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HomeMy WebLinkAbout0047 BETTY'S POND ROAD - Health 47 BETTT"S POND HD, HYANNIS A= 290. 086 I 9 !Y i e .11 i ! i f—w A �1 5 No. q55� FeeL6J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYitation for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) []Complete System ❑Individual Components Location Address or Lot No. 47 aETT yks votjD RD Owner's Name,Address,and Tel.No. i4YAP—W$ 'T SC VAIa16L sr�tdES Assessor'sMap/Parcel ®Q 7 tit S ed,v*0 RD 4WA)ts' Installer's NF�me�, ddress,and Tel.No. cS�G�s—��7—��Z7 Designer's Name,Address,and Tel.No. Ca1�E'c.stl7� �$c�. Type of Building: Dwelling No.of Bedrooms -- Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) p "" gpd Design flow provided Alill— gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)--A 0 a ij) jzu,mtoi�- uz— T Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt e Date t X'_c�— Application Approved by Date q ?f Application Disapproved by Date for the following reasons Permit No. (� (,�� Date Issued � � � Q/ V ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplicatlon for 30isposaf 6pstem Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components f Location Address or Lot No. 47 Oew Y S Po a1D RD Owner's Name,Address,and Tel.No. ; >` NyAo I$ zosc- ak,,J"c. '514fo(z5 Assessor's Map/Parcel c t f Installer's Name,Address,and Tel.No. J O S_417-SE T7 Designer's Name,Address,and Tel.No. 5T � Type of Building: r V Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures '�II Design Flow(min.required) �11v9-�-'-' /V� gpd Design flow provided +"'.- gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) AMA)D o y,J _Tv w(- 75:.- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. e Date Application Approved by Date- r ,<, Application Disapproved by Date for the following reasons Permit No. Date Issued --------------------------------------------------------------------------------- - ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS t BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(X)by P � � l�E�egsz- S O&J R Q`,o at _ 47 9,;c�—.a..V PQ"O, lj_:b has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No.&A_q dated / Installer XD/JZO&W L 13 &)p, g:!fp Designer K) #bedrooms 4 0= Approved design flow and The issuance of t is pe it shall not be construed as a guarantee that the system w' func' desi d. Date (� d r Inspector Ur - - ------------- --- - ---- -- --------------- --- - ----- - -- - ------------------------ No. O i�' `l�? Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ;Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(A) System located at g7 1 m/ Ro.AZ HY—kk'K dr" and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perm' . Date Z I'7n 1G� Approved by t ,' ��• 4 P; r� I a �' YOU.WISH TO OPEN A GUSINESS? For Your Information: Business certificates(cost$40.00.for 4 years). A business certificate ONLY REGISTERS YOUR NAME in towm(w,hich 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 200 Main St., Hyannis. Take the completed form to the Town Clerk's'Office, 1st FL., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. rr C) DATE: Zl b Fill in please: Irnoe& -.1 APPLICANT'S YOUR NAME/S: 'ta zt'ri:4 is+tyr7 tag".;�• 1 i• BUSINESS YOUR HOME ADD, SS: nd V4 Run n t+lP�•iyti`�:;ts��t' .ti;ritl:-�i.:�i�,�' Home Telephone Number - NAME OF CORPORATION: TYPE,OF BUSINESS � a i n r G�� NAME OP NEW BUSINESS n ' JC IS THIS A HOME OCCUPATION? YE N0 — .MAP PARCEL NUMBER O- V (Assessing) ADDRESS OF BUSINESS: O d MA �UQ When starting a new business there are several things you'must do in order,to be in complianceq.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 Yarmauth" Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. . 1. •BUILDING COM IS510 ER'S'OFFICE•Q ' *• ` "• - This individu 1 ha e n i e ofer it requiem rits that pertain to this type.of business. MUST COMPLY WITH HOME OCCUPATION RULES.A�ln REGULATIONS, ��1i1<UFiE TO 'Aut on Si netu - COMPLY MAY 0 IN HN159. OUb MMENT G 1 2. BOARD OF ALTH MUSt COMpLYWITH ALL This individual has been informed of ! it re Fe, nts t pertain to this type of business. HAZARDOUS MATERIALS REGULATIONS . Authorized Signetu e* 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: , i+. l DateY-41/ & /16 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM <, /" 4 NAME OF;-BUSINESS: , , ' � j i h BUSINESS LOCATION: 14WN10 MA 0 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 509(0, (s l�OA) ,�22) CONTACT PERSON: ' Daniel 51,y ,0•PS EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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 Windshield wash q WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Ap icant's Signat a Staff's Initials f J f Town of Barnstable Barnstable • of z�r� . Regulatory Services Department "mericaCfty t 3 BARNSTABLE, 9 MASS. Public Health Division m F8' `A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 1265 January 13, 2014. Paul Savini % Simoes, Jose Daniel 47 Betty's Pond Road IMPORTANT NOTICE Hyannis, MA 02601 Map & Parcel: 290- 086 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter • directs you to connect your dwelling, at 47 Betty's Pond Road, Hyannis, MA, to public sewer on or before 9/30/2019. The old septic system must be either removed or filled in due to future safety concerns.' This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see enclosure. PER ORDER OF THE BOARD OF HEALTH omas K ean, R.S., C.H.O. Agent of the Board of Health Eric. Q:\SEWER connect\Sample order letters for sewer connection\47 Betty's Pond Rd HY Jan 2014.doc i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address _ Owner Owner's Name Information is /�f� vd L O/ required for / a h J S __ / J / oC every page. City/Town State Zip Code Date of Inspects n Inspection results must be submitted on this form. Inspection forms may not be altered In any way. Please see completeness checklist at the end of the form. 'm filling A General Information Whenn fillinling out ' forms on the + computer,use 1. Inspector: only the tab key to move your A V• cursor do not Name of I _ use the return Inspector key. �/�/�l 19 Company Name �O do^ Company Address q S CttyR'own // State Zip Code Telephone Nd'Iffer Ucense Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Passes TM`' 13. Conditionally Passes. ❑ Fails � v ❑`Needs Further Evaluation by the Local Approving Authority770 _ ioz Inspecto Slgnature Date _ t fi �* .xj The system inspector shall submit a co of this ins action report to the Y Pe copy p, p Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. This report only describes conditions at the time of inspection and under the conditions of use at that time.This Inspection does not address how the system will perform In the future under the same or different conditions of use. ` o&DM1spou1Ajr tSlna•11J10 71tle S IF..Subsurface •Pape 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments Property Address . . GiV►� r . Owner owner's Name Information Is p /� required for ���►1_ _ �� �0�60� 7 every page. City/Town //C� state Zip Code Date of 16speddon B. Certification (cons) Inspection Summary: Check A,B,C,D or /always complete all of Section D A) System Passes: i 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304•exist Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. r Check the box for"yes", "no" or°not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old`.or the septic tank(whether metal or not)is structurally unsound, exhibits substantial,infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is'structurally sound, not leaking and if a Certificate of Compliance indicating that the tank.is less than 20 years old is available. ❑ Y ❑ N ❑ ND.(Explain below): t51ns•1110 Title 5 0111dal lnspocfbn Forth:Subsudsoo Sswapa Disposal Sysi m•Pape 2 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form; Not for Voluntary Assessments Property Address /' - C711 Owner Owner's Name ) Mz// information la / 4 )o`6,0 required for - - . every page. cltyrrown state zip code Date I otlon B. Certification (cunt.) B), System Conditionally Passes(cone): ❑ Observation of sewage backup or break'out or high static water level in the distribution box due ' to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with�approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below)' ' • ❑ obstruction is removed '❑ Y ❑•N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N' ❑ ND(Explain below): e.� ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):' El obstruction Is.removed ❑ Y ❑ N ❑ ND (Explain below):' C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to-protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system 1s not functioning in a manner which will protect public health, safety and the environment:" ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh tSblt 11H0 T&b 0ftial InspooWn Form:Subswfsco Sswopa Diopml SysWm•Psps 3 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ii Subsurface Sewage Disposal Sys m Form •Not for V luntary Assessments _ _ - -- Property Address Owner Owner's Name /, itj" / 44 Information is Q�,(�0 required for every page. Cityrrown state Zip Code Date of pe on B. Certification (cont.). 2. System will fail unless the Board of Health(and Public Water Supplier,if any) F determines that the system Is functioning in a manner that protects the public health, safety and environment:' , ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface,water supply or tributary to a surface water supply. ❑ The system has a septic tank and,SAS and the SAS is within a Zone 1 of a public water supply. [] The system has a septic tank and SAS and the SAS is within 50 feet of a private water. supply well. . ; ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". - Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal , ~. coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,,provided that no other failure criteria are triggered, A copy of the analysis must be attached to this form. 3. Other: f D) System Failure Criteria Appllaable to All Systems:. You must indicate"Yes"or"No"to each of the following for alb,inspections: - Yes No ` Backup of sewage into facility or system component due tooverloaded or ' ❑ clogged SAS or cesspool a 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow ON•11110 " Title 5 O&W kep�Form:3ub"udwe s•wp.06pnW sysbm•Pp"1 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form b SUbsurtaCe Sewage Olsposal 5yst m F rm•Not for Voluntary Assessments Property Address Owner Owner's Name Information is /; ✓✓ OC) 6 0 required for —— State Zip Code Date of inspection every page. oftyfrown B. Certification (cunt.) t Yes No t ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).•Number of times pumped: " [►�f Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.' Any portion of a cesspool'or privy is within a Zone 1 of a public well. Any portion of a cesspool or.privy is within 50 feet of a private water supply ❑ well. ❑ Any portion of a cesspool or privy isless than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified • laboratory,for fecal coliform bacteria Indicates absent and the presence t, less than 5 m nitro gen is equal to or pp . nand nitrate n q of ammonia nitrogen 9 provided that no other failure.criteria are triggered.A copy of the analysis } _ and chain of custody must be attached to this form.] , ❑ The system is a cesspool serving a facility with a design flow of 2000gpd.- 10,000gpd. The system falls. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails,The system owner should contact the Board of Health to determine what will be necessary to correct the failure: . E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to.16,000 gpd. For large systems, you must indicate either"yes"or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ ,t the system is within 400'feet of a surface drinking water supply ` ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA)or a mapped Zone It of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Mina•11f10 TO 5 Oftal IrapecOn Form,Suhwfte sewage Mpoaal 8yeam•Pape 5 or 17 Commonwealth of Massachusetts Title 5 official Inspection Form elm Form•Not Tor voluntary Assessments e Dis es91 S st I . Subsurface y Su 0 p O e4- Property Address, C7. M Owner Owner's Name e 1 Information Is N �1 --'-/// ��p< �oz required for n every page. City/Town G7, State Zip Code Date of nsp on C. Checklist Check if the following have'been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ Pumping information was provided by the owner, occupant, or Board of Health. ❑ Were any of the system components pumped out in the previous two weeks? ❑ [ Has the system-received normaitflows in the previous two week period? t Have large volumes of water been introduced to the system recently or as part of ❑ this inspection? ❑ . Were as built plans of the system obtained and examined?(If they were not available note as N/A) " ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? Were ell system components, excluding the SAS, located on site? x ❑ Were the septic tank manholes,uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, • dimensions, depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with ❑ proper maintenance of subsurface sewage disposal Information on the systems?p p 9 The size and location of the Soil Absorption System(SAS)on the site has -been determined based on: Existing information. For example, a.plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issuer A approximation of distance is unacceptable)(310 CMR 15.302(5)] ' D. System Information Residential Flow Conditions: . t Number of bedrooms(design):, ^ ' Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): ~-- r. On•i MO TO 5 OWM Inepedw Form:Subwfto Sonpe DWMWSYMM•Pecs ad 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments Property Address Owner Owner's Name /1 Information is required for /s every page. Clty/Town State Zip Code Date of kspe&on D. System Information Description: %Soo G-4�) V1. S �/c "7 �d Number of current residents: Does residence have a garbage grinder? ElYes S No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes No Laundry system inspected? g ❑ Yes D-No Seasonal use? ❑ Yes.9--'No Water meter readings, if available(last 2 years usage(gpd)): Detail Sump pump? ' ❑ Ye No Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: — Design,flow(based on 310 CMR 15,203): Gallons per day(ppd) Basis of design flow(seats/persons/sq ft:, etc,): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: kilrre•11/10 Title 6 Official Impaction Form:Subsurface Se vepe pisimal eyalam•Pape 7 cr 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r ° Xd Properly Address Owner owner's Name Information is c,h✓� r / ' _ �a 6�/ 9 required for Cityrrown every page. State Zip Code Date ofinspedflon D. System Information (Cont.) Last date of occupancy/use: Date Other(describe below): t General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped:` gallons How was quantity pumped determined? — Reason for pumping: Type of S tem: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy . ❑ Shared system(Yes or no);(if ,es,'attach previous inspection records, if any) ❑ Innovative/Alternative technology.,Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a.copy of latest, ` inspection of the I/A-system by system operator under contract t , ❑ Tight tank. Attach a copy of the DEP approval. [] Other(describe): thins-t tn0 I roe 5 oriiaai mapwWn Fow subwdo a sewsp obpml syswn-Pepe a of IT f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage k 19j Disposal S S tForm Not for Voluntary Assessments �7 _ Property Address C-r K! Owner owner's Name M / Information is f 9 �f required for every page. City/Town State Zip Code Date opnepe6bon •D. System Information (font.) Approximate age of all components, date installed if known) and source of information: r , ?9-S/o L� Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): /l Depth below grade: feet Material o nstructi�40 cast iron PVC ❑ other(explain): --- /o / Distance from private water supply well or suction'line:- feet _ Comments(on condition of joints,-venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth.below grade: feet Materaa construction: . . concrete ❑metal []fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: --- Sludge depth: — -- t5ft•11/10 TWe 5 Mal Inapecdon Form:Subawfmv Sowape Dlspoaal Sy*am•ropa 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System F rm•Not for Voluntary Assessments Property Addreau —5'GI v/h 1'. Owner owner's Name / ] Informabon is / 0 N 1 S _ ,, 0,2f.of required for / every page. citylrovm state Zip Code Date of Inep ctlon D. System Information (cont.) + > r Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness - • �7 Distance from top of scum to topaof outlet tee or baffle , Distance from bottom of scum to bottom of outlet tee or baffle ---- Ile How were dimensions determined? Comments(on pumping recommendations, inlet'and outlet tee or baffle condition, structural integrity,- liquid levels as related to outlet invert, evidence of leakage, etc.): (.