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HomeMy WebLinkAbout0048 OAK NECK ROAD - Health . -Oak N 1 308-205 lnis LM k I +I f If I I 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. ` .d 1 DATE: Fill in please: Qry v tu3 5 4 APPLICANT'S YOUR NAME/S: ✓ e t l: r =fi j s BUSI(NESS YOUR HOME ADDRESS: C AA A 0 ,1 � EPHONE # Ho Number me Telephone r — [ r a., O_ �- i L ' to u a r a,'t'1QG t C r r _.. NAME OF CORPORATION: aLaar P TYPE OF BUSINESS \Ad M Q 71—M 2 tad Q.MQ(\ NAME OF NEW BUSINESS �- IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS G �Ltr O MAP/PARCEL NUMBER [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 obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSION R'S OFFICE This individu ha en of f riy p r requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATIOI�9 . RULES AND REGULATIONS. FAILURE TO Aut oriz i COMPLY MAY RESULT IN FINES- OMMENT :1111Ad 2. BOARD OF LTH - This individual ha in or of it .equire that pertain to this type of business. Authorized Si4daeure/*(*/ COMMENTS: 3. CONSUMER AFFAI (LICENSING AU HORITY) A This individual.ha o d t licensing requirements that pertain to this type of business. u r z i nature COMMENTS 'Oazardous Materials Inventory Sheet Checklist 44—Date Physical Street Address-Check database to ensure it exists ,Working Phone Number Actual Amounts - ( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) Storage Information - location of storage, how`long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted �a��y,� � Staff Initial -any questions, know who to ask '-f'r�.Vehicle Washing/Rinsing? -give a vehicle washing policy and �xplam.it !/ Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. Date: I Lo TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: � .(ov S ' BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: c>z CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 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 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 Applicant's Signature Staff's Initials 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 opera e. usiness Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) 'r. DATE:!! —© ill in please: 4 & c lr]Z1'' OlafMF _i'��-;; 1u°;•,. "` i APPLICANT'S YOUR NAME/S: �R ,, p . l+� 'I'" BUSINESS YOUR HOME ADDRESS: ;- lc�•�' ru u r IPfr',+3 i_,� ESS' n _ T�FLE ONE # Home Telephone Number •,r�l 117G:f=-ll'-+"-.•r?.I7�d?I?'i'1.7�!`i' A NAME OF CORPORATION: J NAME OF NEW BUSINESS c ®. TYPE OF BUSINESS Gl IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS �. S ma MAP/PARCEL NUMBER �(Assessing) ! gealfh nWhen starting a new busine t e 6 a�eingsyou 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 obtaining the information you-may need. You MUST GO TO 200 Main St. — (corner of Yarmouth. Rd. & Main Street) to malce sure you have the appropriate permits and licenses required to legally operate your usiness in this town. 1. BUILDING COM SIO ER'S OFFICE This individ al h e inform d an pe mit requirements that pertain to this type of business. Auth r' ed Signat i COMMENT : MUST COMPLY WITH HOME OC' CUPA IONS. FAILURPT ieakipty MAY RESULT IN FINES. 2. BOARD OF 4EALTH This individual hja en inf rmed of he per i requirements that pertain to this type of business. thorized Signature** MUST COMPLY WITIfALL COMMENTS: NAZARpgIj4 MAtERIALS.OWULATIONS 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 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 opera e. Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) Ic DATE:0 o - ill in please: V APPLICANT'S YOUR NAME/S:R r L -ta BUSINESS YOUR HOME ADDRESS: 144 01,P f/ d fc& ��. ����r• •S �A o' � cr•�' r u7r- '' , �„:.ill u.�Q.�a'F.�,•/�'. •ll['�:i e , Y_ I 1 fII1F.41� T�FLE ONE # Home Telephone Number 2- may^ . �,r."' :17Li!fi�llr'd?.G7 rri?I�•.-fn" � � � ��i\� o �� 4�.V�Od C�CJf't . NAME OF CORPORATION: NAME OF NEW BUSINESS \ ; TYPE OF BUSINESS G� IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS 1A n all;_ Ad M MAP/PARCEL NUMBER D O S�-(Assessing) When starting a new business tFier� arse s a egealthings- 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 obtaining the information you-may need. You MUST GO TO 200 Main St. - (corner of Yarmouth. Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your usiness in this town. 1. BUILDING COM SIO ER'S OFFICE This individ al hwer informtd2anpe mit requirements that pertain to this type of business. Z4 i; ed Si9nat � MUST COMPLY WITH HOME OCCU PAILM COMMENT - IONS. F -OkA h-)G41.A q )h �11 bxs:2A:�� k)hr' v OIVIPL� MAY ESULT IN FINES. 2. BOARD OF EALTH This individual hE en inf rmed of he per requirements that pertain to this type of business. i; horized Signature* 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- Date: / f TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: ��cv uD BUSINESS LOCATION: - INVENTORY MAILING ADDRESS: Jj.2 Ojq-k Atral' ( • l c ,,�„�,� M� c�2&o� TOTAL AMOUNT: TELEPHONE NUMBER: . 