HomeMy WebLinkAbout0025 MAIN STREET (HYANNIS) - Health (2) j.
25 4Maln Street (Cardiovascul r S e i tk
,.
Hyannis
; � A ,;342 P 03,�1 ' '
Date:
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: -v" V � �a vo sc�l
f BUSINESS LOCATION:
MAILINGADDRESS: Mail To:
TELEPHONE NUMBER: .Sew S ? Z Board of Health
Town of Barnstable
CONTACT PERSON: P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601
TYPEOFBUSINESS:
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:
TELEPHONE:
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
Antif reeze(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
Lacquer thinners Other chlorinated hydrocarbons,
NEW USED (inc. carbon tetrachloride)
Paint & varnish removers, deglossers Any other products with "poison" labels
Paint brush cleaners (including chloroform, formaldehyde,
Floor &furniture strippers hydrochloric acid, other acids)
Metal polishes
Laundry soil & stain removers Other products not listed which you feel
(including bleach) may be toxic or hazardous (please list):
Spot removers & cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
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�yoftMETp�I The Town of Barnstable -
i DAmsTAm i Department of Health, Safety and Environmental Services
MA80.
D 1639.
9. Public Health Division
367 Main Street,Hyannis,MA 02601
Office 508-790-6265 Thomas A.McKean
FAX 508-775-3344 Director of Public Health
June 28, 1996
I
Mr. Dennis Carey
17 High School Road
Hyannis, MA 02601
FINDING THAT THE DWELLING UNIT LOCATED AT 21 EAST MAIN
STREET HYANNIS, UNIT# 2, IS UNFIT FOR HUMAN HABITATION
The property owned by you located at 21 East Main Street, Unit 2 was inspected on June
27,1996 at 3:05 p.m. by Thomas McKean RS, CHO, Director of Public Health for the
Town of Barnstable, because of a complaint. The following violations of the Nuisance
Control Regulation Number One Regulation and the Sanitary Code H were
observed:
410.190: No hot water provided. Water temperature was only 64 degrees fahrenheit
when the hot water faucet valve was turned on.
410.351A: Stove was inoperable. None of the burners lit on the stove.
410.550: Several dead ants observed on the floor of the kitchen adjacent to the
stove. The tenants stated there were many live ants crawling on them
during the night.
410.252: Uncovered wiring observed in the bathroom adjacent to the light switch.
410.500: Holes observed in the floor adjacent to the door frame located between the
kitchen and livingroom.
410.551: No screens provided in the kitchen windows.
410.500: Approximately one inch air gap all along the floor in the livingroom along
the south and west walls.
410.500: Approximately a quarter inch air gap where thae paneling is not securely
attached to the livingroom wall at the west wall.
410.551: Two bedroom windows were not provided with screens.
410.252: Uncovered wiring in the closet adjacent to the livingroom.
410.400A: Only 509 square feet of total habitable area provided in this dwelling unit
for five (5) occupants. Only four tenants can occupy this unit based on this
square footage.
410.552: No screens provided at both the front and rear doors.
410.551: Windows did not open in the bedroom and livingroom.
410.500: The gutters were rotted and disconnected to the vertical drain pipe located
over the front entrance.
410.480: The rear door did not lock. The lock catch mechanism was broken.
410.481 & Article 51:
The owner's name, address, and telephone number was not posted adjacent
to the main entrance.
You are directed to correct the violation 401.190 within 24 hours of receipt of this
notice by providing hot water to bathroom and kitchen sufficient in quality,
pressure, and temperature to meet the ordinary needs of the occupants.
You are directed to correct the violations of 410.351A and 410.550 within five (5)
days of receipt of this order letter by providing an operational stove and by
exterminating any live ants in the dwelling.
You may request a hearing if written petition requesting same is received by the Board of
Health within seven(7) days after the date order is received. However, this violation must
be corrected regardless of any request for a hearing.