� v� /✓1 40 NQeNeC 41✓,-e Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal " ❑fiberglass • ❑ polyethylene ❑other(explain): Dimensions: — Scum thickness Distance from top of scum to top of outlet tee or baffle ;Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 151ne•11/10 TMb S Mchl Inspeebm Form:Subsudwo Sowap Dtrpasl syaem•Paae 10 of 17 r x Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System F rm•Not for Voluntary Assessments Property Address l/l YI I• �� Owner Owner's Name Information is M�A required for /� D� _ every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: - . .Material of construction: ' ❑concrete ❑ metal ❑fiberglass 171 polyethylene ❑other(explain): Dimensions: -.� __ _.___ _— Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: ----- Alarm in working order. ❑ Yes ❑. No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes- ❑ No tSins 11/10 Title 5 Of W Inapwftn Form:Subsudew Sewage DWmal Syetem•Pepe 11 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for oluntary Assessments "a/ 4cl. Property Address Owner owner's Name information Is �,� D�0 required for R n f / L T every page. City/Town 014 State Zip Code Date of Inspecti n D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): —,Eve 6-1Depth of liquid level above outlet invert -- ---- Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box,'etc.): /4/0 Pump Chamber(locate on site plan): Pumps in.working order: .❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): } • Soil Absorption System,(SAS):(locate on site plan;excavation not required): If SAS'not located, explain why: 15ins•11N0 a `' TM@ 5 Offklel Mspecgon Form:Subswfbw Sewepe Dispose Sy*m•Pepe 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments Property Address c / Owner Owner's Name Information is required for City(rovwt State Zlp Code Date of Inspe on every page. D. System Information(cunt.) Type: ❑ leaching pits number: — ❑ leaching chambers number: — -- ❑ leaching galleries number: ❑ leaching trenches number, length: leaching fields number, dimensions: 9/O X -To ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: ' "Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 3 De Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert - -- -- Depth of solids layer Depth of scum layer • Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 1SIM•11N0 - Title 5 Offidal Inspoebw Form:Subsudaoo Spwapp Mpa"l Systam•Pap 13 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sawwage Disposal System Farm.Not for Voluntary Assessments ZlVi we Property Address Owner Owner's Name information Is Dol 6 O required for G✓I✓�I t - every G /Town state Zip Code Date Ins coon a P 9e. � D. System Information (cunt.) G Comments(note condition of soil, signs of hydraulic failure, level-of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction:° ,~ Dimensions --_— Depth of solids Comments(note-condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5hq•11N0 • TI�i�S@�IR1R11�r1JI�hflGlrlli'�Ill�ltrf� i ' '�'�: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments Property Address r Owner Owner's Name Information is a`€yl✓1j s / '/Q required for — -- State Zip Code Date of Irispe on every page. Cityrrown D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public ater supply enters the building. Check one of the boxes below: ❑ nd-sketch in the area below drawing attached separately f • Sins-11/10 Title 6 Official lnapeatfon Foam:Subsudw*Sewape Disposal System•Papa 15 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments Property Address Owner owner's Name Information is G f QC� (','L9/ required for 1q, every page. Cityrrown State. Zlp Code Date of lnap on D. System Information (cunt.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high groundwater: feet -�— Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record = If checked, date of design plan reviewed: Date ❑�/ Observed site(abutting property/observation hole within 150 feet of SAS) y L� Checked with local Board of Health--explain: )-5� f��f ❑ Checked with local,excavators,installers-(attach documentation) ❑ Accessed USGS database-explain: ' You must describe how you established the high ground water elevation: SZ. �,�o 4 Before filing this Inspection Report, please see Report Completeness Checklist on next page. Ons•11110 Tipe 5 Omoial inspacdon Form:Subsuftoe Sewage Disposal system Pane 18 of 17 Commonwealth of Massachusetts Title 5 Official 'Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments yet Property Address Owner Owner's Name information is 17� c,✓1✓t/t /�� ao�60/ 9 �` required for -- - every page. City/Town State Zip Code Date pf Inspection E. Report Completeness Checklist inspection Summary: A, B, C, D, or E checked-' inspection Summary D(System Failure Criteria Applicable to All Systems)completed [System Information—Estimated depth to higti groundwater t O/Sketch of Sewage Disposal System•either drawn on page 15 or attached in separate file O ' 1 ik MS m-11110 Tdle 5 Official Mspecdon Form:SvWwfaoe awmpe Usposal systom•paps 17 of 17 F — I TO F B,4MSTABLE LOCATION SEWAGE # A.+RV vII.LAGE+"TTT ASSESSORS, MAP LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACFTY O G LEACHING FACILITY: (type)- d—: � (size)� 3d NO.OF BEDROOMS` , BUILDER OR OWNER=L--�_C SAe �L,_� 's PERMTTDATE 'T1 COMPLIANCE DATE:_ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility +._.., Feet Private Water Supply Welt and Leaching Facility (If any wells exist on she or.within 200 feet of leaching facility) ( Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 TOL. leaching fac'Ilry Feet Furnished by , �l A Te D 372 �x C2 7 x T To ', Pam, OX -30" G /0 s1` 30 x fl r A & M Land Services- ; L .33 Old Main Street South Yarmouth, MA 02664 508-394-2723'Fax,394-9642' August 25, 1999 Boa rd of Health , Town of Barnstable " South Street Hyannis, MA RE: 47 Betty's Pond Road Dear Tom, We recently inspected the septic system installation at 47 Betty's Pond Road in Hyannis. The system,was.designed by A.& M Land Services, Inc. on or r ' about May, 1999 and received approval from the Board of Health for installation. The system was installed on or about August 24,1999 by John Whitley. All of the system'components were in place at the time of the inspection prior to the backfilling. In my opinion, the.installation is in accordance with the approved engineering;plans. 3 'If you have an y questions concerning this matter, please call at your. convenience. . Best regards, f 01 v� i e �r Winslow M. Spofford, RLS, PE 1 a , W Cyr" f pFTHE rok, Town of Barnstable Regulatory Services > BARNSTABLE, 9 MASS. $ Thomas F. Geiler,Director 163q. ♦� A'fo►��" Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 16, 2007 Paul Savini 47 Betty's Pond Road Hyannis, MA. 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human, Donald Desmarais RS, Health Inspector for the Town of Barnstable, on May 16, 2007, conducted an inspection of the dwelling located at 47 Betty's Pond Road, Hyannis, Massachusetts. The owner's name in this dwelling is Paul Savini. Based on the results of that inspection, 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), 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 (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602 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. QAOrder LettersTondemnations\47 Bettys Pond.doc 08-26-1999 01:51AM FROM C. CREW MKG. TO 7753344 P.01 A& M Land Services 33 Old Main Street South Yarmouth, MA 02664 508-394-2723 Fax 394-9642 August 25, 1999 Board of Health Town of Bamstable South Street Hyannis, MA RE: 47 Betty's Pond Road Dear tom, We recently inspected the septic system installation at 47 Betty's Pond Road in Hyannis. The system was designed by A& M Land Services, Inc. on or about May, 1999 and received approval from the Board of.Health for installation. The system was installed on or about August 24,1999 by John Whitley. All of the system components were in place at the time of the inspection prior to the baricfilling. In my opinion, the installation is in accordance with the approved engineering plans. If you have any questions conceming this matter, please call at your convenience. Best regards, �- W Winslow M. Spofford, RLS, PE TOTAL P.01 th r �" '• is @ �' a I f .. i�,y ,� � ..,.y+,•^a^�s! ,�v `lea .� y:. ?: g. .Nilb ¢ .ye.°°°z .r £ >3a ,Mi'„�� ♦ Po v �"A`7 �'�° iA°S:; ��� r ' �i �s r`' s z i .::.c � �•t, ,¢r'ssa ,ems. r s �' � w .. ... ; - Fa,a i A!�0 ma 5E° b' G � b a M : � a .� � R a w r Times Photo by JON HAMILL o Inspectors found this house on Bettys Pond Road lacking water and electricity.Trash and feces soiled the floor inside. ell i amRO .z . un' kemp om, cow el�CD na By PAUL GAUVIN , The telephone, however, was gate the Griggs home for the past the water,which had been off for STAFF WRITER connected. 20 years. , the winter. Later in the day, house owner, "Going back.to the 1970s, "She told us the boiler was on HYANNIS — A block from the and occupant Linda Griggs was when John Kelly worked for the the fritz," a water company i gaiety and glitter of the Cape Cod arrested on an outstanding war- town, we've asked the town's spokesman said'yesterday. Yet Melody Tent a mother and three rant for prior building code health department to check into neighbors report the family lived children have been living in ab- violations. it.All they said is `we'll look into in the house all winter. ject filth. . Neither Griggs nor the children it,' "the resident said. A spokesman from Common- In answer to neighbors' com- were at home as inspectors from The, resident,said that neigh- wealth Electric said there had plaints, the Barnstable.Inspec- , the various town agencies that bors have volunteered to help the been electrical service to that ad- tional Response Service Team makeup the inspection team en- Griggs family clean up their yard, dress until it was shut off June 19. yesterday converged on 47 Bettys tered the home wearing masks and at least one.neighbor made Because of privacy laws, the'uti- Pond Road and confronted a pri and latex gloves. several dump runs for them. lity company could not, say why vate world that defies Neighbors who asked their "It would be nice if it could be the service was disconnected: description. names not be printed said the cleaned, but.I don't want to see Someone who was in the house The odor from the small,dilapi- family had been living in the them. get punished or anything . yesterday said there was a bill in dated wood-frame cottage was house as fate as 'Monday. Jack like that. They are such a nice the house for a utility with more perceptible from the walk leading Gillis of the town health, safety family,"the neighbor said. than$2,000 due. to a trash-laden porch. The and'environmental service de- Other neighbors described Town vehicles clogged the nar- spongy floor gave way under partment said his best informa- Mrs. Griggs,as personally. neat, row road yesterday as inpectors each footstep. tion was that the family had warm and friendly, with a pleas- . worked.Dog officer Charles Lew- Inside,.inspectors were greeted. moved to a friend's house about ant personality. is,using a long pole with a noose, 'I by barking dogs and "swarms of two weeks ago. After Griggs' arraignment, the collared a frightened buff-colored flies,"according to health depart- `But it didn't get this way in a children,were brought to their chihuahua and placed it in a cage. ment director Thomas McKean. matter of weeks,"Gillis said. mother and are now staying with "There's another one up there There was dog feces on floors, a friend of the family in Hyannis, but it's hiding under a bed.Some- piles of trash and clothes,and hu- Building Commissioner Ralph Sgt. Joseph Hudick-said. Detec- body will have to help me move' man feces piled to the top of the Crossen pulled the house certifi- tive Nancy Blanchard,along with the bed,"he said. toilet. cate of occupancy and McKean It was a small terrier. It — and posted signs saying"This Prem- a DSS official, met with the s an Af han hound — were also Someone in the crowd,of in ises Unfit For .Human ily to assess the childreen's. g spectors said it appeared the Habitation." wellbeing. caged.' Ihouse lacked any utilities,includ- One neighbor said they have, The Barnstable Water Co. had Staff writer Sean Gonsalves ing water. been.asking the town to investi-' been asked on Monday to turn on contributed to this report. �l tected on the first letter, an NATIONAL GUARD ram° p` envelo e for the second lette Mass.unit to go to Bosnia: found to match stationery she # E s 3xt , � � ' -_ °�� t��� , Forty members of the 1st Bat- °_ M to send"Thank You"notes to talion of the Massachusetts ai police. Army National Guard are pre- - a<, `°�� y ``4 Gerardi,who surrendered to paring to go to Bosnia,a guard A° lice Monday,has confessed to spokesman said. ing the two letters that arrive The group comprises her school in May and June, p members of Detachment 2, t ; 'r f ecutors said. The first threate j A301st Field Artillery Regiment. p � her,while the second threatene ,,They use binoculars,terrain shoot the kids"and led dozens `sketches,digital equipment and » Y x .` r parents to pull their kids fro other technology to pinpoint school. `fargets for attack,Capt.Ster- h t� ; f She also admitted to sending (ing D.MacLeod said. third threatening letter to he r home and writing "Die Bitch it ® BANK SCAM red lipstick on her front door. ASSOCIATED PRESS "She panicked," said her attor Check fraud ring busted:At Franklin ney,William B.Collins. least 18 people face state and mint? federal charges stemming from "She had reasons that were fair their alleged involvement in a e Dick Elliott,an actor portraying Ben Franklin,enjoys a cup of ice ly obvious to her that provoked he fraudulent check ring orches- cream yesterday outside Faneuil Hall in Boston. to react the way she did," Collin, trated by two Providence,R.I., I said. men,U.S.Attorney Sheldon Whitehouse said yesterday. Government prosecutors said Eghosa Ogbemudia,25,and I' Wally Bamdele,35,orchestrat- Census workers orkers take Oa ed a scheme to use counterfeit � S co E)e and stolen checks and false .bank_ accounts to defraud knock on doors,ever banks which included Shaw- scholarship m Even if they knock on the the night before smut National Corp.,Fleet Bank suspected Unabomber'S Wanted." SUS and Citizens Bank. THE ASSOCIATED PRESS p With accuracy of The sums involved ran into S are Sealed. 2000 hinging on the door, their Il the hundreds of thousands of BOSTON — Pamela Smart, one i' dents, planners m, dollars,Whitehouse said. of New Hampshire's most infa- massive undertakir mous criminals, has received a THE ASSOCIATED PRESS confidentiality a pric _®QUINN RELEASED scholarship from the University of "We want to do n Alabama that she will use to study BOSTON — When a census taker com- Director Martha Fa :Actor leaves hospital after the criminal justice system,her at- mented publicly about a stop at Theodore terday.She said the two days:Academy Award- torney said. Kaczynski's door, investigators jumped into curate count of tI. winning actor Anthony Quinn action. But it wasn't the suspected Una- Obviously she will not be at- country,and their et I was discharged from a Provi- tending in person, but will com- bomber who faced potential trouble. Census Bureau Aence,R.I.,hospital yesterday, plete the course of study through It was the census worker. whether the census two days after he was rushed correspondence with the univer- Sworn:to secrecy, the people counting ki's Montana cabin there for chest pains. sity," Boston attorney J. Albert heads for the government cannot reveal any but found the worker The 81-year-old Quinn left at Johnson said yesterday. thing yLbout who or what they find when they she said the bureau t I about 10:10 a.m.,Rhode Island Smart, convicted of conspiracy Hospital spokesman Rick Pies- for the 1990 murder of her hus- ter said.Quinn got into a wait- band,Gregory,is serving a life sen- ing limousine and was believed tence without chance of parole at -bound for his vacation home in the Bedford Hills Correctional Fa- u�Q Bristol,Piester said. citify for Women in Bedford Hills, `' Quinn suffered chest pains at N.Y. his Bristol home on Sunday and Smart,now 28,received the Samnv was taken by ambulance to the Howard Endowed Scholarship r¢ t ro Y �- hospital,located abut 12 miles from the University of Alabama's away in Providence. College of Continuing Studies. Quinn has a history of heart r� Y yp w "problems. , & COMPILED FROM WIRE REPORTSRg s9' o37Efi SS°nkss� °°5,,ro> 1srk,a{ ,( fib rug ''64 �' �''t A Mace your shingles a • ir a� � eff°�Oij rya 3a r look O i ® BI i e V V f• 4�, �<SS»s�� �h��,l¢)f+'hYTI'?'h �•Y'b� /pffify f We have the solution to removing mold&mildew and black discoloration � � from your clapboard sheds,fences,decks-stained or natural z eHO'USEWASHNI CAPE COD ....... .. ... �• h� i 1 e 111-3767 1-800-564-3161 "" �� y LAl � ® ® ® ® ® ® ® ® ® ram ® ® ® ® ® r IN"M f X ��S �, c� C� 2��� S y✓1 �r2o e� pCcci� �' c�2 �50� c�UZ_ s�� �— ov�2 S o,_ cl o- 7 p0JS Ck- Wf -26L (Oo9-4 <� Gf oV\ �fk7CJO) 0use L � 4 z , - ,�04- w ova K m 7 p r tt DO 0- 9LO Cla (I� C A✓ZCJ V,- �DC-, as S �S E� p W Q Z(J WO-�) b�--,7�7 4 Lq 1Ko io v S ` bL - - i� +t G I _ �v ] PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 290 086- - Account No: 196148 Parent : Location: 47 BETTYS POND RD HY Neighborhood: 62AC Fire Dist : HY Devel Lot : 3 Lot Size : . 