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May 16 2012 2: 18PM HP LRSERJET Fnx P, 2
Weymouth, MA 02188 Fax: (781) 337-5346
FACSIMILE COVER SHEET
DATE: May 16, 2012
'TO: Director, Asbestos & Lead Program
(617) 626-6965
Director, Childhood Lead Poisoning Prevention Program
(781) 774-6700
Board of Health, Town of Barnstable
(508) 790-6304
'FROM: Mark S. Bianco
RE: Notification of Deleading Work
23 Chase St. , Hyannis, MA
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PAGES: 3
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Please call (781) 340-0816�, if, any problems with transmission.
May 16 2012 2: 18PM HP LASERJET FAX P, 1
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CLEAN SURFACE DELEADING, INC .
Mai 16 2012 2: 18PM HP LRSERJET FAX _ _ _ _ _ p. 4
Department of Labor& Industries and Department of Public health
NOTIFICATION OF DELEADING WORK
All sections of this form must be completed in order to comply
with the notification requirements of M.G.L.Ch. 111, § 197,
454 CMR 22.00 and 105 CMR 460.000 as most recently amended
File Number: (AGENCY USE)
Contractor performing project Mark S. Bianco License ff DC 001055
Lead Paint Inspector Ero eric J.Hemmila License #2736
Date of Inspection 4118112
If low-risk deleading work is being performed, complete the following line:
Property Owner: N/A Agent:
Address of Project
Building Name (if any) Floor
Street Address 23 Chase St. Apt. No.
City Hyannis Zip 02601
Deleading Method: W ry Scraping Heat Gun tics
Liquid Encapsulant ove g Demolition Replacemen Other
If"Other" selected, please explain
Check One: Dwelling is multi-family Single family X
Start date 5125/12 Completion date 5/31/12
When will work be done: A.M. X P.M. Weekends X
Proj ect Supervisor's name Mark Bianco License# DC00105 5
Property Owner Patrick H. Joyce. Jr.
Address 32 Charing Cross Rd.
City So. Dennis State MA Zip 02660
Telephone (508)385-5636
In case of emergency contact Mark Bianco
Phone: day (617)340-0816 evening (781)340-0544
(over)
Mai 16 2012 2: 18PM HP LRSERJET FAX P. 5
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Page 2 of 2
On accordaneewith Massachusetts General Laws C.111§197,454 CMR 22.00 aad 105 CMR 460.000,notice of the date and methods)of
emoval or covering of paint,plaster or other accessible materials containing dangerou_q levels of lead is to be provided and must be received
by the following agencies,at least 10)days prior to the beginning of deleading.
NOTIFICATIONS MAY BE FAXED.
1, Department of Labor,Load Program,Division of Occupational Safety
19 Staniford Street,l"Floor,Boston,MA 02114 FAX:617-626-6965
2. Director,Childhood Lead Poisoning Prevention Program
Department of Public Health,Donovan Health Building,5 Randolph Street,Canton,MA 02021 PAX: 731 774.6700
3. Occupants of dwelling unit
4. All other occupants of the residential premises,if any
S. Local Board of Health/Code Enforcement Agency
6. Massachusetts Historical Commission (if premises are listed on the State Register of Historic
220 Morrissey Blvd. Places,this notification most be made upon receipt of an
Boston,MA 02202 Order to Correct Violations or at least 30 days prior to
FAX(617)7275128 initiating preventive deleading)
NOTIFICATIONS SHALL BE COMPLETED IN THEIRENTIRETY,DATED AND SIGNED-INCOMPLETE NOTIFICATIONS WILL NOT
BE ACCEPTED AND WILL BE RETURNED BY THE DEPARTMENT OF LABOR&WORKFORCE DEVELOPMENT.
PROPERTY OWNER(lfowneror unGoensed owner's agent will be performing low-risk deleading work,complete the following):
Property Owner Agent(s}
Address
Telephone Number ��-
I certify that I have compiled with the training requirements of the Commonwealth of Massachusetts Lead Poisoning Prevention and Control Regulations, 105
CMR 460.175,forownerlagent low-risk abatement and containment. I further certify that 1 or my agent will be performing the following low-risk activities
(I have circled all that apply):
applying liquid encepsulant capping baseboards removing doors,cabinet doors,shatters
applying exterior vinyl siding covering surfaces
I certify that all a into on contained in this notification is true and correct to the best of my knowledge and be lief.
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Date z 12, Signed�!��--�� �"
Revised 1212007
12/29/2011 23:47 17744137476 S_B: PAGE 02/02
Excavation
14 Teaberry lane
Forestdale, NIA 026"
(508) 477-0653
(774) 413-7476 Fax
December 29, 2011
Town of Barnstable
Board of Health
200 Main Street
Hyannis, MA 02601
Re, 23 Chase Street
.Hyannis, MA
To Whom It May Concern;
This is to verify that we attempted to locate the original septic system from the
provided asbuilt drawings. All areas within a 30' circumference of original septic
design were probed and we were unable to locate any of the components.
Therefore, we assume that they were removed at the time of connecting the
house to town sewer.
Respectfully Submitted,
Ricky L. Wright
Mass DEP License# S14595
B & B Excavation, Inc.
Town of Barnstable
Regulatory Services
SAJMS A'OL . « Thomas F. Geiler,Director
Mkt.
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
June 15, 2009
Attn: Hyannis Fire
On June 11, 2009 Health Inspector Donna Z. Miorandi, R.S. conducted a housing
complaint investigation. The State Department of Public Health has not promulgated
regulations for CO detectors into 105 CMR 410.000 the State Housing Code to date. It is
the policy of the Town of Barnstable Health Division to take similar actions for CO
detector violations as is currently required for smoke detector violations (under 105 CMR
410.482), which is to notify the Fire Department if there is a violation, or possible
violation observed.
The following property had possible CO detector violations:
23 Chase Street,Hyannis,Assessors Map-Parcel: (308-190):
-No CO detectors present at all throughout the house.
0 �
Donna Z. Mioran i .S., Heal li Inspector
QAOrder letterMousing violations\Rental ordinanceUire Violations\CO TEMPLATE.doc