY ITH HOME OCCUPATION LATIOIVS. FAILURE TO . r�QMPLY MAY,RESULT IN t 5' n to e CO EN S: - 2. BOARD OF HEALTH This individual has bee ' fo med of th pe mit r q ' ements that pertain to this type of business. mutt G(SM -%.,t—HALL t-x MAZARDOW$;IVIATERIALS '�GUi.ATId'kS. p thorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . Date:// /fig/ TOWN OF BARNSTABLE •� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: a, - is- BUSINESS LOCATION: , INVENTORY MAILING ADDRESS: r (--)f) TOTAL AMOUNT: TELEPHONE NUMBER: SC)S - (;;:-80- 4?S5 CONTACT PERSON: va ., "A 0,u6 --ty-�>,Wpa EMERGENCY CONTACT TELEPHONE NUMBER: -7 - a -0 MSDS ON SITE? TYPE OF BUSINESS: P( o ;aJ -2_ —rv-+^'I 0t-"SE 3�17 INFORMATION / RECOMMENDATIO S: Fire District: 1 e O 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 requires 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 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) Other cleaning solvents Bug and tar removers Q�J/�Gh /� [�"qn.2� . Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials �R � aa�b Pam,-u-e'� s"",�^ � YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.)-Y-bu--m—OsFfirst obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE -Zq-a-01 _ Fill in please. APPLICANT'S YOUR NAME/S: c-11�a�m t 67-�ahklh P fa kNi foam ; i a BUSINESS Y UR HOME ADDRESS: lto5; 6arriadn LU road -FP1-309- 55 nn iS M r+ CrIbOl TELEPHONE # Home Telephone Number �3 i L e 1U'e chi- �� �'► ►L Co m NAME OF CORPORATION: Anckebe-Al-6 NAME OF NEW BUSINESS TYPE OF BUSINESS. C_ IS THIS A HOME OCCUPATION? YES N 11(( ADDRESS OF BUSINESS c1 AP/PARCEL NUMBER _o 1 (Assessing) 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 20_P-Main� (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFFICE This individ al a imfo- o an er it re uire ents th t pertain to this type of businesMUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO ut rizetJISiqnptwPe1 COMPLY MAY RESULT IN FINES. (ICOMWENT b on T 2. BOARD OF H LTH �? MUST COMPLY 0TH ALL This individual has been informed of th.' p r r tt�ha .pertain to this type of business. HAZARDOUS MATERIALS REGULATIONS {l � Authorized Signature * COMMENTS: 3. CONSUMER AFFAIRS[LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: t.. ' Date:D 9 a u/ ►5 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: n BUSINESS LOCATION: INVENTORY MAILING ADDRESS: P-nr aS(ObL2 r()Ckc\ �A,_�rA TOTAL AMOUNT- TELEPHONE NUMBER: �_ CONTACT PERSON: U l I a rn E I( r EMERGENCY CONTACT TELEPHONE NUMBER: ( 93 MSDS ON SITE? TYPE OF BUSINESS: n(A-:- INFORMATION / RECOMMENDATIONS: �U�y'V� �nin� IS Oa.O\rQ Fire District: )C�-e S�nrQg 1 ANQ- ME 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 requires 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 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 'v (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash _ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Sig ture Staff's Initials i DEC-TAM CORPORATION 978.470.2860 Specialty Contractors fax 978.470.1017 18'March 2015 Town of Barnstable, Health Department 200 Main Street Hyannis, MA, 02601 Dear Sirs: Re: Cromwell Court Apts. 168 Barnstable Road,Building 9, 1St Floor Corridors Please be advised that Dec-Tam Corporation will be performing an asbestos abatement project at the above referenced location. This work has been scheduled for April 1st 2015 through April 7th 2015. All applicable local, state and federal agencies have been notified of this work. Please let me know if you have any questions. Sincerest regards, Adam Girard Sales Estimato/ /// Commonwealth of Massachusetts }: 100216748 i t Asbestos Notification Form ANF-001 Asbestos Project# [I Project Revision C Project Cancellation A. Asbestos Abatement Description 1.Facility Location: CROMWELLCOURTAPTS 168 BARNSTABLE ROAD,BLDG 9 Name of Facility Street Address Instructions 1.All HYANNIS MA 02661 5085688247 sections of this form Cityfrown State Zip Code Telephone must be completed in ADpM SANDORE PROJECTMANAGER order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: UNITS 9L,H,D,1ST FLOOR CORRIDOR CMR 7.15 and Department of Labor Building Name,.Wing,Floor,Room,etc. Standards(DLS) 2.Is the facility occupied? 1J Yes f r No notification requirements of 453 CMR6.12 3.Is this a fee exempt notification(city,town district municipal housing authority, state facility,or p ( �Y, _p 9 ty, owner-occupied residential property of four units or less)? C Yes [ 'No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor:. Massachusetts DCC-TAMCORPORAnON 5000NCORDS71REEr Asbestos Program P.O.Box 120087 Name Address Boston,MA 02112- NORTH READING MA 01864 9784702860 0087 Cityfrown State Zip Code Telephone AC000035 Contract Type: r Written 1-Verbal DLS License# 7, GEORGEA PAGE AS071933 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. FLI ENVIRONMENTAL INC AA000144 Name of Project Monitor DLS.Certification# 9. FLIENVIRONMENfAL INC AAo00144 Name of Asbestos Analytical Lab DLS Certification# 10. 4/1/2015 4/7/2015 Project Start Date(MM/DD/YYYY) End Date(MM/DDNYYY) 7A-4P N/A Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11.What type of project is this? Demolition [ Renovation [yj- Repair Other-Please Specify: �C Revised:11/13/2013 Page 1 of 4 I r t . Commonwealth of Massachusetts 100216748 Asbestos Notification Form ANF-001 Asbestos Project# ❑ Project Revision Project.Cancellation A.Asbestos Abatement'Description: (coat.) 12.Abatement procedures(check all that apply): U. Glove Bag h Encapsulation G Enclosure G Disposal Only Cleanup [i Full Containment [vj Other-Please Specify: CRMCALS,NEGAIR,VVETMEfHODS, 13.Job is being conducted: r Indoors f— Outdoors 14;Total amount of each type of asbestos Containing materials(ACM)to be removed;enclosed,or encapsulated: 0 9648 Linear Feet(Lin.Ft) Square Feet($q.Ft) Boiler,Breaching,Duct, Transke Pipe Tank Surface Coatings Lin.Ft Sq.Ft Lin.Ft Sq.Ft Pipe Insulation Transite Shingles Lin.Ft Sq.Ft Lin.Ft Sq.Ft Spray-On Fireproofing Transite Panels Lin.Ft Sq.Ft Lin.Ft Sq.Ft Cloths,Woven Fabrics Other-Please Specify: Lin.Ft Sq.Ft Insulating Cement VAT/UNO/JOINTCOMPUND 9648 Lin.Ft Sq.Ft Lin.Ft Sq.Ft 15.Describe the decontamination system(s)to be used: THREESTAGE. 16.Describe the containerization/disposal methods to comply with 31,0 CMR 7.15 and 453 CMR 6.14(2)(g): MATERIAL WLL BE WETTED AND PLACED IN PRELABELED BAGS FOR DISPOSAL 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of MassDEP Official Titled MassDEP Official Date of Authorization(MM/DD/YYYY) Waiver# I Name of DLS Official Title of DLS Official Date of Authorization(MM/DDNYYY) Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A F apply to this 1' yes C No project? Revised:11/13/2013 Page 2 of 4 Commonwealth of Massachusetts ` Asbestos Notification Form ANF-001 100216748 Asbestos Project# 'LL•_ ;_ .. j Project Revision [I Project Cancellation B. Facility Description 1.Current or prior use of facility: RESIDENTIAL 2.Is the facility owner-occupied residential'with 4 units or less? r Yes (J No 3.PRESERVATION AFFORDABLE HOUSING CROMWELL CT 4000URTSTREEf Facility Owner Name Address BOSTON MA 02108 6174491014 City/Town State Zip Code Telephone 4.ADAM SANDORE 40 COURTSTREEf Name of Facility Owners On-Site Manager Address BOSTON MA 02108 6174491014 CityFrown State Zip Code Telephone 5.DEC-TAM CORPORATION 50 CONCORD ST Name of General Contractor Address N READING MA 01864 9784702860 City/rown State Zip Code Telephone Note:Temporary HARTFORD storage of Asbestos containing waste Contractors Workers Compensation Insurer material is only UB-2E618043-14 120/2015 allowed at the place policy# Expiration Date(MMIDDNYYY) of business of a DLS licensed Asbestos 6.What is the size of this facility? 24000 3 contractor or a transfer station that is permitted by Square Feet #of Floors MassDEP and C. Asbestos Transportation &Disposal operated in compliance with Solid Waste Regulations 1.Transporter of asbestos-containing waste material from site of generation: 310 CMR 19.000 G Directly to Landfill,or 1J To Temporary Storage Location/Transfer Station DEC-TAM CORPORATION 50 CONCORD ST Name of Transporter Address N READING MA 01864 9784702860 City/Town State Zip Code Telephone 2.If a temporary storage location/transfer station is used,list.name of transporter of asbestos containing waste.material from temporary storage location/transfer station to final disposal site: SERMCETRANSPORT 58 PYLES LANE Name of Transporter Address NEVbCASTLE CE 19720 8779999559 Cityrrown State Zip Code Telephone Revised: 11/13/2013 Page 3 of 4 ih " - - Commonwealth of Massachusetts �- 100216748 a Asbestos Notification Form ANF-001 Asbestos Project# G Project Revision _j Project Cancellation Notsign this form for muss C.Asbestos Transportation&Disposal: (cont.) sign this form for DLS notification purposes 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: DEC-TAM CORPORATION 50'CONCORD ST Temporary Storage Location Name Address NREADING MA 01864 9784702860 Cityfrown State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA LANDHLL C/O RANDY BRIDGES Final Disposal Site Name Final Disposal Site Owner Name 9000 MINERVA HIGHWAY Address, WAYNESBURG OH 99546 8779999559 Cityfrown State Zip Code Telephone D. Certification I certify that I have personally examined the foregoing and am ADAM GIRARD ADAM GIRARD familiar with the information tame Authorized Signature contained in this document and SALES 9/182015 all attachments and that,based positionffitle Date MM/DD on my inquiry of those NYYY) individuals immediately 9784702860 -TAM responsible for obtaining the Telephone Representing information,I believe that the 5000NCORDST NREADING information is true,accurate,and Address Cityfrown complete.1 am aware that there MA 01864 are significant penalties for State Zip Code submitting false information, including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15. promulgated by the Department of Environmental Protection); and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of-4 r. DES & `M CO R PO RATION 972860 Specialty Contractors fax 978.4708.470.1017 February 23`d 2015 Barnstable Board of Health 200 Main Street Hyannis, MA, 02601 Dear Sirs; Re: Cromwell Court Aaartments, 168 Barnstable Road,Building 9—Units 9L;9M,9D and 1"floor common area Please be advised that Dec-Tam Corporation will be performing an asbestos abatement project at the above referenced location. This work has been scheduled for March 9th 2015 through March 1.7'2015. All applicable local, state and federal agencies have been notified of this work. Please let me know if you have any questions. Sincerest regards, Adam Girard Sales Estimator AG/jc Enclosure Environmental Remediation Services • Surface Preparation • Facilities Services 50 Concord Street • North Reading, MA 01864 • www.dectam.com • solutions@dectam.com -- Commonwealth of Massachusetts 100215594 Asbestos Notification Form ANF-001 ` Asbestos Project# t�4 q r Project Revision Project Cancellation A. Asbestos Abatement Description 1.Facility Location: CROMWELL COURTAPARTMETNS 168 BARNSTABLE ROAD,BLDG 9 Name of Facility Street Address Instructions 1.All HYANNIS MA 02661 5085688247 sections of this form Citylrown State Zip Code Telephone must be completed in ADAM SANDORE PROJECT MANAGER order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: UNITS 9L,9M,9D,FLOORS 1-3 AND 1 ST FLR COMMON AR CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? r Yes ❑No notification requirements of 453 CMR6.12 3. Is this a fee exempt notification (city,town district, municipal housing authority, state facility, or P � �ty, P 9 , owner-occupied residential property of four units or less)? G Yes r No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To: Commonwealth of 6.Asbestos Contractor: Massachusetts DEC-TAMCORPORAnON 50 CONCORD STREET Asbestos Program P.O.Box 120087 Name Address Boston,MA 02112- NORTH READING MA 01864 9784702860 0087 City/Town State Zip Code Telephone AC000035 Contract Type: rF1 Written [--!Verbal DLS License# 7. GEORGE A PAGE AS071933 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. FLI ENVRONMENTAL INC AA000144 Name of.Project Monitor DLS Certification# 9.FLI ENVIRONMENTAL INC AA000144 Name of Asbestos Analytical Lab DLS Certification# 10. 