36 Acres Current Own: GRIGGS, LINDA S State Class : 101 47 BETTYS POND RD No. Bldgs : 1 Area: 1330 Year Added: HYANNIS MA 2601 Deed Date : 030194 Reference : 9091/232 January 1st : GRIGGS, LINDA S Deed MMDD: 0394 Deed Ref : 9091/232 Comments : Values : Land: 20400 Buildings : 19400 Extra Features : 1700 Road System: 47 Index: 121 (BETTY' S POND ROAD ) Frntg: 89 Index: ( ) Frntg: Control Info: Last Auto Upd: 072295 Status : C Last TACS Update : 060194 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ML Date : 1187 Tax Title : Account : 352 Taken: 012789 Account Status : G1 Hold Status : PO Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [290] [087] [ ] [ ] [ ] At 10 AM May 16, 2007 a Barnstable Police Department came into the Health Department. I was dispatched to 47 Betty's Pond Road, Hyannis. Upon arrival I was greeted by the Barnstable PD and escorted into the premises. I saw much filth and human feces. I took photographs with a digital camera. I condemned the premises as "Unfit for Human Habitation". I went back to the office to process the pictures and type up the condemnation and vacate order. I went back at 11:30 to have Mr. Savini sign the order letter and placard the house as uninhabitable. Mr. Savini refused to sign the order letter. I placarded the house. Cheryl Lyford was present on the street, she works for the Psychiatric Assessment Team(PAT). I gave her the order letter to take with them to the hospital. I also gave her a copy of the photos to show to the team who would be assessing Mr. Savini. Mr. Savini left the house with the Police and EMTs. I called the water department to shut off the water to the premises because the tub was running through a broken faucet upstairs and is leaking through the kitchen ceiling and into a bucket. Kevin Donovan (Police) called and suggested I have the electric and gas shut off also. Tom McKean told me not to. His reasoning was that with the water shut off there should be no problems.. The occupant, Paul Savini had much human fecal matter present in the unit, and a lot of clutter. Much dirt, feces and filth present throughout the living room floor. The bathroom upstairs had a non-working toilet and water running into the tub through a broken faucet. Debris piled high on floors and furniture. This occupant has a condition known as "hoarding" and needs social and psychological assistance. Based upon these findings any and all occupants are hereby ordered to vacate. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated he 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. 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 without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. Signed Cc: Paul Savini, Owner Mr. Tom Perry, Building Commissioner Chief Harold Brunelle, Hyannis Fire Department Robert Smith, Town Attorney Chief Macdonald, Barnstable Police Chief QAOrder Letters\Condemnations\47 Bettys Pond.doc y 1 d r. 0 c M D c C G T F o c 0 0, �o �,pfj i --• v ?e o- p r, � � rY g • � tfsl•�t� i+� �. 4 � Jn�., '�aJ i ,.Z �fj�. . uryA'`'7(Ar # ...�.- - ..� ". .._'..•.j ir It f 4T 46 I*low All ots �. �,: �i}� $j(tv 4�t�y r •. _icy, K�.A' - 1Z. # - s - t q JJ . i r._4 ytY♦6' •ter ,y �y -� ., . 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V �4 - r -�p Cr# _ ilf� fry � j;. 2 � rF i �� .� �}� � 1 � G, :. `, :� r �e k 11 /y . . � � / t � .. 1 +j � � � � '� ��_ �.;;� `:j, '� '`ems � w. � �' r �n , �� v � 4> ., .i '� �, � f �, r �'� I --,�� ; �' �. � � e _ 2 t) 9 ,. �� �„ .. K r # 'r'-s. v .. 'h.. >... 2,�.. ": $ 3 ,.. � IV r _ r ; ry' a P s 1 o ar r_ 1 r A" a jj 1 (fk F i f .r • r t x i. p.. 8 I O e v F 7 + A fk' a —s+t f f F SSS .a F a •e.. ems. .�+ � � �, w e v i qqy t � 1 rx. f .A - r t h� a�• .. - .. ., ,'�Y r.\ `try ®F .pt L Est ��t „fiat eF �.F ION Cu 000 d } . rR. 5" VY ) fl J`11 _.PO tf t � A 1, ,;. °FTHE T°� Town of Barnstable Regulatory Services * BARNSfABLE. v MASS. ,� Thomas F. Geiler, Director 039. Public Health'Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 16, 2007 Paul Savini 47 Betty's Pond Road Hyannis, MA, 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger . In accordance with M.G.L. c.111, 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 II: Minimum^Standards of Fitness for Human, Donald.Desmarais RS, Health Inspector for the Town of Barnstable, on May 16, 2007, conducted an inspection of the dwelling located at 47 Betty's Pond Road,Hyannis, Massachusetts. The,owner's name in this dwelling is Paul Savini. Based on the results of that inspection, 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), 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 (I) Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602 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. Q:\Order Letters\Condemnations\Condemnation Sample Form.doc The occupant, Paul Savini had much human fecal matter present in the unit, and a lot of clutter. Much dirt, feces and filth present throughout the living room floor. The bathroom upstairs had a non-working toilet and water running into the tub through a broken faucet. Debris piled high on floors and furniture. This occupant has a condition known as "hoarding" and needs social and psychological assistance. Based upon these findings any and all occupants are hereby ordered to vacate. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated he 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. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $10-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. Signed Cc: Paul Savini, Owner Mr. Tom Perry, Building Commissioner Chief Harold Brunelle, Hyannis Fire Department Robert Smith, Town Attorney Chief Macdonald, Barnstable Police Chief Q:\Order Letters\Condemnations\Condemnation Sample Form.doc t e4 r x t w I �i R4 9` Ile t ;0 1 y f (y f �c t 1 , A � At r f {• ' sAot° { 4 >< a �` �� �' +• —"-----�.,.! A4� z * i � t � At 10 AM May 16, 2007 a Barnstable Police Department came into the Health Department. I was dispatched to 47 Betty's Pond Road, Hyannis. Upon arrival I was greeted by the Barnstable PD and escorted into the premises. I saw much filth and human feces. I took photographs with a digital camera. I condemned the premises as "Unfit for Human Habitation". I went back to the office to process the pictures and type up the condemnation and vacate order. I went back at 11:30 to have Mr. Savini sign the order letter and placard the house as uninhabitable. Mr. Savini refused to sign the order letter. I placarded the house. Cheryl Lyford was present on the street, she works for the Psychiatric Assessment Team (PAT). I gave her the order letter to take with them to the hospital. I also gave her a copy of the photos to show to the team who would be assessing Mr. Savini. Mr. Savini left the house with the Police and EMTs. I called the water department to shut off the water to the premises because the tub was running through a broken faucet upstairs and is leaking through the kitchen ceiling and into a bucket. a OFTHE loy, Town of Barnstable O Regulatory Services * snxxsrns s639 �, Mnss.• g Thomas F. Geiler,Director Qj ♦0 AIEo �A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 16, 2007 Paul Savini 47 Betty's Pond Road Hyannis, MA. 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, 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 H:.Minimum Standards of Fitness for Human, Donald Desmarais RS, Health Inspector for the Town of Barnstable, on ' May 16, 2007, conducted an inspection of the dwelling located at 47 Betty's Pond Road, Hyannis, Massachusetts. The owner's name in this dwelling is Paul Savini. Based on the results of that inspection, 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), 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 maybe 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 (I) Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602 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. Q:\Order Letters\Condemnations\47 Bettys Pond.doc I ' The occupant,Paul Savini had much human fecal matter present in the unit, and a lot of clutter. Much dirt, feces and filth present throughout the living room floor. The bathroom upstairs had a non-working toilet and water running into the tub through a broken faucet. Debris piled high on floors and furniture. This occupant has a condition known as "hoarding" and needs social and psychological assistance. Based upon these findings any and all occupants are hereby ordered to vacate. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated he 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. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $10-$500. Each day's failure to comply with an order shall constitute a separate violation. E Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. Signed Cc: Paul Savini, Owner Mr. Tom Perry, Building Commissioner Chief Harold Brunelle, Hyannis Fire Department Robert Smith, Town Attorney Chief Macdonald, Barnstable Police Chief Q:\Order Letters\Condemnations\47 Bettys Pond.doc PAGE 1 OF 3 1HE Town of Barnstable 9BA MME1 Department of Health, Safety, and Environmental Services Public Health Division . 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKee FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 FINDING THAT THE DWELLING LOCATED AT 47 BETTY'S POND ROAD HYANNIS IS UNFIT FOR HUMAN HABITATION AND DETERMINATION OF POTENTIAL IMMEDIATE DANGER The dwelling owned by you and occupied by you located at 47 Betty's Pond Road, Hyannis was inspected by Christina Kuchinski, Health Inspector, and Thomas McKean, Director of Public Health for the Town of Barnstable, on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Mr. Jack Gillis, Director of Consumer Affairs, Department of Health, Safety, and Environmental Services. Attached is a copy of the inspection report. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410.602 (A): Abandoned old clothes, bottles, and other debris on the ground at the right side of dwelling. 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses,window frames, a broken stove, and other debris piled-up inside the building. 105 CMR 410.255: No electricity provided throughout the dwelling. griggs PAGE 2 OF 3 105 CMR 410,180: No water provided sufficient in quantity, pressure, and temperature to meet the ordinary needs of an occupant. 105 CMR 410.190: No hot water provided. 105 CMR 410,602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes, plastic bags, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410,352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(B): No lighting provided. 105 CMR 410,482: No smoke detectors provided. 105 CMR 410,351: Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's)bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410.500: Several holes observed in the walls throughout the dwelling. 105 CMR 410.552: No screens provided at both front doorways. In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the owner and occupant of the dwelling located at 47 Betty's Pond Road, Hyannis, that this dwelling is unfit for human habitation Briggs PAGE 3 OF 3 and shall further serve as notification to you that the conditions inside the dwelling may endanger or impair the health, safety, and well-being of any occupant of the premises. Thomas A. McKean, RS, CHO Agent of the Board of Health CC: Jack Gillis, Consumer Affairs Sergeant Joseph Hudick, Police Department Harold Brunelle, Hyannis Fire Ralph Crossen, Building Commissioner Board of Health griggs z PAGE 1 OF 3 1HE Town of Barnstable yBARNSTABIA Mnss. Department of Health, Safety, and Environmental Services 039. Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKea FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 FINDING THAT THE DWELLING LOCATED AT 47 BETTY'S POND ROAD, HYANNIS IS UNFIT FOR HUMAN HABITATION AND DETERMINATION OF POTENTIAL IMMEDIATE DANGER, The dwelling owned by you and occupied by you located at 47 Betty's Pond Road, Hyannis was inspected by Christina Kuchinski, Health Inspector, and Thomas McKean, Director of Public Health for the Town of Barnstable, on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Mr. Jack Gillis, Director of Consumer Affairs, Department of Health, Safety, and Environmental Services. Attached is a copy of the inspection report. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410.602 (Al: Abandoned old clothes, bottles, and other debris on the ground at the right side of dwelling. 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses,window frames, a broken stove, and other debris piled-up inside the building. 105 CMR 410 255• No electricity provided throughout the dwelling. griggs PAGE 2 OF 3 105 CMR 410.180: No water provided sufficient in quantity, pressure, and temperature to meet the ordinary needs of an occupant. 105 CMR 410.190: No hot water provided. 105 CMR 410.602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes,plastic bags, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410.352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(B). No lighting provided. 105 CMR 410,482; No smoke detectors provided. 105 CMR 410.351: Exposed electrical wiring,'which was connected to an outlet, observed in the second floor(children's) bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410.500: Several holes observed in the walls throughout the dwelling. 105 CMR 410.552: No screens provided at both front doorways. In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352,410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the-owner and occupant of the dwelling located at 47 Betty's Pond Road, Hyannis, that this dwelling is unfit for human habitation r griggs PAGE 3 OF 3 and shall further serve as notification to you that the conditions inside the dwelling may endanger or impair the health, safety, and well-being of any occupant of the premises. F� Thomas A. McKean, RS, CHO Agent of the Board of Health CC: Jack Gillis, Consumer Affairs Sergeant Joseph Hudick, Police Department Harold Brunelle, Hyannis Fire Ralph Crossen, Building Commissioner Board of Health griggs PAGE I OF 3 THE Town of Barnstable yBA 1A11 Department of Health, Safety, and Environmental Services �AlEDtiA` Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKee FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 FINDING THAT THE DWELLING LOCATED AT 47 BETTY'S POND ROAD, HYANNIS IS UNFIT FOR HUMAN HABITATION AND DETERMINATION OF POTENTIAL IMMEDIATE DANGER. The dwelling owned by you and occupied by you located at 47 Betty's Pond Road, Hyannis was inspected by Christina Kuchinski, Health Inspector, and Thomas McKean, Director of Public Health for the Town of Barnstable, on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Mr. Jack Gillis, Director of Consumer Affairs, Department of Health, Safety, and Environmental Services. Attached is a copy of the inspection report. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410,602 (A); Abandoned old clothes, bottles, and other debris on the ground at the right side of dwelling. 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses, window frames, a broken stove, and other debris piled -up inside the building. 105 CMR 410,255: No electricity provided throughout the dwelling. w , Briggs r PAGE 2 OF 3 105 CMR 410.180; No water provided sufficient in quantity, pressure, and temperature to meet the ordinary needs of an occupant. 105 CMR 410,190: No hot water provided. 105 CMR 410.602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes,plastic bags, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410,550: Many flies observed throughout the dwelling. 105 CMR 410.352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(Bl. No lighting provided. 105 CMR 410.482: No smoke detectors provided. 105 CMR 410.351: Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's)bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410,500; Several holes observed in the walls throughout the dwelling. 105 CMR 410,552: No screens provided at both front doorways. In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the owner and occupant of the dwelling located at 47 Betty's Pond Road, Hyannis, that this dwelling is unfit for human habitation griggs PAGE 3 OF 3 and shall further serve as notification to you that the conditions inside the dwelling may endanger or impair the health, safety, and well-being of any occupant of the premises. w Thomas A. McKean, RS, CHO Agent of the Board of Health CC: Jack Gillis, Consumer Affairs Sergeant Joseph Hudick, Police Department Harold Brunelle, Hyannis Fire Ralph Crossen, Building Commissioner Board of Health griggs PAGE I OF 3 F �tNE ley,_ Town of Barnstable �BA RM MASS. Department of Health, Safety, and Environmental Services �plE039. Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 d Thomas A.McKee FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 FINDING THAT THE DWELLING LOCATED AT 47 BETTY'S POND ROAD, HYANNIS IS UNFIT FOR HUMAN HABITATION AND DETERMINATION OF POTENTIAL IMMEDIATE DANGER. The dwelling owned by you and occupied by you located at 47 Betty's Pond Road, Hyannis was inspected by Christina Kuchinski, Health Inspector, and Thomas McKean, Director of Public Health for the Town of Barnstable, on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Mr. Jack Gillis, Director of Consumer Affairs, Department of Health, Safety, and Environmental Services. Attached is a copy of the inspection report. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410.602 (A) Abandoned old clothes, bottles, and other debris on the ground at the right side of dwelling. 