4- -Z - CONTACT PERSON: QlAxwac, e EMERGENCY CONTACT TE j�ONE NUMBER- 4t - `}�-C(� MSDS ON SITE? TYPE OF BUSINESS: tX 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 requires 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 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 Applicant's Signature Staff's Initials COMPLETECOMPLETE • • DELIVERY ■ Complete items 1,2,and 3.Also complete A. �- Rem 4 if Restricted Delivery Is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Rem 1 T ❑Yes If YES,enter delivery ad s elow: ❑No Svd � i aNw 1 S M 14 3. Se ce Type C (� Certified Mail ❑ rasa Mail �jj ❑Registered alum Receipt for Merchandise U cn ❑Insured Mail', ❑C.O.D. 0 4. Restricted,Deliyery4(Extra Fee) ❑Yes 2'-Article Number —— — -0002 `— �/� .z I$rarisfer from service label)' A42 "Q699 U PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail I Postage&Fees Paid LISPS Permit No.G-10 I I I • Sender: Please print your name, address, and ZIP+4 in this box • I I I I Q( Town of Barnstable Health Division I 200 Main Street. Hyannis,MA 02601 I I I {11.1131111�4��4t'{{'lSSiF1�i}It41111!!li!?.F!l�131�1!!1{!'iI:3�li:� i Health Master Detail Page 1 of 1 Lab.z.„,,���,�`v.�£.F...,, a:: c.",-ate • ed 1" iks 'lxuFd,._€`;€i fi. ea, h lama $-er Detail [iL€ Parcel .Septic i Pinrc . 1 well i ve1 "Ravi f Parcel: 308-205 Location: 48 OAK NECK ROAD, HYANNIS Owner: C OSTON, WILLIAM W Business name: Business phone: Rental property: F Deed restricted: Number of bedrooms : 0` Contaminant released: F Fuel storage tank permit: SaVe.Parcel Changes Return tp Lookup Parcel Info Parcel ID: 308--205 Developer lot: Location:48 OAK NECK ROAD Primary frontage:45 Secondary road: Secondary frontage: Village: HYANNIS Fire district: HYANNIS Sewer acct:4074 Road index: 1118 Interactive map I ' Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: CROS-I ON, WILLIAM W Co-Owner: Streetl: 55 SUOMI RD Street2: City: HYANNIS State: MA Zip: 02601 Cc Deed date: 5/12/2005 Deed reference: 19817//250 Land Infra Acres: 0.12 Use: Multi I-Ises MDL-01 Zoning: RB Neighborhood:_0 Topography: Level Road: Paved Utilities: PUbhc Water,Gas,Septic Location: Corr ruction Info F..,. is'.i oYe;= �fferti t,Areal c €,:::s;s 11.1,athmonns 1 1940 694 2 Bedrooms 1 Full 2 �1940 1292 1 Bedroom 11 Full Buildings value: $86,300.00 Extra features: �0.00 Land value: t'136,400.00 Y� http://issql/Intranet/healthMaster/HealthMasterDetall.aspx?ID=308205 9/4/2008 A Town of Barnstable ofiye r Regulatory Services Thomas F. Geiler, Director Public Health Division 11 -111.7 BARNA�BLE,p Thomas McKean, Director 9°0 t639. °°i 200 Main Street ArFD MA'S a Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 8, 2008 William Croston 55 Suomi Road Hyannis, MA 02601 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 48 Oak Neck Road, Hyannis. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstabl.e.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may.print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in . advance for your cooperation. Timothy B. O'Connell Health Inspector Health Division Direct 9508-862-4646 a. rre� .. „� "r..` . 0 Q, Postage $ 37 .11 t` Certified Fee �, 0 m � Return Receipt Fee -is- .`Here u7 (Endorsement Required) r3 Restricted Delivery Fee /9 6 0 (Endorsement Required) i C Total Postage a Fees8�0k? _ 0 r Sent To y�/� S,� �. r-9 M�P ..1�!!�(!y� P----------------- -----»='`_S �.. Street Apt.No.; L rl or PO Box No. - -- ..»-- —---- -- ---�;iy; -_—---.--------- N smot7;P:4 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece a A signature upon delivery a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. a Certified Mail is not available for any class of international mail. :o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 I I SENbERI: COMPLETETHISSECTION .11 COMPLETE THIS SECTION ON DELIVERY ■ Coptplete items 1,2,and 3.Also complete A. Si nature item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse X i Addressee so that we can return the card to you. B. Received b ( rinte Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, I„ `� , or on the front if space permits. 1 mall D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter d livery address below: ❑ No MC4r I(- lMueller orb°� ` h✓);1 S f YY 1 p �' 3 -yp`et�ed tail E Tess Mail ❑ t ?ed eturn Receipt for Merchandise ❑ Ins •Mail -'' O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) J:A- PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I1 1 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I Publk He I Town of Bam8Wk 200 Main SL Hyannis, Massachusetts 0260, I I I I Al EAPR IVED Mark A. Mueller 125 Sea Street 2 2003 Hyannis, MA 02601 RNSTABLE (508) 771.5731 DEPT. Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 April 17, 2003 RE: 48 Oak Neck Road, Hyannis Dear Mr. McKean, I am responding to your attached letter dated March 17, 2003 (received April 3, 2003) regarding Thelma Anderson at 48 Oak Neck Road, Hyannis. I would have responded to your letter sooner but I was visiting my parents out of state and did not return until April 2, 2003. All the items cited in your letter have been corrected and I apologize that your office was contacted. I have owned this property for about 2 years and have made numerous repairs and upgrades and consider myself a responsive landlord. I have a good relationship with Ms. Anderson but we seem to have gotten our wires crossed. I have just finished painting the kitchen and living room as part of a planned overall renovation, which will include fresh landscaping this summer. If you have any further questions or there is anything else I need to do please do not hesitate to contact me. Sincerely, Mark A. Mueller i Town of Barnstable Regulatory Services 61 Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 17,2003 Mark Mueller(Owner) 48 Oak Neck Road. Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II-MMMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 48A Oak Neck Road, Hyannis, was inspected on March 10, 2003 by David Stanton R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: f,je p�,105 CMR 410.501(b): Front and rear doors are not weather tight, air gaps observed N between door and frame, also air draft could be felt. 105 CMR 410.351: No kitchen light present, only exposed wiring, as the light had fallen down. 105 CMR 410.351: Kitchen sink is leaking water at the drain. ,� 105 CMR 410.500: Several cracks in ceiling observed above bedrooms. 105 CMR 410.500: Loose planks\boards on front porch. You are directed to correct the violations within thirty (30) days of your receipt of this notice, by replacing, repairing or weather sealing the front and rear doors as to make them weather tight, by installing a kitchen light, by repairing the kitchen sink, by repairing the cracks in the ceiling, and by repairing the loose planks\boards that are loose on the front porch. 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 could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. Q:Health\Order letters\Housing violations\Meuller.doc i The Building Department has been notified of a possible safety issue in regards to the basement door being partially down the stairs, resulting in a large gap below the basement door. PER ORDER OF HE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable cc: Tom Perry, Town of Barnstable Building Commissioner Ramona Anderson,tenant IV Q:Health\Order letters\Housing violationsNeuller.doe j�la n I Mr.Mark Mueller �� :a i 125 Sea Street I j E R Hyannis,MA 02601-4569 111 I o� "� � — M y� -S. A 7002' 1000 0005 0784 2053 � nnnn G250 000,3sasz-eePU b c Vv, J ---[5WVAof v�Srtzbf� RETURN RECEIPT JVAcez - REQUESTED TIME r Town of Barnstable BARNS,.",E, ; Regulatory Services MASS. g �p ibg9. ♦0 �fD 39. A Thomas F. Geiler,Director . Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 20, 2003 Mr. Mark Mueller 48 Oak Neck Road Hyannis, MA 02601 Re: 48A Oak Neck Road,Hyannis Map/Parcel 308/205 Dear Mr. Mueller: Our office received a complaint about a door leading to the basement. Upon inspection, I found that the door in question is over the second step of the cellar stairs leaving a 14" space beneath it and a 16" space to the platform. This is a very dangerous situation, as the tenant or a child may step into this space while standing on the platform or attempting to open the other door. Please remove this door immediately. The kitchen ceiling light is hanging and the wires are exposed. Please fix this light immediately. Sincerely, Ralph L. Jones Building Inspector Q030320a J Town� f Barnstable o Regulatory Services 1639. "1 Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 17, 2003 Mark Mueller(Owner) 48 Oak Neck Road. Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II-MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 48A Oak Neck Road, Hyannis, was inspected on March 10, 2003 by David Stanton R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.501(b): Front and rear doors are not weather tight, air gaps observed between door and frame, also air draft could be felt. 105 CMR 410.351: No kitchen light present, only exposed wiring, as the light had fallen down. 105 CMR 410.351: Kitchen sink is leaking water at the drain. 105 CMR 410.500: Several cracks in ceiling observed above bedrooms. 105 CMR 410.500: Loose planks\boards on front porch. You are directed to correct the violations within thirty (30) days of your receipt of this notice, by replacing, repairing or weather sealing the front and rear doors as to make them weather tight, by installing a kitchen light, by repairing the kitchen sink, by repairing the cracks in the ceiling, and by repairing the loose planks\boards that are loose on the front porch. 