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Home My WebLink About0050 HIRAMAR ROAD - Health 50/522Hiramar Road - - Hyannis A = 292 - 166 , t r� I i i V TOWS.OF BARNSTABL LQCA'ii'w t M� U-LAgs '' AIV4A`o1:i S ASSESSOR'S VIAR&f.QT' 7hTSTALLER,S Nfi bM&i?HONE N€3. SEI'ZZC TANK CA3'ACTI'Y LEACI:IING�FACIL�'I`I {types) . 4��' (sue)=J �l X l�l�`f PTO 't3FBEDRoo s . Bt7I1t)ER OR fl�ndER PERAHTDAT�s. Ct)RIIPLf�i�iCl i?AT Segasauon Distance P�eru.,eri the Mani num Ad)usted Qr". dww Tile to th I ottocn'of l,eaditng Facility Feet Pnvateate Supply Weil aid I,eactung Fa ctiaty .lv anyrells BXlSi on site oewztlun 2i1i1 feet of leaetu€rg fry? feet Edge of�tzt and and Lead-t 3•4,4' ty(Ifany wetlands exist wittun 3(id feet df leaching fa" o v 00 Its orn o � , o H10 s I Town of Barnstable ,CAB Regulatory Services s63p. 1�� MAM Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 20, 2018 Jose Castillo 49 Orrs Ave Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION -- - • AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 52 Hiramar Road, Hyannis, MA, was inspected on November 20, 2018 by Timothy B. O'Connell, R.S.,, Health Inspector for the Town of Barnstable. This inspection was conducted in accordance with the 2006 Barnstable rental registration ordinance requiring yearly inspections of all rental properties. The following violations of the State Sanitary Code were observed: 105 CMR 410,500—Owner's Responsibility to Maintain Structural Elements Window in smaller bedroom has some rot on the exterior sill and does not open with ease or lock properly. 105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities - Kitchen cabinets are falling off the wall and need replacement; burners on the stove need replacement. You are directed to correct all State Sanitary Code violations listed above within thirty (30) days of your receipt of this notice. 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 s A. cKean, R.S., Director of Public Health Town of Barnstable TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date _ Time: In Out Owner Tenant Address �^�l/``—"�` Address V ` Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here 3 TOWN OF BARNSTABLE BOARD OF HEALTH ► ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date -- t< Time: In Out C ,,..- Owner � '�^�~^-�� Tenant Address !`"-� " Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities J ✓ o� . 3. Bathroom Facilities ✓ 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities t'` 7. Lighting and Electrical Facilities L/ . d t 8. Ventilation L/ 4 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits s4 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and,Disposal. ' 16. Sewage Disposal 17.Temporary Housing t 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned.Dwelling;, Removal,of:Occupants;�Demolition Number of Bedrooms' Number of Vehicles Allowed (max) v Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here lY rx Town of Barnstable BARNSTABLE ; Regulatory Services a rfp"�y Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 + December 6, 2018 Jose Castillo 49 Orrs Ave { Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION — ---AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 50 Hiramar Road, Hyannis, MA, was inspected on December 6, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town of `. Barnstable. This inspection was conducted in accordance with the 2006 Barnstable,rental registration ordinance requiring yearly inspections of all rental properties. 1` The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements Window in kitchen does not open with ease or lock properly and is in need of repair. 105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities Bathroom vanity base is rotten and needs to be replaced; toilet bowl is loose and needs to be secured to the floor; fan in bathroom not working properly and needs to be replaced; locks on both back and front doors are not working properly. You are directed to correct all State Sanitary Code violations listed above within thirty(30) days of.your receipt of this notice. 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 ' ection. PER ORDER OF TH BOARD OF HEALTH o Thomas A. McKean,R.S., CHO Director of Public Health Town of Barnstable Town of Barnstable Regulatory Services MAS& Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 1, 2017 Jose Castillo 49 Orrs Ave a Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE H—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 52 Hiramar Road, Hyannis, MA, was inspected on November 1, 2017 by Timothy B. O'Connell, R.S.,, Health Inspector for the Town of Barnstable. This inspection was conducted in accordance with the 2006 Barnstable rental registration ordinance requiring yearly inspections of all rental properties. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements Window in smaller bedroom has some rot on exterior sill and does not open with ease or lock properly. 105 CMR 410.351 —Owner's.Installation and Maintenance Responsibilities Front door is not sealing properly when closed and storm door is in need of replacement and also does not seal properly. You are directed to correct all State Sanitary Code violations listed above within thirty (30) days of your receipt of this notice. 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 co tact the Town Health Division and ask to speak with the inspector who performed the ins ection. -PER-ORDER OF T BOARD OF HEALTH omas A.McKean, R.S., C - Director of Public Health Town of Barnstable TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner Tenant p Address Q�° I�t� Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned'Dwelling; Removal of Occupants; Demolition Number of Bedrooms 0 Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date P Time: In Out Owner ' Tenant Address 11 ( t,)� r' � I Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities I r s; 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities I -" J D 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service j �G'o� Aj44 , ` 11. Space and Use , 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing r 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition n Number of Bedrooms �`_ Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector (' a U If Public Building such as Store or Hotel/Motel specify here Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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. A. General Information 1. Inspector: - � P Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License 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 ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by th f I Approving Authority 11-17-14 Inspector's Signature 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. t5ins-3f13 Title 5 Official Insp I orm:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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: System is in good working order with no sign of failure. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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): 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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 following 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 El ® 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 '/2 day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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 ❑ _ ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts _ F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City(rown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Varies Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: I Sump pump? ❑ Yes ® No Last date of occupancy: 11-2014 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 t 3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of;17 } Commonwealth of Massachusetts w Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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: NIA 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): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts _ W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1989 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 20"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.): Good condition. Septic Tank(locate on site plan): Depth below grade: 14"feet 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: 1500 gal Sludge depth: 1211 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. 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•3/13 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 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. CityTrown 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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 N/A 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.): 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-W3 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 wM 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4-4'x4'x4'Galley's ❑ 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.): Leach galley's in good ocndition and empty at inspection with stain line at 16"off bottom of galley. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts i~ F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is H annis MA 02601 11-17-14 required for every y 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 -JA -To' G* ' lit t5ins-3/13 ;, Title 5 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 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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: 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: USGS and town maps show groundwater at greater than 16'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts _ F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 50-52 Hiramar Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Date: it y f G L I Zo c- TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: (A � S ry-r•,, r.) (r, . BUSINESS LOCATION: S0 t-i (Z Y . Sir MAILING ADDRESS: --)0 r n ram+-►- ; Mail To: TELEPHONE NUMBER: Sdit �-3 {�� 3 Board of Health Town of Barnstable CONTACT PERSON: -4,,v sa'C r- so N P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 3G4 -7 3 a' Hyannis, MA 02601 TYPEOF BUSINESS: 'Pry Iry--,'iv �.. Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: S 0 J-� ST— TELEPHONE: 5 ? _11-)_1? 1?�1 _ LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's QJ, Lacquer thinners Other chlorinated hydrocarbons, ( 'NEW USED (inc. carbon tetrachloride) 01- Paint &varnish removers, deglossers Any other products with "poison" labels OZ Paint brush cleaners (including chloroform, formaldehyde, a-t Floor& furniture strippers hydrochloric acid, other acids) 010 Metal polishes 01- Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): 0.1 Spot removers & cleaning fluids (dry cleaners) 0-� Other cleaning solvents 01- Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r'o,W.....-.,�.i--.+-_o...-..,r^tiw.,�✓LV.✓�.'"✓�"".�r-�Vv-•rrs Vim.✓—�J'�'^'a.�`^','.+'n........�.-.-;.. _ ... .iw-,i`-''--r^r-.r�.�...-:.+'�r..r:.7e_� _ �.'.....---�-..:.....�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l.{.., 1� f: a j :(�. f f}+ 11, �,.L ,. ,•_� :f. 11 ' `.-. 1r`l ?✓� CITY/TOWN D�EP/yA�RTMENT . ADDRESS Y1 / TELEPHONE Address/ r1{i r#1,�' Jl, rVA+1!:1/� p f��1��,c� 1�`"-_Z, � Occu ant _ t s- CJJ, deg Floor_T _ Apartment�No._ —`—`No. Occupants No.of Habitable Rooms_,,�__ No, Sleeping Rooms r No. dwelling or rooming units _/ No. Stories_ Name and address of owner + _ Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish: Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps, Stairs, Porches: Dual Egress: and Obst'n.: 19 113 B ❑ F ❑ M Doors, Windows: 0AIF Iry1,l't -),',fr' Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen. Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall, Stairway: m. Obst'n.: Hall, Floor, Wall, Ceiling: Hall Lighting: > Hall Windows: z HEATING Chimneys: _z Central .❑ Y ❑ N Equip. Repair z TYPE: Stacks, Flues,Vents: a PLUMBING: Supply Line: I 3 ❑ MS ❑ ST ❑ P Waste Line: m H.W.Tank(s) Safety and Vent(s) ELECTRICAL Panels,Meters, Cir.: 0 ❑ 110 ❑ 220 Fusing, Grnd.: AMP: Gen. Cond. Distrib. Box: L° Gen. Basement Wiring: DWELLING UNIT Ventil. Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room _ Bedroom (1 Bedroom (2) Bedroom (3) Bedroom (4) Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: _ Stacks Flues Vents Safeties: Kitchen Facilities /r / ? --�v�{1��;j ) Pip— Stove Bathing, Toilet Facil. Vent., Plumb. Sanit'r .: M/�(;,(,�, - �), y- �`►,��,I� k-.,� � �� Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other. j.,, r^ t r� ;� lr_^f 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." � r �� INSPECTOR l�//` ` !�."'h !l �'t '.' TITLE l r . A.M. DATE l I 1 TIME rP.M. THE NEXT SCHEDULED REINSPECTION _/ f f 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. (G). Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (H) Failure to comply with the security requirements of 105..CMR 410.480(D). (I) . Failure to comply with any provisions of 105 CMR 410.600 through 410.6.02 which results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of lead-based paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or dafety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilities as are required by 105 CMR 410.351 and 410.352 so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or •conditions: (1J-4acir of l*i-tchen 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. TOWN OF BARNSTABLE LOCATION SQ s� l�-? � ,eb SEWAGE # VILLAGE A1?