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage,rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture,mattresses, window frames, a broken stove, and other debris piled-up inside the building. 105 CMR 410,255: No electricity provided throughout the dwelling. griggs PAGE 2 OF 3 105 CMR 410,180: No water provided sufficient in quantity, pressure, and temperature to meet the ordinary needs of an occupant. 105 CMR 410 190: No hot water provided. 105 CMR 410,602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes,plastic bags, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410,352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(B): No lighting provided. 105 CMR 410.482: No smoke detectors provided. 105 CMR 410.351: Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's) bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410.500: Several holes observed in the walls throughout the dwelling. 105 CMR 410.552: No screens provided at both front doorways. In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 41.0.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the owner and occupant of the dwelling located at 47 Betty's Pond Road, Hyannis, that this dwelling is unfit for human habitation griggs PAGE 3 OF 3 and shall further serve as notification to you that the conditions inside the dwelling may 4� endanger or impair the health, safety, and well-being of any occupant of the premises. Thomas A. McKean, RS, CHO Agent of the Board of Health CC: Jack Gillis, Consumer Affairs Sergeant Joseph Hudick, Police Department Harold Brunelle, Hyannis Fire Ralph Crossen, Building Commissioner Board of Health griggs PAGE I OF 3 �FIHE Town of Barnstable BARNSTABLE 9 MAB9. Department of Health, Safety, and Environmental Services t �'ArED N1A+�` Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKee FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 FINDING THAT THE DWELLING LOCATED AT 47 BETTY'S POND ROAD, HYANNIS IS UNFIT FOR HUMAN HABITATION AND DETERMINATION OF POTENTIAL IMMEDIATE DANGER. The dwelling owned by you and occupied by you located at 47 Betty's Pond Road, Hyannis was inspected by Christina Kuchinski, Health Inspector, and Thomas McKean, Director of Public Health for the Town of Barnstable, on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Mr. Jack Gillis, Director of Consumer Affairs, Department of Health, Safety, and Environmental Services. Attached is a copy of the inspection report. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410.602 (A): Abandoned old clothes,bottles, and other debris on the ground at the right side of dwelling. 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses,window frames, a broken stove, and other debris piled-up inside the building. 105 CMR 410.255: No electricity provided throughout the dwelling. griggs r PAGE 2 OF 3 105 CMR 410.180: No water provided sufficient in quantity, pressure, and temperature to meet the ordinary needs of an occupant. +. 105 CMR 410.190: No hot water provided. 105 CMR 410.602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes, plastic bags, foods, and other debris piled on top of the stove, kitchen sink,.and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410.352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(B). No lighting provided. 105 CMR 410.482: No smoke detectors provided. 105 CMR 410.351: Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's)bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410.500: Several holes observed in the walls throughout the dwelling. 105 CMR 410.552: No screens provided at both front doorways. In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve'as notification to you, the owner and occupant of the dwelling located at 47 Betty's Pond Road, Hyannis, that this dwelling is unfit for human habitation a griggs PAGE 3 OF 3 and shall further serve as notification to you that the conditions inside the dwelling may ti endanger or impair the health, safety, and well-being of any occupant of the premises. Thomas A. McKean, RS, CHO Agent of the Board of Health CC: Jack Gillis, Consumer Affairs Sergeant Joseph Hudick, Police Department Harold Brunelle, Hyannis Fire Ralph Crossen, Building Commissioner Board of Health griggs c PAGE NO. A7J DATE: /f' ��� ASSESSOR'S MAP & PARCE COMPLAINT LOCATION: COMPLAINT DE RIPTION: d ORIGINATOR OF COMPLAINT(NAME)- ADDRESS: PHONE: DATE: a�f r 9�v INSPECTOR: INSPECTOR'S ACTIONS/COMMENTS: 5 �►���.,-,., - -f���JJ' 1�� bey iss��) PAGE NO. �3 O - DATE: ASSESSOR'S MAP& PARCEL: a�� UP(� COMPLAINT LOCATION: « S�ce_ - F—co✓"� COMPLAINT DESCRIPTION: I c PHONE: 30 DATE: � -5' S Pl'Y' INSPECTOR: INSPECTOR'S ACTIONS/CbMMENTS: r4- v PAGE NO. r07 DATE: �� I �S ASSESSOR'S MAP & PARCEL: COMPLAINT LOCATION: to COMPLAINT DESCRIPTION: �IGrc) . f•tu ORIGINATOR PHONE: DATE: INSPECTOR: ' INSPECTOR'S ACTIONS/COMMENTS: NAME OF OFFENDER r, D A D �J 0 (,J { w C D„n Llr [Yf 7 TOWN.OF ADDRESS OF OFFENDER f/ V s 1 BARNSTAB 11 LE CITY,STATE,ZIP CODE ` 1HE/ _ MV/MB REGISTRATION NUMBER OFFENSE• HAB\Sl'ABLE.- �f (' LJ CL CD rf LU TIME AND DATE OF VIOLATION q� - r LOCATION OF VIOLATION Z NOTICE OF BIGNA RE OF�ENFORCI G PERSON LU P M.)ON tM a 19 E FORCING EPT. ) BADGE Qa J r W VIOLATION - o OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF ITATION XLU ORDINANCE '''Unable to obtain signature of offender 4/� THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ./ . Date mailed .TI,� W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION Illy may elect to a the above fine,either b appearing in person between 8:30 A.M:and 4:00 P.M.,Mondaythrough Friday,legal holidays excepted, Q before: The Barnstable Town Clerk,367 Main Street,Hyanni ,MA 02601,orb mailing a check,money rder or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)It you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLEDIVISION,COURTCOMPOUND,MAINSTREET,BARNSTABLE,MA02630, tt:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (31 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be`issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER V t s BAR 4 4 7 p 1 TOWN OF ADDRESSVF3DEfl 8, IF Q Qu BARNSTABLE CITY,STATE,ZIP CO E y `dGTHE►qk,� MV/MB REGISTRATION NUMBER. OFFENSE//J( //�, r jLLi 1 a MASS. D. CD 6yq. �4 O rFD MPS� W TIME ND D TE OF VIOLA;IGN LOC N OF LATIO LU 2 NOTICE OF /�I 4 cA.M P.MJAN y "� 19 S$ `�I0 S SIG �R OF ENFORC ET'�ERSON f ENFO CIN D T. BADGE NO. LD VIOLATION ' r. o OF TOWN LU THEREBY ACKNOWLEDGE RECEIPT OF CITATION X Q ORDINANCE '� Unable to obtain signatu r of of nd r. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ~ Date mailed o+ w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LU REGULATION p)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,' a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (21 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER DAD40248 4 _ Dpn TOWN OF"' ADDRESS OF OFFENDER <lt. BARNSTABLE CITy;,STATE, IP MDE �IHE A MVIMB REGISTRATION NUMBER OFFENSE IIAX\SlAX1.E, ` d.. /�d a , /�N IN LJ n- 'MASS. M�' tE0 MKS W 1 1 -" Z TIME AND DATE OF VIOLATION•"" LOCATION OF VIOLATION LU NOTICE OF 30 (A.M.i .M))'oN —,Z 19 f c.. , °, J SIGNA U E OF ENFORCING PERSO ENF RCI DEPT. .. BADGF,60. LU VIOLATION F r . r' r OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CIT ION X a ORDINANCE. Unable too, aiq Signature of offender. �- -THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ w . w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w Cn REGULATION t You may elect to a the above fine,either b appearing in,person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted,III Y pay Y DP 9 P 9 Y. 9 Y P w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check, money order or postal note to Barnstable Clerk, _j P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL 121 If you desire to contest this matter in a noncriminal proceeding,yyou may do so by making written.request to DISTRICT COURT DEPARTMENT, FIRSTBARNSTABLEDIVISION,COURTCOMPOUND,MAINSTREET,BARNST.ABLE,MA02630, tt:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear fordthe hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. 0 I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature Kuchinski Christina To: McKean Thomas Subject: Citations- Griggs and Andrews Linda Griggs-47 Bettys Pond Rd,Hyannis 2/22/95 Complaint from neighbor regarding rubbish in yard, lawn furniture,etc. 2/22/95 4:30 p.m. - Observed chair frames, large pile of scrap wood/logs,bicycle parts, trash and other household debris in yard and on front porch. Ordered Ms. Griggs to clean property within 7 days. 3/7/95 Violation still existed- issued ticket. 3/13/95 Violation still existed- issued ticket. 4/12/95 Violation still existed- issued ticket. 5/8/95 Violation stiill existed 6/6/95 Trash bags in driveway were removed, other items still in yard 11/13/95 Cardboard boxes, trash and household debris on porch, household debris, bicycle parts, trash in yard, large pile of logs and scrap wood still in front yard. i e - a Page 1 bNAIM%OF OFFENDER BAR 44701 WN OF , FESS OF OFFENDER RNSTABLEY,STATE.ZIP COD e 1p [ ] / 141 tpw� MVIMB REGISTRATION NUMBER �n ] br: 447011 • OFFENSE ))) Uj ,(r MASS. CL V '6}p. �! w 2951 TIME AND DATE OF VIOLATI LOCATION OF VIOLATION Z 0] TICE OF 30� M./ .M.)ON 19 S N t' '° 62 Q ] SIGN E El FORCI ON / ENFORCING EPT BA GE Nu. w ] 10LAT10N L'CL f� d _ C)LU ]. F TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X - RDINANCE /, 'Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $�V (,� ~ J Date mailed -� _ 9 w ) Vill [HYA] R YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W N EGU LATION (I I You may elect to pay the above fine,either by appearing in person between 8.30 A.M.and 4:00 P.M.,Monday through Friday.legal holidays excepted. w [ ] before: The Barnstable Town Clerk,367 Main Street, Hyannis, MA 02601, or by mailing a check, money order or postal note to Barnstable Clerk, J P.0 Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a, [FTH] (2)If you desire to contest this matter in a noncriminal proceeding, you may do so by making writlen request to DISTRICT COURT DEPARTMENT. [HTH] FIRSTBARNSTABL.E DIVISION,COURT COMPOUND.MAIN STREET,BARNSTABLE,MA02630,Au:21DNoncriminal Hearings and enclosea copy ofthiscitalion �anCel [ ] for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above.confess to the offense charged,and enclose payment in the amount of$ Signature 1vC1CC uir-azion Nlzir L J Next Alarm Nbr [ ] Next., Call Number [ ] [ J 8v� 6-0 (A ��o�e t f .....r..`ir'.; i..r,i ...�t.� j•7•i:,?, ....s:.+ i..t ..E i' J. a'-r•�.l i', ....1. P::.'iiv�..ea •..• ..,:! .>!...Cr...4 ...7.. h t i, a.t. ,.��,.•=�4"'�::`, ._ 10++ .,::.:•_!_� t,.�i::=��,•_ ._.. I—?%..t'..C:/l.'t .i.�"f'}.�.". ._ ,'a('`eira'i..iS .....:. ,: ;�, ,Y 1••; 1 1 -� f s I ,7 Y E 1..' i (_: I r�.t.i (1 ')['el(; 1...(..i..t.- , 3 7 (::z n'j ....�.:. . � ..r I a d.. ,t 4.. t 1` � '':t�) .. 9:::.1.1'`'. . . c.1 ..; L...J.ND D,^ in 1.'cr.:ac�Ci 1'^IF:1''``�. 4,) I ° •:=r� c�a.F.(::. a.. r:: " i • h ,.' 4...:;t,. l.._i_ ...:., ! 4 s '.:< t_.. .. t....,') .._ 1,:t.?Sr._i 9"s i a )OM._a i? 'I),()C D(:c:isJ i"ti I;`'4 . . . . �_ 1 i l ern 6 1•, <' .$.{! r-,t h .... '. f t t,. � �... in cl 't" �. .{.i. 1"C:E• { Yia:'�:.'. i'it_!L..t,4 tli_)d_i i cp/,,(;t:i.[';i�;a '�.-.:�'-.' t..!._.� I�. __::._ti: ..�_,{:)�....a '•-P�(�:5.•t'1;(•;1� f.±i.':•:ii.�: � ?.t::i x:d ('t t...,v 1 e,'!i t::•.'d El at.w:.5" !,!_)k,i(.{ ..1.d g Sa f-t k:.y..€.F:.•}Ip3'::ri(:i B`✓, 1`•:L_ ;E..I=fit. :.E?jj J. n � I. `F ',: •E •i -j- I- ! i.:t_o i,i •i.�_ ;.::1. {.t_y { , j' ^i p.. •I . S j ,1 i: a..:,_>� E a.,.. —t:J i..i i")`�:. ,..Y�.:,cl't:'.k.t�"�' v ., �...,4:.).i.=.� ,}'�'.: I"`t?'"•ti :;.!"E 3 i71"' 1'E'at:.li'"(ai' :3ct':.•;S a ::'F: �?%:t'"fE'.•'.':d i i i' t:..)Fl t!:,r"t J. - 1. .1 i t CJ I _ I r s PAGE NO. ._�%G .:. DATE: �/ /�� ASSESSOR'S MAP&PARCE E. COMPLAINT LOCATION: V7 COMPLP►INT'DE RIPTION: ' lit y ORIQINA*.OR`OF COMPLAINT(NAME). „ ADDRESS: pATE: I� v2f 9� 9� INSPECTOR - f � s l 4 ' F 1:M1 t S INSPECTOR'S ACTIONS/COMMENTS: 8 LS "" c tft rru. r l ,,. tt f 4 r a S I n G a r tt .dS t X a 4♦ iti,1ti t Dear Mr. Tobey As a citizen and tax payer in the Town of Barnstable,I feel I must bring this matter to your attention, this is a follow -up to our conversation at the library some time ago. I am finely getting this problem down on paper following our brief talk. I realize maybe this should have been done years ago, because we have been after this paticular problem since the early seventies when Mr.Kelly was the head of the board of health and nothing was done about the matter,we even brought it to the attention of several council members with the same results, we are hoping that maybe this time something will be done. I think we have been more than patient pursuing this issue.This house is so bad that in the summertime when you walk by it you can smell the odor coming from the property.We are not the' only ones on Betty's Pond Road who have complained about this problem to no avail.I have also taken some pitures of this property and I hope they can be used in some fashion to help this matter along. Mr. Tobey whatever you can do about this problem will be greatly appreciated.Thank you very much. Mr. Feliciano(Flash) Tavares Sr. COMMONWEALTH OF MASSACHUSETTS BARNSTABLE COUNTY REGISTRY OF DEEDS P.O. BOX 368 - BARNSTABLE, MASSACHUSETTS 02630 John F. Meade Register SPECIAL CERTIFICATION COMMONWEALTH OF MASSACHUSETTS, COUNTY OF BARNSTABLE I, John F. Meade; Register of Deeds of Barnstable County, Barnstable, Massachusetts, do hereby certify the within and foregoing to be a true and correct copy of the original as it appears on record and file in the office of the Register of Deeds of Barnstable County, Massachusetts. The referenced instrument was recorded in Book 12264 Page 94 on May 13, 1999. Witness my hand and seal as the Register of Deeds for Barnstable County this 27th day of August, 1999. V� f p John E Meade Register of Deeds 1 CIES- 1 Lo— 19:39 e 1 0 e 4 1 �'�ofiHc roe` TOWN OF BARNSTABLE OFFICE OF »IT f BOARD OF HEALTH 1n 16 May 4, 1999 367 MAIN STREET HYANNIS,MASS.02601 Maya Lebedinskl 47 Betty's Pond Road Hyannis, MA 02601 Dear Mrs. LededinsktJ. You are granted variances to install a replacement onsite sewage disposal system at 47 Betty's Pond Road, Hyannis. The variances granted are as follows: 15.211 (1): To construct a leaching facility seven (7) feet away from the easterly property line in lieu of the ten feet minimum separation distance required. Part Vill, Section 10.00: To construct a leaching facility approximately fifty- eight(58)feet away from a vegetated wetland, in lieu of the minimum separation distance of 100 feet required. These variances are granted with the following conditions: (1) The septic system plans shall be revised to include the second variance to be requested concerning the proposed separation distance to the vegetated wetland. fr (2) No more than two bedrooms are authorized in this dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered"bedrooms" according to the Massachusetts Department of Environmental Protection. (3) The designing engineer from A& M Land Services shall go to this property and shall supervise the construction of the septic system and shall certify in writing to the Board of Health that this system was installed in strict accordance with the revised plans. A certificate of compliance will not be issued until after the Board of Health receives a letter from the designing engineer stating that the septic system was installed in strict accordance with the revised plans. ma`ya (4) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds concerning the maximum number of bedrooms allowed at this dwelling. These variances are granted because the existing cesspool is, in all probability, sitting in the groundwater table. The proposed replacement system meets the criteria for "maximum feasible compliance" and may alleviate a source of pollution to the groundwater table. Sincerely yours, Sus�R�a6k, R.S. Chairperson Board of Health , Town of Barnstable SGR/bcs sF my� UARNSTABLE REGISTRY OF DEEDS COMMONWEALTH OF MASSACHUSETTS BARNSTABLE COUNTY REGISTRY OF DEEDS P.O. BOX 368 BARNSTABLE, MASSACHUSETTS 02630 John F. Meade Register , SPECIAL CERTIFICATION COMMONWEALTH OF MASSACHUSETTS, COUNTY OF BARNSTABLE I, John F. Meade, Register of Deeds of Barnstable County, Barnstable, Massachusetts, do hereby certify the within and foregoing to be a true and correct copy of the original as it appears on record and file in the office of the Register of Deeds of Barnstable County, Massachusetts. The referenced instrument was recorded in Book 12502 Page 35 on August 27, 1999. Witness my hand and seal as the Register of Deeds for Barnstable County this 27th day of August, 1999. Ile t ` ;.lohn F. Meade '3 Register of Deeds ,V t P o_ s III 7 7 4 0 K) -p ' DEED RESTRICTION At the present, I, Mrs. Maya Lebedinsky, dated March 25, 1997 recorded in the Barnstable County Registry of Deed in Book, 10665, page 122 is the owner of 47 Betty's Pond Rd, Hyannis, MA 0.2601. Whereas, Mrs. Maya Lebedinsky"as the owner of said dwelling has agreed with the Town of Barnstable Board of Health to record this document at the Barnstable County Registry of Deeds as a restriction that no more than two (2) bedrooms are authorized in this dwelling and must remain as_such unless a variance is obtained from the Town of Barnstable Board of Health. The Board of Health