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 could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. Q:Health\Order letters\Housing violationsNeuller.doc The Building Department has been notified of a possible safety issue in regards to the basement door being partially down the stairs, resulting in a large gap below the basement door. PER ORDER OkTHE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable cc: Tom Perry, Town of Barnstable Building Commissioner Ramona Anderson, tenant Q:Health\Order letters\Housing violationsNeuller.doc P 339 578 822 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do no se for Intprnational.Mail a reverse Sent V, t& er P i e, late,&ZIP Code Postage Certified Fee Special Delivery Fee Restricted Delivery Fee LO rn Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address TOTAL Postage&Fees co Go 1 c) Postmark or Date 0v co rL Stick postage stamps to article to cover First-Class postage,certified mail fee,and I charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. 2 to 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Forth 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. a , t PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 308 205- - Account No: 221833 Parent : Location: 48 OAK NECK RD Neighborhood: 61AC Fire Dist : HY Devel Lot : Lot Size : . 12 Acres Current Own: LYON, JEFFREY A TR State Class : 109 48 OAK NECK ROAD RLTY NOM No. Bldgs : 2 Area: 621 PO BOX 611 Year Added: HYANNISPORT MA 2647 Deed Date : 040197 Reference : 10702091 January 1st : ROBERTS, JAMES K Deed MMDD: 0695 Deed Ref : 9730/119 Comments : Values : Land: 19600 Buildings : 24000 Extra Features : Road System: 48 Index: 1118 (OAK NECK ROAD ) Frntg: 45 Index: ( ) Frntg: Control Info: Last Auto Upd: 110197 Status : C Last TACS Update : 102897 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ML Date: 0588 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [308] [206] [ ] [ ] [ ] ��...r.-.....mac v FORM30 HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH CITYITOW fN C) � A. DEPARTMENT f� } 61V/ ADDRESS l� kcK � TELEPHONE _ Address g r Occupant floor Apartment No. No.1of OccupaP1 NET No.of Habitable Rooms No.Sleeping Rooms .� No.dwelling or rooming units No StoriAe� , Name and address of owner \ I V O Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish J<j P) `j ( ( j f}t: Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: , ❑ B ❑ F ❑ M Doors,Windows: JAI'-) ()r, Roof Gutters, Drains: j / 1 (Al A LSPr2/- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,wall,Ceiling: ) H x (, 1 0111 111 )r-, ( % \ a;1 Hall Lighting: P) 0rjf y V 1 C Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Eq ui . Repair � / j /.i �' � ) o / 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 ) p Kitchen --------- -----` , i'('/1� ate' Bathroom — AT Pant h9 — Uon- Den I) I Living Room Me lJ ,� - (, 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.,Sanit'n.: ' ( /l / / 11M L AI4')—" 0 l , _( �PI L V Wash Basin,Shower or Tub': Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted .,,r. , 0,,{,.., t , Locks on Doors: P m/1 A1 /C n l \ 1 "C\! 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." �` 0) r INSPECTO f TITLE , /A.M.. Ll DATE f e TIME l M. ! /V � 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 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'h�ealifi 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:fo -comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure kan d 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'Sas prohibited`zby 105 CMR .410.200(B) and 410.202. M _ _(C) Shut-offhand/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 iequired 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. Failure to comply with-the- security requirements of 105 CMR 41'0.480(D). x _ r {I): Failure_to comply with.any provisions of 105 CMR 410.600 through 410.6.02 _. �-_... .. :.Mhich.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 's dwelling or dwelling unit in _ violation of the-Massachusetts Department of Public Health .Regualtions for -Lead Poisoning Prevention-and Control 105 CMR 460.000. 0 r (U) Roof, .foundation; or other_ structural. defects that may expose the _,. o.=paint.or anyone else to fire, burns, shock,- accident or other dangers or i vetf`kent to health -or dafety. CLY Failure'to� install electrical, plumbing, heating and gas-burning SAC A facilWAs"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 .wore days. following- the notice to or knowledge_of the owner of said condition or conditions: e1 (-I)-' 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. :., , (4) faiiure_to-maintain a safe handrail or .protective railing for every . ,�porch-balcony, roof or similar place as required by, staiiway 105 CMR 410.503(A) and 410.503(B)p. (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 lm"*r 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.. R n � 1 14 d��=_ 1 �� : � ■ram. � � i.._ I c.i .� L•_ ► ! . 1. J♦ 'vim .. r G �� oil r rAA I. 1 J. oil _11. _ ♦: - 1 I i i i i I T m SENDER: v ■Complete items 1 and/or 2 for additional services. I also wish to receive the i ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this forth so that we can return this extra fee)' card to you. m ■Attaccthis form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. 4) ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date a c delivered. Consult postmaster for fee. a I -a 3.A:,' le Add s ad to: 4a.A ' le Number a0i I d09 �e E 4b.Service Typ c°t CL ❑ Registered,, PORT Af,� 0, ,Cerfified ❑ Expressjtu�all �®. Insured a C % � ❑ Return Ve&pt for Merchandise ❑ OOD; TDate o Deli�vrK o / ,, 5.Received By:(Print Name) 8.Addressee's Address(Only if regflested cw W and fee is aid) FPfy1 r g 6.Signature:(Add essee ant) lJSP� ~ 0% X w PS Form , ecember 1994 102595-97-70179 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS y Permit No.G-10 • Print your name, address, and ZIP Code in this box• I I I I Public Health Division Town of Bannstable PO.Box 534 Hyannis, Massachusetts 02601 I I April 17, 1998 Dear Mr. Lyon: Please give me a call this morning. I was unable to get through to you yesterday on your phone/fax line. I am going on vacation today and want to resolve any outstanding problems. In response to your letter I did notice the carpet dirty and snagged in some areas. There was also much dog feces on the ground outside I would recommend having all the other problems such as the windows repaired before a new tanant moves in. I have finished this letter since we spoke this morning so you don't have to call me back. Sincerely, e o B Donna Z.Miorandi Health Inspector HP OfficeJet Fax Log Report for Personal Printer/Fax/Copier BARNSTABLE HEALTH DEPT 5087606304 Apr-16-98 22:32 Identification Result Pages Tvne Date Time Duration Diagnostic 97785042 OK 02 Sent Apr-16 22:31 00:01:15 002185230020 1.2.0 2.8 FROM LYON EY.PO+TENT/PROMO* BUS.DIGE PHONE NO. 508 778 5042 APR. 10 1998 04:26PM P1 4-10-98 To: Donna Miorandi at Health dept_ Re: 48A Oak Neck Road, hyannis Dear Donna; We are in receipt of your recent report and would like to speak to you directly about it. Please call me at 778-5042. In the interim, there are several points worth emphasizing: 1) Their call to you was prompted by their pending eviction. We have had them in and out of court dating back to January, and Sheriff Litchfield's moving trucks were stayed only by your report. 2) The"rubbish outside" is indicative of how they live. We have sent them numerous requests to dispose of that trash, and yet the fact that it remains in the FRONT yard ought to tell you something. 3) Any broken windows were caused by THEM, as the building was in good shape when we bought it less than a year ago, from Jim Roberts, a former employee of Town of Barnstable. Tenants broke the windows by climbing in, because they often lock themselves out of house. Same with kicked-in front door. 4) Repairs in general have been next to impossible owing to their generally difficult attitude. (see enclosed letter from handiman who gave up trying) 5) Your report does not mention : a) The living room rug which has been totally destroyed by their two (unlicensed) pitbulls, through urination and clawing. This rug cost $550 when installed five months ago by Carpets of Cape Cod. We have not seen the bedrooms since they moved in but expect that they are also destroyed to the tune of $1000. Please confirm the rug's status in writing for my court files. b) Foot-high piles of dog feces arranged like mine-fields. c) Unregistered cars in various stages of disassembly in a residential area 6) Before Eagan moved in, the property was contracted to rent through HOUSING ASSISTANCE CORPORATION on West Main Street. Their inspector , Bob Shea, advised us that the floor furnace meets all UD standards. Jot V__. Sincerely; Jeffrey A. Lyon, Trustee P.S. Please note that property is owned by 48 OAK NECK ROAD REALTY TRUST. I only act as trustee. Please indicate same in all future correspondence. FROM : LYON EXPO+TENT/PROMO* BUS.DIGE PHONE NO. : 508 778 5042 APR. 10 1998 04:27PM P2 Pedro Melenbez Repairs &Maintenance t 1 yannis Ma 02601 March 26, 1998 Dear Mr.Lyon; �5 you know,we have been attempting to do the work you requested at 48 Oak Neck Road, and find the tenants totally uncooperative. We have both called and gone to the dooron more than a dozen occassions witkioutsuccess. They neither respond to our calls or mesages taped on the door. On the two occassions that we were allowed in to work,the pitbulls were a contstant fear, and the stench of their urine on tyre living room rugs made it hard to work. We had budgeted a full 8-hour day,and yet were asked to leave within j hours. 9t wastes our time and energy,and we respectfully request you find someone else to complete this work. 1/ Pedro I' Q FROM : LYON EXPO+TENT/PROMO* BUS.DIGE PHONE NO. : 508 778 5042 APR. 10 1998 04:28PM P4 OATS FLIED TIME STANUAR S TRIM REQUEST DEADLINE DOCKFT NUMBER •�, .�• �, �/2J9a 9825 sux 0116 Trial Court of Massacht`1. 3 DEFENDANT L PLAINTIFF District Court Department. Jennifer & Jeffrey' Lyon Anne Eagan Barnstable District Court PLAINTIFF ATTORNEY DEFENDANT ATTORNEY Route 6A Barnstable Ma 02630 MONEY DAMAGE ACTION(TIME STANDARDS} JIL-ih1 SUMMARY viol.