Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0229 BUCKWOOD DRIVE - Health
229 BUCKWOOD DR, HYANNIS A=271.112 - r f ki I: I 7 f n No. D �' J D Fee f THE COMMONWEALTH OF MASSACHUSETTS Entered computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppfication for Misposal 6pstem Construction 3dermit Application for a Permit to Construct( ) Repair ] Upgrade( ) Abandon( ) ❑Complete System R Individual Components Location Address or Lot No. ?s Cl g k"Ict=J Drum Owner's Name,Address,and Tel.No. Aa 5 1&jtW03,2 r, 14 Assessor's Map/Parcel ;2 7 J_ III 1��►r t+�b c r1r►tis Insller'$N�me,Qddres ,and el.No. Co Q - �7 S ��1� Designer's Name,Address,and Tel.No. 1n e tog3 S h� oab�� Type of Building: Dwelling No.of Bedrooms (312,�ot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �I; 7 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 Nature of Repairs or Alterations(Answer when applicable)�p�ter_. '1�l� 1�J pw�-)�� a r 6,,i L 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. G� Signed Date Application Approved by Date Ix Application Disapproved by Date for the following reasons Permit No.--AQJ Date Issued f I' No. /�n Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye-6 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppYication for -Misposal 6pstem Construction 30ermit Application for a Permit to Construct( ) Repair�() Upgrade( ) Abandon( ) ❑Complete System Qx Individual Components Location Address or Lot No. c� N j(,, _zj c 1 v Owner's Name,Address,and Tel.No. A_q Gt Assessor's Map/Parcel Installer's Name,Address,and Tel.No. ���cb _ ��S -3Sc,3 Designer's Name,Address,and Tel.No. '' Type of Building: Dwelling No.of Bedrooms Ar,)Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria k, ) i Other Fixtures Design Flow(min.required) _ �� gpd Design flow provided 2� 'jrJ laid, Plan Date Number of sheets Revision Date Title Size of Septic Tank I Type of S.A.S. Description of Soil r Nature off Repairs or Alterations(Answer when applicable) -0 , �, J 1 ,1 - 'lmax'per,;�� n� _ V ' Date last inspected: Agreement: ro The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 4 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' L this Board of Health. Signed Date Z Application Approved by 1 Date (. - Application Disapproved by Date for the following reasons Permit No. '� I - ( Date Issued 0 o ��,` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by at �� G� 2,--, 16� 4 ,, � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer I- , , \,� (-) ,s}"-,)-, Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as desiigied: Date 1 Pr-� { _ Inspector No. 1 Fee I d,THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permlt Permission is hereby,granted to Construct( ) Repair(y) Upgrade( ) Abandon( ) System located at 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 permit.. Date - ( Approved by / ► C jC_ • F sHe r°�y Town of Barnstable Barnstable Regulatory Services Department ` 4 e'cac ft 1.. BARNSTABLE, MASS. a Public Health Division -e�q. ��� Ajf° 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3524 7380 October 30, 2012 Zhi Wen Wu & Kam Ling Kuet 203 West Main Street Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 • The septic system located at 229 Buckwood Drive, Hyannis, MA was last inspected on 9/24/2012,by Kevin Cochran, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Outlet tee missing. Needs to be replaced . You are ordered to repair/replace the above listed septic system components within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health • Q:\SEPTIC\conditionally passed\Temp late.doc r Parcel Detail http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=20501 Logged In As: Parcel e l.a i I Tuesday, October 30 2012 Parcel Lookup Parcel Info Parcel ID 271-112 I Developer LOT 17 Location 229 BUCKWOOD DRIVE I Pri Frontage 100 Sec Sec Road ROUTE 28 I Frontage 91 Village HYANNIS I Fire District HYANNIS Town sewer exists at this address No I Road Index 0193 Asbuilt Septic Scan: Interactive 271112 1 Map( l _ Owner Info Owner WU, ZHI WEN & KUET, KAM LING I Co-Owner Streets 203 WEST MAIN ST I Street2 City HYANNIS I State MA Zip 02601 Country - Land Info Acres 0.25 Use Single Fam MDL-01 I Zoning RC-1 Nghbd 0105 Topography Road Utilities I Location Construction Info Building 1 of 1 Year 1970 I Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Living 942 I Roof Asph/F Gis/Cmp ) AC Central Area Cover - Type -- 2$ Style Ranch I Int Wall Drywall I Rooms Be 3 Bedrooms I 1;4 Int Bath Model Residential I Floor Carpet I Rooms 2 Full I BAs Oki 36 Grade Average Minus Heat_I Type Hot Air I Rooms Total 6 Rooms Stories 1 Story I Heat Gas I Found- Poured Conc. Fuel ation 25 Gross 1884 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20501 10/30/2012 ��J '� ����hJ I � � D i t �. < . . �� .. �::. .