in its decision required that a "deed restriction" be recorded (paragraph 4) at the Registry of Deeds. I have read and fully understand the condition of the variance of the Board of Health; accept them as written and agree with "Deed Restriction." Date: f l - Q 'a Y - Signature t 1 1 ri COMMONWEALTH OF MASSACHUSETTS 3ARNS T ABLE COUNTY SWORN AND SUBSCRIBED TO BEFOPIfO—R THIS DAY OF , 191,,Kt �J,n IRENE L. DYER NOTARY PUBLIC My Commission Expires October 2.2003 BARNSTARLE COUNTY _ REGISTRY OF DEEDS A TRUE CONY,ATTEST JOHN F.MEADE,REGISTER BARNSTABLE REGISTRY Of DEEDS TOWN OF BARNSTABLE b�P�Of TH E T o�y� 3 OFFICE OF BaH1;9TeBL : BOARD OF HEALTH 1639' y,ems roes , oo,FO M Y May 4, 1999 367 MAIN STREET HYANNIS, MASS. 02601 Maya Lebedinski 47 Betty's Pond Road Hyannis, MA 02601 Dear Mrs. Lededinski: You are granted variances to install a replacement onsite sewage disposal system at 47 Betty's Pond Road, Hyannis. The variances granted are as follows: 15.211 (1): To construct a leaching facility seven (7) feet away from the easterly property line in lieu of the ten feet minimum separation distance required. Part VIII, Section 10.00: To construct a leaching facility approximately fifty- eight (58) feet away from a vegetated wetland, in lieu of the minimum separation distance of 100 feet required. These variances are granted with the following conditions: (1) The septic system plans shall be revised to include the second variance to be requested concerning the proposed separation distance to the vegetated wetland. (2) No more than two bedrooms are authorized. in this dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (3) The designing engineer from A & M Land Services shall go to this ° property and shall supervise the construction of the septic system and shall certify in writing to the Board of Health that this system was installed in strict accordance with the revised plans. A certificate of compliance will not be issued until after the Board of Health receives a letter from the designing engineer stating that the septic system was installed in strict accordance with the revised plans. tmaya f (4) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds concerning the maximum number of bedrooms allowed at this dwelling. These variances are granted because the existing cesspool is, in all probability, sitting in the groundwater table. The proposed replacement system meets the criteria for "maximum feasible compliance" and may alleviate a source of pollution to the groundwater table. Sincerely yours, Susan G. k, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs maya OS- 13- 19 99 e 10 = 41 P�oF7METo�` TOWN OF BARNSTABLE OFFICE OF BAS39TaHL s BOARD OF HEALTH 639 � MA6R 0 0 MAY 367 MAIN STREET May 4, 1999 HYANNIS, MASS. 02601 Maya Lebedinsky 47 Betty's Pond Road Hyannis, MA 02601 Dear Mrs. Lededinsktg, You- are granted variances to install a replacement onsite sewage disposal system at 47 Betty's Pond Road, Hyannis. The variances granted are as follows: 15.211 (1): To construct a leaching facility seven (7) feet away from the easterly property line in lieu of the ten feet minimum separation distance required.. Part VIII, Section 10.00: To construct a leaching facility approximately fifty- eight (58) feet away from a vegetated wetland, in lieu of the minimum separation distance of 100 feet required. These variances are granted with the following conditions: (1) The septic system plans shall be revised to include the second variance to be requested concerning the proposed separation distance to the vegetated wetland. (2) No more than two bedrooms are authorized in this dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (3) The designing engineer from A & M Land Services shall go to this property and shall supervise the construction of the septic system and ' shall certify in writing to the Board of Health that this system was installed in strict accordance with the revised plans. A certificate of compliance will not be issued until after the Board of Health receives a letter from the designing engineer stating that the septic system was installed in strict accordance with the revised plans. maya t Bk 122h4 P009 5 (4) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds concerning the maximum number of bedrooms allowed at this dwelling. These variances are granted because the existing,cesspool is, in all probability, .sitting in the groundwater table. The proposed replacement system meets the criteria for "maximum feasible compliance" and may alleviate a source of pollution to the groundwater table. Sincerely yours, Susan G..R` Kk R.S. Chairperson Board of Health Town of Barnstable SGR/bcs FJ BARNS TABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST OHN F.MEADE,REGISTER 6ARNSTABLE REGISTRY OF DEEDS maya 08-26-1999 01:51AM FROM C. CREW MKG. TO 7753344 P.01 A& M Land Services 33 Old Main Street South Yarmouth, MA 02664 508-394-2723 Fax 394-9642 August 25, 1999 Board of Health Town of Barnstable South Street Hyannis, MA RE: 47 Betty's Pond Road Dear tom, We recently inspected the septic system installation at 47 Betty's Pond Road in Hyannis. The system was designed by A& M Land Services, Inc. on or about May, 1999 and received approval from the Board of Health for installation. The system was installed on or about August 24,1999 by John Whitley. Ali of the system components were in place at the time of the inspection prior to the bacldilling. In my opinion, the installation is in sixordence with the approved engineering plans. If you have any questions concerning this matter, please call at your convenience. Best regards, wtyi Winslow M. Spofford, RLS, PE TOTAL P.01 r F:Imo: 1 2 1 Cz� F-t: 1 -9 ;l 1 '� DEED RESTIUCTION Yt i5rl-m Le vas a,s LY -j "C's- P.J .*.the owner ol'2-+evr1 Htmd, I tyannis, MA intends to e4 �-.c�h-u two bedroom hottte on land known as lot , plan book l 5, Page ol•i l *1; and has applied for a l,n - permit for such-a two bedroom home ` 1� � c anti intends to build only a4wo bedroom home. J � Il n 't ti le Q AL" tc r� ver om• c. has agreed with 7 Q- the Town of Barnstable Board of Health, to record this document at the Barnstable - County Registry of Deeds as a restriction which is intended to put any purchaser of lot 0 plan book Ng,page ki on notice that the het is only a-2 H 2 bedroom home and must remain as such unless a variance is obtained from the Town of - n Barnstable Board of Health. 7 � vG Just such a variance decision as to this property was issued by the Town of d40Barnstable Board of I Icalth dated B -I- ,tgg but ,) � � « i�-l�a lnc. has decided at this tune not to exercise its rights under that decision to build a 3 bedroom 2 home. , d The Board of Health in its decision required that a"deed restriction" be recorded (paragraph 2)at the Registry of Deeds, and, The"town of Barnstable hoard of I Icalth conditioned its approval of a three , r bedroom home upon certain conditions. Therefore, the present owner, Fidelity Financ 11 ial, Inc., hereby agrees that IF 1T LVER CONSTI1UCTS(or any of its successors in Qtfe construct) a three bedroom - home rather than the two bedroom home presently applied for, it (or its successors) shall ZO -d 4b6i9LL-805 df3i = I0 66-b0- QW 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Paul D. Chisholm Si11Ul^G' �etec'tv�� e�7 �0 ���e�[ BUSINE S: 775-1300 CHIEF EMERG NCY: 775-2323 f \I To ; Town of Barnstable , Board of Health - T. McKean (/ Town of Barnstable, Conservation Commission - From ; Fire Prevention Bureau, Hyannis Fire Department Subject The installation of above ground storage tanks . Date &ziO Persuant to the applicable sections of 527 CMR - Fire Prevention Regulations , this Department has inspected the following location for above ground storage . ADDRESS 47 Betty 's Pond Road Hyannis :,?�(f OWNER/OCCUPANT Maya Lebedinskv PHONE : SIZE OF TANK (S) :dal. Steel BASEMENT COMMODITY STORED # 2 fuel oil PURPOSE FOR STORAGE : Heating THIS INSTALLATION IS . PRE-EXISTING A REPLACEMENT NEW X This installation complies does not comply with the required installation regulation listed below. tiyq��s�yooFPRreo�� FIRE PREVENTION OFFICE � For: PAUL D. CHISHOLM, CHIEF HYANNIS FIRE DEPARTMENT Y' TOWN OF BARNSTABLE BAR-1 3 1 Ordinance or Regulation WARNING NOTICE Namea"of Offender/Manager Address ofrOffender q 7 S 12 MV/MB Reg.# Village/State/Zip -� � U o� L O/ Business Name ' 4120 am/ m, on o?" 191j- Business Address IJ Signature of Enforcing Officer Village/State/Zip Location of Offense t-P .S Enforcing Dept/Division Offense 1 rq l®� `0a? /�t�ch� G� RJ i '- ' /�Uiraw lam! i.t ioe Facts f &C,2elzf lax, h 171117 4--. S�� ���'�'H1 s will serve only as a warning. At this ti a no legal action has been taken. 'TIt is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning, notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN OF BARNSTABLE BAR-W �'� Ordinance or. Regulation WARNING NOTICE CJk,)\j.. Name of Offender/Manager Z/n' ,:�., r ' -4 r Address of ,Offender 4,/ 7 MV/MB Reg.# Village/State/Zip s. (9/ t Business Name 4/- am/Q on '" 19_S Business Address 1. Signature of Enforcing Officer Village/State/Zip yy Location of. Offenses .S yy, Enforcing Deprt�/Division Offense _'S` l !� c./f� ,. Goa fr� ' �rc�'� G{ 1 /" Cavr, fis�i Facts /i � 6 hf # l� 1� e� -/ This will serve only as a warning. At this ti a no legal action has been taken. .4 is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations Education efforts and warning notices are attempts to gain voluntary compliance. - Subsequentrviolations will result in appropriate legal action by the Town. ` TOWN OF BARNSTABLE BAR-W 341 t Ordinance or Regulation WARNING NOTICE •, 6�j to Name of Offender/Manager l!/1 ,'k. 6r r i g e A�j Address of Offender 4 f .;� ~3 .r1 MV/MB Reg.# Village/State/Zip ,� f,,, �: C`)t Business Name 47 y am/,PD,, on '�"" -- 19 / Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense 49 l ' Jt s � r = ' Enforcing Dept /Division Offense Facts 61, / -4- "A' x�:. . ) oe This will serve only as a warning. At this timb no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. . `� FORM3o Hoess a WARREN,INC.NOV.1979-1983 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `OITYROWN P RTMENT_ b � ��� , w ' ADDRESS �0 T111,EPHONE p� 12� t- - Addressee2*�, Occupan Floor Apartmen o: No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming unit No.StorAS at Name.and address of owne - �� 1-h 6 pi Tel mar e W.. YARD Out BI s.: Fenc s: `► - Garba a and RubbishP Containers: Drainage G y e Infestation Rats or other: S t E�- STRUCTURE EXT. Steps,Stairs, Porches: p j�;oo Dual Egress:and Obst'n.: ❑B ❑ F ❑ M Doors,Windows: Roof s ros 4 z Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall Floor,Wall,Ceiling: - 4 Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip.Repair TYPE: Stacks,Flues,Vents: �y y�o_,;�sz PLUMBING: Supely Line: ' Lift) ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: t of j Z y/a.2v ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: 2- Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Lhring Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten. Gas,Oil, Elect.: 20 L1 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: ress Dual and Obst'n: 5�p General Buildina Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." k� INSPECTOR 4KLE ,l I ® q V 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 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 OIR 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. (GI 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 4110.480(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. (R) 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 washbasin 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 create an immediate hazard. ( ) 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. .�r..: .;a.,.ram-.'�..�: +..•i+i�i- '..•-�-.e,�..�+.—.-.-rx.« .� .. .`. _ � .--.'-c.'-F�.. .- . +.: .wt- -.,_"'r✓w... ,o 2)(2A T- / FORM30 Hoess&WARREN,INC.NOV.1979-1983 THE COMMONWEALTH OF MASSACHUSETTS ,- BOARD OF HEALTH CITY/TOWN � rA W ._T( a DEP RTMENT /711� s v,N 5 °y ADDRESS :2V TELEPHONE IQa a.0=-� Address Occupan Floor Apartmen No: No.of Occupants v No.of Habitable Rooms No.Sleeping Rooms �- No.dwelling or rooming uni a No.Stories Name and address of owner- G ,� RemarkReg 1b. YARD Out BI s.: Fences: '� v - v�-Q Garbage and RubbishPf Containers: 1 v 1 � I h Draina a af �G Q. o �o Infestation Rats or other: S d i m vs ' STRUCTURE EXT. Steps,Stairs, Porches: 1 4v) 500 Dual E ress:and Obst'n.: a'�' -�-- ❑B ❑ F ❑ M Doors,Windows- <r r� Roofwol-�lr .0 S pray ? �' �s1 Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: & ` Dampness: , .. Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Ir�S�t �t ) 91 r_l` g Hall, Floor,Wall,Ceiling: ' / ; _ V _ J Qr? 1 Hall Lighting: )I Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Ecluip. Repair' Ora i�a TYPE: Stacks, Flues,Vents: [ i _ GF'P r ce(' PLUMBING: Supply Line: ylti� 1 ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: /�, rT,� N� ) Z It-1411t).253 ❑ 110 ❑220 Fusing,Grnd.: 0 o t t 1••P. 1.,4(� � --r AMP: Gen.Cond. Distrib. Box:' J _ (� t ~t , Gen. Basement Wirin : r DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors- Locks 4 Kitchen Bathroom Pantry Den # Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facll. Sup.Ten.,Gas,Oil, Elect.: ✓-,o. •,..w6r 2J� L c ' Stacks Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facll. Vent.,Plumb.,Sanit'n.: Wash Basin Shower or Tub: / Infestatlon Rats Mice Roaches or Other: ' r .7` Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED,UNDER THE PAINS AND PENALTIES OF PERJURY."�j,, ' INSPECTOR 0"AA / f r4PITLE I`t't'l.vl ' Yr Gt DATE rc� TIME �(A.M. A.M. THE NEXT SCHEDULED REINSPECTION .R,�,-� +'; 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 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. (GI 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. (R) Failure to comply with the security requirements of 105 CMR 4110.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 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 washbasin 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,, gae-fitting, or electrical wiring standards that do not create an immediate hazard. .(a), 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. FORM30 Hons&WARREN,INC.NOV.1979.1983 THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH, k = W ` CITY/TOWN � ( t/Jt`! fy f_ DEPARTMENT ADDRESS ` „ /1 I t L TELEPHONE/ Address '7 7 `�`t`7S I �t�CJ Occupant 1 1 c rr s Floor Apartment No: No.of Occupants No.of Habitable Rooms 14 No.Sleeping Rooms No.dwelling or rooming units / -. No.Stories �+ �- Name_ and address of owner /_j L f -) ��I & { �G rr � 1. �� S Remarks YARD Out Bld-os.: Fences: 0 V1 W - ff � v--L 2 Garbage and Rubbish TV& r- r.,Ltd Containers: /.�4C.�e✓ dL.Uv Eff E Drainage ,7)r ra �l-frGP '� r Infestation Rats or other: & t 04 GD_v,�-C ' y STRUCTURE EXT. Steps,Stairs, Porches: 1 4l 5;00 Dual Egress:and Obst'n.:' . %1 t' �i, s` r � 0,❑ B ❑ F ❑ M a D:ooirs,Windows r ���') ��l r 5 r)J r Roof 1ntr?J �2- Gutters, Drains: / Walls: , Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: .. Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: —T Irc.t t Hall, Floor,Wall,Ceilin '(�� Hall Lighting: ' �_ '' A (c' Hall Windows: .. HEATING Chimneys: Central ❑'Y ❑ N ` Equip.Repair, . . ,. P3 TYPE: Stacks, Flues,Vents:---rA I ) Nf-A' i.L Jy, 7s PLUMBING: Supply Line: 06 ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s), ELECTRICAL Panels,Meters,Cir.: A ),i (� f 'I�r%r.1-r Li IV l srZ �,Iya.zss ❑ 110 ❑ 220 Fusing,Grnd.: r, n rr d r. 1 ri ref l Ftt2`�. f" AMP: Gen.Cond. Distrib. Box: ► :a j) Gen. Basement Wiring: _ DWELLING UNIT Ventil. L' to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen ) Bathroom Pantry Den Living Room ` Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: j- .�a cr raj ck r,A ) 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: I Egress Dual and Obst'n: ! r!,s G- 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 g . OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." / 3111- A.M.INSPECTOR I j f`!'' t�4' A TLE . M11 r . DATE 7^ TIME I y �P:M.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 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 OIR 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 4110.480(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. (R) 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 washbasin 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 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. (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. L TOWN OF BARNSTABLE - UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. PARCEL NO. 2 Y® Oran(,..� TAG NO.13 q6 ADDRESS OF TANK:_`'Y 7 Aet`i s /`" ytic( Pc( VILLAGE: 14 Vol, t, 11 I's Numbwr ®trwOR! MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) : OWNER NAME: �yQ l�S�Y PHONE: -r�, �n..PAP 1Te t, INSTALLATION DATE: ®o q7 By: _ 01(, tlo( 6'I` Ot e,L Pe"111 ki Co, Cod INSTALLER ADDRESS: �0 QCl1,�e/Zk AA 0 Ct Wel >> -CERT.NO. *TANK LOCATION: (ABOVE) BELOW13Q y-m ew d� e- (mmoc"I ma "r K LOCATION WITH munmzCT TO 'U I l-D I NO) CAP'AC I TY TYPE OF TANK L(.( /1✓ AGE Aett'/YRS. FUEL/CHEMICAL —Oil TESTING CERTIFICATION Ex PASS [ ] FAIL DATE '?0► e C 7 LEAK DETECTION [ J CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [� YES [ ] NO DATE 7 CONSERVATION [ ] CHECK IfFl N/A DATE BOARD OF HEALTH TAG NO. [ 13 %� ] DATE 11, 2- (�'i_q/ * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r �{�`,.T,,,7"a.;c:..wt"�++�T.rxr`..