-,,f(JAJ1.S ASSESSOR'S MAP & LOTool INSTALLER'S NAME & PHONE NO. ,fW7 77/ SEPTIC TANK.CAPACITY LEACHING FACILITY:(type) (size) Z" NO. OF BEDROOMS_ PRIVATE WELL PUBLIC WATER BUILDER OR OWNER �U �S'l�� ciUN LS PLUS DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ��j Id �. �' � _ � � '� '�1'� o J� M � � n l LOCATION SEWAGA TMIT NO. VILLAGE INS,TA L �g'S NAME jDDRES Alo B U f*L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � �_� 1 - �h a i THE COMMONWEALTH OF MASSACHUSETTS BOARD ,OF HEALTH . �.. ...............OF... . ............ .............. --- ...................................... ApplirFation for Dhipvii ai Workii Cfnmitrnrtiun 11amit Application is hereby made for a Permit to Construct ( ) or Repair (M an Individual Sewage Disposal System at: .............................. -- 0(0-----------•--•---------. . .. ------------- ----- ------•------------------------•------- Locatio dress or Lot Owner Address a Installer Address UType of Building Size Lot... .®�_=--..Sq. feet �. Dwelling No. of Bedrooms--- ........... ---_------------E,pansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building 00#0 ......... No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------------- --------------- - W Design Flow......................! �___............gallons per person per day. Total daily flow----------��'O...--•---------------gallons. Septic Tank—Liquid capacity,-00)..gallons Length................ Width---------------- Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........... ..... Diameter.......... . .. Depth below inlet_....J..� . 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........................ ft4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 -------•-------------------•------•-----------••-•---•----------------------•---•---......_.._...-------------------------- --••--•.... ..--•- Description of Soil.......:& -l.....:e _C.s"F4.0......... U --•----------------------•------•--•---•-•---------------------------••----------••----------•----------...-------------•----------•-------............------------------------------•---------••------.. --------------------------------------------------------------------------- . . -U Nature �Repairs t�at ��Answer n app ble. ----- r� d�S• ............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by the oa of 1 ealth. - Signed •- .................. Date Application Approved By-------------- � `• ........ Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ---------------------•----------------------------------------•--•--•-----...-----------•--•-----------•---...----------------------------------------------•----------------------------------......__. Date . .. ..Permit No........ ....—...y .3 ................. Issued_...............................................•....... Date No.% :....._ tf6, .... .s��a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----- -------- ................................................ Application for Diupuual Workii Tonutrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (,N<) an Individual Sewage Disposal System at: • ----------•-•----------• ......... _Location.-Addresses y �'/ �oorr I ttt ....................../.✓r agz�c5_�__•c:f_:f... �- 3t'9 ..--••--•----•-•---•---•--••------ -�Jt ---•-- Owner Address •--- Installer Address Type of Building Size Lot... ...Sq. feet U Dwelling" No. of Bedrooms................ Expansion Attic ( ) Garbage Grinder ( ) —Type g j_. . No. of persons............................ Showers ( ) — Cafeteria ( )Other—T e of Building ��®��.__....__ a' Other fixtures ................................ . W Design Flow................... ..............gallons per person per day. Total daily flow.......... _5..0.....................gallons. WSeptic Tank—Liquid*capacity.!_Sa0_..gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........- ..... Diameter.......... --- Depth below inlet..__.a.f: _... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 04 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........................ •---•----------------------------------------------•-------•------------.....--••----------------•--........................................................ 0 Description of Soil--------..0_:/.----4 .s4 �--------- -- ---- U ---•---•------•---•-------------•---•-•--•...._........._...----•--•----•----•---•--........--------......--•-•---•-••-•------••-••- W -----------------------------•-••---------------•••-•---•------------•--•-•-•-.....----•-•----•----•----•-•••--•---------------------•--------••---------•------•-•-•---------•-•..................0 Nature of Repairs or Alterations-Answer when applicable.