=NT —OTHE3 l�Ramanri f" I nicrriro r.,rt Filinn �! I WRIT OF EXECUTION FOR POSSESSION OF LEASED OR RENTED DWELLING To the Sheriffs of the several counties of the Commonwealth or their deputies,or any Constable of any city or town within the Commonwealth: The plaintiff named above has recovered judgment against the defendant for possession of the premises shown below,which were rented or leased for dwelling purposes. WE COMMAND you,therefore,subject to the requirements of G.L.c.235,§23 and G.L.c.239,§3,to cause the plaintiff to have possession of the premises shown below without delay. This execution is valid for THREE CALENDAR MONTHS only.It must be returned to the court along with your return of service within ten days after this judgment for possession has been satisfied or discharged,or after three calendar months if this judgment remains unsatisfied or undischarged. LOCATION OF PREMISES 48 Oak Neck Road (front) Hyannis, Ma 02601 FIRST.IuSTICE DATE OF'ISSuF- LATEST RETURN DATE CLEF*-MAGI R..E 0 ST T C RK WITNESS: JOSEPH J. REARDON 3/17/98 6/17/98 X it rt OFFICER'S RETURN DATE OF SERVICE: V Fees TOTAL FEES SIGNATURE OF OFFICER "At feast fortyeignt hours prior to serving or levying upon an execution lot the plaintiff for possession of land Ot tenements rented or leased for dwelling purposes,the officer serving or levying upon the execution snail givr,the def endanl written notice mat at a specified date and lime he will Serve or levy upon the execution and that at that time he will physically remove the defendant and his personal possessions from tho premises if the defendant has not prior to that time vacated the premiSes voluntarily. "Saidnotice shall contain the signature.full name,full business address and bua)ness telephone number of the officer,and the name of the court and me docket number of the soon.and snail be served in the same manner as the summary process summons and complaint. "No execution for possession of premises rentod or leased for dwelling purposes snail be spired or levied vcon after live o'clock P.M.at before ninc o'clock A.K.nor on a Saturday.Sunday or legal holiday. "trine undenying money judgmenr in any summary process action for non-psymenr of rent in premises rented or leased for dweffing purposes has been fully satisfied.together with any use and occupancy accruing since The dare of judgment.the plaintiff snail be barred from levying on any execu. Ilan for POSSeSsion that has i5oved and snail return mq execution to the court Tully satisfied...N olwidtEtanding this paragraph.the plaintiff shall not as required to accept full safislartion of the money judgment." —EXCERPT FROM G.L.C.239.§3 HP OfficeJet Fax Log Report for Personal Printer/Fax/Copier BARNSTABLE HEALTH DEPT 5087606304 Apr-10-98 04:07 Identification Result Pages Tvne Date Time ura 'on Diagnostic 916179232336 OK 06 Sent Apr-10 04:04 00:02:48 W2586030022 1.2.0 2.8 4-10-98 To: Donna Miorandi at Health dept. - Re. 48A Oak,Neck R60�11yannis Dear Donna; We are in receipt of your recent report and would like to speak to you directly about it. Please call me at 778-5042. In the interim, there are several"points worth emphasizing: 1) Their call to you was prompted by their pending eviction. We have had them in and out of court dating back to January, and Sheriff Utchfield's moving trucks were stayed only by your report_ 2) The "rubbish outsideo is indicative of how they live. We have sent them numerous requests to dispose of that trash, and yet the fact that it remains in the FRONT yard ought to tell you something. 3) Any broken windows were caused by THEM, as the building was in good shape when we bought it less than a year ago, from Jim Roberts, a former employee of Town of Rarrnetahla Tonant* broke tltw windows lay climbing in, booauae they often Ica themselves out of house. Same with kicked-in front door. 4) Repairs in general have boon next to impo33ible owing to their yel let ally difficult attihAP (.caa an#--1nQM lottw from haniliman who gavo up trying) 5) Your report does not mention a) The living room rug which has been totally destroyed by their two (unlicensed) pitbulls, through urination and clawing. This rug cost$-%0 when installed five.months ago by Carpets of Cape Cod. We have not seen the bedrooms since they moved in but expect that they are also destroyed to the tune of$1000. Please confirm the rug's status in writing for my court files. b) Foot-high piles of dog feces arranged like mine-fields. c) Unregistered cars in various stages of disassembly in a residential area - 6) Before Eagan moved in, the property was contracted to rent through HOUSING . ASSISTANCE CORPORATION on West Main Street. Their inspector, Bob Shea, advised us that the floor furnace maets all UD standards. Sincerely; Jeffrey A. Lyon, Trustee Ir P.S. Please note that property is owned by 48 OAK NECK ROAD REALTY TRUST. i only act as trustee. Please indicate same in all future correspondence. ' I Ed WdLO:90 866T 9T '8dd ZVOS 8LL SOS; ON `9NOHd 39IQ'Sf1H *OWO8dilN81+OdX3 NOI.1 1W021d FROM LYON EXPO+TENT/PROMO* BUS.DIGE PHONE NO. : 508 778 5042 APR. 16 1998 06:07PM P1 4-16-98 To: Donna Miorandi Re: Last week's letter Dear Donna; I faxed you a letter last Friday, as relates