Please be advised that failure to comply with an order could result in a fine of not more
than $500. Each separate day's failure to comply with an order shall constitute a separate
violation.
You are also subject to non criminal citations of$40.00 for the first violation and $15.00
for each additional violation. Tickets will be issued daily until the violations are corrected.
PER ORDER OF THE BOARD OF HEALTH
�Omais6A'. McKean
Director of Public Health
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NOTIU TO-AM—TEMOLATIONS OF 105 ` 0`._0".
De I INIMU §IMRDS ES BTTATION
AN HE TOW BARN E RENTAL ORDINANCE ARTICLE 51
The'property owned by you located atwas-inspected on 27
J � W4 b s iiylc( a�.'y Health Agent for the Town of Barnstable because of a
complaint. The following violations of the Town'of Barnstable'Rental Ordinance
Article 51 and the Sanitary Code I1 were observed:
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6QIPPG llc'8VFFAL0,VCL,,r -d WORTH.
-Cape doesn't need Lyon for spokesman
It certainly wasn't surprising He threatened to defame the
Columns about to read about Jeffrey A. Lyon, company in his monthly column
landlord, in his treatment of the and demanded a response: I can
Lyon were biased Irish students, having had my only assume that he was trying to
own unpleasant encounter with jeopardize my job-standing as
During the past several days I him a couple of years ago. It was retribution for criticizing him
have become aware of the con- then I realized that Mr. Lyon, and his publication.
troversy involving Jeffrey Lyon publisher of the Cape & Islands After being assured that my
and the Irish students. I am not Business Digest, had appointed letter was not a corporate state-
presently on Cape and therefore himself spokesman for all Cape ment, Mr. Lyon chose to attack
do not have all the details. How- businesses — but beware if you the organization'anyway. In his
ever, I would like to make an ob- disagree with him. next monthly column, he spent
servation or two. In 1994,after reading a column considerable energy discussing
While Mark Sullivan's co- in which he compared the Cape me and my employer. He re-
lumns on the subject were brim- Cod Commission to a Commu- ferred to my request as a "hate
ming with all the components nist organization, 1 wrote him a letter" and printed remarks I
that make a compelling human- personal request to remove my never made. He compared hirn-
interes,tstory, Mr. Sullivan's bias name from his mailing list. I self to Thomas Jefferson and cast
in favor of the Irish students was frankly stated the poor quality of accusations that my company,
obvious. Whether or not Mr. ,his publication and his extremist and others like it, was against
Lyon could have handled the sit- stance on abolishing the com- small local businesses. To back
uation differently, the fact re- mission as reasons for terminat- his claim, he cited our failure to
mains that there are two sides to ing my subscription.Appropriate buy goods from exactly one
every issue, and Mr. Sullivan for making such a request, 1 list- Cape-based business,one that he
chose to ignore any side other ed my name and address of my happened to own. All this be-
than the apparent plight of the employer where I had been re- , cause of a request to remove my
Irish students. i ceiving Business Digest. name from his mailing list?
It seems to me that this contro- Mr. Lyon was evidently so put Mr. Lyon claims to be a
ver•sy has escalated into high dra- out of joint that he promptly "strong voice" for Cape busi-
ma with all eyes on one prize:vil- faxed the president of my com- ness, but this most recent epi-
lify Mr. Lyon. I arrr always pany — a 30-year-old organiza- sode reveals once again what
suspicious of single-minded tion that has employed hundreds kind of person he really is. Cape
emotional protestations. One of- of Cape residents. He asserted Cod does not need a spokesman
ten finds an agenda attached. that my letter, sent on plain pa- with the ethics and temperof Jef-
HOLLI MOORE per,reflected an"official"stance freyA.Lyon.