�,.... ;>.a:.,.,�`�T�,Pu7,i,ak'.y`4t#i`sz't'�*p�.� ,�{t"'".c,4!rN!"'°"1` a"„ew.'a��,��,r,-iyeswrWti�'n�•..;'�±rt�`wi.fi+"+CwP"'+[°sy+sy' TOWN OF BARNSTABLE UNDERGRUUNd FUEL AND CHEMICAL STORAGE REGISTRATION r MAP NO. ^ PARCEL NO. 2 /p © D � TAG N0. 13 '7 0 ADDRESS OF TANK: .' 47 &Uc 'S Pom 4 VILLAGE.: y of tt h l ,$, MAILING ADDRESS ( I`P DIFFERENT FROM ABOVE) : a OWNER NAME: �Il a �IQ f_ eO G�.i 6j S PHONE: el 1 J d 1 � )l� INSTALLATION DATE: . I Q, q7 BY: Od UGC 0 � e lf�&pk G! ��ae ct?rI INSTALLER ADDRESS: _3o PL+yI w y-e AA ki cc Way CERT.NO. . 0)--�'9�� : *TANK LOCATION: BOVE) BELOW w ... .f MM 4y.... .LOCATION W I TN -/IQOP@CT TO, >u I l—D_I NOB). ' CAPACITY TYPE OF TANK AGE Y12(Al YRS. FUEL/CHEMICAL ,/G- TESTING CERTIFICATION [ ]. PASS [ ] FAIL DATE' q' LEAK DETECTION : [ _ ]CHECK N/A :- TYPE/BRAND ZONE OF CONTRIBUTION [' ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ j YES { ] NO DATE CONSERVATION . [ ] CHECK IF N/.A DATE - BOARD OF HEALTH TAG NO. C )3`16- ] DATE L.Z. .Z. (q q7 PLEASE PROVIDE A .SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD I E TOWN OF BARNSTABLE - UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. PARCEL NO. 2 J O 09 6 TAG NO. 1 3 `�/� 6 ADDRESS OF TANK: 4 /3 e hf S f om d 9 d VILLAGE: I l t%0 p 14 i s Number -Ytr��t MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER' NAME: IctJe.6,0c6t'/-� y � PHONE: p`,���r`ir�F",� �To I,1 a5 od I NSTALLAT=I ON DATE: BY: INSTALLER ADDRESS: 5o pm'l._oZ►/-e o c V/ -CERT.NO. 0"i 8 ; *TANK LOCATION: (ABOVE) BELOW 9-' <DQOCf z mm T Af K LOCATION WIT" m mr-KCT TO >U I L-D I NCR) CAPACITY TYPE. OF TANK C G( dti AGE /Y.RS . FUEL/Cr I CALl TESTING CERTIFICATION ' [/Vll PASS [ ] FAIL DATE ' � � Of, LEAK: DETECTION _ [ j- CHECK; IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ j YES [ ] NO DATE TO BE REMOVED F IRE DEPT. PERMIT ISSUED [ X YES . [ ] NO DATE p CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ !_j ] DATE A PLEASE PROVIDE A SKETCH SHOWING .THE _TANK LOCATION"ON THE BACK W F THIS CARD FORM3o HOBes WARREN,INC.NOV.1979-1993 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITYrrOWN '- �I.tC31-IG -FJEAL.TF1 ,D1Y151C��'y b DEPARTMENT } �-i1 T M�In i-hn�Mts MA crxc � ADDRESS TELEPHONE Address 44 7 - NS S fA Q• -Occupant Linda " G r is a Floor Apart nt No: No.of Occupants No.of Habitable Rooms log o.Sleeping Rooms 'Q No.dwelling or rooming units No.Stories "Z Name and address of owner 1 ^t j Romarke Rog. Vlo. YARD Out Bld s.: Fences: Garbage and Rubbish-L-arc%e '1bloarAl �P Containers: L Drainage — ca 20) Infestation Rats or other: e� 1M i3g, ad bille STRUCTURE EXT. Steps,Stairs, Porches: cus 0 r Dual Egress:and Obst'n.: — A- . GLfl 0 to 2(�, ❑B ❑ F ❑ M Doors,Windows: 6 c N Roof - Gutters,Drains: ' i Cvt72- Walls: c+ i m ,L Foundation: 0( Chimney: < BASEMENT Gen.Sanitation: — " a1✓ - (vD 2 Dam ness: +s CYT 402.r.i1{ Stairs: r Lighting: Mtn STRUCTURE INT. Hall,Stairway: l o .0 r bbrA I Zkp-) Obst'n.: plc r Hall,Floor,Wall, e;m - 6-• Hall Lighting: Hall Windows: ; HEATING Chimneys: i Central ❑Y ❑ N Equip.Repair TYPE: Stacks,Flues,Vents: PLUMBING: Supply Line: ❑MS ❑ST ❑P Wast13 Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels,Meters,Cir.: elec -'Ci ik2o t 4m.ass El110 ❑ 220 Fusing,Gmd,: 25y�.2'-S'A8) AMP: Gen.Cond.Distrit Box: -l SIR11,QIS -1 2^ Wx, 1x,lk k tQ°3A I Gen. Basement Wirin �;c e:�� . w`�r� r , 3 DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind.' Doors Floors Locks Kitchen , , 1A. �C ' Bathroom Pant Den LivingRoomr y 's a Bedroom O I(w b Soo Bedroom 2 r r4ee Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten. Gas,Oil,Elect.: Stacks Flues,Vents,Safeties: Kitchen Facilities Sink 2 t v'i Stove a Bathing,Toilet Facll. Vent.,Plumb.,Sanit'n.: Wash Basin.Shower or Tub. K r Qzi -- —�!ce!eetatlon_a_-_. _ Rats�Mice,Roaches or Other. - u k- Egress Dual and Obst'n: ---- '— c _ General 0 mo .c r c �0 L Locks on Doors: ti 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 PENALTIgTQ OF PERJURY." C,Yt�:15Eint� ��tc•hinSt�� R.S: �eastE� Tn �':�vr a INSPECTOR T�WIzts.mc�jean.CPO TITLE Dfrl l a� �G MaN-4� OW9 DATE Tt4 I9WO - TIME IO:q0 P.M. , A.M. pl /' THE NEXT 8CHEDULED REINEC�ON�.:- --� _- P.M. l C' -k_ Ijn t� ATv July 19, 1996 TELEPHONE BIDS For a 30 Yard Dumpster For One Week at 47 Betty's Pond Road, Hyannis COMPANY Telephone# Contact Person Bid Amount 1)BFI 398-9222 Mike Ryan $450 *No deadline 2)Diamond Disposal 790-3959 Bob Giovangelo $400(up to 5 tons),no more than 7 days 3)Macomber 778-1587 Ed Macomber $450.00(5 tons max.)up to 10 days max,extra$25 for additional week 4)Waste Management 800-262-5633 X27 Shalyn Via $495.00(5 tons max.), of Massachusetts extra$20 for additional week(week ends on Saturday) 5)AWS 800-331-5620 Walter Bednark $450(6 tons max.),one week deadline,extra$20 for additional week NOTE: No metals,no mattresses, no box springs,no automobile parts,no tires,no bushes or tree branches FORM30 Hoses&WARREN,INC.NOV.19MI983 THE COMMONWEALTH OF MASSACHUSETTS ro BOARD OF HEALTH CITY/TOWN W �lle>I_iG }� EALM byrsiolV A o DEPARTMENT �A 01 ADDRESS 7— / w y *Vigo—&WO5 TELEPHONE Address q 7 KI. Occup nt Li rr14 `. r i Floor Apart nt No: No.of Occupants No.of Habitable Rooms See wa o.Sleeping Rooms No.dwelling or rooming units I No.Stories , Name and address of owner s Remarks Rog. Vlo. YARD Out Bld s.: Fences: Garbage and Rubbish G ', r 2(A� Containers: , Drainage - oars@ bo 2.(R, Infestation Rats or other: e5. P y ; I t t - , STRUCTURE EXT. Steps,Stairs, Porches: s a r Dual Egress:and Obst'n.: —A ;,Q 410 2(61 ❑ B ❑ F ❑ M Doors,Windows: 1c_e „ _ Roof k- { (; , Gutters,Drains: — L �, „ (007- Walls: d c6"2 m un Foundation: of Chimney: BASEMENT Gen.Sanitation: ' 6 :-1 ye, I it (oD� Dampness: }c Stairs: r - Lighting:. Mtn STRUCTURE INT. Hall,Stairwa : jS I\ Oy r bb .I Obst'n.: 01 C r Hall,Floor,Wall, ei in d- Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip. Repair TYPE: Stacks,Flues,Vents: PLUMBING: Su I Line: ❑ PAS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: No e_ledr i i / 6-20 t yOO.ZsF ❑ 110 ❑ 220 Fusing,Grnd.: _2Eq AMP: Gen.Cond. Distrib. Box: l ��1�21s a1 "4 'fir hd �o 3r Gen. Basement Wiring: -c e4r�, wiry r 3 � DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Lhdna Room Fora► AS'-' LI ��=� Bedroom 1 r".30AAr lw �/J0 'SDO Bedroom 2 r ,n �F/ 1ovi Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten. Gas,Oil, Elect.: 4 /9 Stacks Flues,Vents,Safeties: Kitchen Facilities Sink Wn walgx- r yy ff_ 10 LaD Stove a- - r (� Bathing,Toilet Facll. Vent.,Plumb. Sanit'n.: - Wash Basin Shower or Tub. K Infestation Rats,Mice,Roaches or Other: - u. - Q10L_!;o ros8 Dual and Obst'n: Cl General 0 m sec < <ny•1JP,4 �a Z Locks on Doors: i ONE OR MORE OF THE VIOLATIONS CHECK D ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR-THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.75.0 OF THE CODE OR THE AUTHORIZED INSPECTOR,(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIF OF PERJURY." �n5�lnc�i INSPECTOR S IYlch�ean.c f l23 _ TITLE Dir-e hl• aV 6001e 4alM DATE 9 TIME 11) 'q O � lele i�� � P.M. A.M. �/� THE NEXT SCHEDULED REIT ON P.M. ' _i S d vel L)� i S. r�r�k'� ur n ► txo 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, 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 inevery 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 4110.480(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 s 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. (R) 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 washbasin 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. r (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 create an immediate hazard. (r) 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. ' �1J FORM3o Hoess&WARREN,INC.NOV.1979.1" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN 4 W lSL IC fJ A�.T�I . )I1/ISIo/ i a DEPARTMENT 4 <z� M6t�A r�--� �nr;�s • o,ti � ADDRESS TELEPHONE Address 417 rC c#S frill k4. Occupant 1.'In�� , Grig a S Floor Apartn-iAnt No: No.of Occupants __U No.of Habitable Rooms a W IVY o,Sleeping Rooms ' No.dwelling or rooming units 1 No.Stories �., �� , Name and address of owner �:iMe r'Pcarq`t S Remarks Rag. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish-Larg e P I l . QV 6 rn W&N brarA . ran < )o Cova(fx Containers: n !A k es,ck 4-k s"ae� Drains e — 4,;,,d 4 w Io '6na,b rvlo card bu`f �-I n 4,02 Infestation Rats or other: ice- . „niAL► 1�rll�; a u4ln aJ 64e, STRUCTURE EXT. Steps,Stairs, Porches: d-a6r s or 4I p' r o,, Dual Egress:and Obst'n.: -Aba ho,, d o (on 2�A ❑ B ❑ F ❑ M Doors,Windows: nrf-vr- c ebr;c e -� •4) Roof �� ��dQ ¢ A (, (6 f►„� ir�rr Gutters, Drains: — C , ,G s, Iran \-6�,,j -(%;e 14lc7 16902— Walls: clul�.l lino r onluv--e& -an P xr <<\me moon Foundation: 0� a` ac,rz n K,-nr. n 0 for Chimney: a r, ---� BASEMENT Gen.Sanitation: — .� A ' )c� ! ,tea o n Iza►n es ve /7 �a 2 Dampness: is of Stairs: ;�rn Li htin : AAA a brown --Z;k AA STRUCTURE INT. Hall,Stairwa : am uf\{S o V ru►mob r_( ;,4 . 1r7 Obst'n.: c4cr4 Q.CeS rrl�ner S n Hall, Floor,Wall,Ceilin : r nr n Hall Lighting: Hie d,0e( i n 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.: Nb elee�-r iCi r v'I c Ae 10 (0?0 L1,10,ZS., ❑ 110 ❑220 Fusing,Grnd.: N AMP: Gen.Cond. Distrib. Box: I T,tc()v dler4(,,t oLAW-< a+ 2"4 h)r Mk L041t Gen. BasementWirin : F-xt nsrr n cdr;rat air; ' N (-W,WroA�, _ Ir(-,tVk 41r 3 " DWELLING UNIT `-) Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen P x bo s Al Irma in , ipeT, 410 Soo Bathroom I Pantry Den Livina Room �r� or ,`,.c al T (�.,n - <>brM �a�c 410 S;s2 Bedroom 1 (re ;, a) i! (A a d r en Irnp roc e t AbAja \ t/10 so0 Bedroom 2 _r kA I A.11 01A . ?S0-,0 eO ;'n r` k C 4rf) r ^� ,nr1r�1J 1f10 -5; !(Aj Bedroom 3 Bedroom 4 Hot Water Facll. Sup.Ten.,Gas,Oil, Elect.: N)o h t&�I e rtiv,detv q 10 00 Stacks,Flues,Vents,Safeties: Kitchen Facilities Sink a.9ler•• Drov'ra^ ) 44)(1 18p / Stove — SpuP Aj b,3 !z, -,, oW,G,r lar*,c Bathing,Toilet Facll. Vent., Plumb.,Sanit'n.: C° 1rc-r n Wash Basin Shower or Tub' S;^K , �,,, r 111A Or- 4-rnn n Infestation_ Rats Mice,,Roaches orOther:./Yia,,, '� ;r< rays,,rVeeO -1--,rnuofloua- 4410 650 Egress _ Dual and Obst'n: Alle ,a/atl '' General Buitdln Pdo-Ud` NO mo•I•(e, r eFec a�5 r��nv-Ae7 10111 q z Locks on Doors: c- ,Pn r lra r i r o r j Ue zI IO 352 ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." G�r15-Eind INSPECTOR— .TITLE 0,re,,4, a-P DATE ;V hj,a 199ta TIME M: O P.M. ,P� P.M. A.M. hl d llU6: —1;1 5 NEXTd-SCHEDULED REINS l i " �r h unern "�7� � cr fi pn ,.. 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 1I, 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. (GI 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 41I1.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 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. (B) 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 washbasin 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 create an immediate hazard. (r), 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. �.iv,.,� ..�J: ,__.:_ �y.� .. Z-�' ..c..,a..:'�r.. r�'tK- .. .-..�-..P..+7. :b.,1•':.. .. ....-1i�'4A�_..a f/ -. • .-.z,.�;.rx.--.�✓ .-s�..s - ,.:... FORM30 H088S8 WARREN,INC.NOV.1979.1983 THE COMMONWEALTH OF MASSACHU$ETTS 1. nnnrS , BOARD OF HEALTH CITY/TOWN �i,1 o r DEPARTMENT ain ADDRESS TELEPHONE Address 47 ' 'kq5 Pam_ 94: t Occupant 1.. A4--+ Floor Apartment No: No.of Occupants_ _J r No.of Habitable Rooms. See H a�o Sleeping Rooms No.dwelling or rooming units I No.Stories -2- , Name and address of owner L+%.r1,--, a a s. ►�'y S �r�rr� '-Z�. rc�rw S Remarks Reg. V10. t YARD Out Bld s.: Fences: Garbage and Rubbish-L ar e D de. n r n k(rn 67(7.11 1>� Containers:. r v ls,ck Ednc d ,el( �c 1 c,rlc ° 1 Drainage' - R�4,J IMp c�,llW, d liia 2�J Infestation Rats or other. STRUCTURE EXT. Steps,Stairs, Porches: ,r"`'(, r 0.1n T_ Dual Egress:and Obst'n.: --A br Ai n,,,4 ,)d J.!.z(h,.,a , Jk r Ff/r--- r^ Lilo (on 2 ❑ B ❑ F ❑ M Doors,Windows: r-tt,r,- cl c br; nN --he :;?V. O,c-> Roof AWA ( -h. YP(-:r Gutters, Drains: `Icr11 r„ f2�n ' fl(1 Cc0 Z Walls: c\urn l(f,nr� c onlrt,�� r,n n xrr­�_< Nw. amo i(0- Foundation: of 44 OrAn)CiCle rjAV3h1C=j1 . r irj IJ ,,,,4 n f ci Chimney: r�F-�.r,c •� a BASEMENT Gen.Sanitation: - :U,)A,ter r on I cr'�nec' xeeh§ve (OD z Dampness: -I.^:„,vg1s of c1Q)6 . lur1, I nns4lr, --.t�a� Stairs: ,.+rn r�,:1rG =arrll.c7�rrk �l,rnRn"t+,,ric�n«l M�r�eS , Lighting: n�, Y-:r o WCIA STRUCTURE INT. Hall,Stairwa : Obst'n.: clac MW r Hall,Floor,Wall,Ceilin su,r ' k9�r �« r,,. 4 °l-�,n 1 Ir.�Y,nr n Hall Lighting: _V,.o clatell ;, J Hall Windows: ---� HEATING Chimneys: Central ❑Y ❑ N E ui . Repair TYPE: Stacks,Flues,Vents: ._ PLUMBING: Supply Line: . ❑ MS ❑ ST ❑ P • Waste Line: H.W.Tanks Safety and Vents ELECTRICAL Panels, Meters,Cir.: Wd) (:R.hckrici icAec 4)10 6?0 t y,v.L . ❑ 110 ❑220 Fusing,Grnd.: n 1 L, ��p r" k)nl AMP: Gen.'Cond.Distrib. Box: I' r+;�r . rJler r,r.,1 c� i r:ls -6 2'A,t1t1)j YV41:�x.4 f'F44(mK - ti r0.3 1 Gen. Basement Wirin : 11kkr•Ir C,4 ,,,irT 3 r_:,1 DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen r !r In K i lhr=r, Ir.. i,a cx i)-di,, '0 k 1nin 1 , V`7 4119 L00 Bathroom Pantry Den Living Room h1A �jr mavti . 11'ic 9 n4- 5%Ltm L/is 52 Bedroom 1 t c r_ , r , 1 t' k_I11-.,, 10 E 0 •ft(f_ �d•. u ,> I r`-F r•L,, c'�r n ". iC�.a a nn .n r!� E c �'/ 0 Bedroom 2 "" r n4f),� u1+ni! oil2 - C? ,Jnrl -�n:�r 1~.r'r� r(}?av� v,n' "C +�rLa.,i 'Air, C-0 1(l1 j Bedroom 3 Bedroom 4 Hot Water Facll. Sup.Ten.,Gas,Oil, Elect.: t1 hn}- -Nor- Orr)VICIFT 40 00 Stacks, Flues,Vents,Safeties: n 1 Kitchen Facilities Sink NI Q u)»,j Cr 10 V,rl`A) 14 w, 1 RD Stove -- Sr'urar.�l tj ,-_4- k =� x�rcY�. ,:.Q '�4?nnr rlr i,r,c �-/if Lp21�� Bathing,Toilet Facll. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub:, r,o:,A Wr- -1/t6 Infestation_ t Rats,-Mice,=Roaches'or-Other:.,Mrjtno l,r < '� �nr17t'rt .('!nr/JUt Y,DtJ I 4jl G S'� t Egress Dual and Obst'n: �� General BulldiftPosted .Nd �m oWe d9lei�s Y r v+ra Pr I �-! 10 H R z Lockson Doors: 1< c>pn q4C 352 ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT-AS DETERMINED BY 105CMR 410.750- OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." C.11r�5-Einc� k'uch�>\54K (1•�. I-�c;l(� =to>(�ec�W-rar ��� ., INSPECTORROm � P/lc}-L-ln r 11) TITLE Cl rrc l^r oj..: .Pi1011- CA.Ma .. . DATE 1A A -:2 1991(n TIME If" .4(7 P.M. A.M. J N DIA16 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 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 OIR 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. (GI 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 4110.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 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 washbasin 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 create an immediate hazard. W_ 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. CMR 410.010, Scope Page 4 � n.,. J05 CMR 410.010 apply to any dwelling which: t sCODE OF MASSACHUSETTS REGULATIONS (1) is located on a campground that is being r. TITLE 105: DEPARTMENT OF PUBLIC operated in compliance with 105 CMR 420.000, HEALTHCHAPTER 410.000: MINIMUM 105 CMR 430.000, or 310 CMR 14.00; or : STANDARDS OF FITNESS FOR HUMAN F " HABITATION (STATE SANITARY CODE, (2) is otherwise required to conform with standards CHAPTER II:) of fitness for human habitation elsewhere existing Current with amendments received through Register in the State Sanitary Code; or ' Number 766 (3)'is used exclusively as a civil defense shelter. 410.010: Scope: (C) Nothing contained herein shall be construed to (A) No person shall occupy as owner-occupant or let. limit or otherwise restrict any person from seeking to another for occupancy any dwelling, unit, mobile judicial relief in a court of competent jurisdiction dwelling unit, or rooming unit for the purpose of notwithstanding any hearing, proceeding or. other living, sleeping,. cooking or eating therein, which administrative remedy set forth in 105 CMR does not comply with the requirements of 105 CMR 410.000. 