� , r' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 1 09/24/12 . page. City/Town state Zip Code Date of Inspection 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. Important:When A. General Information filling out forms I on the computer, use only the tab 1. Inspector: key to move your cursor-do not Kevin Cochran use the return key. Name of Inspector Aardvark Environmental Inspections Company Name PO Box 896 4 41® Company.Address -- East Dennis MA 02641 City/Town State Zip Code 508-385-7608 S113523 Telephone Number License Number B. Certification Cli liar , VfJ I certify'that I have personally inspected the sewage disposal system at this address and that the cs� informtion reported below is true,accurate and complete as of the time of the inspection.The inspection c!a wasp rformed based on my training and experience in the proper function.and maintenance of on site sewag disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of A3 Qom.,,,, Title 5(110 CMR 15.000).The system: U— C) cs ❑ Passes ® Conditionally Passes ❑ Fails N © c ❑ eeds Further Evaluation b the Local Approving Authority 10/17/12 Inspecto s Si ure Date The system inspector shall submit a copy of this inspection report to the 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. (I' t5ins•11/10 Title 5Offcial I on Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I 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. 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): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is Hyannis MA 02 09/24/12 required for every y page. Cityrrown state Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cost.): ❑ 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): ❑ 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): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): Outlet tee needs to be replaced. 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 is 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 t5ins•11;10 Tte 5Offic"ai{nspecton Fouw Subsurface Sewage Disposal Syaleln-Page 3 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) 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: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the Mlowing for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® 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 V day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form s, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis - MA 02 09/24/12 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® 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 is less 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 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 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 fails.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 15,000 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 ❑ ❑ 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 ❑ El the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town state Zip Code Date of Inspection 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 normal flows in the previous two week period? ❑ ® 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 all system components,excluding the SAS,located on site? ® ❑ 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 information on the proper maintenance of subsurface sewage disposal systems? 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 issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. CityrFown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 08/12 Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town state Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 06/23/04 per BOH 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 System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes,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 ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Mine•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed(if known)and source of information: 09/25/98 per BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.0 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): 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): 1.2 Depth below grade: et feeet Material of 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: 1,000 gal 8" Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 r Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town state Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle N/A Scum thickness 2" Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A How were dimensions determined? measured Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The tank was sound and fight. Outlet tee was missing.Stain line at outlet invert. 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 ❑ 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form K Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Blackwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert even 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.): The box was level and tight with no sign of carryover. 