___MO.04-----C'9-6-AVVL _ _/fir _ ._......,, � G '2✓.SltJ f 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 been issued by the board of I3ealth. + Signed --------••---•••- D to ApplicationApproved By---------•-... ... -•----------------------------------- -------- ..... .....-..-....1-•-- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------•-•-----•---•-•_-•--» -------------------------------------------------- •-------------------------------- --------------- ----------------------------------------------------------------------------------------------- G Date PermitNo.......4.!-......................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH r is ..............O F... ....�� ,,,•....................................... %lurrtifiratr of Tonnlilitanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired 00 by........ !� 277.--...�XJS. --------------------------------------------------------------------------------------------------- staller has been installed in accordance with the provisions of 1'? ;,y 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----______ '___YK4....... dated......_......................................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. It DATE........ ..:_ _' ................•--••__-•--_. Inspector......... -.€_D.................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ! Z �S2 .............O F.. .... ........................................ No.1J.. ..... ..... ..... FEE..Z2;. ... ....... Disposal Vorkg Tunutrnrtiun. Vamit Permission is hereby granted.-----s Al2va4W."� ....... '_��+�_?7L..--- ...................................................... to Construct ( ) or Repair ( an Individual Sewage Disposal System at No.....................•-.5 e_" `3. .......... ':/�i� /`- `�- ----------- ------ Street Qp� ,//��// as shown on the application for Disposal Works Construction Permit Nol1�'-Y_��_ Dated.......................................... .............................. ------------------------------------------•--_----•- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS C\ r p : r , 0I 0 e gr i • • -- Ir _. . .,. .:. •..Kam, _ ,.. - � .1 . ED - —, : : Irr. , FL 6.i, Sheet • Scale : As Noted No. Hastings Murphy and Assoc. 11 Lilac Circle Wellesley MA 02,482 Design Engineering - .,Planning - Inspection (781) 237-6761 � c i ' CL 1 � - + + �b 7, dky-^ C+ I ;+ x _ — MD vi C - i L1aZoeAR L 1.1'4 17 -154J��i � 9 �� r a p — TZATI — -LAI �)�FCT - = = T __ 11 Sheet P L 0 T 0 _ -- Z� - -----• T3- Scale As Noted No. E PA 12 PI 2 E 50 P L74 M A2 IZ D, Hastings Murphy and .Assoc.Assoc. 11 Lilac" Circle. Wellesley MA 02482 9 P Y _ Design - Engineering Planning - Inspection (781) 237-6761 -_ - `CA L �- �. x .c NZ Land Cape Inc Coastal Land. Design . 4. FRAME: , 229 Ro0e,.''6A P°.,O Box``17 6 7 Structural lumber; construction grade spruce, size and spacing as per plan. All sizes Orleans, MA 02653 w w w' t a n d'c a p e.c o m and dimensions to meet Mass. Building code. P h,o n e (5 0 8) 2 4 0-2114 • 2x4 exterior wall construction. 2x4 interior wall construction except for wet walls in F a X (5 o g 2:4 0'-013 4 bathroom which are 2x6. • Joist:hangers, straps, bolts, and other hardware as required; Size, type and locations Proposal submitted to: Phone: Date: as per Mass. Building code. U� A U G 1,5 1008 Wall sheathing: '/2" plywood, CDX grade. MR& R Properties LLC. 1-508-432-1820 July 25, 8 C/O Robert W. Murphy Rev. August 1 2008 • Roof sheathing: '/2"plywood, CDX grade. 11 Lilac Circle Y Roof shingles: Architectural ashphalt 30 year shingle"s (Sierra Grey 16r,.Equivdjent) Wellesley, Massa 02482-4569 • Exterior wall siding to be white cedar shingles with vinyboption. Job Name: Job Location• Building paper: 151b felt behind all joints, with Tyvek.or Typar house wrap. Repair Fire Damage 50 Hiramar Road • Ridge vent to be "Cor-A-Vent" or egivalent,as per Mass, Building code. Hyannis, Mass. Soffit vents: continuous fiber-core vent system . Architect: Map - Parcel: Job Number:. Other Phone: 5. EXTERIOR TRIM: 1 781-237 6, 61 292 166 2008-020 • Window trim: lx4 #2 PVC or equivalent unless otherwise specified. We hereby submit specifications and estimates for: • Door trim: lx4 PVC or equalent r. • Rake boards: lx6 #2_PVC or equivalent:. Proposed Fire_Damage Repair • Rake moulding: lx2 #2 PVC or equivalent For Facia board lx8 #2 PVC or equivalent. 50 Hiramar. Road • Plancher board lx8 #2 PVC or equvalent.. r;. • Frieze board: PVC or equivalent .;Size specified by plan. 1. SITEWORK: Work necessary in order to begin>construction. • All exterior.,trim to be nailed with hot dipped galvanized nails: • Removal of all fire damaged debris inside Unit#2. • Removal.of roof shingles from entire roof. 6. EXTERIOfR DOORS: • Removal;of all existing vinyl and wood siding. • Removal of interior carpets. 