Richmond,Va. of the company even though PETER ZENTZ
there was no indication of such. Mashpee
Ms. Moore's parents live in
Centerville. Summer housing an island problem too
' Higher taxes OK
Congratulations to Mark Sulli- stand the anger and frustration
for open space van for a short but insightful of your local inspection person-
piece addressing the housing sit- nel. This is not an isolated inci-
I applaud the efforts-of. Rep. uation faced by many members dent. Housing situations as de-
Eric Turkington to create a land of the transient seasonal scribed in Mr. Sullivan's article
bank for Cape Cod`and personal- -Workforce. of June 23 are, I'm sure, preva-
ly endorse the concept. It is unfortunate that the rental lent Cape-wide and are certainly
There is demonstrable need housing market is populated an issue on Nantucket, with its
for funds to acquire land for pub- with people who believe that inflated property values and ab-
lic use and to assist in low-cost they are above regulatory au- sentee landlords. Perhaps your
housing, and this need will be- thority and possess outrageous paper would consider this issue
come even more evident and ur- egos which are assuaged only by and its ramifications worth pur-
gent when the Cape Cod Com- crude threats and satisfied only suing as a front page topic in the
mission completes the capacity with monies corning in and not near future.
studies 'now'underway. We can going out for repairs. RICHARD RAY
reasonably predict that these stu- As the director of a neighbor- Health Inspector
dies show that without more land ing health department, I under- Town of Nantucket
being taken off the market, the
build-outs permissible under lo- Teague wrong on federal employment
cal zoning will not only radically
change the character of the Cape Representative Edward Tea- voted for any legislative pay-
but will subject taxpayers to al- gue III (CCT June 18) has pro- raise. True, but misleading. He
most overwhelmincr rnctc to viriari nnntkn, ,,.,..... l- -C ..
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You are directed to correct the violation of_ �/��, /70 within,24 hours of receipt of this
notice by pr' �,O,F �`e' — -- - b-; Le :A,.
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You Are also directed to correct`the remaining above listed violations within seven d F'
(7) days of receipt of this notice. ``
You may request a hearing if written:petition requesting same is received by the Board of
Health within seven (7) days after the date order is received. However, these violations
must be corrected regardless of any request for.a hearing.
Please be advised that failure to comply with an order could result in a fine of not more
than $500. Each separate day's failure to comply with an order shall constitute a separate,. `
violation.
You are also subject to non criminal citations of$40.00 or the first violation and $15.00
for each additional violation. Tickets will be issued daily until the violations are corrected.
Enclosed are citation numbers '' p: due to violations
observed on
PER ORDER OF THE BOARD OF HEALTH
pp ,
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Thomas A. McKean
Director of Public Health
Town of Barnstable :
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Health Complaints
28-Jun-96
Time: 2:10:00 PM Date: 6/27/96 Complaint Number: 254
Referred To: THOMAS MCKEAN Taken By: CHRISTINA KUCHINSKI
Complaint Type: CHAPTER II HOUSING
Article X Detail:
Business Name:
Number: 21 Street: E. Main St- Unit 2
Village: HYANNIS Assessors Map-Parcel:
Complaint Descripticn: Landlord won't turn gas on so there is no hot
water and no way to use the stove. Infestation
of ants and other housing code violations
including five people in a one bedroom house.
Actions Taken/Results: Tm arrived at the site at 3:05 PM. TM
conducted a full interior inspection of the unit#2
and the exterior. TM observed 16 violations
including no hot water, inoperational stove, and
several ants. Also, there were five tenants living
there according to Seren Deeb, only three
names appear on the lease. TM also verbally
notified Ralph Crossen, Building Commissioner
on June 27, 1996 at approximately 2:30 pm.
TM prepared and mailed an order letter to
Dennis Carey, landlord, on June 28,1996.
Investigation Date: 6/27/96 Investigation Time: 3:05:00 PM
1
• FORM30 Hosss&WARREN,INC.NOV.1979.1983 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITYITOWN
a W �
a DEPAR ENT
Wti e° ADDRE 8 9c� CU
TELEPHONE 11
Address �� f Via l Occupant Sa rc-n C I b Q �q .