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: t5ins-11/10 Title 5 Official,Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town state Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4 ❑ leaching galleries number: ❑ leaching trenches number,length: ❑ leaching fields number,dimensions: ❑ 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.): This system has 4 infiltrators in a 10 by 30 stone field.There was no sign of ponding or failure in the stones. 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 t51ns•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. Cityrrown state Zip Code Date of Inspection D. System Information (Cont.) 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. City/Town state Zip Code Date of Inspection D. System Information (cont.) 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 water supply enters the building.Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t ti o �7 �o I(A I t5ins-11/10 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's(dame information is required for every Hyannis MA 02 09/24/12 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: - 20.0 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) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators,installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Y 9 USGS maps show an elevation of over 20 feet. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins-11/10 TiOe 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �. 229 Buckwood Dr Property Address Kam Ling Kuet Owner Owner's Name information is required for every Hyannis MA 02 09/24/12 page. Cityfrown state Zip Code Date of 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 high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 COMPLETE • COMPLETE ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received y(Punted Name) C. Date of ry ■ Attach this card to the back of the mailpiece, I or on the front if space permits: f D. Is delivery address different from item 1? . 1. Article Addressed to: If YES,enter delivery address below:, No _ Kam Ling Kuet Y 11 Blue Water Drive Centerville, MA 026:32 s. Service Type i PW4rtified Mail ❑Express Mail J ❑Registered P:Zetum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4, Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number !� 7j,0 01 2 8 2 0 j 0 0 0 3;%3 8d],'4 2 8 i {' (Transfer from service label) 7 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 .. �,Y..b�g' ��,.��:� UNITED STATE;OdS7AL E&ICE �, N� e,[r�►t Flo.;G'=pd �A., . • Sender: Please print your name, address, and ZIP+4 in this boxAMR • Town of?amstabht Health Division \ , 200 Main Street Hyarmis,MA 02601 Certified Mail#7009 2820 0003 3168 1428 Town of Barnstable 'It 13ARNIMABLE, � i Regulatory Services "AS& A Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 8, 2010 Kam Ling Kuet 11 Blue Water Drive Centerville, MA 02632 FINAL NOTICE NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 229 Buckwood Drive Hyannis, was inspected on March 8, 2010 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. palm The following violations of the State Sanitary Code were observed: , '410.450 Means of Egress: Observed a room within the basement being used as a p bedroom without second means of egress. (i.e. window). It was also observed that a v �� 10 second room/bedroom on the South Western (SW) side of the basement does not have a proper sized window for second egress. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by removing all beds from the basement and ceasing and desisting from using either room as sleeping quarters. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by installing a egress window in accordance with 780CMR 3603.10.4.1 of Mass. State Building Code within bedroom on (SW) side of basement. All construction must be accompanied by building permit issued by the Barnstable Building Division. If you choose to install an egress window within the (SW) " basement bedroom,then this will be considered your 3rd bedroom. This is all you ' are permitted under permit# 1998-607 which is a three (3) bedroom septic permit. QAOrder letters\Housing violations\Rental ordina6ce\229 Biickwood Drive II.doc r , You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE OARD OF HEALTH Director of Public Health Town of Barnstable Q:\Order letters\Housing violations\Rental ordinance\229 Buckwood Drive II.doc TOWN OF BARNSTABLE BOARD OF HEALTH ("f ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date "` O �/ Time: In �Out l l Owner i Tenant Address t Address Um Compliance Remarks or Regulation# Yes p Recommendations 2. Kitchen Facilities n 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities Ll 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal a( � 3 P) 17.Temporary Housing ov �06 18. Driveway Width 19. Number of Tenants Observed (5Q— PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed ax) Number of Persons Allowed (max)1 Person(s) Interviewed Inspector _E::9 U — If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH - Q ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION J Date ZS V Time: In &) Out7—nr4� ( � Owner Tenant Address 1A Address o2 Compliance' J Remarks or Regulation# Yes 1,,A0 Recommendations 2. Kitchen Faciliti s LX / 3. Bathroom Facilities V E 4. Water Supply Ll 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation a1 d Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural' ' ,� / - Elements .. ? 