3/9/2015 3/17/2015 Project Start Date(MM/DD/YYYY) End Date(MM/DD/YYYY) 7A-4P N/A Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11.What type of project is this? Demolition r Renovation [ Repair r Other-Please Specify: 6 Revised: 11/13/2013 Page I of 4 } Commonwealth of Massachusetts 100215594 —� Asbestos Notification Form ANF-001 ` Asbestos Project# ( [ Project Revision Project Cancellation A.Asbestos Abatement Description: (cont.) 12.Abatement procedures(check all that apply): [. Glove Bag F j Encapsulation ❑ Enclosure ❑ Disposal Only (a Cleanup [ Full Containment Other-Please Specify: 13.Job is being conducted: ry—j Indoors ❑ Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: Linear Feet(Lin.Ft.) Square Feet(Sq.Ft) Boiler,Breaching,Duct, Transite Pipe Tank Surface Coatings Lin.Ft Sq.Ft Lin.Ft Sq.Ft Pipe Insulation Transite Shingles Lin.Ft Sq.Ft Lin.Ft Sq.Ft Spray-On Fireproofing Transite Panels Lin.Ft Sq.Ft Lin.Ft Sq.Ft Cloths,Woven Fabrics Other-Please Specify: Lin.Ft Sq.Ft Insulating Cement JTCMPDNAT/LINO/MASTICID Lin.Ft Sq.Ft Lin.Ft Sq.Ft 15.Describe the decontamination system(s)to be used: THREESTAGE 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): MATERIAL WLL BE WETTED AND PLACED IN PRELABELED BAGS FOR DISPOSAL 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: Name of MassDEP Official Title of MassDEP Official Date of Authorization(MM/DD/YYYY) Waiver# Name of DLS Official Title of DLS Official Date of Authorization(MM/DDNYYY) Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A—F apply to this r yes r No project? Revised: 11/13/2013 Page 2 of 4 T s;. Commonwealth of Massachusetts 100215594 T Asbestos Notification Form ANF-001 Asbestos Project# E ❑ Project Revision Project Cancellation B. Facility Description 1.Current or prior use of facility: RESIDENTIAL 2.Is the facility owner-occupied residential with 4 units or less? ❑ Yes No 3.PRESERVATION AFFORDABLE HOUSING CROMWELL CT 40 COURT STREET Facility Owner Name Address BOSTON MA 02108 6174491014 City/rown State Zip Code Telephone 4.ADAM SANDORE 40 COURT STREET Name of Facility Owner's On-Site Manager Address BOSTON MA 02108 6174491014 City/Town State Zip Code Telephone 5.DEC-TAM CORPORATION 50 CONCORD ST Name of General Contractor Address N READING MA 01864 9784702860 City/rown State Zip Code Telephone Note:Temporary HARTFORD storage of Asbestos containing waste Contractor's Worker's Compensation Insurer material is only UB-2E618043-14 12/28/2015 allowed at the place policy# Expiration Date(MM/DD/YYYY) of business of a DLS licensed Asbestos 6.What is the size of this facility? 24000 3 contractor or a transfer station that is permitted by Square Feet #of Floors MassDEP and C. Asbestos Transportation & Disposal operated in compliance with Solid Waste Regulations 1.Transporter of asbestos-containing waste material from site of generation: 310 CMR 19.000 Directly to Landfill or 1r, To Temporary Storage Location/Transfer Station DEC-TAM CORPORATION 50 CONCORD ST Name of Transporter Address N READING MA 01864 9784702860 City/Town State Zip Code Telephone 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: SERVICETRANSPORT 58 PYLES LANE Name of Transporter Address NEWCASTLE CE 19720 8779999559 City/Town State Zip Code Telephone Revised: 11/13/2013 Page 3 of 4 Commonwealth of Massachusetts 100215594 Asbestos Notification Form ANF-001 Asbestos Project# K' ( j Project Revision Project Cancellation Note:contractor must C.Asbestos Transportation&Disposal: (cont.) sign this form for DLS notification purposes 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: DEC-TAM CORPORATION 50 CONCORD ST Temporary Storage Location Name Address N READING MA 01864 9784702860 Cityfrown State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA LANDFILL C/O RANDY BRIDGES Final Disposal Site Name Final Disposal Site Owner Name 9000 MINERVA HIGHWAY Address WAYNESBURG CH 99546 8779999559 Cityfrown State Zip Code Telephone A Certification "I certify that 1 have personally examined the foregoing and am ADAM GIRARD ADAM GIRARD familiar with the information Name Authorized Signature contained in this document and SALES 2/23/2015 all attachments and that,based on my inquiry of those PositioNT"dfe Date(MM/DDNYYY) individuals immediately 9784702860 DEC—TAM responsible for obtaining the Telephone Representing information,I believe that the 50 CONCORD ST N READING information is true,accurate,and Address Cityrrown complete.I am aware that there MA 01864 are significant penalties for State Zip Code submitting false information, including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of 4 ' 4 Town of Barnstable BARNST& ' Regulatory Services 1639.3�a Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 19, 2013 ��`Z, Preservation Housing Management �C s a // 168 Barnstable Rd. Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 168 Barnstable Road, Apt. 5C, Hyannis, was inspected on April 19, 2013 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. During inspection observed that rug within living room was damp to the touch. Observed that rug within bedrooms were wet to the touch. 105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities Brown water was observed within the bottom of the dishwasher. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by removing all water from rugs; by correcting any problems with dishwasher so that it works as intended to. 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 could result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF HE BOARD OF HEALTH r< Thomas A. McKean, R.S. Director of Public.Health Town of Barnstable Q:Health/Order letters/Housing violations/168 Barnstable rd5C apt doc i i TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION ` 77 t Date Time: In Out Owner 1 Tw Tenant c 0p Address I ' " "" CI�✓�'�- Address 0 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) —I----- (l Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here s TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out I" j Tenant Owner (� Address (70 Address (o b r Compliance Remarks or Regulation# Yes NO Recommendations i 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply . i •� 5. Hot Water Facilities 6. Heating Facilities V l 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities r 10. Curtailment of Service I IV 11. Space and UseVV 12. Exits f 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal `� t 17.Temporary Housing b� 4 : f 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding�otYCondemned Dwelling; Removal-of-Occu farm_ emolitio Number of Bedrooms Number of Vehicles Allowed (max) ` { Number of Persons Allowed (max) L �---- 4 Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here I Citizen Web Request Pagel of 3 6k t. z� THE d a„ ...:.._...,. - v Logged In As: Citizen Request Management Taesday,April 232013 TOWN\oconnelt Route to Users Search Requests Create Requests Request Information Request ID: 45065 Created: 4/19/2013 10:05:50 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 5/3/2013 Change Estimated Apr May 2013 Jun Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 28 29 30 1 2 3 1 4 5 6 7 8 9 L01 11 12 13 14 15 16 17 18 jt2 22 23 24 25 29 30 31 1 5 6 7 8 Created By: Crocker, Sharon Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor a'"` + . Request DETAILS: ` !j °;_i w.. ` 168 BARNSTABLE ROAD Apt#5C Hyannis, Ma 02601 Request Parcel Number i i Map: 328.....1 Block: 013........;Lot: Parcel Lookup http://issgl2/internalwrs/WRequest.aspx?ID=45065 4/23/2013 Citizen Web Request Page 2 of 3 Caller said the apt flowed on Tuesday.Tenant woke at 5:30 to the shower and sink were running and kitchen floor was wet(Tenant later saw dishwasher starting running as well. This is a basement apt. Believes it's due to Other tenants had a plug in their pipe, possible. And pressure may have caused the water to turn on.Tenant did not leave water running. Maintenance used the wetvac but it's still wet. Dishwasher Email: still leaking. Couch is soaking wet. Son's mattress is wet. Daughter has asthma unexplained problems with water.The water in dishwasher is brown and too often the water comes out brown in shower, etc. Edit Requestor Information Track Request Progress -Request Work History: -Internal Note History: Entered on 4/19/2013 11:59:26 AM Entered on 4/19/2013 10:05:50 AM by O'Connell,Timothy by Crocker, Sharon Last modified on 4/23/2013 11:47:58 AM Y On 4-19-13 went to said dwelling unit and met with occupant. While in unit I did observe that living System entry on 4/19/2013 10:05:50 AM: carpet was damp.The two bedrooms carpet where WET to the touch. Occupant stated that faucet and Assigned to Crocker, Sharon shower went on, on there own. Management says _that is not true and there were no other problems System entry on 4/19/2013 11:52:37 AM: with water or waste pipes within building 5. Occupant stated that maintenance had wet Assigned to O'Connell,Timothy vacuumed said unit and during inspection they had industrial fan running. I also observed that dishwasher had brown water within the bottom. I then met with property manager assistant,Crystal Bessey. She stated they have removed 50 gallons of water from said unit. She also stated they will place a dehumidifier within unit. I told her I will send an order letter to remove all dampness from rugs and repair dishwasher so that it works as intended to. I told both parties I have no way of proving how water got onto carpets. All I can do is to order owner to remove dampness and fix dishwasher. See order letter below. update delete � Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) http://issgl2/intemalwrs/WRequest.aspx?ID=45065 4/23/2013 Commonwealth of Massachusetts 100135874 Asbestos ®tificati®n Form :®OOP - Decal Number Ti L � ty' Important: A. Asbestos Abatement Description, When filling out forms on the computer,use 1. a. Is this facility fee exempt-city,town, district; municipal housing authority,:owner-occupied only the tab key residence of four units or less?E]Yes 2 No to move your. cursor-do not b. Provide blanket decal number if applicable. Blanket Decal Number use the return key. 2. Facility Location: POAH. 168 BARNSTABLE'RD. a.Name of Facilityb.Street Address - Hyannis �_.. . . MA 1 02601 _. c.City/Town 'd State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Workslte LOCatIOn t.:All sections of this EXTERIOR form must be a.Building Name/Building Location . b::Building# 6.:Wing : d._Floor e:Room completed in order to comply with 4. . Is the faellity oceupied7 �.Ye�s E No DEP notification,' requirements of 310 CMR 7.15 - 5.. Asbestos Contractor:, and the DIVISIOn of.occupational NEW ENGLAND SURFACE:IVIAINTENANCE" 850 WASHINGTON STREET: 3afety.