Floor 1 Apartment No: "� No.of Occupants f'
No.of Habitable Rooms_No.Sleeping Rooms 2 \A�
No.dwelling or rooming units No.Stories (�s � vA'�
Name and address of owner _ V�2n�i� C�a�td f 7 �ti SC 400( 2`t y ' � �D• 7T
Remarks Reg. Vlo.
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: —No ( ,� Ffear 10 o 5 a.
Roof 1n i^ I /0
Gutters, Drains: atL_f -a, rn-toA) I ;cam
Walls: I:e 6VU M n wa
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness: L.;,,,; IRO
Stairs: Be �M 13,8 xr�-g ' 1 1Co•fo
Lighting:
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting: '
Hall Windows: ,
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks,Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.: nC k91 i rig to u ,,, -11cc . 252
❑ 110 ❑ 220 —Fusing,Grnd.: +-ro f ; ;,, r(osef
AMP: Gen.Cond.'Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen r ;4. �r� d w+ Ik,eer 1, ;� ,� om i0 50�
Bathroom
Pant in i'; h;-11�W 551
Den On , C. `r n ]em o naz r 1
LivingRoom o 5 r
Bedroom 1 .+n C ' 'r ,i r "I a �l t�� ore a 10 5 ov
Bedroom 2 i,9- 1 ,,,rql( it�„
Bedroom 3 1 0�o are o I- r13v - ri n 10 55f
Bedroom 4
Not Water Faell. Su .Ten.,Gas,Oil, Elect.: �, W ate r v 1 -1 e r 411a r 4
Stacks, Flues,Vents,Safeties: pn1 r) - I
Kitchen Facilities Sink
Stove ino ff 35) A
Bathing,Toilet Faell. Vent.,Plumb.,Sanit n.:
Wash Basin Shower or Tub:
Infestation Rats Mice Roaches or Other: .SeVeja 'tz1 cab s,,o on 47- r^ • S90
Egress Dual and Obst'n: a --b .5
General - Building Posted nj,4yjs Aat,e Q�jgcm Q " W%P n.W r-,Mf qi 81
Locks on Doors: Re,-,r d1004 ,1 Ps n(4-1 Inc L r) t/g0
ONE OR,MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH 'Five
54c,�;A Pw fersoAs MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
hove (c ep Iiv,t OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE TenanA S
hey s;'Nce- AUTHORIZED INSPECTOR.(See Over)
nk, 1 0/ 1 q9(o "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES
OF PERJURY." (( (�j II
INSPECTOR �►'� ^��-�' �a TITLE 11�)i rQ CC�r 7� PUW., k A MOV1 San
DATE 2 (o : 05
TIME 35 2) C--,rr-e-tt gc;dygv�n
THE NEXT SCHEDULED REINSPECTION a y Hours 19PW lei' O� �rcAc�s P.M.
-- ;;�,rl 7 c olfS rocs' Pf op 01 er —
6
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
opcupants 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 C*1R 410.201 or improper
venting or use of a space heater or water heater as prohibited by 105 CMR
410.200(B) and 410.202.
(C) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common area required
by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(GI Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 41D.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, rubbish, filth or other causes
of sickness which may provide a food source or harborage for rodents, insects
or other pests or otherwise contribute to accidents or to the creation or
spread of disease.
(J) The presence of lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(K) Roof, foundation, or other structural defects that may expose the
occupant or anyone else to fire, burns, shock, accident or other dangers or
impairment to health or dafety.
(L) Failure to install electrical, plumbing, heating and gas-burning
facilities in accordance with accepted plumbing, heating, gas-fitting and
electrical wiring standards or failure to maintain such facilities as
are required by 105 CMR 410.351 and 410.352 so as to expose the occupant
or anyone else to fire, burns, shock, accident or other danger or impairment
to health or safety.
(M) Any of the following conditions which remain uncorrected for a period
of five or more days following the notice to or knowledge of the owner
of said condition or conditions:
(1) lack of a kitchen sink of sufficient size and capacity for
washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which
renders them inoperable.