1 / .O 14. Insects and Rodentsv 15. Garbage and Ru_bbish Storage and Disposal r � 10 16. Sewage Disposal 17.Temporary HousIng OL r �� 18. Driveway Width r Z n 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed max) Number of Persons Allowed (max)_ Person(s) Interviewed Inspector J V If Public Building such as Store or Hotel/Motel specify here ' I DATE: March 10, 2010 TO: Building File FROM: Robin Anderson, ZEO RE: 229 Buckwood Drive,Hyannis Met with property owner, Zhi Wen Wu and Tim (BOH). • Discussed basement apartment. • An exit order is on file issued by Paul Roma in 2006. • As of 2010 unit has primitive food prep area per Health Inspection. • Directed owner to obtain plumbing and building permits to restore to single- family use. o Plumbing permit to remove kitchen sink, cap lines off behind a finished wall o A building permit to open bedroom doorway to a 5' cased opening and create additional 5' opening in the common wall . • Provided owner with permit application to restore to SF. • Tim sketched floor plan for her to correspond to existing and proposed. • Discussion ensued regarding egress window: • Although Tim informed her that she could have an additional bedroom because she has a 2 bedroom home on a 3 bedroom septic I nixed the idea as she is a violator(documented back to at least 2002). • No egress window required because she is unable to rent space although owner has a history of utilizing space for habitation as a separate rental anyway. • Installing an egress window would cost more and encourage rental use; o Rooms without privacy are not bedrooms; o Therefore no egress is required under Title 5 • I directed the owner to eliminate all privacy in the basement rooms and remove the kitchen in order to discourage the continued use as a rental or sleeping area. • I advised her to rent the house as a single family home to a single family without subletting by any party in the basement. • Clearly, this owner was well educated about the illegal and unsafe use of this basement area. • Because this owner refused to cooperate before and is not eligible for any relief as she does not actually reside here, 1 am compelled to require strict compliance. �' ffI i 1`` 1 j J` � �, '` t ��, �� �f i t r \ � ��\ � . � ��,,� � � � � � I I � • . •MPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si natures Item 4 if Restricted`Delivery is desired. X /'7 Agent ■ Print your name and'aiddress on the reverse Addressee so that we can return the card to you. B. Received by(Print e) C. Date of Deliv ■ Attach this card to the back of the mailpiece, L or on the front if space permits. D. Is delivery address different from Item 17 LU Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No R i WA---, —,-.�-)s\U'C C,.e n� c t.,i 1, /�h Oz la 8 Z 3. Service Type MCertifled Mail ❑Express Mail ❑Registered MLReturn Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number =7 0 G6 0 810 0 0 0 0 i 3 5`2 4' 0 7 0 I .(Transfer from service Ia6eQ S: i:i ( PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATEC>I�L 96Q��,,*� Ci'42.5 • Sender. Please print your name, address,and ZIP+4 in this box • '} L° Town of Barnstable C1 f Health Division 200 Main Street �� Hyannis,MA 02601 .�r,cl I11►,�E,bbflilfbm»,�J.:��,rid„�r�,..,,bIM)itr;r,t :�: , 4 Certified Mail#7006 0810 0000 3524 9070 P�0.*1HE Towti Town of Barnstable Regulatory Services 9II` SS MASS. Thomas F. Geiler, Director ATf°MAb' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 27, 2007 Kam Ling Kuet 11 Blue Water Drive Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II— MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 229 Buckwood Drive Hyannis, was inspected on March 27, 2007 by Meredith Morgan,Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities. Downstairs bathroom missing light switch faceplate. 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Missing tile in downstairs bathroom shower. 105 CMR 410.300 & 310.15—Title V. Four bedrooms observed when septic capacity (permit#98-602) allows for only three bedrooms. Fourth bedroom does not have required means of egress (i.e. window). QAOrder letters\Housing violations\Rental ordinance\229 Buckwood Drive.doc I You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by providing light switch cover in downstairs bathroom; repairing and replacing milling tile in downstairs bathroom; by removing bedroom without window my removing bed and opening room entrance to a minimum of five feet wide. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF T BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Damian Moniz, Tenant Cc: Meredith Morgan, Health Inspector QAOrder letters\Housing violations\Rental ordinance\229 Buckwood Drive.doc FORM 30 � �� HOBBS&WARREN n THE COMMONWEALTH OF MASSACHUSETTS BO OF EA TH jGITY/TOWN a DEPARTMENT ADDRESS \_7//�J/�([y��"J/� SVBy ,,,JJ)) TELEPHONE �� Address B b - - _N1J���ccup� 4)cvmw� l��LE I Floor Apartment No. _-U`Jo. of Occu t p �Y u�� No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units N..Sto i s Name and address of owner _ _ __L _ w Dr- Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: i ❑ B ❑ F ❑ M Doors,Windows: yo Roof Gutters, Drains: /`> Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: - Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows.- HEATING Chimneys: 14� Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 t Bedroom 4 Hot Water Facil: Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink _ Stove_. Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub.- Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS IN PELT P RT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTI ER Y ' INSPECTOR TITLE A.M DATE TIME /' P•M• A.M. THE NEXT SCHEDULED REINSPECTION P.M. ;. ..,. ,,.'.`7TF'*i. ... ��+•-,^- rt-s .i ',.b."t6,•rt-.=...,.,;.;...er -xt;.Lw+ _ _. _ y _ _ 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 heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. 8 C9 0 beat�cbrns �\ Parcel Detail Page 1 of 3 � Brie �1.�,-.�:.r��,�„�• Al ASS. t r —4��i'f"�d..+o Logged In As: Parcel Detail Tuesday, Man Parcel Lookup Parcel Info Parcel ID 271 112 _ I Developer jLOT 17 - _- - ------ --__------ -- of Location 229 BUCKWOOD DRIVE I Pri Frontage{100 Sec Road ROUTE 28 Sec 191 Frontage --- village HYANNIS - I Fire District!HYANNIS Sewer Acct I Road Index.0 193 Interactive Ma - Owner Info owner;WU ZHI WEN & KUET, KAM LING �I Co-owner Streets 203 WEST MAIN ST j Street2 - City HYANNIS State,MA Zip,02601 Country US - Land Info Acres i0.25 Use(Single Fam MDL-01 JI Zoning IRC1 — Nghbd;0105 Topography ----- ------ -- - - - iil Road - -- -- - ---Utilities Location _ ^• --�_- __.-- _ _-~l-� Location - Construction Info Building 1 of 1 Year' Roof Ext, 1970 I Gable/Hip Wood Shingle Built - Struct - - - Wall '. - -- Effect " - _. Roof a P AC f 1102 I As Is/Cm Type lC h/F G entral Area -__ Cover ---p _ Style Ranch - -- I Wall Int I Drywall Bed `3 Bedrooms -� -- j Ro om s --- ----- Int Bath Model Residential Floor ^- Ron 2 Full _ Grade Average Minus I Heat Type Hot Air -_ Rooms;6 Rooms _ - ---__ http://issql/intranet/propdata/ParcelDetail.aspx?ID=20501 3/27/2007 Parcel Detail Page 2 of 3 120! 14" Heat d- `§AS1 Stories Foun i es 1 Story Gas !Poured Conc. aMT 3 -- - Fuel - --- ation Permit History - Issue Date Purpose Permit# Amount Insp Date Comments Visit History Date Who Purpose 6/5/2002 12:00:00 AM Paul Talbot Meas/Listed 9/15/1989 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale P 1 12/30/1999 WU, ZHI WEN & KUET, KAM LING C156112 2 12/10/1998 ARGIROS, SHIRLEY C151192 3 2/15/1985 LADD, ANNE C100062 4 BAKER, GARY H C75061 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $106,200 $23,200 $0 $130,000 2 2006 $97,000 $23,200 $0 $128,700 3 2005 $93,000 $20,400 $0 $116,400 4 2004 $75,400 $20,400 $0 $116,400 5 2003 $62,700 $2,500 $0 $35,100 6 2002 $62,700 $2,500 $0 $35,100 7 2001 $62,700 $2,500 $0 $35,100 8 2000 $50,800 $2,300 $0 $22,600 9 1999 $50,800 $2,300 $0 $22,600 10 1998 $50,800 $2,300 $0 $22,600 11 1997 $39,900 $0 $0 $22,600 12 1996 $39,900 $0 $0 $22,600 13 1995 $39,900 $0 $0 $22,600 14 1994 $40,800 $0 $0 $25,400 http://issql/intranet/propdata/PareelDetail.aspx?ID=20501 3/27/2007 Parcel Detail Page 3 of 3 15 1993, $40,800 $0 $0 $25,400 16 1992 $46,400 $0 $0 $28,200 17 1991 $59,800 $0 $0 $43,900 18 1990 $59,800 $0 $0 $43,900 19 1989 $57,000 $0 $0 $43,900 20 1988 $40,700 $0 $0 $18,200 21 1987 $40,700 $0 $0 $18,200 22 1979 $40,700 $0 $0 $18,200 Photos r a http://issql/intranet/propdata/ParcelDetail.aspx?ID=20501 3/27/2007 TOWN OF BARNSTABLE LOCATION ZZ 944 U1041D SEWAGE# �� VILLAGE ASSESSOR'S MAP& LOT Z INSTALLER'S NAME&PHONE NO: 771-,P3,1 SEPTIC TANK CAPACITY �i�ag (ram LEACHING FACILITY: (type 1 Lo (size) 10 i44o'xZ NO.OF BEDROOMS BUILDER O O� %1 ? PERMIT DATE: COMPLIANCE DATE: 9 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility rf' Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) 00 Feet Edge of Wetland and Leaching Facility(If any wetlands exist / within 300 feet of leaching facility) �/14 Feet Furnished by s . .�e f J V� �1 v `1 r' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for �Digpogar 6potem Con.5truction Permit Application for a Permit to Construct( )Repair( ✓)Upgrade( )Abandon( ) O Complete System LlSIn hvidual Components Location Address or Lot No. Owner's Name,Adds ►�d Tel.No. Assessor's Map/Parcel �ya'r/�%✓�' ,/ /�$f�l�T�T G¢/��®/��/9 ` Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1010�I` O_40 j//4! 