(DOS) b.Address notification WEYMOUTH i 02189 , _ 7813372117 requirements of 453 :CMR 6.12 ci'Ci /Town d`.Zi Code e.Telephone Number coo 'I Contract Type ❑Wntten ❑Verbal. f:DOS License Number " Facili :.Contact Person> . `. is Contact Person's`Title 6 JOHN P !/ALLlQUETTE AS060773 'u :a.Name of On Site'Su eNisor/Foreman b`.Su ervisor/Foreman DOS:CertificatiomNumber 7 NIA N/A a:Name of Pro ect Morntor. < b.Pro ect:Mo itorWS Certification Number . N/A N/A 8 a.Name of Asbestos Anal icarLab b Asbestos Analytical Lab DOS Certification Number- �� _G 10 - � 0 9' a:Pro'ect Start Da±e mml dl v. b.End Date mmldtl/ o. 7-3 C.Work hours Mon-Fri. d.Work hours Sat-Sun. .' ®o, 10. a.What type of project'is this2 � . ❑ Demolition: R Renovation TRANSITE PIPE REMO — ❑Repair 0✓ Other, please specify: b.Describe . 11.'a. Check abatement procedures: - TD Glove bag El Encapsulation i` _0 k� Enclosure ❑✓ Disposal only.. j J u F]Cleanup E] Other,-specify:..f i -- Full containment - .•- b.Describe Z - ' . =Q 12. Is the job being conducted: Indoors? �✓ Outdoors? —_ ® anf001 ap.doc•10/02 Asbestos Notification Form-Page 1 of 3 f r. Commonwealth of Massachusetts L' 1001.35874 i Asbestos Notification Form ANF®001 , . Decal Number, -A Asbestos Abatement Description (cont 18. Total.amount of each type of Asbestos Containing Materials (ACM)to be removed, enclosed, or, enca sulated: 56 —� 0 a.Total pipes or ducts(linear ft) b. I otal other r surfaces square c.Boiler;breaching,duct,tank d.'Insulating cement surface coatings Lin.ft. Sq.ft. Lin.ft. Sq.ft. e.Corrugated or layered paper �] f.Trowel/Sprayer coatings pipe insulation Lin.ft. Sq.ft. Lin:ft. Sq.ft. g.Spray-on fireproofing h.Transite board;wall board Lin.ft. Sq.ft. Lin.R. Sq.ft. .Cloths,woven.fabrics j:Other,please specify: 56 1. Lin ft Lin rt. S k:Thermal,solid"core pipe 1'RANSITE PIPE insulation:.. tin.ft.' Sq::ft: t:Specify`: 14 :,pescribe the decontamination system(s)to.be'.used; 15 'Describe the contalnerizationldisposal methods to comply with 310.CMR.7.15 and 453 CMR 6:14(2),'(g) AS:REQUIRED,. - " 16 For Emergency:Asbestos Operations;the DEP and DOS officials'. evaluated the.,emergency 'a;Name+of:DEP Official b.Title c:Date mm/dd/ .of AutfionzaUon• d DEP Waiver# e Name:of DOS'.Officral faDOS Official Tdle:` .. ® : g Date(rrim/dd/yyyy)of Authorization h.DOS Waroer# ®N 0 17. Do prevailing wage rates as per M.G.L. c. 140, §W, 27 or 27A—F apply to_this project? D Yes"✓❑No B. FacilityDescription ®o; 1. 'Currenf or prior use of facility: YARD 2 fs the facility owner-occupied residential with 4 units or less?. ❑Yes 0 No a.Facility Owner Name b.Address -o. o C.Ci"(Town d.Zip Code e:Tele hone Number area code and extension ' LL 4' a:Name of Facilit Owner's On-Site Manager b.On-Site Mana erAddress �Q c.City/Town d.Zip Code e.Telephone Number(area code and extension) ® anf001 ap.doc•10/02 Asbestos Notification Form•Page 2 of 3 i r Commonwealth of Massachusetts 100135874 Decal Number Asbestos Notification Form F®001 B. Facility Description (cone:) 5' a.Name of.General Contractor b..Address c.City/Town d:Zip Code e..Te,e hone Number area code and extension . f.Contractor's Worker's Comp.Insurer o.Policv Number h.Exp.Date mm/ddl 6. What is the size of this facility? a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos,.containing material:from site to temporary storage site(if necessary): 7. NESM.LLP Note:Transfer a.,Name.of..Trans orter b.Address Stations must ^� . comply with the c.`City/Town _ d.Zip Code e.Telephone Number Solid Waste pivision '2. . Transporter ofasbestos=containing waste material from removal/temporary•,site to final dlsp.osal site: Regulations:310 CMR1s000 RED TECHNOLOGIES a Name of Trans orter b.:Address • c.Ci !Town. A.Zi Code e.Tale hone Number a.Refuse Transfer-Station and`'Owrier . b 'Address �. � c:Ci lTowh d.Zi Code e.Telephone Number ._ 4 M.INERVA ENTERPRISES INC,` a Final Dis`osahSite::Loaation`Narne --b-:Final Dis osal Site tocation.OwnersNsme 9000`MINERVA'ROAD :f WAYNESBURG. c_Final Dis"osal Site'Address' d.'Ci /Town pH 44688 e.State f Zlp Code g:Telephone Number .. -o -o D. Certification N The undersigned hereby.states under the KEN FURTNEY penalties of perjury,that he/she has read the a.Name b.Authorized Signature �o Commonwealth of Massachusetts regulations 10/6/2011 -� for the Removal,Containment or c.Positionffitle d.Date mm/dd/ Encapsulation of Asbestos,453 CMR 6;00 and 310 CMR 7:.15,.and that the information contained in this notification is"true and correct e.Telephone Number f.Re resentin cr to the besYof`hs/her knowledge and belief. o Address . 0 h.City/Towm is Zip Code —�.Z Q S anfO01 ap.doc•10/02 Asbestos Notification Form•Page 3 of 3 Commonwealth of Massachusetts . 10013�874 Asbestos Notification Form ANF-001 Decal Number Important: A. Asbestos Abatement Description When filling out p - forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four or less? Yes LV-1 No to move your � cursor-do not b. Provide blanket decal number if applicable: `+�_Blanket Decal Number use the return key. 2. Facility Location: I A4 POAH �� 168 BARN_STABLE RD. a.Name of Facility _ b.Street Address �XW-1,¢ Lyannis MA_-._-_..._� 02601 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Woftite Location: r------ - -- EXTERIOR -—� 1.All sections of this j �� _ form must be a.Building•Name/Building Location" b.Building# c.Wng d Flooc e.Room completed in order to comply with 4. Is the facility occupied? Yes ✓�No DEP notification ,® requirements of 310 ` 1 5. Asbestos.C.ontractor: �- CMR 7.15 and the Division NEW ENGLAND SURFACE MAINTENANCE 850 WAS,HINGTON STREET i of Occupational Safety.(DOS), r a:Name b.Address 4 notification " _ �equirementsof453 7WEYMOUTH , ,_,� 02189 _.� 4to3372117 � CMR 6 12 c City/Tovvn _ ; } ^ d Zip,Code_ t e.`Telephone Number - AC.000196 �� tot►� ter.. t '.1 f DOS License'Numberr; t g Contract Type:_, �.Wntten: Verbal h.Facility Contact Person s is Contact:Pemon's Title fJOHN P.VALLIQUETTE;: ; AS060773 6' a Name of On=Sde Supervisor/Foreman b.Su ervisor/Foreman DOS Certification Number N/A N/A 7" a 'Name of Project Monitor b:Pro ect Monitor DOS Certification Number 8' a.Name of Asbestos Anal iml Lab b.Asbestos Analytical Lab DOS:Certificatiorf Number O 9' a.Project Start Date. mMidd/YYYy) .End Date.(mm/dd YYYY) o 17-3 - — -- . N c.Work hours Mon Fri. d.Work hours Sat-Sun to 10. a. What type of project is this? —=� F1 Demolition Renovation ITRANSITE PIPE REMO Repai Other, please specify: b.Describe 11. a..Check.abatement procedures: I _.0 L]:GIove bag f e' "" ® Encapsulation ; t (tt'` ':F 4_C --o Q-Enclosure ~Disposal only —u_ Cleanup: _��.. .E.Other:specify []full containment - —11 4;' b.Describe`,i Q 12. Is the job being conducted:- E Indoors? pI Outdoors? anf001ap.doc•10/02 Asbestos Notification Form Page 1 of 3 Commonwealth of Massachusetts ■ 100135874 Asbestos Notification Form ANF-0.01 Decal Number A. Asbestos Abatement Description (cont.) 13. Total.amount of each type of Asbestos Containing_Materials(ACM)to be removed, enclosed, or encapsulated: {56 I 0 a.Total pipes or ducts(linear ft), b.Tota o er su aces square c.Boiler,breaching,duct,tank _ d.Insulating cement E= surface coatings Lin.ft. Sq.ft. Lin.ft. Sq.ft. e Corrugated or layered paper �_— �--------` f.Trowel/Sprayer coatings pipe insulation Lin.ft. �Sq.ft. i (Lin.ft. Sq.ft. g.Spray-on fireproofing --I �—�-� h.Transite board,wail board �--—� `--� Lin.ft. SSq.�ft. Lin.ft. Sq.ft. W i Cloths woven:fabrics ----- i---' j.Other,please specify: 56 Lin:ft. S4.ft: _ Lin.ft. _ S4.ft._ j k Themnial.solid core piped � TRANSITE PIPE If insulation. Lin;ft. Sq:.ft. L Specify , 14. Describe tt e.decon,taminati6n system(s)to be used: AS REQUIRED 1'5: Describe the;containerization/disposal methods to comply with 310 CUR 7.15 and 453.CMR 6:1,4(2) (g) AS REQUIRED `: _ 16 For Emergency Asbestos.operations, the DEP and-D0S officials who evaluated the:emergency: (�a Name of DEP°Official b.Title c Date-(mm/dd/yyyy)of;Authonzation �A.'DEP Waiver# --- "i e.Name of DOS Official f.DOS Official Title j ! g Date(mm/dd/yyyy)'of Authorization h:DOS Waiver# 17. Do prevalling"wage rates as per M:G.L: e. 149,:§.20, 27.or 27A apply to this project? Yes ✓[�No �° - B. Facility,Description W-N YARD �o 1. Current or prior use of facility: �o 2. Is the-facility.owner-occupied residential with 4.units or less? .[]Yes: �✓ No SAME 3' a.Facili Owner Name b.Address ° -----1 o c.City/Town d Zip Code e.Telephone Number:(area code and extension) �u 4. :Name of Facility Owner's On-Site Manager., b.On-Site Manager Address Z �Q c.City/Town d.Zip Code e.Telephone.Number(area code and.extension) ■ anf001 ap.doc•10/02 Asbestos Notification Form•Page 2 of 3■ Commonwealth of Massachusetts ■ 100135874 -- Asbestos Notification Form ANF-001 Decal Number 3.facility Description (cont.) 5. a.Name of General Contractor b.Address `c.City/Town d Zip Code e.Tele hone Number area code and extension) �I f.Contractor's Worker's Comp.Insurer g.Policy Number h.Exp.Date(mm/ddNM) 6. 