(3) any defect in the electrical, plumbing, or heating system which makes
such system or any part thereof in violation of generally accepted
plumbing heating,, gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
( ) 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.
FORW30 H66as&WARREN,INC.NOV.1979-1993 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� . n (C) `
CITY/TOWN
a _ DEPARTMENT
wN , yy ADDRE$jS
TELEPHONE
Address a 5 may^ Sf-ree- - Occupant �ren .I )�7Pk Q 1 ell .
Floor I Apartment No: -�L No.of Occupants nr c`
No.of Habitable Rooms No.Sleeping Rooms �04 I+Rs
No.dwelling or rooming units ! No.Stories I i v. "� v"
Name and address of owner"' !'':�CZn/1'i� Camkt f-1 t-f4c,ti Sc4-k)d( e, !
J Remarks Reg. Vlo.
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: —No
Roof 4r) 4- on n _}-�rJ �, I,✓,.,r m.�nn
Gutters, Drains �;�-��r, .� r�ro rnA40 -sA J,ci c e• `�I o
Walls: W£f AA Jle% , wa
Foundation:
Chimney:
BASEMENT Gen.Sanitation: 1pi����►► uq,� -_ I ?,5
Dampness:
Stairs: # .� „ice 3,�3 xr� }`7(r,•h
Lighting: ^I f)Cl Oro), ,d�
STRUCTURE INT. Hall,Stairway:
Obst'n.: +
Hall,Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safetv and Vent s
ELECTRICAL Panels, Meters,Cir.:; o 4%+r, I
❑ 110 ❑ 220 Fusing,Grnd.: + 25-2
AMP: Gen.Cond. Distrib. Box: a i - Q ,w sue•
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen Co :M Q n r ,A �0 I a C1 a • k,wr n i ✓ �C�r�c�.1
Bathroom ^ e_ '.\" �
Pant l G C: ,n -o , in -!i-1( -A
Don O ,F in 04 air r. av,, a '(nno> gaff Okemd
Living Room -,`- J3,AA ?nr f r nn n ! ; ,nC1 IAA t
Bedroom 1 A-*�,Arl> wL,tc
nGnC��c
Bedroom 2 )1 rl 1�rW • .1`1 A' 4, ,nc -",.dG!( 114 l/,A`
Bedroom 3 T'aA ( �'„� taw__ are , f- Ar")v siU Klil6A
Bedroom 4 r -
')Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: 4,rt1- TSx
1 Stacks,Flues,Vents,Safeties: 4f t�1= I 9
Kitchen Facilities Sink I -�
Stove vja�6 inapete\,\r,r G 'r
Bathing,Toilet Facil. Vent., Plumb.,Sanifn.: U J
Wash Basin,Shower or Tub:
Infestation Rats, Mice Roaches or Other: . v e-j,�( darw rrn a. �r�,,��1 do ;�,�r
Egress Dual and Obst'n: z)I~ K.
General Building Posted QcidMn^ . _(I I (NIA^ t� A-Wbor- no! �� N
Locks on Doors:
ONE OR MORE OF.THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH Names of Five(;7)
51�1cc� �✓� crso^S MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
IIVt OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
s),%cc AUTHORIZED INSPECTOR.(See Over) -�------
rw l o, I q- "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND 02 nr'
PENALTIES OF PERJURY."
)/�ol�-b'�nS • Iln�n+� IY'1C`P�'ran TITLE fAbIA. " �5c�n
INSPECTOR
f J A.M.
DATE t n t2�//�Co C�5 TIME .Z� _..s�` (�•n�> --J
A.M. /
THE NEXT SCHEDULED REINSPECTION A '{'�' (�� ��r �r P.M.