0057`• y7/-17-3� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(-4� Other Type of Building /C 51x& e_e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow A0 gallons per day. Calculated daily flow � gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /DO4 &X Type of S.A.S. �if'f�//2��''s Description of Soil ' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue y this B and 4 Health. — Signed Date Application Approved by Date Application Disapproved for the foll w' g reasons Permit No. ` Date Issued TOWN OF BARNSTABLE LOCATION 1 Z'? Oct woyzy e�f, SEWAGE # VI LLAGE &70V/ /9 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. kllloze 77��-3 SEPTIC TANK CAPACITY 6, C l LEACHING FACILITY: (type)1 <<J� (size) old ' NO.OF BEDROOMS 3 BUILDER 0 0 6 a PERMTTDATE: /Z�<�� 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 d� Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) 9 rk Feet Furnished by /O ?g s♦� ?7 b .��b rib �� R d1 1s b VQ J � -X, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes �w application for loigpooar 6potem 'Con!6truction Permit s Application for a Permit to Construct( )Repair( ✓)Upgrade( )Abandon( ) O Complete System L�Individual Components) Location Address or Lot No.Z 9 ,�9uC,��j�o Q �j', Owner's Name,Add r s d Tel.No. Assessor's Map/Parcel Installer's Name, ddress,and Tel.No. 7 Designer's Name,Address and Tel.No. D�faLo�/C'4r15� - "77 93�'9 Type of Building: Dwelling No.of Bedrooms 3 Lot.Sizze sq.ft. Garbage Grinder(_4_11P Other Type of Building '«`No`of Persons Showers( ) Cafeteria( ) Other Fixtures , { Design Flow /Ve> gallons per day. Calculated daily flow �� gallons. Plan Date NumbYer of-sheets +,VA Revision Date r, > e t Title t Size of Septic Tank /®©4r.� i Type of S.A.S. Description of Soil P Nature of Repairs or Alterations(Answer when applicable) Date last inspected: -.Agreement: k, The undersigned agrees to ensure the construction and maintenance of the,afore described on,1si1e sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not toplace the system in operation until a Certifi- cate of Compliance has been issue y this and He It :----- Signed AC Date Application Approved by v Date r Application Disapproved for the fol w' g reasons Permit No. Date Issued - ————————————r------------- ———— ----------- THE COMMONWEALTH OF MASSACHUSETTS Z 7 BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIFY,that the On-site ewage Disposal System Constructed( )Repaired(---)Upgraded( ) Abandoned( )by �or�'`O ,� �l�S)`• at asVdated constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Installer Designer The issuance of this permit sh�l catbe construed as a guarantee that the sy wtll�ia ed. /- n Date Z S _ Inspecto THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=i5po5al *pgtemXonOtruction Permit Permission is hereby granted to Cons ct( )Repair( )Upgrade( )Abandon( ) System located at ;t-7— and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. e Provided:Constru do must be M. �ed within three years of the date of this H Date: �� Approved by /4 l 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 911,1hy , concerning the property located at meets all of the following criteria: ✓ There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system %✓ There is no increase in flow and/or change in use proposed ✓ There are no variances requested or needed: E/ If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will=be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. Please complete the following: / 9 A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder.art .e. C� Q I 1 6 Lg ��uu�ww0 p e? d L vv t LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS 0 UIIDER OR OWNER YUE�j p 9Y DATE PERMIT ISSUED DATE COMPLIANCE ISSUED dt 4' j 1 a I e ... Fps. ......+............... p:t t THE COMMONWEALTH OF MASSACHUSETTS BOARD® g HEALT' ------- - .......------...OF......... ! / ....................... Applira#ion for Uhipoiia1 i9orkii Tomitrn.rtion Famit Application is hereby made for a Permit to Construct ( ) or Repair (P�an Individual Sewage Disposal System at �? . . 0, ------------------------- --------------••---••-•-..........--_......--...----------.......--•-------------................ Location or Lot No. ........./. ...!.. .-.• . :-... ........... ---•...............0.............. Ow er Address Installer Address d Type of Building] Size Lot............................Sq. feet aDwelling c—�No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. t4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth....._...._..... W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............._......sq. ft. x Seepage Pit No..................... Diameter------------.