'What is the size of this facility? a:Square Feet . b.Number of floors C. Asbestos Transportation and Disposal Transporter of asbestos-containing material from site to ternporary storage site(if.necessary): NESM LLP: Note:Transfer ra Name of Transporter �� .,! b.'Address' Stations must complywith the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2;. Transporterof asbestos-containing waste material from removal/temporary-site to final disposal site: Regulations 310 — CIVIR 19*.0oo TECHNOLOGIES ! a Name of Transporter b Address c C.t.tT d Zip Code a Telephone Number a Refuse Transfer Station Address----------------- I f c Ci /Town d.Zi Code a Tele hone Number. }4. MINERVA ENTERP_RISES;,INC. J a Final Disposal Sde Location Name b Final Dis`osal Site Location O" siName 9000MINERVA ROAD WAYNE$BURG c Final Disposal Site Address d City/Town: OH 44688, l e State f.Zip Code- g.Telephone Number CV) .. : o o ion _. ,. D. Certlficat . The undersigned hereby states,under the IKEN FURTNEYV � c penalties of perjury,that he/she has read the a.Name b.Authorized Signature �o Commonwealth of Massachusetts regulations 10/6/2011 for.the Removal,Containment or c.PositionlTitle' d.Date mm/ddh Encapsulation of Asbestos,45.8 CMR 6.00 and (� 310 CMR 7 15, and that the information 77. contained in this h6tifldatibh is true and correct e.Telephone:Number . f:Re resentin o -to the best of his/her knowledge and.belef> " o q.Aar dress �LL I h.City[Town i.Zip Code �Q. i anfOQi ap.doc•10/02 Asbestos Notification Form�.Page 3 of 3 Commonwealth of Massachusetts 1100135874 Decal Number Asbestos Notification Form ANF-001 Important: A. Asbestos Abatement Description When filling out p forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority,.owne-r-occupied only the tab key residence.of four units Or less? El Yes Z NO to move your cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key. 2. Facility Location: 168 BARNSTABLE RD.- . a.Name of Facility b.Street Address f� Hyannis - .MA 102601 c.CitylTown d.State e.Zip Code f Telephone Number INSTRUCTIONS 3 Worksite Locatl6n: 1.All sections of this EXTERIOR'' form must be a.Buildmg'Name/Building Location b.Building# c. .Wing' d Floor: e.Room completed in order to comply with 4. Is the facility occupied? I Yes No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division ofOccupational, NEW ENGLANDsURFACE MAINTENANCE 850 WASHINGTON STREET,- Safety.(DOS)' a Name b.Address f notification.. r WEYMOUTH t 02189 7813372117 requirements of 453 •. CMR 6.12 C.City/Town', r d Zip Code e.Telephone Number �gContract Type: ❑Wntten [ Verbal f Dt{OS License Number h Facility Contact Person i.Contact Person s Title JOH P VALLIQUETTE A8060713 6' a.Name of,On=Site.Su"ervisor/Foreman b.`Superviso�/Foreman DOS Certificatiori Number. _ 7` a.Namebf.Proiect Monitor b.Pr"o'ect Monitor DOS Certification Number. -� 8. a.Name of.Asbestos Anal ical Lab b_Asbestos Anal ical Lab,DOS.Certification Number , 10/19/2011,` 1.0/19/2011 f n.% 0 9. b. a Projsct Stan rn Data, mldd!yyyyD End nate.:(mm'dd!; ly .3 N c.Work hours-Mon-Fri.a d.Work hours Sat-Sun W. ; �o 10. a:;What type of"project is this? - . M - —o ®Demolition El Renovation TRANSITE PIPE REM E Repair' ✓ Other, please specify: b.Describe heck abatement procedures: 1.1 a C - _—o ,Ej Glove bag F-1 Encapsulation o ,ETEnclosure _ �✓ Disposal only . _ .e mow. IE]Cleanup M ❑Other, speclfy: ; ` []Fulfcontainmerit "`"Y" b.Describe. 12.rIs the job being.conducted: E] Indoors?_(-1✓.Outdoors? i anf001ap.doc•10/02 Asbestos Notification Form•Page 1.of 3� �. - Commonwealth of Massachusetts f ■ 1001.35874. Decal Number Asbestos Notification Form ANF-001 A..Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing.Materials(ACM)to be removed, enclosed, or encapsulated:6 �_ a.Total pipes or ducts(linear ft) o al o er su aces square c.Boiler,breaching,duct,tank surface coatings Lin.ft. _ Sq.ft. d.Insulating cement Lin.ft. Sq.ft. e.Corrugated or layered paper = f.Trowel/Sprayer coatings pipe insulation Lin—:ft. Sq.ft. Lin.ft. Sq.ft. g.Spray-on fireproofing e_! h.Tramite board;wallboard -�.J Lin.ft. (Sq.ft. Lin.ft. Sq.ft. is Cloths woven fabrics L���t j.Other,pleasespecify: 56 Lin.ft. Sq.ft. Lm ft. k Thermal solid core pipe (TRANSITE PIPE. insulation Lin.ft. Sq.ft. I:Specify 14. Describe the decontamination system(s)to be used; AS;REQUIRED 1.5 Describe the containerization/disposal methods'to comply with 310 CMR 7.1-5 and.453 CMR AS'REQUIRED : 16, For Emergepcy;Asbestos:Qperatons, the;DEP and"DOS officials who evaluated the emergency: a.Name of'DEF,Official: b.Title c.Date,(rrim/dtl/yyyy)of;Authorization, d.DER.Waive „ e Name-of.,DOS Official f DOS Official Title g Date(mm/dd/yyyy)of Authorization h.DOS Waiver# �N e , . 0 1.7. Do prevailing wage rates as pe�`M.G.L. c; 149, §26, 27 or 27A-F. apply to this project? F Yes 0 No M B. Facility Description �N �0 1. Current or prior use of facility: YARD �o 2. Is the facility owner-occupied residential with 4 units or less? [l Yes O.No SAME 3' a.Facility Owner Name b.Address. �o C I I o {c.City/Town d.Zip Code e.Telephone Number(area code and extension) emu_ 4. a.Name of Facility Owner's On-Site Manager' b.-On-Site ManagerAddress �Z �Q c.City/Town d.Zip Code e.Telephone Number.(area code and extension) ■ anf001 ap.doc•10/02 Asbestos Notification Form•Page 2 of 3■ f Commonwealth of Massachusetts ■ 1100135874 Asbestos Notification Form ANF .001 Decal Number B Facility Description (cont.) 5. 1 a.Name of General Contractor b.Address_ c.City/Town d.Zi Cop de e.Telephone Number area code and extension) f.Contractor's Worker's Comp.Insurer g.Policy Number h. Exp.Date(mm/dd/yyyy) 6. What is the.size of this facility? a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1>, Transporter of asbestos=containing material from site toaernporary storage site (if.necessary)' NESM.LLP04 Note'Transf6r a.Name of Transporter: _�� b.Address i Stations must: _ ( comply with the c.City/Town d.Zip Code e.Telephore Number Solid Waste Division 2 Transporterof asbestos-containing waste material from:removal/teporary site to final disposal site: Regulations 310 m - . CnnR 1s 000 RED TECHNOLOGIES a.Name of Transporter _ b.Address �--� c Ci %Town d Zip:Code a Telephone.Number -a-Refuse Transfer Station and Owner b Address c Ci /Town d Zi Code a Telephone Number 4 FA,INERdA;ENTERPRISES.INC r N m a.`,:FinaLDisposaI Si Location,Name b:Final Dis osal Site Location Owne s a e 9000:MINERVA ROAD WAYNES.BURG c Final Dis oral Site Address d.City/Town: _ OH 44688 sm e.State f:Zip Code g`Telephone,Num6er D. Certification - The undersigned hereby states, under the KEN FURTNEY �b penalties of perjury,that he/she has read the . a.Name b.Authorized Signature �o Commonwealth of Massachusetts regulations - 1.6/6/2011 for the.Removal,Containment or. c.Positiontritle: d.Date mm/dam Encapsulation of Asbestos,453 CMR 6:00 and 310 CMR 7.15,and that the information. l— contained in this notification is true and Correct e.Telephone Number f:Re resenting O` -to the best of his/her knowledge and belief: o .Address --dress LL - h.-City/Town .i.Zip Cod-Z e anf001ap.doc•10/02 Asbestos Notification Form•Page 3 of 3 ENVIRONMENTAL RECLAMATION LLC } 21 RIVERBEND DRIVE NATICK,MASSACHUSETTS 01760 ENVIRONMENTAL REAL ESTATE CONSULTANTS 617-803-1016 ASSESSMENT AND REMEDIATION SERVICES 508-650-1661(FAX) October 7,2011 Town of Barnstable Town of Barnstable Town Manager's Office Health Division 2ud Floor, 367 Main Street 200 Main Street Hyannis,MA 02601 Hyannis, MA 02601 RE: Notice of Submission of Phase II Comprehensive Site Assessment, �`�'905,Main Street, ,Cotuit,:Massachusetts DEP RTN 4-21553 To Whom It May Concern: Pursuant to the Massachusetts Contingency Plan, this notice is to inform you that a Phase II Comprehensive Site Assessment is being submitted to the Massachusetts Department of Environmental Protection for the above referenced Site. The report and documentation can be viewed dor copied at the DEP's website or Southeast Region, Bureau of Waste Site Cleanup Division located at 20 Riverside Drive,Lakeville, Massachusetts. The DEP telephone number is 508-946-2300. Please contact me(617-803-1016)if you have any questions or concerns. Very truly yours, ENVIRONMENTAL RECLAMATION,LLC a Paul F. Reiter,LSP Senior Environmental Engineer kJ1 rn Attachments: Summary& Conclusions section(from Phase II Report) cc: Massachusetts DEP; 20 Riverside Drive, Lakeville, Massachusetts 02347 .. 9 . 1. e • t t - .5' y. 4.00 SUMMARY AND CONCLUSIONS Environmental Reclamation LLC(ER)has completed a Phase H Comprehensive Site Assessment of the subject Site at 905 Main Street in Cotuit,Massachusetts for RTN 4-21553. The 905 Main Street parcel was used as a former gasoline service station and home heating oil facility. Current use is as a parking lot. A recent geophysical survey of the parcel was conducted which concluded that no underground storage tanks remain. A Phase H Comprehensive Site Assessment was conducted showing groundwater is located deep(25 feet)below Main Street and migration is toward Cotuit Bay. Detected concentrations of remaining petroleum constituents from sampled soils and monitoring wells are below Massachusetts Department of Environmental Protection(DEP) Standards for the protection of surface water and indoor air. One monitoring well near Main Street showed petroleum constituents exceed the DEP Standard for drinking water obtained from the groundwater. Currently the groundwater in this area is not used for drinking water,as the residential and commercial dwellings obtain drinking water from the Cotuit Water Department. Since the DEP regulations require No Significant Risk for future conditions, additional response actions will be conducted. Based on Phase H results,No Significant Risk exists for current use of the Site. A finding of No Significant Risk could not be demonstrated for potential future use of groundwater for drinking water. Additional response actions are necessary including a Phase III Evaluation and a Response Acton Outcome. 6 COMPLETE .N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and_3.Also complete A. Sioalure item 4 if Restricted Delivery is desired. // ,/ , Agent ■ Print your name and address on the reverse X ,'pr�UIal)[TAddressee so that we can return the card to you. B. R ived by(P ted"Name) C.. Date of Delivery ■ 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: ❑No 'I Cromwell Court Company 168-F3arnstable Road Hyannis,MA 02601 3. Service Type S.Qertifled Mail ❑Express Mail ❑Registered ketum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?-(Extra Fee) ❑Yes 2. Article Number 7008 3230 0002 5177 9718 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable � J Health Division 200 Main Sheet Hyannis, MA 02601 I f I I lila�,�,fo}�II<<!f„��,�ff�f�flff�+�ll,rr�3l,}f}err}I��rel,ltf � Certified Mail#7008 3230 0002 5177 9718 Town of Barnstable y� 42 y Regulatory Services 1 � l3ATtNS"CABLE, *� Thomas F. Geiler,Director �ArEb MA"�a1� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 10, 2010 Cromwell Court Company , 168 Barnstable Road Hyannis, MA 02601 . ' 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 168 (7E) Barnstable Road, was inspected on November 10, 2010 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 the- . Town of Barnstable Health Division. The following violations of the State Sanitary Code were observed: r l 105 CMR 410.500- Owner's Responsibility to Maintain Structural Elements..