to Anne Eagan at 48 Oak Neck Road, Hyannis, but have not received your response. Of particular concern is the status of the heating system. As I mentioned last week, it passes the HUD standards of H.A.C.'s inspector Robert Shea. I also questioned my regular Plumbing and Heating guy, and he said that"as long as it heats the house, it meets code". Judge Reardon upheld her eviction on Tuesday, and we expect to have her out by this weekend. As we budget for repairs next week, I need to know: Is that heating system acceptable? If not, please supply written documentation of why not, and what upgrades are required BY CODE. I am going to England tomorrow night, and want to wrap this up by mid-day, so please call or fax by noon Friday (tomorrow). Sincerely; Jeff Lyon Trustee b No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for Migpoaf *p6tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( ).Abandon( ❑Complete System ❑Individual Components Location Address or Lot No.:w f /L , �y Owner's Name,Address(and Tel.No. 2 L l (,�o �`itl �vcCaST�ri Q Assessor's Map/Parcel 3qan/ , ze) S J4 kUA fir- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Soil, Type of Building: Dwelling No.of Bedrooms Lot Size i 2 A4'-ft. Garbage Grinder(�- Other Type of Building No. of Persons Showers( Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 3 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has be5' ued by this Board o Health. Signe 0 Date Application Approved by Date Application Disapproved for the following rea Permit No. Date Issued No. �f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I Yes PUBLIC HEALTH.DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01ppYication for ;Digpogar *pgtem Cow5truction Permit 4 Application for a Permit to Construct( )Repair( )Upgrade( )-Abandon(�W ❑Complete System ❑Individual Components 7' Location Address or Lot No.f8 �Pk� ./<{ � y Owner's Name,Address and Tel.No. A l Assessor's Map/Parcel _ z� JG(1 LPG ��r- J jo� '" OS� D-Wf/S /Pik— Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms ' Lot Size / Z Wft. Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date li ij Title Size of Septic Tank Type of S.A.S. Description of Soil L Nature of Repairs or�Vo ( n er when appl'icableI /"to4l</ �J D /n f /Y J M } Date last inspected: ` Agreement: �The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not toe es ysf�m inIoperation until a Certifi- cate of Compliance has bee.issued by this Board of Health. Sig ne Y ® Date Application Approved by 4/ / Date Applicatidn Disapproved for the following reason n Permit No. Date Issued r ——— — — ——————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( ) Upgraded( ) Abandoned( )by c at has den constructed in accordance ' with the provisions of Title 5 and the for Disposal System Construction Permit No. q71 dated Installer Designer li The issuance of this permit shall not be const ued as a guarantee that the system will function as designed. Date Inspector — � ---------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migogar *pgtem Con5truch P .rmtt Permission is hereby grant o Construct , )Repair�jJ )ur igrade )A andon( ) System located at (w r , ,. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co structio mus be completed within three years of the date of 's'p rmit. a Q� Date: U Approved by 1 I p i " LOCATI J�-� SEWAGE PERMIT NO..s VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER u 6-eOC6 I L DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � _ 4 9 r y No..Q................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rO.WW..............OF..... .................................. Appliration for Disposal Works Tonstruction Permit Application is hereby made for a Permit to Construct or Repair X an Individual Sewage Disposal System at: 4 .. ................................................................................................. Address .................................... ........ Owner Address ............... .......... #4 YYA*.4 Installer Address U Type of Building Size Lot............................Sq. feet 14 Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) N Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other-fixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter............_... Depth................ Z4 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................._. Depth to ground water........................ ..........................................................................�...�...................................................................... 0 Description of Soil.....S.94111A0............................................................ .. ...................... UW �......... .......... ............................................................................... .......... W ........................................................................................................................................................................................................ Z U Nature of Repairs or Alterations—Answer when applicable.......IIV.