410.000. ; a <General Materials (GM) - References, { 3 (B) The provisions of 105 CMR 410.000 shall not Annotations, or Tables> � -4 A�. k' t S 3Y5 hfZ. Copyright©West'Publishing Co. 1996 No claim to original.U.S. Govt. works. i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE COUNTY REGISTRY OF DEEDS P.O. BOX 368 BARNSTABLE, MASSACHUSETTS 02630 John F. Meade Register SPECIAL CERTIFICATION COMMONWEALTH OF MASSACHUSETTS, COUNTY OF BARNSTABLE w I, John F. Meade, Register of Deeds of Barnstable County, Barnstable, Massachusetts, do hereby certify the within and foregoing to be a true and correct copy of the original as it appears on record and file in the office of the Register of Deeds of Barnstable County, Massachusetts. The referenced instrument was recorded in Book 12264 Page 94 on May 13, 1999. Witness my hand and seal as the Register of Deeds for Barnstable County this 27th day of August, 1999. John F. Meade Register of Deeds G 5— L 1 �� = 1 t�pFTHETQ`y TOWN OF BARNSTABLE OFFICE OF BOARD OF HEALTH May 4, 1999 367 MAIN STREET HYANNIS,MASS.02601 Maya Lebedinsky 47 Betty's Pond Road Hyannis, MA 02601 Dear Mrs. Lededinskg You are granted variances to install a replacement onsite sewage disposal system at 47 Betty's Pond Road, Hyannis. The variances granted are as follows 15.211 (1): To construct a leaching facility seven (7) feet away from the easterly property line in lieu of the ten feet minimum separation distance required. Part Vill, Section 10.00: To construct a leaching facility approximately fifty- eight(58) feet away from a vegetated wetland, in lieu of the minimum separation distance of 100 feet required. These variances are granted with the fallowing conditions: (1) The septic system plans shall be revised to include the second variance to be requested concerning the proposed separation distance to the vegetated wetland. (2) No more than two bedrooms are authorized in this dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered"bedrooms" according to the Massachusetts Department of Environmental Protection. (3) The designing engineer from' A& M Land Services shall go to this property and shall supervise the construction of the septic system and shall certify in writing to the Board of Health that this system was installed in strict accordance with the revised plans. A certificate of compliance will not be issued until after the Board of Health receives a letter from the designing engineer stating that the septic system was installed in strict accordance with the revised plans. mays (4) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds concerning the maximum number of bedrooms allowed at this dwelling. These variances are granted because the existing cesspool is, in all probability, sitting in the groundwater table. The proposed replacement system meets the criteria for "maximum feasible compliance" and may alleviate a source of pollution to the groundwater table. Sincerely yours, SusR� In k, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs 6ARNSTABLE REGISTRY OF DEEDS mays COMMONWEALTH OF MASSACHUSETTS BARNSTABLE COUNTY REGISTRY OF DEEDS P.O. BOX 368 BARNSTABLE, MASSACHUSETTS 02630 John F. Meade Register SPECIAL CERTIFICATION COMMONWEALTH OF MASSACHUSETTS, COUNTY OF BARNSTABLE I, John F. Meade, Register of Deeds of Barnstable County, Barnstable, Massachusetts, do hereby certify the within and foregoing to be a true and correct copy of the original as it appears on record and file in the office of the Register of Deeds of Barnstable County, Massachusetts. The referenced instrument was recorded in Book 12502 Page 35 on August 27, 1999. Witness my hand and seal as the Register of Deeds for Barnstable County this 27th day of August, 1999. .Iohn F Meade Register of Deeds DEED RESTRICTION At the present, 1, Mrs. Maya Lebedinsky, dated March 25, 1997 recorded in the Barnstable County Registry of Deed in Book 10665, page 122 is the owner of 47 Betty's.Pond Rd, Hyannis, MA 02601. Whereas, Mrs. Maya Lebedinsky as the owner of said dwelling has agreed with the Town of Barnstable Board of Health to record this document at the Barnstable County Registry of Deeds as a restriction that no more than two (2) bedrooms are authorized in this dwelling and must remain as such unless a variance is obtained from the Town of Barnstable Board of Health. The Board of Health in its decision required that a "deed restriction" be recorded (paragraph 4) at the Registry of Deeds. I have read and fully understand the condition of the variance of the Board of Health, accept them as written and agree with "Deed Restriction." Date: - r Signature COMMONWEALTH OF MASSACHUSETTS 3t,"'RNS T ABLE COUNTY SWORN AND SUBSCRIBED TO BEFORE THIS � DAY OF 194- ` IRENE L. DYER NOTARY PUBLIC Q My Commission Expires October.2.'200. .,, BARNSTAR.LE COUNTY REGISTRY OF'DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER J BARNSTABLE REGISTRY Of DEEDS 9.a I'=-. 1 2 a_6 4 E'"'s�%0_'�4 ._a S "'�a�a._e TOWN OF BARNSTABLE O�P�Of THE w�. OFFICE OF BAS39TABL i BOARD OF HEALTH � MA6R 367 MAIN STREET faMalk May 4, 1999. HYANNIS, MASS. 02601 .Y, Maya Lebedinsky 47 Betty's Pond Road Hyannis, MA 02601 Dear Mrs. Lededinskt8, You are granted variances to install a replacement' onsite sewage disposal system at 47 Betty's Pond Road, Hyannis. The variances granted are as follows: 15.211 (1): To construct a leaching facility seven (7) feet away from the easterly property line in lieu of the ten feet minimum separation distance required. Part VIII, Section 10.00: To construct a leaching facility approximately fifty- eight (58) feet away from a vegetated wetland, in lieu of the minimum separation distance of 100 feet: required. These variances are ranted with the following conditions: 9 9 (1) The septic system plans shall be revised to include the second variance to be requested concerning the proposed separation distance to the vegetated wetland. (2) No more than two bedrooms are authorized in this dwelling. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (3) The designing engineer from A & M Land Services shall go to this and shall supervise the construction of the septic stem and ' property P P Y shall certify in writing to the Board of Health that this system was installed in strict accordance with the revised plans. A certificate of compliance will not be issued until after the Board of Health receives a letter from the designing engineer stating that the septic system was installed in strict accordance with the revised plans. Maya (4) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds concerning the maximum number of bedrooms allowed at this dwelling. These variances are granted because the existing cesspool is, in all probability, sitting in the groundwater table. The proposed replacement system meets the criteria for "maximum feasible compliance" and may alleviate a source of pollution to the groundwater table. Sincerely yours, Susan G. F2edk R.S. Chairperson Board of Health Town of Barnstable SGR/bcs BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER 6ARNSTABLE REGISTRY OF DEEDS Maya ' PAGE I OF 3 pptHE Town of Barnstable � Department of Health, Safety, and Environmental Services BARNSfAHLE. MASS. Public Health Division 019. AIED � 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKea FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road , Hyannis, MA 02601 NOTIFICATION OF BOARD OF HEALTH HEARING TO THE OWNER AND OCCUPANT OF 47 BETTY'S POND ROAD, HYANNIS The Town of Barnstable Board of Health will be holding a public hearing on Tuesday July 16, 1996 at 6:00 P.M. at the second floor Hearing Room, Barnstable Town Hall, 367 Main Street, Hyannis to determine whether an order to secure and vacate the dwelling located at 47 Betty's Pond Road, Hyannis should be issued. The hearing may result in an order of condemnation requiring you, the owner and occupant to secure the dwelling or portion thereof and requiring you to vacate the dwelling. At the hearing, you will be given an opportunity to ibe heard, to present witnesses or documentary evidence and to show why the dwelling should not be closed-up and to show why an order to vacate should not be issued. Attached is a copy of the inspection report. The dwelling owned and occupied by you located at 47 Betty's Pond, Hyannis was inspected by Christina Kuchinski, R.S., Health Inspector for the Town of Barnstable, and Thomas McKean, C.H.O., Director of Public Health on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Jack Gillis, of the Department of Health, Safety, and Environmental Services Department. The following violations were observed 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes,PVC piping, clothing, and other debris on the ground located behind the pile of wood. „ 105 CMR 410 602 (Al: Abandoned old clothes, bottles,and other debris on the ground at the right side of dwelling. grigg$2 f PAGE 2 OF 3 105 CMR 410,602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses; window frames, a broken stove, and other debris piled-up inside the building. 105 CMR 410.255: No electricity provided throughout the dwelling. 105 CMR 410.180: No water.provided sufficient in quantity, pressure, and ' temperature to meet the ordinary needs of an occupant. 105 CMR 410,190: No hot water provided. 105 CMR 410.602 (B): Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (B): Several boxes, plastic bags,, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410.352: The refrigerator'was inoperable: 105 CMR 410,352 'The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410:2M & 253(B): No.lighting provided. 105 CMR 410.482:' No smoke detectors provided. 105 CMR 410.351:- Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's) bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling: 105 CMR 410 500• Several holes observed in the walls throughout the dwelling. 105 CMR 410 552: No screens provided at both front doorways. griggs2 , PAGE 3 OF 3 In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the owner and occupant of 47 Betty's Road, Hyannis, that the Board of Health will be holding a public hearing on Tuesday July 16, 1996 at 6:00 p.m. at the second floor Hearing Room, Barnstable Town Hall, 367 Main Street, Hyannis to determine whether an order to secure and vacate the dwelling located at 47 Betty's Pond Road, Hyannis. Sincerely yours, T omas A.McKean, RS, HO Agent of Board of Health Town of Barnstable TM/bcs cc: Jack Gillis Board of Health griggs2 PAGE I OF 3 OpIME Town of Barnstable BMWsrnBt�. w : Department of Health, Safety, and Environmental Services MASS.t639• Public Health Division A'En ram" 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKea FAX: 508-775-3344 Director of Public July 3, 1996 Linda S. Griggs 47 Betty's Pond Road Hyannis, MA 02601 NOTIFICATION OF BOARD OF HEALTH HEARING TO THE OWNER AND OCCUPANT OF 47 BETTY'S POND ROAD, HYANNIS The Town of Barnstable Board of Health will be holding a public hearing on Tuesday July 16, 1996 at 6:00 P.M. at the second floor Hearing Room, Barnstable Town Hall, 367 Main Street, Hyannis to determine whether an order to secure and vacate the dwelling located at 47 Betty's Pond Road, Hyannis should be issued. The hearing may result in an order of condemnation requiring you, the owner and occupant to secure the dwelling or portion thereof and requiring you to vacate the dwelling. At the hearing, you will be given an opportunity to be heard, to present witnesses or documentary evidence and to show why the dwelling should not be closed-up and to show why an order to vacate should not be issued. Attached is a copy of the inspection report. The dwelling owned and occupied by you located at 47 Betty's Pond, Hyannis was inspected by Christina Kuchinski, R.S., Health Inspector for the Town Of Barnstable, and Thomas McKean, C.H.O., Director of Public Health on July 2, 1996 at 10:40 a.m. due to a request for an inspection from Jack Gillis, of the Department of Health, Safety, and Environmental Services Department. The following violations were observed: 105 CMR 410.602 (A): Large pile of wood and broken boards on the ground at the left side of the dwelling. 105 CMR 410.602 (A): Pile of brush, cardboard boxes, PVC piping, clothing, and other debris on the ground located behind the pile of wood. 105 CMR 410,602 (A): Abandoned old clothes, bottles, and other debris on the ground at the right side of dwelling. griggs2 r PAGE 2 OF 3 105 CMR 410.602: The camper, which was located behind the dwelling, contained an excessive amount of garbage, rubbish, clothing, and other debris. The camper door was left wide open. 105 CMR 410.602: Rear small building contained an excessive amount of broken furniture, mattresses, window frames, a broken stove, and other debris piled -up inside the building. 105 CMR 410.255: No electricity provided throughout the dwelling. 105 CMR 410180• No water provided sufficient in quantity, pressure, and ' temperature to meet the ordinary needs of an occupant. 105 CMR 410,190: No hot water provided.. 105 CMR 410,602 (Bl: Excessive amounts of rubbish, clothing, dog feces, and other debris observed on the floor throughout the dwelling. 105 CMR 602 (By. Several boxes, plastic bags, foods, and other debris piled on top of the stove, kitchen sink, and counter top. 105 CMR 410.550: Many flies observed throughout the dwelling. 105 CMR 410.352: The refrigerator was inoperable. 105 CMR 410.352 (B): The toilet contained an excessive amount of feces and toilet paper. The toilet was not usable. 105 CMR 410.254 & 253(B). No lighting provided. 105 CMR 410.482: No smoke detectors provided. 105 CMR 410.351: Exposed electrical wiring, which was connected to an outlet, observed in the second floor(children's) bedroom. 105 CMR 410.351: Uncovered electrical outlets observed at the second floor children's bedroom and second floor hallway.. 105 CMR 410.500: Large hole observed in the kitchen ceiling. 105 CMR 410,500: Several holes observed in the walls throughout the dwelling. 105 CMR 410 552• No screens provided at both front doorways. griggs2 PAGE 3 OF 3 In addition, the Town of Barnstable Building Commissioner, Ralph Crossen, deemed this dwelling unsafe and he removed the certificate of occupancy Mr. Crossen stated the building cannot be occupied until after the building violations are corrected. The violations listed as 410.180, 410.190, 410.602, 410.254, 410.253 (B), 410.550, 410.352, 410.482 and 410.351 are also listed under 105 CMR 410.750 and are deemed as conditions which may endanger or impair the health, safety and well-being of any person occupying the premises. Therefore, I find that this dwelling is unfit for human habitation. This letter shall serve as notification to you, the owner and occupant of 47 Betty's Road, Hyannis, that the Board of Health will be holding a public hearing on Tuesday July)6, 1996 at 6:00 p.m. at the second floor Hearing Room, Barnstable Town Hall, 367 Main Street, Hyannis to determine whether an order to secure and vacate the dwelling located at 47 Betty's Pond Road, Hyannis. Sincerely yours, c c�� T omas MKean, RS,�HO Agent of Board of Health Town of Barnstable TM/bcs cc: Jack Gillis Board of Health i j griggs2 Mar-04-99 01 : 51P 508-7751945 P.O2 COMMONWEALTH OF MASSACHUSF,TTS Barnstable, ss. March ,1999 nG,n M C'&jjr:,sl Then personally appeared the above n __ 'dent and awe. and acknowledged g the forcgoing Instrument to be the corporations duly authorized act and deed aforesaid, before me Notary Pubtic- My Commission Expires: , I g:lclicntslfidelirykk,-Xlm-st.zombas.doc Mar-04-99 01 : 51P 508-7751945 P.01 comply with the Board of Health decision dated ZkTCrnb`er_ 7,19988 wherein it states, inter alias "�I) No more t n three(3) b rooms are uthorized. Dens, study oms, finished attics, sleepi lofts, and filar-type r ms are a idered be o ms acco ing to the Massac use epartment f 'nviron al Prot i (2) he a 1' ant shall it an atto ey to reco a eed res tictio regardi g the maximum al owa le umber 'be rooms t t s part . (3) t ative t chno gy/n' og rcm al sy tern all be i stalled accord4nc wi th man act 's i tract' ns • d in ac r ce with he sub tted engineere p n d led vcmb 2 , 1998. ( 'he d sig ng en gi a shall s p Ise the c n truction of t e o ite, ewage dispose s stem nd Iternativ chnolo mponent d shall certif in ritin►to the Board ealt t t the syst was ins ed in strict cordance with h submitted plans ted N ber 27, 8. (5) T e astewat flluent sh 11 be tested o a regular basis accordance with the r uNme t of the Massachusetts Office of Environmental Prote on criteria for pro sional use approval." , Fidelity Financial, Inc. a ees at this shall be a permanent deed restriction �-7 ifs R'T/A ' afTecting R,� d,Hyannis,MA, being Lot-kin Plan Book 1�5,Page 41. For.title see Deed of A recorded in Book 11945, Page 55 IN WITNESS WHEREOF,.thc said FIDELITY FINANCIAL, INC. has caused its corporate seal to be hereto affixed and these presents to be signed and acknowledged in its name and behalf by Nancy J. Manoogjts President and Treasurer,thereunto duly authorized this day of March, 1999. FIDELITY FINANCIAL, INC. R By:_ Nancy J. Manoog Its President and Treasurer ,[ TOWN�i F STABLE LOCATION !( fig' SEWAGE # 67a,_�,,, VILLAGE 'fit.Q!t'''713 ASSESSOR'S MAP LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK cAPACTTY LEAcmNo FAcmny: (type) e (size) 14.6 3- NO.OF BEDROOMS.,_,;;_:, BUILDER OR OWNER .S «r S " , PERMTTDATE:, f ' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching_Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or.within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility Feet Furnished by o A A pAx C Agpro �, _ 33. 7 a a r4 �g ' - r 0F1HE A DATE: . 0;0 FEE: /1�* • 1ARN9rABMASLE + 9�A 1 � Town♦0� of Barnstable REC. BY rFo3�a Board of Health z� tj 367 Main Street, Hyannis MA 02601 �E �VLO a cE,. 3/z�tl Q 9 Office: 508 9b-6265 ►✓� Susan'G.Rask,R.S. FAX: 5080-6304 6 1999St^r Sumner Kaufman,M.S.P.H. A.Murphy,M.D. ARIANCE REQUEST FORM ` "/ LOCA v c Property A .eA1#jt5 1 v r�0 Assessor's Map and Parcel Number: ZI — 12k) Size of Lot: f `jJ, 'j(D+ Wetlands Within 300 Ft. Yes kl/- Subdivision Name: 1,ulA No Business Name: A-J IV APPLICANTn CONTACT PERSON Name: A-AAA Lee 4,n,S K.h Name: 1M W<A LCIQL4]r"s Address: `{1 Z 1por ( Address: I'E IJ� j'�' -�' Phone: �6 la 2 " 0[2 L+(D Phone: '— �1 Z(6 t FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 1 SECYb1C K- cd is ArG AmO INa nEbq y L-Y s Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],outside dining variance renewals(same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 O Print your name, address, and ZIP Code in this box G lea yq lzie'xl"Rsll� V 7 1?,eR i ai SENDER: y / I al Is to rece e v ■Complete items 1 and/or 2 for additional services.A rn ■Complete items 3,4a,and 4b. following services(for an rn ■Print your name and address on the reverse of this form so that we ceetulthis extra fee): card to you. g ■Aerarn t this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address 2 ` ■Write'Retum Receipt Re uested'on the mail ieoe below the article number. a a, a a p' 2. ❑ Restricted Delivery u, .t. ■The Return Receipt will show to whom the article was delivered and the date C delivered. 