HomeMy WebLinkAbout0005 LYNXHOLM COURT - Health K
5 Lynxholm Court
Hyannis
A= 327— 184 SEWER
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates[cost$40.00 for 4 years], A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law. q
L _ DATE: �.� JA q v'\ Fill in please:
' t"sa APPLICANT'S YOUR NAME TvS vvJ o W S
tr BUSINESS . YOUR HOME ADDRESS: L )MIX Ian L vr.• c'k 61t R tJ r�r —(7 2 0
TELEPHONE # Ho Tele hone
#• ", E-MAIL'. IIJ� ��c71�/ �►J'� N l�L t�'`�A\l.. �L0
NAME OF CORPORATION:NAME OF,NEW BUSINESS /k 14bclv\-C.Oxlj IM W TYPE OF BUSINESS ' W�
IS THIS A HOME OCCUPATION. YES NO 6 b 0
ADDRESS OF BUSINESS. L��o1L e:K 1 wyvi ll MAP/PARCEL NUMBER K7 `1
S4 [Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist'you in.obtainin_g the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth
Rd. Is Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
MUST COMPLY WITH HOME OCCUPATION
1. BUILDING COMMISSIONE0 OFFICE RULES AND REGULATIONS. FAILURE TO
This individual has been of an t u' Brits that pertain to this type of bus' _ess. COMPLY MAY FIE-4pLT IN FINES.
uthorized SignWtpar
COM ENTS:
La
2. BOARD OF HEALTH
This individual has bee mad of-the permit requirements that pertain to this type of business.
MUST COMPLY WITH ALL
u rize ignatur ;HAZARDOUS MATERIALS REGULATIONS
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
r/�� o/ � `� �--
TOWN OF BARNSTABLE Date 1
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: -)��lti�0V� �wS �° � o� (� ��
BUSINESS LOCATION: INVENTORY
MAILING ADDRESS: ^LO j(1 ROLL-- C.* U4,K61 PII � TOTAL AMOUNT-
S �
TELEPHONE NUMBER: o�
CONTACT PERSON: 0
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? a,
TYPE OF BUSINESS: �1���`�(► ' 1,
INFORMATION / RECOMMENDATIONS: Fire District:
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
4 Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
� Gasoline, Jet fuel,Aviation gas
Photochemicals(Fixers)
Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease,
Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways &garages Wood preservatives(creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform,formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS PPlicant's Signature Staff's Initials
a ..
�oFTHE ro Town of Barnstable
Regulatory Services
• ■"NSTnsc.e,
MASS. Thomas F. Geiler,Director
�A 1639' A
lfo 3� Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
LEAD DETERMINATION REPORT FORM
Date of Determination: January 3,2008
Inspector: Timothy B. O'Connell
License#: D3796
Method Used: X Sodium Sulfide Expiration date: 1-6-08
X-Ray Fluorescence Model:
_ Serial#`. 090607
Property Address: 5 Lynxholm Court
Hyannis,MA 02610
Description of Property:
X Single family.
Multi-family #units
Garage
Fence
Other structures
Age of Property: 1956 Pre-1978
Post-1978
Occupant: Amanda Brehaut
Occupants under six year of age:
Hailey Brehaut DOB: 5-31-05
Aubrey Brehaut DOB: 2-2-07
DOB:
Occupant's Telephone: (508) 534-9237
Property Owner(s): James L Little
Owner's Address: 60 Olander Drive
Hyannis,MA 02601
.Owner's Telephone:
Lead Hazards found? Yes No X
An X-ray fluorescence reading greater than 1.0 mg/cm2 or a gray or black reaction to sodium
sulfide indicates a dangerous level of lead and constitutes a positive determination.
Deleading should not be undertaken based on this report. A licensed lead inspector must
do a full inspection in order for you to qualify for a Compliance Letter. Deleading of lead
painted surfaces must be performed by an appropriately authorized person, including a
licensed deleading contractor, a licensed lead-safe renovator, and an owner/agent who is
trained to perform specific work as required under the Lead Law. Contact the Childhood
Lead Poisoning Prevention Program for additional information regarding deleading and
training.
BOH Determ Form
Revised 1-05
Page.1 of 2
LOCATION SOURCE Pb
1. Child's bedroom Window parting bead/exterior sill area NEG
2. Child's bedroom Window sill NEG
3. Living room Window parting bead/exterior sill area NEG
4. Kitchen Window parting bead/exterior sill area NEG
5. Interior Bedroom baseboard NEG
6. Exterior Flaking paint Front of home NEG
7. Exterior NEG
Flaking aint back of home
8. Exterior Flaking paint LEFT SIDE of home NEG
9. Exterior Flaking paint right side of home NEG
10. Exterior Outside corner of baseboard NEG
11. Kitchen Cabinet door NEG
12. Bathroom Window sill NEG
13. Exterior Threshold NEG
14. Interior hallway(common area) BASEBOARD NEG
15. Interior hallway (common area) NEAR BEDROOMS 4FT OF FLOOR NEG
16. Interior hallway(common area) Door casing IN KITCHEN NEG
17. Exterior Window to bathroom NEG
18. Exterior Window to kitchen NEG
19. Porch Balusters
20. Porch Support columns(<6" diameter or square)
21. Porch Staircase stringer
22. Exterior Bulkhead
23. Garage/Outbuilding Door casing or jamb
24. Interior Closet door or baseboard(uncapped) NEG
25. Interior Cabinet door, shelf, or wall in bedroom NEG
BOH Determ Form
Revised 1-05
Page 2 of 2
i
Town-of Barnstable
E'er Regulatory Services
Thomas F. Geiler,.Director,
i BANINQ BU.1:*
"A % Public Health Division
Aran Ma+" Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
REQUEST FOR DETERMINATION OF LEAD HAZARDS
AND ENFORCEMENT OF THE LEAD LAW
Date: Q 3 20 ®�
I, re y I , request the Department
print name of occupant
of Public Health to inspect my residence or dwelling unit for lead paint. t
The address of this residence or unit: '
Street And Apartment Number
O;L GO I , Massachusetts.