-4-6,r rc cc;Q► OF of�)e1—
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises,
shall be deemed conditions which may endanger or impair the health, or safety
and well-being of a person or persons occupying the premises. This listing
is composed of these items which are deemed to always have the potential to
endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations may not be found to fall within this category. Nor shall failure
to include affect the duty of the local health official to order repair or
correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it affect the legal obligation of the person to whom the order is
issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure
and temperature, both hot and cold, to meet the ordinary needs of the occupant
in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or
longer.
(B) Failure to provide heat as required by 105 OIR 410.201 or improper
venting or use of a space heater or water heater as prohibited by 105 CMR
410.200(B) and 410.202.
(C) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common area required
by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
.(F) Failure to provide a toilet and maintain a sewage system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(G). Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 4110.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, rubbish, filth or other causes
of sickness which may provide a food source or harborage for rodents, insects
or other pests or otherwise contribute to accidents or to the creation or
spread of disease./
(J) The presence of lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(K) Roof, foundation, or other structural defects that may expose the
occupant or anyone else to fire, burns, shock, accident of other dangers or
impairment to health or dafety.
(L) Failure to install electrical, plumbing, heating and gas-burning
facilities in accordance with accepted plumbing, heating, gas-fitting and
electrical wiring standards or failure to maintain such facilities as
are required by 105 CMR 410.351 and 410.352 so as to expose the occupant
or anyone else to fire, burns, shock, accident or other danger or impairment
to health or safety.
(M) Any of the following conditions which remain uncorrected for a period
of five or more days following- the notice to or knowledge of the owner
of said condition or conditions:
(1) lack of a kitchen sink of sufficient size and capacity for
washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which
renders them inoperable.
(3) any defect in the electrical, plumbing, or heating system which makes
such system or any part thereof in violation of generally accepted
plumbing heating,. gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
W_ failure to maintain a safe handrail or .protective railing for every
stairway, porch balcony, roof or similar place as required by
105 CMR 410.503(A) and 410.503(B).
(5) failure to eliminate rodents, cockroaches, insect infestations and
other pests as required by- 105 CMR 410.550.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition which may endanger or materially
impair the health or safety and well-being of an occupant upon the failure of
the owner to remedy said condition within the time so ordered by the board
of health.
No.... T_..... rp Fz�s... .... ....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE LT_
�. Appliration -for Ui_q weal Worko Cnl nstrurtiott Vrrnift
i, Application is hereby made for a Permit to Construct ( ) or Repair ( <an Individual Sewage Disposal
qoSyygn s a... •.. ........................•------•----•---- -•-••-•---•---••••-•-•--------------•---
Lo n-Address �� or Lot No.
...... .. --•-_. ... --------.._ _ .._ ...........................................
W O er /////(\/J///w/-_ /)� Address
a •_ -,_• •_____ - ____-•_ ____ __..stag..---.....Y__..g-i. 4.__._ /_�/.".-°'Z.� ---__-•-------------•---•---------------
� Installer Address
Q Type of Building Size Lot----------------------------Sq. feet
Dwelling o. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
per, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
PaOther fixtures ---------------------------•-•-•---•-----------------------------------------------------------------------------------------------------------------
Q
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 ( )
aPercolation Test Results Performed by--------------_--- ------------------------------------------------------ Date-----_------------------------------....
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water...----.._-_--.--.-.....
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
a' ------------------------ ---
0 Description of Soil.-------------- •-----------•---------------•------------------------------------------•-•-•------------------------------------- ------------------
x
x ----------------------- -- -----
U Nature of Repairs Iterations—Answer when applicable..______.._1__.._----._- .:..� Q aof
----- - -C/,4LO--------------------•-----------_-----------•-•------------------------------------------------•---------------•----- ---....---...
Agreement: ,
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitar Code—The undersigned further agrees not to place the system in
operation until a Certificate of Complian"-n th oa d o health.S �' � �����......