%S 7-1*-L.........a 7.V,e ve_..P.4 C-.4 r,g,0. ...Lgeq,cly 4,07—,t teur - CoL*-r-c,�­ J'cftvc-,4 t4,A1&4_ ............................................................................................................................................. 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 furt ee-z not top ce the system in undersigned operation until a Certificate of Compliance has been JOstred by the bcUd SigneJA2Z/ .. ............................. . ........ .. ... Date ApplicationApproved By............................................................................ .................... ...................... Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date C;)*-3 PermitNo.... ..................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ........OF.......` `-)-`-t''�-.,A/.S�T��sL_�� A. p irFation for Di, Vaa al park,; Tonstratrtivat itamit 'et Application is hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System'at: ...... !i4",,�Irr6,< %ice' i�!`/V/%,0 /g ..-•---------------- _----- ------••--•--•-••-•-----•--•--...-••-•--•- __________ - - Location-Address or Lot N .................................................... o. y • f4i t? f'1iC�✓�!-lire/t / r,:!1 :.. f'1 4�/j .... Owner Address x Installer r Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms....................._......................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e'of Building a yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -•---••----------------------•------•-••--------------.-.-----------------•--•-------------••--••-----•--------------•--•-••-•-•.....----•--•--•----•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter---------------- Depth................ 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 b .......................................................................... Date---------------••••••-•------•-••----- Test Pit No. 1................minutes per inch Depth of Test Pit............_....... Depth to ground water..................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........--------------------------------------••---------•--.....-----.._...•-•------•-----•----......._._ . .:.. ODescription of Soil_____ 1 .____.........................................x C� ----•-•--------F----------....------------.-----•-- --- V ..............••-••-----•••--•-••••--•------•-••......•••--••--•-••--•-•--•.._..._..•-•- yff-,4�fvaL.�__�_ !�". s re E r!a_e..r_�-.. /1 _ ✓hs.!c ,1 UW •----•---------------•••----•----•••-------•----•--------•----••----••--•._....-•-•----••-•-••---...--••--••_._•--------------._....••-==.............................................................. Nature of Repairs or Alterations—Answer when applicable------- 7/-&-_............ ?i.r.:._- �q t.s r A�re c t,,` ... f 6r (elly-t",C.< 1,e, ` s �,dr�r rs.i e c..,.. •----••-•-• --•--••••--.._...-••-----.. ....._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT l I.rr TIE 5 of the State Sanitary Code—The undersigned furtl1_r�gree,$ not to pl-.ce the system in operation until a Certificate of Compliance has be�en/> sued,by the b and of health � � A. �..,; Signe . ----- --- ,® - �Cz-J.....il p '`� . / Date Application Approved By r.: fl,� . =. { ,.x:� y. w, - ------ Date Application Disapproved for the following reasons:................................................................................................................ ••---•••----••••••--•--•-----•-•-------••••--•-••--------•-••-•---•-----------•--._..:...-•--•----••••-----•-•-•-•----•••-•-•-•-•••-•-••-••••----•••-----------•--------------------•----•---••-•------- Date PermitNo..... ------...-----------•----------------•--.9t• Issued ---------•------.._....-------------- ------ ------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .............OF.......&6f l-.16 9/34_11C......................... Trrtifiratr of T.ompliFaatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( <" 7 ,»� {{� 1 / InsttaVer. I� has been installed in accordance with the provisions of TI bLr, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--- S--"'":_____�°_`�'_________ dated---------- ......................._............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 401 DATE........................................ ..-L`..? ...................... Inspector.-• ~..................................................---.............. THE COMMONWEALTH OF MASSA;"USETTS BOARD OF HEALTH No..i'/_`................. FEE, .,.... :...... • �i��rrr��al �rk� ��at�trUaat rranit ,, Permission is hereby granted__t .____ !=.< � ___!.. 51=_t_ d Gj. ---•--- to Construct ( ) or Repair (�<j an Individual Sewage Disposal System # at No.... t -•--•-----•-• c uAi l,9- _( ;/, /�5 �r � E��-__-••---------•-- -•-- Street l / s as shown on the ap c ion for Disposal Works Construction Permit No. 1=......... Dated_.. __ f 71e ".?:A__._._.... 02 �, BoarHealth DATE ----�--• . FFF//!//! FORM 1255 HOBBS-& WARREN. INC., PUBLISHERS r