�...,.v_„. Observed area on the ceiling above tub within the bathroom that was moist to the touch: This area was not finished with a non-absorbent waterproof coating. (i.e. paint) 105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities. The above violation is due to a leaking tub drain line from above units tub. You are directed to correct the violations listed above within fourteen (14) days of your receipt of this notice by repairing any leaking plumbing which is causing chronic dampness to ceiling within bathroom; by repairing said.ceiling.within bathroom and finishing patch work with non-absorbent waterproof coating. 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. Q:\Order letters\Housing violations\Rental ordinance\168 Barnstable Road 7E I1.doc PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S., CHO Director of Public Health Town of Barnstable Cc: Latoya Pells; Tenant i QAOrder letters\Housing violations\Rental ordinance\168 Barnstable Road 7E II.doc HOBBS&WARREN FORM 30 TM THE COMMONWEALTH O.F MASSACHUSETTS r i+ &W BOARD OF H TH W o CITY/TOWN a ��/1 �✓��..�i D ARTMENT ADDRESS GSM SVOyw V LE HONE J Address �� Occupan 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 C;o l7 a Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 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: _ f 7 c ❑ MS ❑ ST ❑ P Waste Line: -- 7/ 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 :yo- -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) L "THIS INSPECTION REPO T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJ n ' INSPECTOR TITLE DATE�I�U� TIME '`�V A.M. THE NEXT SCHEDULED REINSPECTION��,� P.M. .,s * }. til ►., - . . „u. !�".' r"j'S� �:. 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. "..M...'^-w.r.+a+'r..--! - `�•.-,.r ,-.^+.,.-.—.-. .-+L�...vr...:.•".;,^'!;rwrn.u'we-`�.�-'S�.h.n,ry.�•ny�.tr+"r�,.r.'�4L"„1t�4.*"w..!,c. .wrrr++^w.-rt }FORM 30— __ HOBBS&,WARREN'm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH CITY/TOWN ��� e�1„�-,✓ D,&'�A..RTMENT t ADDRESS TELEPHONE Address 6 _ Occupant Floor Apartment No. ✓ No.of Occupants S No. of Habitable Rooms No.Sleeping Rooms_ -2) No.dwelling or rooming units--No.Stories � Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: r Drainage _x Infestation Rats or other: V�jj' _ r •A "# a I 0 STRUCTURE EXT. Steps,Stairs, Porches: \I ., « Dual Egress:and Obst'n.: i N ❑ B ❑ F ❑ M Doors,Windows- Hoof Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: } Dampness: / w_ Stairs: / \ "Li htin STRUCTURE INT.-,,,. Hall,Stairwa : 4" Obst'n.: 1 Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: ' Central ❑ Y ❑ N E ui . Repair s- `TYPE' -` _ . , ._. .._`Stacks;Flues-;-Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: - t1 . H.W.Tanks Safety and Vents 'Ij 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 4 +— o Bathroom ✓ _AA.1 Pantry UA11" Den Living Room Bedroom 1 . Bedroom 2 r �,•-.� Bedroom 3 Bedroom 4 Hot Water Facil. Sup. en.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: - ..-_..._.. _ _ - - T - -_ Kitchen Facilities -� Sink ._ ,_ � _ ._ _.. ..h� _ ___,�_-T�- - a _... _. .,,,�.._..., . s_.�. _ , 4 Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: I Wash Basin,Shower or Tub.- ` Infestation Rats, Mice, Roaches or Other: l Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU INSPECTOR TITLE ' DATE ►" 0 TIME ' `�V �•M• A.M. THE NEXT SCHEDULED REINSPECTION ! / P.M. 1 410.750: 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. .en Web Request Page 1 of 3 g v _ ,rJt{ta: T 11q, .e IK j L Ivy 5 e' B it t. Request Information Request ID: 29425 Created: 2/26/2010 4:07:00 PM 'Status: Closed Assigned To: O'Connell, Timothy i Health Office Anonymous: No Request Category: Chapter II : Housing Substandard Routine work: No Estimate: No Date scheduled Estimated 3 12 2010 Change Estimated Completion Completion Completion Date: Date: E 1 c° c i t i [ } 21 5 ,€ ;;d Created By: Wadlington, Ellen Priority: Medium Health Office ( Citation Numbers: equestor Information Requestor � Request Cromwell Courts 1 DETAILS: AD LOCATION: 168 BARNSTABLE ROAD D4 Hyannis, Ma 02601 f Request Parcel Number I 'Map ,328 Block: '013 i' Lot: 01 E ? Severe infection of bed bugs, i 1 coming from upstairs apartments. Management do any thing until Tuesday. There Parcel Lookup o j are four children in the apartment. D 1 http://issgl2/internalwrs/WRequest.aspx?ID=29425 3/2/2010 en Web Request Page 2 of 3 ti unit is severely infected with bed bugs. Email: Track Request Progress E Request Work History: Internal Note History: Entered on 3/1/2010 11:36:37 AM System entry Non 2/26/2010 4:07:00 PM: by O'Connell, Timothy Assigned to O'Connell, Timothy On 3-1-10 I talked with person who filed -- ---- ---- » ., _ complaint. He stated that management Co. has. System entry on 3/1/2010 11:36:37 AM: started extermination process. All other concerns are of the legal nature. I will call Management Co. to Request Closed by oconnelt confirm extermination. Enter work progress: Enter internal note: ( (Viewed by everybody) Viewed internally orly? E i �6».4 } i Spell Check ,� � Spell Check F Add document or image link: l „ .; 1 I You-can, ,"llso L",pe wi a ?, €e r ,?ink_' to everything in wi t ,f ol,0'`,Ir I td`"re a l..-, k(C : Time worked on request 10.50 Response time i8W00 �� Time entries a'-e i E of tini .,r . 0, r �-'s ` nse tigne: Me ,iC frori the creation a-tions on Nie T'eque,t D not;'Iclude. ni hi U> � .s, and holidays . � �i r- rn _ f r Est de µar �nt [E i http://issgl2/intemalwrs/V,Request.aspx?ID=29425 3/2/2010 Cromwell Court Apartments ! y ; 168 Barnstable Rd. Hyannis,MA 02601 Phono:508-771-4550 Fax;508-778-4648 ,. ... in C a ,i 11 F I I To: / • Fax. r From: Linds L.ZettIemoyer Date:3�aI i o Re: 64.)l Id'ch 3 Pages pages including cover sheet CC:)QP COOP ❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Reeyele LA4 . y . . . . . . . . . . . . . . . . . . . . . SO/TO 39dd idnoo -1-13MWOdO 8b968LL8OS 60:T9 9T0Z/TO/80 Fast. Control Home '/n,sp` Cflot Rhode Island wr7hnut MaSSa husett: 800-924-8886 RI G GS 8z BROWN wE Boo-2 4-10�: The Whole.Town Would Fall Don Connecticut Cape Cod & Island: 800-962-3296 800-3 9.221, CT BUS REG B1116 1 Account Number: {J' Service Type: I Ir:>)I''1'1::1"I 1.y I::: i r ;i':. '1 1..IG�*:?_1 aS C N Service Address: Billing Address: t::.'tsr�l ii+�l;r_L:_L. Cll..liC f C'_f] 1n-) .P Alk,kl!.3TAF. I K, F1,10AE) I.1Yni1m,T E; . MA 141i 3. 'x;�a1.N�;T'�ik.:+l.:.l Iti(�IaI? • . .}IYi?IIUI:i:E�;;,, h'Ir`I (iE;i):(, '77.1'-4,`'.L,`•",i( . . Cil.al '7`71,.-4's' l1 . )._.054 1 Service 1.t� c� x a Order: 1'f"`'` Technician: I`'1:1.Tl.({;,:, - Route: Date: V- Time In: f 1., 6) Time out: Y _ TARGETPE67(A) METHOD OFAPPLICATION:(B) ARlA6TRFATED(C). TREAIMENT KEY . A � B' C D AMT %AI CHEMICAL. E.P,A fi 1.CANT 1.CRACK I CREVICE 1. FOUNDATION. 1 d.STORAGE ROOMS 2..REG.ANT 2.SPOT(2 SO.FT.OR LESS) 2, KITCHEN 15..OFFICES ETC; BAIT 499- 3. ROACH 3,GENERAL SURFACE SPRAY 3. BATHROOM(S) 16:FOOD PREP AREAS ADVION ANT M 352-7 4. MICE 4.VOID TREATMENT 4. BASEMENT 17.DINING AREAS ADVION ANT 352-E 5. RATS 5.SPACE SPRAY(U.L.V.) 5. CRAWL SPACE 18.RECREATION AREAS _ ROACH EL 352•E 6,8ED BUG 6.EXTERIOR APPLICATION e. CHIMNEY 19,DUMPSTERS 72 MB MONITOR 7• ACROBATANT 7.BAITING 7, WINDOYU Z0.BAR(S) __ INSECT M TO S ~_ e. BEES EQUIPMENT USED:(D) 'a. RAKE BOARD 21.COMMON AREAS CB 60 EXTRA _ 9g4q-1 9. SILVER FISH 1.COMPRESSED SPRAYER 9. SOFFETT 22.DECK L BLOX 9444-1 10.MEAL MOTH .2.AEROSOL CAN 6.POWER SPRAY 10•ATTIC 23.SHGD' GONLBL IC 12455 1 L FLEAS 3.DUSTER 7.FOIWVCAULKGUN 11.GARAGE 2d.DOOR AREA - 12._..,.. _ d.U.LV.MACHINE 8.BAITGUN 12:PRODUCE AREAS 25.,WINDOW AREA 1 CONTRAC BL X 12455- 13. 5.ACTISOL 13.REST ROOMS 26.CORNER POST CONTRAC SULEFBLOX .--. 12455 27.BEDROOMS IDEMANDCS 100-10 COMMENTS I _ TICE GEL 7307; INTICE RANU 73074 LE -, ( - - -- •- NTRO 2724-4 r....-. •••- GENT80L LIQUI 2724.3 KICKER _432.11 MAXFOR E UM 432-14 MAXFORCE ANT d32 13 _241-3 -... RECDR 2724-3 P T ROAC 1 432=13 C 432-7 -^G I�1 TEMPQ1Js.Q11.� -13 SUPERVISOR - _ -TfEWPOR 7968-2 NAME: TIMBOR _ 64405 WASl'® E _499_31 RECRUITAG 62_ j19-4I LICENSE/CERTIFICATION RECRUIT V -§271e-4I RST STRIKE 71] TECHNICIAN - NAME: :J(.'•IV f: �l?F::I;C�UF:::::; - :..n.C..$ LICENSE/CERTIFICATION NO.: :f'.L _ I ACKNOWLEDGE RODENTICIDE:PLACEMENTS. ^A .� .CUSTOMER INTTIA I X1L.tc • i:ii-1 - � USTM~ IGNATURE:;-' - - 7EC�NNiC�N-S1GNATURE;.- r Total 13alanc_e.l £?cl.'i1r:) " , IV' ACCOLINT.140. SERVICE ORDER-7- DATE AIMOWNT FAX INVOICE TOTAL TOTAt_PAID 3.Q';,- .;:'. 1.cS%6:1.•._,_ ii: !11 ::.�.r:I 17'). 1;)t'1 rI,[;p 09�C,+.'�' SERVICES NOT PAID IN FULL WITHIN 30 DAYS ARE CHARGED AN INTEREST RATE OF 1 1/2%PEfl MONTN ON THE ;`('?; I"IA T N C UNPAID BALANCE.THIS IS AN ANNUAL RATE OF 18%PER YEAR. IF TERMS AGREED UPON ARE NOT MET,ALL ATTORNEY FEES EQUAL TO 33.3%OF THE OUTSTANDING BILL WILL BE THE CUSTOMER'S RESPONSIBILITY. F:31J"!', �T�rI:?;;a LiF1 Y,, I� ., c•);._ �• GRIGGS & RRDWAIF A I gmAmr In(r►+e...e+o,�o.:..+ -...:...,..�. nne A% 90/60 39dd idnoo n-13MWOo 10 8b968LL809 60:To OTOZ/TO/60 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si nat re item 4 if Restricted Delivery is desired. Agent 0 Print your name and address on the reverse XaVrX9,12 Addressee so that we can return the card to you. B. Re ived by(Printe Name) Date of Delivery ■ Attach this card to the back of the mailpiece, —!. or on the front If space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No I Crorriwell Court Co. i ,168 g ,:ostable Road 3. S rviceType HyaDWS' iVS��.02601_. )g6ertifled Mail ❑Express Mail ❑Registered pLEetum Receipt for Merchandise - ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number { 02;1rt7008'E3230 {00 ,5177 `'8421 (Pjnsfer from service label) PS Form 3811,February 2004 Domestic Return Receipt` 10259E-02W-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No..-10 • Sender: Please print your name, address, and ZIP+4 in this box � - I I � I I i I ro Town of Barnstable Health Division 200 Main Street i Hyannis,MA, 02601 I y I Ill r111IIIII Ill 1t till I It Ill It ►t'11MI11111 r Is'\�'.s\ Town of Barnstable BAIN, ABLE, MASS �Q Regulatory Services fb39i `FbM Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Certified mail#7008 3230 0002 5177 8421 Office: 508-862-4644 Fax: 508-790-6304 CPO September 21, 2009 Cromwell Court Co 168 Barnstable Rd. Hyannis, MA 02601 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 168 Barnstable Road, Apt.6A, Hyannis, was inspected on September 17, 2009 by Timothy,B. O'Connell R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. Cracks .were observed on the wall within the living room. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. A large hole was observed in the bathroom ceiling. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing the bathroom ceiling; by repairing the cracks in the wall within the living room. 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 could result in a fine of $100.00 per violation. Each days failure to comply with an order shall constitute a separate violation. ORDER F HE BOARD OF HEALTH s A. McKean, R.S. Director of Public Health Town of Barnstable Cc: Cheri Cooper, Tenant Q:Health/Order letters/Housing violations/l68 Barnstable rd apt 6a.doc rd F0RM30 C&W HOBBSR WARREN T. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF TH CITY/ OWN W D PARTM NT 4c ADDRESS PHONE Address Occupant— c 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 —. Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 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 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 Scro 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 REPORT SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF P RJURY." INSPECTOR TITLE �j A.M. DATE TIME A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of 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. 7 ;,citizen Web Request Page 1 of 2 6 Citizen Request Management - Internal Use F .........................- ----...... -- _-................._.. Request ID: 27023 Created: 9/14/2009 4:39:48 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office z Anonymous: No Category: Chapter II : Housing Substandard E.C. Date: 9/28/2009. " Created By: Crocker, Sharon Citations: y Health Office _.. __ . _.__ � -... ... .... Time Worked: 0 Response Time: 0 Email: - "------ ........................_........ ........................._.._.....-_.......-.....-...-.-........................ Request Location: Cromwell Courts 168 BARNSTABLE ROAD 6A Hyannis, Ma 02601 Parcel Number: Map: 328 Block: 013 Lot: 000 ......._..._...................................... - Request: caller said the children are ill, there is mold all around house especially in the bathroom. You can see straight through the ceiling up to the next person's apartment. Regional Mgr for complex is: Sam Marino. He can be reached at 508-771-4550 or 617-262-2836 x336 (please see internal too) r77 J http://issgl2/Intema]WRS/WRequestPrint.aspx?ID=27023 9/15/2009 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 town (which you must do by M.G.L.,- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: b 5 r9 FiJI in please: APPLICANT'S YOUR NAME/S: i- lam/' et BUSINESS YOUR HOME ADDRESS: S 60 y. TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESSS'Q 1 IS THIS A HOME OCCUPATION? ✓ YES NO ADDRESS OF BUSINESS r 0 MAP/PARCEL NUMBER (Assessing) 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. '1.: BUILDING CO S NER'S o ICE MUST,COMPLY WITH HOME OCCUPATION This individu jhS en i m of a y p rmit requirements that pertain to this type of busines sRULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. Author' d ign all1re** COMMENT : 1 2.. BOARD�'F HEALTH This individual h b inform 'ft ,�� . �. _:_Pit requirements that pertain to this type of business. - ; MUSTCOMPLY WITHALL F: Authorized Signature** HAZARDOUS MATERIALS REGULATIONS' COMMENTS: =CONAFFAIRS (LICENSING AUTHORITY) idual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** Com m j E�DiR: COMPLETE THIS SECTION COMPLETE THIS;SECTION ON DE'L'IVERY ■ Complete items 1,2,and 3.Also complete A. i ature V item 4 if Restricted Delivery is desired. pent ■ Print your name and address on the reverseF) ��ddressee so that we can return the card to you. B. eived by(Printed Na e) I C. Date of Delivery r ■ Attach this card to the back of the mailpiece, _©S or on the front if space permits. D. Is elivery address different from item 1? ❑Yes 1. Article Addressed to: If ES,enter delivery address below: ❑No IIluC 4 0• �CrO�twe U Acre-4 Wdeiq I ��a eC"r,3 9e PC/ 3. Service Type Certified Mail El Express Mail 02 60 J ❑ Registered IXReturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (rransfer from service label 7003 1680 0004 5458 2247 <PS Form_ 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL.SERVICE First-.Class Mail i Postage&Fees Paid I LISPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I I I I I Public Haab CIVIG108 � I I Town of BMWs 200 Main St Hyannis,Masse �601 I I I I I I I I I I I i Health Complaints 24-Aug-05 Time: 1:40:00 PM Date: 6/28/2005 Complaint Number: 18213 Referred To: DAVID STANTON Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number�16�8 Street: 0ARNSTABLE RD Village: HYANNIS -- __ - - Assessors Map_Parcel: Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE HOME. DS CALLED, AND WILL INSPECT TOMORROW AFTERNOON IF DS GETS OUT OF COURT BY THE AFTERNOON. DS WENT TO SAID LOCATION ON 6/30/05 AND SPOKE WITH THE TENANT. THERE IS WATER AT THE BASE OF THE TOILET, WHICH APPEARS TO BE COMING FROM AROUND THE WAX FLANGE AREA. THERE IS ALSO A SLIGHT ISSUE WITH THE REFRIGERATOR, THAT LEAKS BROWN WATER OCCASSIONALLY, AND THEY COME AND CLEAN IT. DS ASSUMES THIS IS MOST LIKELY FROM THE CONDENSATION COLLECTION PAN. DS WILL NOTE THE FRIDGE ISSUE ON THE ORDER LETTER. SEVERAL PHOTOS ON I � I Health Complaints 24-Aug-05 FILE. DS WILL SEND AN ORDER LETTER WHEN HE GETS SOME TIME. AN ORDER LETTER WAS SENT ON JULY 8, 2005. DS CALLED TENANT FOR A FOLLOW UP INSPECTION ON 8/23/05. SHE DID NOT ANSWER, DS LEFT A VOICE MAIL. SHE CALLED ON 8/24105 TO SAY THE TOILET HAS BEEN FIXED. NO FURTHER ACTION REQUIRED. Investigation Date: 6/29/2005 Investigation Time: 2:05:00 PM I 2 ru tr. ti CO Lnl OFF ue sX �'S33�f�R��R// L Y :$y, E Ln Postage $ S�ls 0 C Certified Fee O fj 0 Return Reciept Fee ( JULPH 1005 (Endorsement Required) S co (Endorsctedement Delivery Fee � (Endorsement Required) Total Postage&Fees $ m a Sent To O cf-od"Well cou^ko, n. A/en U��c12n -----......................... : k•• ----•----- Iti Street,Apt.No.; or PO Box No. City,State,Z/P+4 r�AA,J MA- 026v . Certified Mail Provides: �a�e�ari)zooaeunr ooaeu„o�Sd e A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. e Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n 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. o 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". o 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. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Yy� Certified Mail#7003 1680 0004 5458 2247 r Town of Barnstable Regulatory Services s" W Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 1, 2005 Cromwell Court Co Attention: Karen Golden 168 Barnstable Rd. Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 168 Barnstable Road, Apt. 3C, Hyannis, was inspected on June 30, 2005 by David W. Stanton R.S., Health Inspector for the Town of Barnstable,because of a complaint. The following violation of the State Sanitary Code was observed: 105 CMR 410.351(A) Owner's Responsibility to Maintain Structural Elements. The toilet was observed leaking at the base. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice, by repairing the toilet so it does not leak. The leak was observed coming from the wax flange area. It is also noted that the tenant claims that on occasion the refrigerator leaks a brown liquid. This brown liquid was not observed during the inspection, but you are reminded that if there is a problem with this refrigeration unit, it is your responsibility to maintain it. 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. QAOrder letters/Housing violations/168 Barnstable rd apt 3c.doc PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S. Director of Public Health Town of Barnstable Cc: Michelle LaGarde,tenant QAOrder letters/Housing violations/168 Bamstable rd apt 3c.doc Health Complaints 28-Jun-05 Time: 1:40:00 PM Date: 6/28/2005 Complaint Number: 18213 Referred To: DAVID STANTON Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 168#3 Street: BARNSTABLE RD Village: HYANNIS C.OM��j Assessors Map_Parcel: Complainant's Name: MICHELLE LA GARDE Address: 168 BARNSTABE ROAD#3C Telephone Number: 774-487-7302 (CELL) Complaint Description: MS LA GARDE STATES THAT HER TOILET IS LEAKING WATER AND WASTE-THIS HAS BEEN GOING ON FOR SOME TIME- STATES THAT THE BUILDING MAINTENCE SAYS THERE IS NO PROBLEM -ALSO STATES THAT THIS PROBLEM HAS BEEN EXPERIENCED BY OTHER TENETS Actions Taken/Results: Investigation Date: Investigation Time: (1A 1 FORM30 C&w HOBBSB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS B ARD OF HEALTH CIT /TOW W 4l a E ARTMENT �rA_ l M/f ADDRESS y-LrL/- (Q� Floor Cmd Apartment No. No.of Occupants No. of Habitable Rooms No.Sleeping Rooms _ No. dwelling or rooming units No.Stories_ Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 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: Sup ly Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusin ,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT V ntil. L to . utlets Walls I Ceil . Wind. Doors Floors Locks Kitchen , o rf Bathroom Pantry Den i Living Room J 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 REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTITSPE UFIY." INSPECTOR TITLE DATE v TIME lAo 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. t,.Y FORM 30 �i W HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH <I q f, `, CITY/TOWN a EPARTMENT ADDRESS `TELEPHONE f' Address d __rJUfA,,) ,. /Occupant I��IC�11 �R e FloorApartment No._ ___ No.of Occupants No.of Habitable Rooms_ .__ No.Sleeping Rooms No.dwelling or rooming units_-__—_ ._ No.Stories Name and address of owner _— Remarks Reg. Vio. YARD Out Bldd s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EX 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: y Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Sup ly 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 VQntil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen h r.✓.. a,m Bathroom ,ar bey e f = Ins s . 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 REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIE PEhJURY., INSPECTOR r� TITLE_�,A I , It. DATE "�i r 7 TIME A.M. jr IV ` a (17 _ P.M� A.M. THE NEXT SCHEDULED REINSPECTION- P.M. 1 r E 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shali be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as. prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish;filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. f • s 9� a d � Q 4 � v { a a �, s • i �9 axz ; b "+g M i j s a 1 - s q ' R g f • - ,e s ,s p IN. r } • T l _ . R e' c EM: ru r. Postage $ 137 H yQ, rl-- Certified Fee 3 d a• y l�jL wpostrn Return Receipt Fee / Here ul (Endorsement Required) O CID Restricted Delivery Fee C3 (Endorsement Required) Q Total Postage&Fees $ �� Sent T ........:..................... R;WR,Apt.No.; _ ----.... rl or PO Box No. o .. - --.