4• (2) SteehTherma Tru or equivalent doors double bored for deadbolts. Prep building to be re-built. • Screens doors:are not part.of this contract. •' Staging of portable restroom. • Stagmg....f storage container: 7. WINDOWS:•t o match windows in existing unit. 2. FOUNDATION, CONCRETE, & STONE WORK: , • Interior finish to be pre-painted white. • Interior hardware to be white. Existmg':foundation and slab to remain. No work proposed for this item. 8. ELECTRICAL: 3. SEPTIC S�'STEM: • Prewire for TV, telephone,and RJ45 internet communications. • Existing septic system drain line will be utilized. No provision has been made to + Standard switches and receptacles. excavate slab in the event that drain is damaged due to fire. • Copper wire, type NM/B used on general lighting circuits and outlets. Service cable Note: The general contractor is not responsible for the septic system, its design, and is SEU aluminum wire. Outlet boxes: Union, Raco, Steel City and Slater. or its ability to handle the new building. Custom Building - Renovations - Additions - Planning & Design Custom Building - Renovations - Additions - Planning & Design Landscape Architecture - Landscape Construction Landscape Architecture - Landscape Construction • Smoke detectors: Fire-X, 120V powered, wired direct, per fire dept. code. • Installation of(2) new 100 amp electrical services. • New 200 amp overhead electrical service will be provided. New NSTAR meter will be provided. 9. PLUMBING: • Panel to be a 100 amp main breaker square D Homeline with 20 circuits for each unit.. • Waste and venting pipes to be schedule 40 PVC. • Bath ceiling exhaust fans. • Domestic water pipes: type L copper and pex pipe and fittings. • Kitchen exhaust fans. • Hookup to existing water supply. • Electric dryer plug to be installed in utility room. • Gas piping to 1st floor furnace as required. • Electric stove plug to be installed in kitchen. • (1) 50 gallon gas fired power vented hot water tank. • (2) Outside weatherproof outlets as per code for each unit on back of building only. • All permits and inspections as required by law. • Exterior outlets to be switched BATHROOM PLUMBING: • All permits and inspections as required by law. � 9.(A). • 8.(A) EXTERIOR ELECTRICAL: O 1 Standard water closet with seat. • (1) Molded sink and counter. • (2) Weather proof exterior outlets. • (1) Single lever 4" offset faucet. • (2) Exterior light boxes for front andrear door. • (1) Shower control and head. • .(1) Fiberglass tub and shower combination 8.(B) LIVING ROOM ELECTRICAL: . •. (1) Single mounted shower rod • Outlets as per code and plan:, 9.(B). KITCHEN &LAUNDRY PLUMBING 8.(C) KITCHEN ELECTRICAL`.: (1) Stainless surface!mounted sink. • (1) Widespread faucet. • Outlets as per code and plan. -. (1) Washmg machine connection • (1) Ceiling fixture • (1) Dryer vent 8. D BATH EL ( ) ECTRICAL: Notes: • (1) Sconce light"box over sink • All plumbang fixtures;,lo be provided by contractor with an allowance of$1,000.00 (1):Exhaust fan light combination. `• Fixtures n"ot supplied by CLD.will not be covered under any warranty other than r that of the manufacturer. :� • Fixtures not supplied by CLD may be subject to additional installation charges. 8.(E) BEDROOM 1-2 ELECTRICAL: 10. HEATING VENTILATION AIR CONDITIONING (HVAC): • (1)`'Switched outlet for each bedroom. • Outlets as per code and plan. • No provision has been made at this time in regards to the existing heating system or repair due to fire damage. I. Notes: 11. NATURAL GAS: • Electrical lighting fixture allowance of$500.00 is included. .• Connection of RJ45 cables,phone, and cable to public utility to be completed by • No provision has been made at this time, meter disconnect and reconnect is the outside contractors, and is not included in this contract. responsibility of the client. • Fixtures not supplied by CLD may be subject to additional installation charges. Custom Building - Renovations - Additions - Planning & Design Custom Building - Renovations - Additions - Planning & Design r Landscape "Architecture - Landscape Construction Landscape Architecture - Landscape Construction i I i 12. GUTTERS: 19. KITCHEN CABINETS AND BATHROOM VANITIES: • White continuous aluminum gutters to be installed.and directed into splash . Kitchen to be basic wood cabinets with hardware guards. • Countertops to be Formica. • Appliances are included with an allowance of$2,000.00 13. EXTERIOR DECORATING: Sherwin Williams, Benjamin Moore or equivalent paint or equivalent on trim, doors, and 20. INTERIOR TRIM AND DOORS: sash. Knots are to be sealed; Trim is to be caulked, puttied, one primer coat and two finish coats as required. • Interior doors to be 6 panel masonite hollow core doors with brass hinges. 