------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - /--- ----- - --- - -------r Description of Soil ----------- ------•-•------•••----•-••---••-------•••-------•---••-•---••--•------•------•---••-•--•••--•••--•--•---------•-•- x V ..............................................--••-------•-----•••-•••--------••••..............•--•--•-•-----------•--•---•-...........••--------••--....----- •--••••••••-•-••-••-••••-••-••......... U Nature of Repairs or Alterations—Answer when applicable.-___ '_____ .._ __._.......�� ����...�_.......... ••-- --•-----------•-----•----•----••-•----•••--•------••-•-•••--•---••-••-•-•-•-•.................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued b hoar health. G Sign ......... /�%% ....__... .......... •• . • Date Application Approved By.......................... '---•----------•--"Date.............. Application Disapproved for the following reasons-----------------------------•--------------------------•----------------------.•...--••••--••--•-•-••.....------ ............................•----•---.........•••-----••--•---•---•-•••-••----••--------........_._...._.I......•-•...-••--••----••-•----•••-----••----•---•••••...•••••-------•••.•-••-•---•--•••-•-•--- Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ------..., ..........o F..... `.• ! ,?C'v�, _ :... =........................ Appliratil in for Disposal Works Tonstrurtinn ramit h Application is hereby made for a Permit to Construct ( ) or Repair. (Ply an Individual Sewage Disposal System at: Location-Address or Lot No. •-•-•• '; Owner Address ad ..f . ................ ... �''i? ---..�:'-......I.. ....--------------....-----........------. -----..........................----------------------- Installer -; Address d Type of Buildings Size Lot............................Sq. feet Dwelling d" No. of Bedrooms._....:_....................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .. - .............................................. -•-•-•-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity----_.......gallons Length................ Width................ Diameter__._____-___-._- Depth................ x Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter..............._.... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by.................................. :;`. Date Test Pit No. 1................minutesper.inch Depth of Test Pit.................... Depth to ground water_____________-__-__--__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O �i % ,P ................................................................................. Description of Soil "_ ! ' :..-- -•------ --••-----------------•----•----------- x W ------•------------------- yy VNature of Repairs or Alterations—Answer when applicable._-,, L-___ ��............ ----------------------------•-----•-------••----•-•---------------•----------------................------....-•--------------------------------------------------------------------.....------•--------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further a rees not to place the system in operation until a Certificate of Compliance has bbe b,n issued th board health Sign/ed-=-u '' % Y..._ �f Date ApplicationApproved By.......................... ---•----••-•-----------------•-----------------------•-•••--•- . Date Application Disapproved for the following reasons:.............................................................................................................. .......................-.................................................................................----------------------•------------•----•-•---------------------------------•-----•-------•---- Date PermitNo......................................................... 'Issued-------•---------------------------•---••-•----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I ........O -x' F.......: 1 ::. ...................... &riifirtt#r of Tamph anrr THISJIS T CT,"F� That the�ndua e� _Disposal System constructed ( ) or Repaired by ... x •--- .... ..)47.0z- .. Installer .... has been installed in accordance with the p visions of TIT IEr of he S ate Sanitary Code as described in the application for Disposal Works Construction Permit No................f_..____........... dated-.---------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION, SATISFACTTR�Y. �1_ s� CJ DATE--•---....--•--------•-•-•--.... .............................. ._..... "'In d InSpector..._. .............................................................. THE COMMONWEALTH OF MASSACHUSETTS r BOARD QF HEALTH xu Disp agat f nrkgT gt r Uan rrmi# �.-.- ,.t Permission is hereby granted-- >•�-.._._ '�rP! �'�.Pe!�!' ---------. --•---. ''��%"..................•-•-•_ to'•Construct) or` � (�j, an In�ividuaY Sewage Disposal System at No.---- �;pair sG!.of,/✓_,/��--!---•-le"C Street as shclwn-on the application for Disposal Wonstruction Permit No..................... Dated.......................................... F Board of Health FORM ,`1255 A. M. SULKIN, INC., BOSTON