Date
Application Approved B
----------------
Date
Application Disapproved for the following reasons___________________________________________________ ___. ------ _..__._
t
......----•-••--•-••------------•---•-------------------------••-- ------•------•----•------•----..........------------------------------------------- -------- .;------•--------
Date
Permit No. Issued . { �- - ---•----•--
Date
No. I--. FEa ...
THE COMMONWEALTH OF MASSACHUSETTS
,,,�►- B®A R D F HE .. L
Applira#inn -for Diiijimial Morks. Towitrnrtinn Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( n Individual Sewage Disposal
S�yst at 4
......'�----- ----------------
Lo n-Address • or Lot No.
O e,� Address =•-'
a ... .• - --- -----,kkkfff{{{ /
p Installer Address
UType of Buildings Size Lot............................Sq. feet
Dwelling No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons--._•___-_-_______-_:------- Showers ( ) — Cafeteria ( )
d Other fixtures -----------------------------------------------
W' Design Flow_________________________.................._gallons,per person per day. Total daily flow----------------------------------------
P4 Septic
D sposal`T Trench—No capacity.-------_ gallons LengthTotal Length Width
...--..-______ Total leaching area--Depth
----------sq. ft.
Seepage Pit No____________________ Diameter-------------------- Depth below inlet.................... Total leaching area--_ _---_____.sq. it.
Z Other Distribution box ( ) Dosing tank ( ) '
Percolations Test Results Performed by--------- --------=•----•---=--••-----•--•-••----------......-------••---. Date_-----------------------------------.-..
Test Pit No. 1--------------____minutes per inch Depth of 'Pest Pit.................... Depth to ground water........................
(1 Test Pit No. 2------------------minutes per inch Depth of Test Pit____________________ Depth to ground water__._---..___. --_-_----
01 ------
DDescription of.Soil------_- 1�-� -----------=---•-•----•-------•------------------------------------------------- --- --------------_----------------------
; x
-=---------------------------------------•----------------=-----------=----------------------------------------------;----------•---•---•----•-•-••------ ---
Uw ----- ----- ------------- - ---- ---
Nature of Repairs Iterations—Answer when applicable.._.____,1�"`.-------- ...........� G7G�_______ .-_-
,
AgYeement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal.System in accordance with
the provisiolys``of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation.until a Certificate of Compliance has n issued b the a d health.
A. -_ •-•-•• -- ----- %�
Ign Date
r •APPlication Approved By------ / ' ...--..... ................ --------------------....----------------
a{ Date
Application Disapproved for the following reasons:............................. --•--------__________-------•-••-••----------•----•----------•-•-•-•-------
ate
'' - G
PermitNo......................................................... Issued.
Dat
THE COMMONWEALTH OF MASSACHUSETTS
a'
' BOARD OF HEALTH
01rdif irat e of Tantpliatta
T S IS T RT Y, the Individ Sew; Dis osal S m constructed ( ) or Repaired
by = •• --------- '- •.-- h+w•', •� !!G- -------------------------------------s --------------------
Installer Sr _
t has_been installed in cordance with the provision f Article XI of T e State. SanitaryCode
'Ps describ in the
�. appfication for Disposal Works-Construction Permit No............ ` __.___...-. dated_._.. ._.//__2.�. '_._ 'V_______
THE. ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G RANTEE THAT TIME
SYSTEM. WjLLFUNCTION SATISFACTORY.
DATE.----- ••-•-----�r� -•-------------------•-----.. .__ Inspector...^-- .tea .............
THE COMMONWEALTH OF MASSACHUSETTS
..:, BOARD F .HEAL:
��
No.------. /__ p FEE
i� >Q t Nor : urfian rrr i
Permis ion is hereby gra e ..... _G '� `�-
-•....................•-- ..............................
to Construe ( ) or Repair Indi dual Sewage p sal System
atNo. -------------------
Street
as shown on the application for Disposal Works Construction Permrt _'_.... _(�
Board of Health
DATE- .. ''1 -----------------------.............
FORM 1255 HOBBS & WARREN. I.NC::�,PUBLISHERS _
t.
-