14. INTERIOR DECORATING: • Window and door casings: 2 '/4" colonial casing. Walls to be one coat of Sherwin Williams, Benjamin Moore or equivalent paint or • lx6 speed base baseboard on first floor. equivalent, one standard color throughout house. One color painted.woodwork;(interior Attic access: (where needed as per code and plan) doors must be painted with two coats of Sherwin Williams semigloss paint or equivalent to match walls). 21. CLOSET SHELVING: • Custom designed wire closet shel 15. INSULATION:. ving, with one shelf`and.closet pole. • st 22. HARDWARE: Exterior walls 1 & attic flr R-13 Friction Fit Batts/Poly. sc • Interior locksets to be Schlage solid brass with passage and locksets. . • 1 flr. Ceiling R-30 Kraft Batts • Vent Chutes. Exterior locksets to be:Schlage solid brass • Solid brass hinges for exterior doors • Bathroom walls to be R-13 Batts . Client is responsible for master keys and extra key copies. • Vapor barrier as required on exterior walls. 23. BATH FIXTURES Notes: - r Insulation for soundproofing above and beyond items listed above will be extra. • Towel racks, toilet paper holders,soap dishes and door stops are to be supplied by 16. INTERIOR WALLS: owner and installed by contractor. • ''/2" Blueboard gypsum wallboard and or sheetrock. 24. CLEANING • Skimcoat of Portland plaster. • House to be delivered to owner in turn key condition. • Closet ceilings and walls to be textured and left natural plaster color. • Wudows`cleaned and free of all stickers and markings. • Walls to be smooth finish ceilings to be textured. • All "interior surfaces to be cleaned and dust free. • Exterior site and interior should be free from all contractor debris. 17. UNDE'RL-AYMENT: t 25. FIRE DAMAGE: • Existing concrete slab will be utilized. 18. FLOOR COVERINGS & CUSTOM TILE WORK: Note: Thep ossibility exists that damage has occurred due to the fire that is not • All living areas including bedrooms to be vinyl.. known at this time. An allowance must be made for a possible increase in price • Kitchen and bath to be vinyl. t ` due to an unknown condition. The builder will notify the client when such.a • Utility room to remain concrete. condition is found. Both.parties will then explore costs and agree to. a solution. Custom Building - Renovations Additions - Planning & Design Custom Building - Renovations - Additions Planning &. Design Landscape Architecture - Landscape Construction ' _ �. Landscape Architecture Landscape Construction - -------- ------------� X AL WE II I I i oomll lj 000 iI ; is 1 ( I , .Ili r�o❑ MT ! s. i I � i li�i il' i Ili .I I DHIM I ji ,ioil, �1 C> i - i s I 11T& b � EjJEH } i i 70 1 SUBDIVISION PLAN OF LAND IN BARNST"U Beaise & Kellogg, Civil Engineers 177861 , SHEET / May 19, 1954 15 mA t, w I , L ANo. •aZ/0 W TE�d�Na�•rm 9;•� 142� �!� SLA ANY 6Af lii�'� .... .. f :y i! s o ��Z! •- .ov , � t alop 72.g3 ..... 0 � A li e � I3 N 77' 21' w 1 I /GD•05 ��! Q 75.94 M 3 94 N77'2!'N 1 �3074 44 '7 ,� • Z . 69.77 e . IN..�- ? 9 H \\ N W ;vn'z�'w nn'2d'K� N � . 8Q 00 � � • 80.05 e f �, b o n �•58 9�s %i ,��s ys .J77 0$7'41 E r 1-4043 27 . PAW mv i \N' 49 _ 5 01 w �Ooaro ,Subdivision of: PartA �►o ' a & �dt14 a9f ` $ own on P ay ;]. .-- � � - _ - �• ��.� riled with' dat ... - v .�' AA.. :: .. ..'..... a x i r � r X-S ,}�3 ME 1 _ � •._. .v� � ...� P Y.L .. 1 jod 41 N 17786C. SHEET Z h F - • h o , 2(=9z9,/o9 Z; Yf 144,/.n S Q ' MI rl 1 z5�.13 45 T � c .c•�' N 00 71 4 ST I o c�' R, � oo ;�� o t� % �Q � ►Q '45�Zb N� 47 N xb. 5,04 J,3 N 3.pal 14 5 7�d1 d4"5.78b�' w1Z� �°� a►�v P � formerly 3 UF 3 ila Af faryFC cse Olt 3 dna a �4 ct a . tJ a ,d I I S•V 0 � - .L..� v, �e �Y\`�/,/ :�- ^I � �j 1 /Kj 8 t Co lit `p 4 5 I z ZS Ift Vv tit 7 .• �; .� .,,�(L1.Zajl vT�o� lrt �ssa8p '' 77 �9• _••:�3? � �p ��j , - � q 88 Z Z SO E Hiramar Reap, 8099 o �'�` `r�;�� .�,,`� oQ�sa►� Inc D �•' V41 �► �� 0 \ Ca tis N c0 h 1b �06 O 4 ti' Q ��- ; co n dl.g0 3ia�.:�s�y. •• 3u�E �` 17786 �,3 9` �o h�� s Oa N89'J? W «t ----- v o 3�0 � , a1•�� /4s . Ev, �A _ ��' � v of u g ^� M NEW ENGLAND •'.• Fi S 2•s 9 TEI EPMONE AND rELEGRAPM CAMPANY o FA3EMENT eZ• c 7 y. G .2 p D.OD I ✓ C` N88 Og30 t✓ t� 0 G At- ` O tp4 - I 1 ro aSB�9 4 Sflof I' - ! 14 sQ b h j= .Scale of this piitr>t 80 fmt to 4v inch