City or Towns Zip code
The telephone number to reach me there is: 5 3 N — 11 3 Z'
Phone Number
The child (ren)under the age of six (6)years who reside(s) in this household is/are:
Name
Was the residence built before 1978? Yes No
I understand that the lead determination requested may include all rooms of the dwelling unit or
residential premises, common areas,porches and accessible exterior areas, as well as other buildings
within the property lines. I further understand that if there is a child under six (6) years of age in
residence, and the determination hereby requested identifies lead hazards in violation of Massachusetts
1
General LavE s, chapter 111, section 197, and Regulations for Lead Poisoning Prevention and Control, 105
Code of Massachusetts Regulations 460.110 and .750, such violations must be either deleaded for full
compliance, or the unit must be brought under interim control, at the property owner's expense. The
property owner must correct all violations, whether for full compliance or interim control, within 120
days of the receipt of an Order to Correct Violations. The property owner must also submit within 60 days
of the receipt of such an Order, a copy of a signed contract with a licensed deleader, if one will be
necessary for the required work. If the owner or his/her agent is going to perform owner/agent deleading
work, the owner must also submit a special form within 60 days. If the owner fails to comply with the
Order to Correct Violations, the Health Department shall initiate judicial proceedings against the owner to
enforce the Order.
The Massachusetts Department of Public Health's Childhood Lead Poisoning Prevention Program
conducts random audits of inspections conducted by private inspectors and risk assessments conducted by
private risk assessors following lead determinations. Such monitoring is performed to assure the quality of
services being provided to the public. By requesting this determination, you agree to allow CLPPP access
to your residential premises or dwelling unit after the initial determination and prior to your returning
once any deleading, whether for full compliance or interim control, is completed. Not all private
inspections or private risk assessments will be audited, so you may not hear from CLPPP requesting
access for these additional visits.
p
Signature of Occupant
2
Certified Mail#7006.0810 0000 3525 3305
Town of Barnstable
y�Q awe
Regulatory Services
BARN LE "
Thomas F. Geiler, Director
Public- Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
December 28, 2007
James L Little
60 Olander Drive
Hyannis,MA.02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II -.MINIMUM STANDARS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170 .
The property owned by,you located at 5 Lynxholm Court,Hyannis was inspected on
December 28, 2007 by Timothy B. O'Connell, Health Inspector for the Town of
Barnstable because of a complaint.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements:
Observed broken windows within basement. Observed leaking bulkhead which is
leading to chronic dampness throughout basement. Observed two windows on main floor
of home which are not weather tight. One (1) in main living room area and second (2)
within kitchen area:
105 CMR 410.351 —Owner's Installation and Maintenance.Responsibilities.
Observed shower/tub with numerous cracks and evidence it is leaking into basement.
This is also leading to chronic dampness within basement area. Observed open wiring
throughout basement.
The following violations of the Town of Barnstable Code were observed:
§170-10 of the Town of Barnstable Code: Maintenance of Smoke Detectors and
Carbon Monoxide Alarms. No CO detectors within home.
4170-4 of the Town of Barnstable Code: Certificate of Registration. Home is not
registered with Barnstable Health Department.
Q:\Order letterMousing viol ations\Rental ordinance\5 lynxholm.doc
You are directed to correct the violations listed above within twenty-four (24)
hours of your receipt of this notice by installing CO'detectors on every habitable
floor within ten feet of bedrooms. You are ordered to correct the violations listed
above within thirty (30) days of your receipt of this notice by pulling any required
building permits (if applicable); by repairing or replacing window in kitchen and
window in living room so that they are weather tight; by fixing windows within
basement; by fixing or replacing tub/shower so that it does not leak into-basement;
by making necessary repairs to bulkhead so it is weather tight and does not leak
into basement; by addressing open wiring issues throughout basement to assure that
they are up to electrical code standards and by registering home with the town of
Barnstable Rental Registration program.
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 above violations, please contact the Town
Health Division and ask to speak with inspector who performed the inspection.
PER ORDE, HE BOARD OF HEALTH
A. M ean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Timothy O'Connell
Q:\Order letters\Housing violations\Rental ordinance\5 Iynxholm.doc
FORM30 H&W HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS
BOAR OF HE TH
CITY/TOWN
W c
DkOAAfMENT
ADDRESS
�G,M SVBy`0W
TELEPHONE
Address _ ` Occupant
Floor Apar ment No. No.of Occupants__
No.of Habitable Rooms_ No.Sleeping Rooms__
No.dwelling or rooming units ____,._No.Stories
Name and address of owner L
2 Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress: and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls.-
Foundation:
Chimney:
BASEMENT Gen.Sanitation: -Dampness: f H(v 55 )
Stairs:
Lighting: I a3S
STRUCTURE INT. Hall,Stairway: 6`S
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows: 6�
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS. ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect..-
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb., n.:
Wash Basin, hA)o(Tub) D f
Infestation Rats, Mice, Ro es or er: ,
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."
INSPECTOR TITLE
DATE t TIME P.M
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of 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 violations) 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 quant ty, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
N Failure to provide a smoke detector required b 105 CMR 410.482.
O P q Y
(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:ailing 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 t-ie Board of Health.