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X P mbe 1 sa 102595- - - Domestic Return Receipt i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid uSPS Permit No.G-10 O Print your name, address, and ZIP Code in this box O _z/ 7 ai SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. f0110W1ng Services(for an 0 ■Complete items 3,4a,and 4b. a) ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address L ■Wri el t"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery rn Y ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. o 0 3.Article Addressed to: 4a.Article Number y w i v a /, 4b.Service Type C2,t�K-E'� - ❑ Registered I Certified X U Fp r 4 G,/o fe f, 0� �r� ❑ Express Mail ❑ Insured w _ l / ❑ Retun Receipt for Merchandise ❑ COD 0 7.Date:)f Delivery o 0 m 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y and fee is paid) W H 6.Signature;(Addressee or ent) X 2 PS Form 3811,December 1994 102595-98-13-0229 Domestic Return Receipt r First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 a Print your name, address, and ZIP Code in this box O ze_ 9�4:4 � -r y 7 ' SENDER: I also wish to receive t e ;o ■Complete items 1 and/or 2 for additional services. following services for an to ■Complete items 3,4a,and 4b. g (D ■Print your name and address on the reverse of this form so that we can return:his extra fee): card to you. at d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address U ■Writepermit. "Return Receipt Requested"on the mailpiece below the article number. 2•❑ Restricted Delivery ri e L ■The Return Receipt will show to whom the article was delivered and the date r delivered. Consult postmaster for fee. o. 0 3.Article Addressed to: 4a.Article Number 'IVA- Wak k,,� �k Z s9.z �71 76 y 0 4b.Service Type 0 7 y/G7�i �/� ❑ Registered Certified M U I N ❑ Express Mail ❑ insured �/� ` / 0j 7.�( ❑ Return Receipt for Merchandise ❑ COD i G 7.Da.t f Delivery o , o m 5.Received By: (Print Name) 8.Addressee's Address(O y if requested Y and fae is paid) to w (Sign-atu) : (Addressee or Agent)OX T y o 811,December 1994 102595-98-B-0229 Domestic Return Receipt i First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 O Print your name, address, and ZIP Code in this box O �'rt- {��i41{li{�1'1�141111i11i�1{4��t�i!{{I{11�!{�itfitl��{i-11 i'{�tl I ai SENDER: I also wish to receiv the v ■Complete items 1 and/or 2 for additional services. following S2fviC2S(for an w ■Complete items 3,4a,and 4b. d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. at ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressees Address ■perm "Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery .0 ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee; o 0 3.Article Addressed to: 4a.Art cle Number 7( 7 7S- _ 4b.Service Type c r' ��X ElRecistered Certified Cn u 7 ❑ Express Mail ❑ insured E Cn w Cf Gf la-V /t��� 0d �'�0/ ❑ Return Receipt for Merchandise ❑ COD � cc 1 0 7.Dat�f� I Q 0 I °>� M 5.Received By: (Print Name) 8.Addr ssee's A dress(Only if requested Y and fee is paid) I � 6.Signatur . dd2pj oMg ) a - -13-02,29 Domestic Return Receipt Town of Barnstable Inspectional Services Department RARNSTABM • Public Health Division KAM 200 Main Street, Hyannis 639 A1� MA 02601 NIA' Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO - October 21, 2019 Jose Daniel Simoes - 47 Betty's Pond Rd. Hyannis, Ma 02601 - RE: SEWER'CONNECTION`DEADLINE EXPIRED 47 Betty's Pond gq;JR.a tpftk, — - _ I Dear Property Owner; Your September 30, 2019 sewer connection deadline has passed. Please contact the Public Health Division Office to provide an update-relative to the status of property's connection to public sewer (i.e. contractor name, DPW sewer connection permit number, anticipated connection date). If you would like to request an extension; such request must be in writing addressed to the Board of Health(200 Main Street Hyannis Massachusetts) within fourteen(14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator T karen.malkus(o)town.barnstable.ma.us phone: (508) 862-4641 L FINE 1pk� DATE:17- 7 FEE: y BARNMBLE, 9��E�A�`� Town of Barnstable REC. BY Board of Health 7 367 Main Street, Hyannis MA 02601 /`� r s', , � Office: 508 9'0 c -6265 BE N€ ►y5i, 3 Susan G.Rask,R.S. FAX: 508 9,Q-6304 r A r 6 1999 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. ARIANCE REQUEST FORMHEATH DIFT `M" "P' L CA c Property A eAa il IS v rr�O Assessor's Map and Parcel Number: z� — . e)6 Size of Lot: ( �J .Q( Wetlands Within 300 Ft. Yes Subdivision Name: No Business Name: 4 M_ APPLICANT CONTACT PERSON Name: Lee ell W-5 Y-h Name: INl PsNA 1✓�L [^rs I�.I Address: `�1 I� `S �„� Address: 1'E Phone: SS lo'L — C12-4(o Phone: C6 Lo Z- — C-)Z(4 6 FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) is ArG A"p 6g g v EAS nn(, S < 1 s:2 hecklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only),outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S., Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ r &-au-A A &,M Land Services 33 Old Main Street South Yarmouth, MA 02664 508-394-2123 Fax 394-9642 August 25, 1999 F Board of Health Town of Barnstable South Street Hyannis, MA RE: 47 Betty's Pond Road Dear Tom, ti x We recently inspected the septic•system installation at 47 Betty's Pond Road in Hyannis. The system was designed by A & M Land Services, Inc. on or about May, 1999 and received approval from,--the Board of Health for installation. r, The system was installed on or about August 24,1999 by John Whitley. - All of the system components;were in place at.the time of the inspection prior to the backfilling. In my opinion,'the installation is in accordance with the approved engineering plans. If you have any questions concerning this matter, please call at your convenience. Best regards; Winslow M. Spofford; - - RLS, PE , • f FTHE Tti DATE: 17- T`l ' FEE: + BARNSfABLE, MA,111 Town of Barnstable 9Qjp ib;q ,0� RI EC. BY rE0 MA'S A — Board of Health z� n 367 Main Street, Hyannis MA 02601 .j/Office: 508 '0-6265 svEO Sus an G.Rask,R.S.FAX 508 9Q-6304 a n r 1 6 1999 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. �r ARIANCE REQUEST FORM ``3 L C Property A e� a` ,S `v,r (�O, e-CQ Assessor's Map and Parcel Number: Size of Lot: ( `jJ Ct-JCS± - Wetlands Within 300 Ft. Yes kj//- Subdivision Name: __ IIJIA No Business Name: APPLICANT CONTACT PERSON Name: it f4 Lei 4] s K-h Name: iM W(A 2 Address: `{1 1� ( Address: �S ^r'e � IJ-e Phone: c.2-L+ Phone: Z ^ Z C4 6 FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ] ;'I Ls AL6 A"o s d; v L- L. v.i —A _`1' �tfbC 1 S hecklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,.grease trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/leases only],and variances to repair failed sewage disposal systems(only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask, R.S., Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ TOWN OF BARNSTABLE LOCATION AUS tVoAed aI SEWAGE # 9,9- 's/0 VILLAGE&&V&-lVeQ1 S ASSESSOR'S MAP & LOT 0 Q-946 INSTALLER'S NAME&PHONE NO. J��� A LA f X '9;L? SEPTIC TANK CAPACITY ��� I /CSC,/a LEACHING FACILITY: /�'i /r<i 7(type) (size) NO. OF BEDROOMS BUILDER OR OWNER 4,0- A•e d/JV S v PERMITDATE: //� �`�`� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Al.. A, Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching acility) Feet Furnished by T 1-.9 � t p .$ r ATeD �. C' —. /re l / r e - 017 Ilk X- ; � i` C• No. / / ^ `!/ Fee`✓��, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS _+e��Y RpPlication for Migozal *p6tem Congtruction permit Application for a Permit to Construct( )Repair(K)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Y 7 G SAold Jaw Owner's Name,Address and Tel.No e? y Assessor's Map/Parcel rI'/� fj�)W� Installer's Name,Address, /mo ddress, d Tel No/� f f,7&/ t�' Designer's Name,Address and Tel.No. ` d S/Z ®s,re;K,.{%(1P 6�j1¢ 3 3 ed stir 4/f4 s S. ,V Type of Building: n _ Dwelling No.of Bedrooms G Lot Size f- 9 3 0 sq.ft. Garbage Grinder( ) O Other Type of Building &A No.of Person Showers(2) Cafeteria( ) Other Fixtures Design Flow Z O gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date 7. Title Size of Septic Tank S C, Type of S.A.S. 4 R G C Description of Soil DESIGNING ENGINEER MUST sun-RVISE INSTALIATION AND CERTIFY IN V VKH IN Nature of Repairs or Alterations(Answer when applicable) _ _ . ..."W AE Ic;TAl1ED IN STRICT A�GORoANCETA P6AM 1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 e Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee is b of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. 9 C1_2�l sl Date Issued IF�' •' �y#�-:e `":K :�41js✓✓ - - v ?."'+a` p t: "Jp '_�:. � f .. . „y,. - .4..,., ,f.. . `� Fee . T 'THE COMMONWEALTH OF MASSACHUSETTS Entered computer: ` PUBLIC HE�4LTH DIVISION'-''TOWN OF BARNSTABLES MASSACHUSETTS 0(pp[tcatton for Ztopoza � p.gten� �ongtructton ern�tt - Application for a Permit to Construct,(-s)Repair(x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. /V C C r y S / j a _ f)yf Owner s..Name,Address and Tel.No. (, 41 - y Assessor's Map/Parcel el 2 .7 0 IIn7stta_ller/'s Name,�A)ddress, duel.No./� C�2 y Designer's Name,Address and Tel.No. kf /' w�y/ �� 7 Y � - a . ��� r/�©4 � :S t�s-" a S-�P%Y/���'f ,.��. �3,T,'J POD" �4/•�! .S T� C. ��/"�-i O G ,/ Type of Building; _ p a Dwelling No.of Bedrooms 2.a -`" a` Lot Size �� 0sq.f ," ,.Garbage Grinder f ©iher- Type of Building ip P dAiu No of Perso t ; Showers(c�) -Cafeteria,( ) Other Fixtures -- t. Design Flow gallons per day. Calculated daily flow gallons. Plan`Date 777a P /q ­'"Num er o f s eets `_ """ Revision Date `. 2 7 q Title _ . Size of Septic Tank S-0 0 Type of S.A.S. r c / Q Description of Soil . e Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned'agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system r in accordance with the provisions of Title 5 e Environmental Code and not to place the system in operation,until a Certifi- cate of Compliance has bee is b of Signed �" `�.._""__ Date g ._ _ 0 Application Approved by �''-`"Date.;_ _...—f �- Application Disapproved for the following reasons Permit No.. 9 g _— Date Issued———————— , 7v — THE COMMONWEALTH OF MASSACHUSETTS —� BARNSTABLE, MASSACHUSETTS �z� Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by 4 tr * !q s" at ' as been constructed in accordance with the provisions of Title 5 and,he fot'Disposal System Construction Permit, o. . -S�lf dated, Installer L ti': -<< " Designer PO 1,i,C ,t_. a �.D�n -The issuance o this ermit sh of0-co trued as a guarantee that the sy rfl function as desi- ed Date �' " �'"' Inspecto f 0. 99— 1510 --------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'mtgposW *pgtem Conotruction permit Permission is hereby granted to Construct( )Repair( Upgrade(4-f Abandon( ) System located at �/ ��-✓ F ____, __and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or sped4conditions. Provided: Construction must be completed within three years,of the date of this2olnit. Date: ' Approved 73 c ` \/28ev j(7�� 1 1 { - 2 72 �FF q- 28.5 * ' %v w 31.2 �,. \ j, 29. a r;a'ti.{,.. i }?� y.. 1 �1.�..—�;. ,• ,t ; its\ i � � 28.6 16.7 �, 1 Ve 7.4 ;„ -- \ 27.8 r 8 15.3cl Fri `•: - 15.2� _ � t I 5'I l�16.6 85 !F AVER 3. 3 4 \/26.2 31.0 - 29.2 \/29.4 PAVED PARKIN %\ _4 f��14� ' 28.6`,v Wig, ,� �y �. ', � � '` e .� , `'1 .. •`' ! I � v i\ �. �.� .3 r TOP [IF MOUND EL-5`c,s S TA NDA RD NO TES TOP OF TI 1) THIS PLAN LS FOR THE INSTALLATION OR REPAIR OF A SEPTIC SYSTEM AND IS NOT INTENDED FOR SURVEYING OR ZONING FOUNDATION _ EL 10 1 .S '� MIN 2• LAYER DOUBLE WASHED j a � F;:��ent Required TOP EL ve•- I/r sTor� PURPOSES. ` 2) ALL INSTALLATION PROCEDURES AND mATERIAIS SHALL CONFORM TO 310 CMR 15.000 THE STATE ENVIRONMENTAL CODE( ` GROUND SURFACE EL _ 0 U -7 -�D-Bmc 9 .0 " TITLE 5, AND THE TOWN OF � � /�r"'*�E_ _ 5UBSURFACE DISPOSAL REGULATIONS 6• MIN u --- /"�' • . .. EFFECTIVE 3) NO DETERbfINATION HAS BEEN MADE AS TO COMPLIANCE OF A VAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS SIDEWALL OR ZONING REIGULATIONS. LIQUID LEVEL n�7� 3/4•- I Ire• DOUBLE 4) TOWN WATER SERVICES THIS PROPERTY. -1 ! WASHED STONE DaWERr EL IV Ia• �► a $ r� _r -�;p' BOTTOM a 5) THERE ARE NO KNOWN PRIVATE WELLS ON TH1S PROPERTY OR WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. GAS DAPPLE AT OUTLET/ X - `1"1 C N F(�� INVERT EL 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE WITH ONE COVER OF THE /to. ! INVERT EL H-10 INVERT E Z SEPTIC TANK BROUGHT A?THIN 6" OF GRADE. INVERT EL �� 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY 61 STONE BASE UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH NV ULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION ESTIMATED HIGH GROUND WATER PUMPING OR REPAID 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION SYSTEM EXCEPT WHEN VENTING HAS BEEN PROVIDED. � 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE TO ENSURE STABILITY AND PREVENT SETTLING. 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' OF DRIVEWAYS OR PARKING OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. - 12) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST—IRON OR SCHEDULE 40 PVC. 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 38" UNLESS VENTING HAS BEEN PROVIDED. 14) IN THE AREAS OF EXCAVATION, EMTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS. 15) IF SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM THAT DIFFER NOTABLY FROM THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. 18) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. MAXIMUM FEASIBLE COMPLIANCES --� fl 1.) VARIANCE TO THE __10__ SETBACK BETWEEN THE EDGE OF THE LEACHING FIELD �000 i , -' DEEP OBSERVATION AND THE -EASTERLY PROPERTY LINE. A z_ SETBACK IS PROVIDED. - (TITLE 5 SECTION 15.211(1)) /�. - _ _ q$,Z HOLE LOG �S'' ------ "- e / �� ' , / i V T�`�� �'j 1 ?!�✓ -'BV�b/�J 6v, l• c1 l•b Test Hole #1 / '��IQ ,, 2� V y4►21/�fv c;E Tc� C"I 1 O(� S Y3f its— � 7.J�2�7V (EL = 99.6f 1-) !-7 o i 5&7_6 f��- t s P� v�D� , D �pp�,h p BA2ry ST LE �E , . JJ . 21 FC#d`t "✓!l( ^^ L A ' (in) ln) Ho�riDaon 1'�ure Dolor EXIS tint(=t L , /.CCU G`� ( o!v (USDA) (Munson) Pump and fill existing Bldg. (93.8) l��: cesspool (or remove N�-�-5_ 0 - 18" 98.11- A LOAMY SAND IOYR312 O 18" - 42" 96.1t B LOAMY SAND 10YR5/8 V` TOF EL = 96.3 as necesary� _7� 42" - 120" 89.6f C MED-COARSE 2.5YR6/4 �• SAND - DESIGN DA TA (97.0) Number of Bedrooms: Z (94.2) Garbage Grinder: NO -- — -- - - - - - - _ - _ Design Flow. Z Z O (110 Gal/BR/Dny z Number of HR) ' N �� Deep Obs Hole Date: DECEAfBaR 28 1898 15 r j L L �, Septic Tank. ! 5 co D Soil Evaluator. RICHARD LEARNED �0 M/� k (Minimum Design Flow z 200X Witnessed By: GERRY DUNNING Prop. 1, 500 Gal _ _ _ _ _ _ _ _ _ _ _ (9'0)_ G%,✓t,Q Prop. D—Box Leaching area: ' perc Rate: < 2 YIN/IN 0 48" - 60" O S— Ta n.k - - - p 98.2 Soil Survey Drlal:- Lion CARVER ( , 1 SidewalL• Geologic liateriaL• OUTIIASH (4 Sidevall■ z = Tom) + Depth to Standing Water: 9.0' m = aa.at l` -_ Depth to peeping hater. NA (98.8) ` ) / (4 Endvalls z i�t z > ) Depth to Mottling(Color): NA, � USGS Observation w u YIT 29 %ne 9 S (94.4) \ � ...-���S " - .. (98.9) Bottom: b _ "C" r J Comments: ' Z ! /O p,i Z �j J y�. Date of Last Measurement: Deoem6er 98 1�. 1 r Long Term Acceptance Rate (LTAR): 0. 74 (94.5) Q01"c� •mot cry G , ' ' . /'9 �rccur lo'� 1 _ v Proposed Leaching Fa cell ty Leaching Area Design Capacity. 222 fio C L. G u M M 15(p 98.8) 1, \ r! J I N Leaching Field (Sidewall Area + Bottom Area) z LTAR TEAM EL ! _ 100 00 �! L 5' ! In Y e)e y B0, ! I �• F oG out - 99 PROJECT LOCATION 47 (3 e (99.8) Q �-Itit��A I A -BLDG #4 7 - ASSESSORS MAP Z `� LOT 560 ,2 Bed est Loc ' 5 _ - - - - - - - - _ _ TOF EL = 101. 5 o �' � c.': � It I APPLICANT- IYLL l , /v� r , 0 `IA I qD Keu dlr►c IL 'Sf rfc,�" A P� I` 9 tr 11 � ON( flit 0Z � �7i ti (99. ) , lr Exist , — O ,� �/1 '^J 5T v PREPARED BY.• 50,Y Off Ji'etland Water _ ! A & M Land Ser�lces n ' Line 33 Old Main Street See Exca va tlon Notes South Yarmouth, MA 02664 (97 8) 1(100 2) �; (508) 398-2121 Fax 394-9642 EXCAVATION NOTES 1 (99.9) N 1) EXCAVATE ALL MATTIBUZ ABOVE SOff, HORD;ON C (SEE DEEP 0WMVAnVN HOLE LOG) AT APPROXIMATE AWVATJON b ,1 1R7R A LATERAL DE Affar OF 5• .I81 �y > i� v SCALE � � /0 � DATE.• (IIAM paWALLr) W ALL 0B?&'7y0M BEMND = OUM PRRI11011M OF THE RETAINING HALL 2) FILL J AMUL SHALL CVJWZT OF CLBAN GRANULAR SAME FRBE FROM ORGAMC _ MAT= AND OTHER DEI.E"=VS SUS9TANCAU nWff AMW IRE TEMNAL (100.4) f �' F t " c � p over- VA,2I gAlr e CRITERIA PUT MRrH IN SNOWN 15.255(3) OF 7TTZE 5 REV. / 3) SCCARIFY IRE BO"VM SURFACE OF TM MrAVATMN PRIOR M PLACMaNT' ! L0 m lots 10 LOCHS MAP `f 2� jy OF FILL BM M RETADWM 5MVV7UR& ! FPO �" � $pOfFORO M 4) PLACE FnU ONLY WMW BOMV SURFACE IS DRY. ( ar� f20363 t n / po ,�� �► ���TT'(5 � DWG. N0. v o 11 SHEET 1 OF 4"o way as a ►d� n Al S M A f 1_ 10 c^' �In ° ' 1 6 1,999 ro�HD P�WZ . y r