-[-_ p Clty,SYete,ZIP;4 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece A A signature upon delivery ©A record of delivery kept by the Postal Service for two years Important Reminders: ,e Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. r.• ----.,.ram o Certified Mail is not,available for any class of international mail +�,\� © NO INSURANCE COVERAGE IS PROVIDED with CertifieNlvlail. For valuables,please consider Insured or Registered Mail. o 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. m 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". o 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,January 2001 (Rev-arse) 102595-M-01-2425 'SENDER:,POMP� TE THIS SECTION COMPLETE THIS SECTION ON DELIVERri",: IN Complete items 1,2,and 3.Also complete A. S lure item 4 if Restricted Delivery is desired. ❑A ent ■ Print your name and address on the reverse ❑ dres ee so that we can return the card to you. ved by(Printed ame) C. 111% ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is deli ry address different from item 1? Ye 1. Article Addressed to: If YES, nter delivery address below: ID No I C l l c()Or Kola., (3o'Q, �V c 1 b g w 4Se ice Type �MAA-'�, 1414 Da 6 0/ 0g ZO Certified Mall ❑Express Mail I ❑Registered ❑ Return Receipt for Merchandise i ❑ Insured Mail ❑C.O.D. 0 4. Restricted Delivery?(Extra Fee) ❑Yes A 2. Article Number (Transfer from service label) 7 001 19 4 0 -0 0 05 3 7 6 9- 7142 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 �� I UNITED STATES POSTAL SERVICE First-Class tAail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I I I Public Health Division RECEIVED- I Town of Barnstable I 200 Main St. Hyannis, Massachuse 02NI G 0 8 2003 TOWN OF BARNSIABLE � HEALTH DEPT. I I Hit!If!riliiliif;liiiiii,I..It,flilu III III fit ll1111H!}i L!J :t Town of Barnstable i Services Regulatory Se Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 6,2003 Cromwell Court Co Attention: Karen Golden 168 Barnstable Rd. Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE H - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 168 Barnstable Road, Apt. 3B, Hyannis, was inspected on August 5, 2003 by David Stanton R.S., Health Inspector for the Town of Barnstable,because of a complaint. The following violations of the State Sanitary Code was observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Eleme> ts. (Free from chronic dampness) Mold was observed in several locations throughout the dwelling. Mold was observed in the following locations: The rear left bedroom carpeting and baseboard, bathroom ceiling, bathtub grout and caulk, and in the front door frame. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. Cracks were observed on the entrance wall to the kitchen. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. A hole was observed in the bathroom ceiling. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. A large paint bubble was observed in the left rear 105 CMR 410.150(D): Washbasins, Toilets, Tubs, and Showers. Cracked bathroom tiles were observed. 105 CMR 410.150(D): Washbasins, Toilets, Tubs, and Showers. Grout was observed cracked and missing in some locations of the shower wall. _ 105 CMR 410.280: Natural and Mechanical Ventilation. The mechanical bathroom ventilation had a lot of dust m it, and flow rate was weak. Q:Healtb/Order letters/Housing violations/168 Barnstable rd apt 3b.doc i • 'r You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice, by removing the mold and the source of chronic dampness causing the mold to grow in the dwelling, removing the wet insulation in the bathroom ceiling, repairing the cracks in the wall and ceiling, removing the bubbling paint in the bedroom so the wall is smooth, replacing the broken bathroom wall tiles, replacing the missing grout and filling in the cracks in the grout, and by removing the dust in the bathroom vent. 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 could 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 O THE BOARD OF HEALTH omas A. McKean,R.S. Director of Public Health Town of Barnstable CC: Melissa Latanowich,Tenant re V,S,�ed, J� V1�i�e /P�c,ieCy �410#m0" �11�ldj P 1 .G 1 1 �1 Co•r�le of UreaS aF �.e r ✓ i/veCe 1�'�� l�f� n� e✓��ecc ���,o/� C���! 5, . were_ cl Afler uaYle Q:Health/Order letters/Housing violations/168 Barnstable rd apt 3b.doc Health Complaints 06-Aug-03 Time: 1:50:00 PM Date: 8/4/2003 Complaint Number: 4205 Referred To: DAVID STANTON Taken By: DENISE PERRY Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 168 Street: BARNSTABLE ROAD APT. 3 Village: HYANNIS Assessors Map-Parcel: Complainant's Name:�y Address:L ` Telephone Number 1___ Complaint Description: COMPLAINANT STATES MOLD IN APT. HAS SPOKEN WITH KAREN GOLDEN/MGR. WHO HAS NOT DONE ANYTHING ABOUT IT AS YET. HAS 2 CHILDREN 5 YRS. AND 14 MONTHS. MELISSA HAS BEEN FEELING SICK TO HER STOMACH, CHILDREN CONGESTED COUGHING SNEEZING, OLDEST COMPLAINING OF HEADACHES. Actions Taken/Results: DS WENT TO SAID LOCATION. MOLD, HOLE IN CEILING, BROKEN BATHTUB TILES, BUBBLES IN WALL PRESENT. SEE ORDER LETTER AND PHOTOS IN RESIDENTIAL FILE 0/9. Date: 9 Investigation Investigation Time: 4:15:00 PM 9 cr3 0 eY r Ep q � e y i a. 4 *' 4 9 c. lt u v,F F-8 , I �/I S.Jin IK.rI`J� /V�D�(� lnrQ �l� ��1u�71d✓ y � qF' x y _ k covr� P4 39 �n1141 Iar� M � f v 5 8 2003, (OAA►W ll C� Vie I!�f✓j4 T! �1 1 f e 1 30 55 u ��'n lhu�q�/w ��f✓lU,�'�� q� J t fu s1' }1f I �s a- 3% ycelyl�y k - eG1I f CNN,��e�� CuJr1 I ' ' t' y' '�`Mi � • 6 tut, + �' •� ��. ��Sy 4s. .p'. „lxs '1�.3.P'i �r r'-him � � -^-.ya_?'t �•.L1.�*_ �i &, b c f� kk r !^ - F 41 41 ff 5 2003� A-f� 3� e(-4 r�cd( fo Jyfoo/� 6� �� ; k ti s _ a t { = x, t' i k W .Yt d r A k 2{ tzy Af 2- _ J F E �3 x P� 3 B l to 5 8 2003 (OurY Crmr-k,' V- k,,Chll ek4rlmre COMPLETE •N COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ®Oak ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed N e) C. Date of ivery ■ Attach this card to the back of the mailpiece, r or on the front if space permits. L 4- W 0 v D. Is delivery address different from-Rem 1? ❑Y 1. Article Addressed to: if YES,enter delivery address below: ❑No 3. Service Type ❑Certified Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 6 215 0 0002 10 41 8856 (Transfer from service label) i PS Form 3811,February 2004 Domestic Return Receipt 10259e-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • ' 0�5 Town of Barnstable r ti Health Division O + N 200 Main Street c Hyannis,MA 02601 O y 6 h�i i _ I 1 1 4t,,i i1 1 t (t y t 1 i 1 1 III y .H.,t�' .' erg .* ai: ;.�"S�'•«_ 9`. P� i ,� •. a � .. '�{,. ...fit 4 +�SE� _ i ri':. t e* ,,{J � (KOH/'' � 39 J x M- E r L,as•,w ,,f. r Poll I o � �e4r' A 3�' C���na�l C'4 r i� a c CN U,r� I T t � k,cllGf (Koch) �/ 36 cIUM�.e/�.(o✓r� 1 y 1 a � ► f Health Complaints 14-Aug-03 Time: 7:40:00 AM Date: 8/13/03 Complaint Number: 4227 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: Article X Detail: Business Name: Number: 168 Street: Barnstable Road Apt. 3B Village: HYANNIS Assessors Map-Parcel: Complainant's Name: Address: Telephone Number: Complaint Description: see complaint#4205. They are not doing anything, they keep blaming her for not cleaning. The mold is spreading, there is new area of mold on the wall. Investigation Date: 8/13/03 Investigation Time: 3:10:00 PM 1 �;ASSHOIJSING101 Massachusetts Housing Finance Agency One Beacon Street,Boston,MA 02108 TEL:617.854.1000 FAx:617.854.1029 RECEIVED TDD:617.854.1025 www.masshousing.com OCT 19 2001 TOWN OF BARNSTABLE September 26,2001 HEALTH DEPT. Ms.Jenna Angelino 168 Barnstable Road Unit 2E Hyannis,MA 02601 Dear Ms.Angelino: As you requested,enclosed are the pictures you left for me during the recent PMR at Cromwell Court. The pictures did reveal some evidence of water damage to the carpet. However,since management has moved you into another unit,I believe the problem has been resolved and no further action is needed at this time. I hope you are settled into your new apartment and things art-going well. If you have any questions,please call me at(617)854-1169. Sincerely, Robert McCuish Asset Manager Cc: Karen Golden Office Manager 168 Barnstable Road Hyannis,MA 02601 Jane Swift,Governor Michael J.Dirrane,Chairman Thomas R.Gleason,Acting Executive Director Jane Wallis Gumble,Vice-Chair i The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619 Y ` JANE SWIFT GOVERNOR . WILLIAM.D.O'LEARY SECRETARY _ HOWARD K.KOH,MD,MPH REjOEIVjjD COMMISSIONER 09/14/01 OCT 19 2001 8:30 AM TOWN OF BARNSTABLE HEALTH DEPT. 3-B Cromwell Court .168 Barnstable Road Hyannis, MA 02601 At the request of the occupant, Jenna Anzelmo, Howard Wensley made a site visit to her dwelling unit to observe mold growth. Ms. Anzelmo is alleging that there is extensive mold growth in her apartment that is caused by water infiltration from the exterior. It has been alleged by the property manager that the unit had been vacant,the power turned off and no windows had been opened for several days before the appearance of much of the surface mold. Ms. Anzelmo was in the process of moving into another apartment. The inspection revealed mold growth on the underside of the wall-to-wall carpeting in both of the bedrooms, on the dinning table and the cushion of a chair in the living room. Pictures provided by the occupant also showed mold evident on top of a television. Although the unit had been partially vacated there were several plants and an aquarium present. The unit is on the lower floor of the building that is built on a slab. There was no evidence of water infiltration through the walls or floor. Most of the mold growth on the carpet was noted to be in the area of the windows. It is the opinion of writer that much of the mold in this apartment is related to the activities associated with daily living and the failure to provide sufficient ventilation(open windows). Moisture can be added to the indoor environment through evaporation from plants and aquariums, stovetop cooking, showering, laundry and keeping windows open during rainstorms. It appears that the mold on the chair cushion and tabletop resulted from something wet being placed on it. The picture of the mold on the television shows a ring of what appears to have been an over watered plant. It is suggested that the chair cushion and any other bedding or textiles that have mold and cannot be washed in a bleach solution be thrown away. Any hard surfaces that display mold I should be wiped down with a bleach solution. The carpet.and padding should be disposed of,the floor sanitized and the carpet and pad replaced. In order to reduce moisture in the unit the exhaust fan must be operated when showering and for several minutes thereafter, lids should be placed on boiling water on the stove and if the occupant insists on maintaining plants and an aquarium, she may wish to operate a dehumidifier. Care must also be taken to ensure that wet items or persons are not placed on the furniture or the floor and the windows should be opened daily for a few minutes at a time. Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: 2RIWvS 7-4 RI-e C_ A/o',y BUSINESS LOCATION: ,/0 4319,e N s7�9- gee MAILINGADDRESS: $,I Mail To: TELEPHONE NUMBER: (S-0,0 �4 �6 9/ Board of Health f CONTACT PERSON: � �n s�.c ,yam Town of Barnstable I P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: (S09) 3 :?S /-/S 2-a Hyannis, MA 02601 TYPE OF BUSINESS: C Al . N & Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO x This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate;the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS: Quantity Quantity Antif reeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid ti Disinfectants Engine and radiator flushes_ _ Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal a Printing-ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers u,Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers j Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers ' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Massachusetts Fire Incident Report Hyannis Fire Department FDID Incident No. Exposure #. Date of Day of week Time Of Arrival Time In Incident Call Time Service 01922 1 A980251 0� 3/15/98 Sunday 1❑ 08 :31 08:35 09:23 Address Zip Census Tract 16 8 JBarnstable Road 4-431 ( i, ; H a n n i s 4 0 v Ph Type of Situation Found Type of Action Tak Mutual Aid 40 Hazardous Cond., Not 4 0 4 Remove Hazard Fixed Property Use Ignition Factor "paved Public Street." 9 6 2 00 No Fire Found C❑ Occupant Name Occupant Telephone Owner Name Owner Address Owner Telephone Method Of Alarm Shift No Of Alarms # of Personnel Responded ou 1 Telephone F © © Ha t r ial Materials Engines Tankers Aerial Other Vehicles Present 001 � � 000 Fire Service Other Injuries Injuries Fatalities F Injuries 0� Fatalities I I Rescues 0 0 1 Mobile Property Use ❑ Is Car Stolen Insurance Company 0 Mobile Property Make Year Model Color License Number VIN L I 0 Complex Area Of Origin 0 0 Estimated Equipment Involved In Ignition Form Of Heat Of Ignition Loss I If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fir i in Number Of Stories Construction Type Detector Performance Sprinkler Performance Extent Of Damage Flame � Smoke Material Generating Most Smoke Type Of Material Generating Most Smoke Avenue Of Smoke Travel Weather Conditions Commanding Officer Lt Melanson Comment Page for Incident No. I A980251- 1 Address 1168 1BARNSTABLE ROAD 4-431 Date of Report 3/1 5/98 Commanding Officer Lt Melanson R-828 RESPONDED TO A MVA NEAR THIS LOCATION. UPON ARRIVAL THEY REQUESTED AN ENGINE FOR STAND BY. I RESPONDED IN E-826 WITH FF'S SCRIBI AND LANMAN. UPON OUR ARRIVAL WE FOUND A VEHICLE INTO A POLE (167/21).THE VEHICLE WAS LEAKING FLUIDS AS A RESULT OF THE ACCIDENT.WE STOOD BY UNTIL THE VEHICLE WAS REMOVED AND THEN COVERED THE SPILL(ANTIFREEZE)WITH SAND.THE OIL AND GAS THAT SPILLED(LESS THAN A PINT EACH)WENT INTO THE GROUND IMMEDIATELY AROUND THE POLE.THE COMM.EL.WAS ON SCENE TO REPAIR THE POLE AND WE RETURNED TO QUARTERS. LT. DEAN L. MELANSON 15-MAR-98 =wtirr-:«.�-••.-� k"y-K`�-ui.,,,°l7Jr.a.d.t�i � yt..«�.> a..-wW-"y.... ,`•'"y�.rM::V�.+a...+.saiw..-�"t.j.,..+'���r✓w.�w..e1.��- +r s.,. \, THE COMMONWEALTH OF MASSACHUSETTS BOARD O F9N ' E��T H cITYiTo iTZ y � DE P CR1 — ' � 1 ADDRESS VAMP, AN,! S T=HONE Address Occupant.— A) Floor 'partme No. No. Occupants No. of Habitable Rooms No. Sleeping Rooms No. dwelling or rooming units ( � o. Stories Name and address of owner t i� Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish: Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps, Stairs, Porches: Dual E ress«a,nd_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.: H afr Floor,_,akl;CeiIing: PQ nen(C-) x In D ! jO Hall Lighting: > Hall Windows: '-'ii';�.,t' t? / V_-7- J P;�► ) / 1l'? I Z. HEATING Chimneys: "- r ' z Central ❑ Y ❑ N Equip. Repair W TYPE: Stacks, Flues,Vents: C PLUMBING: Su I Line: Cc PP Y ❑ MS ❑ ST ❑ P Waste Line: IAi ' f ` ?G,,i m H.W.Tank(s) Safety and Vent(s) ' V w ELECTRICAL Panels, Meters, Cir.: 0 ❑ 110 ❑ 220 Fusing, Grnd.: AMP: Gen. Cond. Distrib. Box: �° Gen. Basement Wiring: DWELLING UNIT Ventil. Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen _ Bathroom Pantry Den Living Room _ Bedroom (1) Bedroom (2) Bedroom (3) Bedroom (4) Hot Water Facil. Su .Ten., Gas, Oil, Elect.: _ Stacks, Flues Vents Safeties: Kitchen Facilities Sink Stove Bathing, Toilet Facil. Vent., Plumb., Sanit'n.: . Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted: Locks on doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH.OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES°O'F PERJURY. e , INSPECTORI�TLE ,,. . f AM DATE lS TIME -A..-M-.. THE NEXT SCHEDULED REINSPECTION ± P.M. f / f w -. 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 these 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 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination that other violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it 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) Shut-off and/or failure to restore electricity or gas. (D) Failure to supply the electrical facilities required by 105 CMR-410.250(B), 410.251(A) , 410.253(A) , 410.253(B). and. the.-lighting in common 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 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 an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (H) Failure to comply with the security'requirements of 105 CMR 410.480(D). (I) Failure'to comply with any provisions of 105 CMR 410.600 through 410.-6.02 which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (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 dafety. (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 facilities 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 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 .operable. (2) failure to provide a.washba.sin ,and_ a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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, gas-fitting, or electrical wiring, standards ' that do not' crea'te 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. (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through (M) shall be deemed to be-a condition 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. f f 1 Vim_ ��. �. d � • � � � � S�. 6antse �.nm G "b ,ba",& gs�m�(� C�-, +f `(12)=b ml cic-00 -k and N-OWTS)�, n 1 OZ c cm nw-)6 GOO r+ IJ n az4o r , 00 f 1 •� f r y J' a, oFTHETp� Town of Barnstable Y Inspectional Services x BARNSTABLE, MASS. v 039 `0g �b,,rED �,, Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7015 1730 0001 4990 1055 July 16,2019 Cromwell Court Pres Association LP 168 Barnstable Road Hyannis, Ma 02601 Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.I 11, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter IL• Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on March 10, 2017 conducted an investigation of a dwelling unit located at 168 (Unit 7A) Barnstable Road , Hyannis, MA. The owner's name of this dwelling unit is Cromwell Court Preservation Corp. The tenant(s) name(s) is Charlene Mahoney. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B.and 105 CMR 410.831 (D), (E) the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (G) - Failure to provide adequate exits from said unit as determined by 708CMR 3400.5.1 of Massachusetts State Building Code. (Large amount of debris blocking egress was observed from apt. entrence) 410.750 (I)—Failure to comply with any provision of 105 CMR 410,600, or 410.602 which results in any accumulation of garbage, rubbish, filth or other Q:\Order Letters\Condemnations\168 barnstable rd (7A)7-16-19 J n causes of sickness which may provide a food source or harborage for rodents, insects or other pests ( Large amount of stench and animal feces was observed from apartment entrance.) Based upon these findings any and al l occupants are hereby ordered to vacate within (24) twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. 1f any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. You may request a hearing before the Board of Health if written petition requesting same is received within forty-eight (48) hours after the date the order is served. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied until the garbage and filth is cleaned Note: This is an important legal document. It may affect your rights. PER ORDER OF THE BOARD OF HEALTH T om cKean, CHO\RS Director of Public Health "Town of Barnstable Cc Charlene Mahoney, Occupant 168 (7A) Barnstable Road Hyannis, MA 02601 Q:\Order LettersTondemnations\168 barnstable rd (7A) 7-16-19 Citizen Web Request Page 1 of 01- w s ^� 2 Thursday,July 25 2019 Application Center Logged In As: oconnelt Citizen Request Management Logoff Route to Users Search Requests Create Requests Request Information Request ID: 70126 Created: 7/15/2019 4:14:59 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 7/29/2019 Change Estimated Jun July 2019 Aug Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 JL28 29 30 Ll 1 2 4 5 6 7 8 9 Created By: O'Connell,Timothy Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor _ Request DETAILS: ;x ._ CATION: 168 BARNSTABLE ROAD f - - Hyannis, Ma 02601 Request Parcel Number Map: 328 Block: 013 ;Lot: 000� Hoarding issues and dog feces Parcel Lookup Email: Edit Requestor Information Track Request Progress https:Hitsgldb.town.barnstable.ma.us/CitizenRequest/WRequest.aspx?ID=70126 7/25/2019 Citizen Web Request Page 2 of, Request Work History: Internal Note History: Entered on 7/16/2019 2:53:23 PM System entry on 7/15/2019 4:14:59 PM: by O'Connell,Timothy - Assigned to O'Connell,Timothy Occupant currently incarcerated. Management and Barnstable PD opened door-From hall way I did observe animal feces and blocked egresses. Found apt unfit for humane habitation. Will send out order letter, update delete Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) i Spell Check Spell Check Add document or image link: to Browse. * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 1.00 Response time: 1 AO 3 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. *Save changes. Check to notify town employee belcw to review this request. OSave changes and notify Health Office citizen* O Close request Bellaire, Dianna ' OClose request and notify citizen* Brief message to reviewer: *notify works if email address was given Update Public Use: Printer Friendly Version ; Spell Check Internal Use:Printer Friendly Version https:Hitsgldb.town.bamstable.ma.us/CitizenRequest/WRequest.aspx?ID=70126 7/25/2019