HomeMy WebLinkAbout0079 OLD YARMOUTH ROAD - Health 79 OLD YARMOUTH RD. , HYANNIS
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is g
required for Hyannis MA 02601 August 13, 2010
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important: A. General Information
When filling out
forms on the
computer,use 1. Inspector:
only the tab key
to move your Darren M. Meyer
cursor-do not Name of Inspector
use the return
key. n/a
Company Name
reb PO Box 981
Company Address
East Sandwich MA 02537
City/Town State Zip Code
781-424-6748 S 1 3920
Telephone Number License Number
B. Certification
certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection.The inspection
was performed based on my training and experience in the proper function and maintenance of on site.
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
r � U? o
Insp s Signature Date
The system inspector shall submit a co of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of Inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
ell b
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Dlsposal System•P e 1 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
G
oa 79 Old Yarmouth Road
Properly Address
Richard P. Callahan _
Owner Owner's Name
information Is Hyannis MA 02601 August 13 2010
required for y g
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass"section need to be
replaced or re'paired.The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System
will pass inspection if the existing tank is replaced with a complying septic tank as approved by the
Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
Wns•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
J"r 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is Hyannis MA 02601 August 13, 2010
required for y
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning In a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
tans•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Fora
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
information is Hyannis MA 02601 August 13, 2010
requiredd for '
every page. CltyfTown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water.supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
1
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
El ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 1/2 day flow
t5ins•09/08 Title 5 Officlal Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
G Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
°- 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is Hyannis MA 02601 August 13 2010
required for g
every page. City/Town State Zip Code Date of Inspection
B. Certification (cost.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes If the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A co of the analysis
p 9g copy Y
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CM 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is.located in a nitrogen sensitive area (Interim Wellhead Protection
Area-- IWPA)or a mapped Zone II of a public water supply well
If you have answered "yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
l5ins•09108 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
ugTine 5 official Inspection Form
Subsurface Sewage Disposal System Form "Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
equir ed fo at(for is r Hyannis MA 02601 August 13, 2010
requir
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
Have large volumes of water been introduced to the system recently or as part of
this inspection? .
® ❑ Were as built plans of the system obtained and examined? (if they were not
available note as NIA)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
❑ ® Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® El approximation
in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)].
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 2� Number of bedrooms (actual): 2
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 220
(Sins•09108 71tle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is required for Hyannis MA 02601 August 13, 2010
every page. City/Town State Zip Code Date of Inspection
D. System information
Description:
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d No meter present
g ( Y 9 (gp })�
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: unknownDate
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
151ns•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
y 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is required for Hyannis MA 02601 August 13, 2010
every page. CityMown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping: -- `
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
151ns•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
a Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
°l 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
information is g
required for Hyannis MA 02601 August 13 2010
every page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
Install date is 08/10/88, Approximate age of components ranges from 22 years.
Were sewage.odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 9"feet
Material of construction:
❑cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply,well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
No signs of leakage.
Septic Tank(locate on site plan):
Depth below grade: finches _
feet
Material of construction:
®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 8.61 x 5.5'w-typical 1,000G tank
Sludge depth: 8 inches
t5lns•09108 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
•N 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is Hyannis MA 02601 Au ust 13,2010
required for y g
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 30 inches to baffle
Scum thickness 3 inches
Distance from top of scum to top of outlet tee or baffle 6"to baffle
Distance from bottom of scum to bottom of outlet tee or baffle 6"to bottom of baffle
How were dimensions determined? tapes and rods
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
PVC tees were present on inlet only, no signs of past hydraulic failure, tank appears in good
condition, vegetation was normal, tank was 9"below grade, no risers, some minor root growth
present.
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle --
Date of last pumping: Date
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
information Is g
required for Hyannis MA 02601 August 13 2010
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: — Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5lns•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owners Name
information is Hyannis MA 02601 August 13 2010
required for y g
eve page. CI /Town State Zip Code Date of Inspection
every 9
City/Town P
D. System Information (cont.)
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert n/a
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.): .
D-box was in sound condition, cover was cracked(to be replaced)flow was equal to single outlet, no
riser, approx 18" below grade, no sign of past hydraulic failure, minor root growth/solids present.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
15ins•09/08 Title 5 Official inspection Form;Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
" 79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is Hyannis MA 02601 August 13, 2010
required for� y g
every page. ClWown State Zip Code Date of inspection
D. System Information (cont.)
Type:
® leaching pits number:
60 w/ stone
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Pit#1: 6x6 Pit w/approx. 1 ft. of stone, pit was dry, staining at 36", confirmed flow to pit, structurally
sound, soil was normal, vegetation was normal, 24"below grade, no riser.
Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration
Depth--top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 13 of 17
_ I
Commonwealth of Massachusetts
15 Title 5 Official Inspection Form .
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information Is Hyannis MA 02601 August 13, 2010
required for y g
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids ---
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Mrs•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
_ Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owners Name
e u Information
dor ifls re Hyannis MA 02601 August 13, 2010
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System; Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
R R�A�L
V ES
Z71 q ZG,3fr
30 B--3 : 2�
P
t5ins•09108 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
w°
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan
Owner Owner's Name
Information is
regUIredd for Hyannis MA 02601 August 13, 2010
requir
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
❑ Surface water
® Check cellar
❑ Shallow wells
Estimated depth to high ground water: 16'5+
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
® Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Hand augered to 16.5 feet below grade, no water observed. Bottom of pit is 9.5 feet below grade. Pit
is not in the adjusted groundwater table.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
14 Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
79 Old Yarmouth Road
Property Address
Richard P. Callahan _
Owner Owner's Name
information is Hyannis MA 02601 August 13, 2010
required for Y g
every page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary;A, s, C, D, or E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
d
t5lns 09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
1
TOWN OF BARNSTABLE
LOCATIOId:2�9-2 lC SMOA qlo,. SEWAGE # 49�'6--9 q
VILLAGE / ►In y1► _ ASSESSOR'S MAP & LOT
INSTALLER'S NAME PHONE NO.
_ SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) L-ea (size) 11()6O tWA
NO. OF BEDROOMS_ g. PRIVATE WELL O. PUBLIC �/ATER _
BUILDER OR OWNER P-e
DATE PERMIT ISSUED: --6
DATE Cold PLIANCL•' ISSUED_____—
VARIANCE GRANTED: Yes Na_—�
`ram° 9
u a
I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HH EAL
.................OF....... ..... -•--------.....................
- ,c ppliration for IltgpIIiiMl Marks Tonli$rurflo rrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at
.....k-�-------------- -------------------------------------------- -----------•----------------...............--------
ion-Address or Lot No.
..�.� ,..�.r.... . ..- .-�J- -------------------------•-------.---_-_-.------ ? .. � � .:. �Z. �, .:4.�... I CL
ddress
. --:I�SC.D�.-wn ---------------------------------------- .,�_..� --:•-•----
Installer Address
Type of Building Size Lot.... ......Sq. feet
U .............Dwelling— o. oerooms. .......................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ...W.ta.Q..c......... No. of persons............................ Showers ( ( ) — Cafeteria ( )
a Other fixtures ..................................
W Design Flow............................................gallons per person per day. Total dail flow............................................gallons.
WSeptic Tank—Liquid'capacity/Q00gallons Length.......... Width... y�....... Diameter................ Depth...
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------{---------- Diameter.........(p...... Depth below inlet.............. Total leaching area..................sq. ft.
Z Other Distribution box 0(j Dosing tank ( )
Percolation Test Results Performed bY.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground .water.._..._..............._.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ --------•••------- .
O Description of Soil................
-------•- ----- - --- -------------------------------------
x
W ••••••••••-••--------------•-------•----------•••-•---••••••-------••-•-•••••••••••••••••-••••••••••••-•••••••••---•-••-••••••••-•-•--• ---------------------------------------•••-
UNature of Repairs or Alterations—Answer when applicable.................(,�._..... -----•:--:---- --------------
............................-...........................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITU 5 of the State Sanitary Code—.The undersigned furth r grees not to place the system in
operation until a Certificate of Compliance been issued th rd of hea
Signe '.,...sue:. _. � ..
r Date~�
Application Approved B ......•••• ------------ - ---------------------------
Date
Application Disapproved for the following reasons:------•-------------------------------------•--------------••----------------------------------------....-•-.._
-••••••••-•-••...._•..•••-•--••••••-•••••..............••.....................-••-•-•---.....•••••....••.•••-••••...........-•••••••••••-•-•••••••--•••---••-•-••••-••••-•••••••••••••••••••...•----•---
Date
Permit No.........
--�- .................. Issued Issued.---------•-----------------•------.._..........._......
Date
No.... Fica........Q'�.p..._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................OF..........................................................................................
Appliratiun for Biipuual Vorko Tonutrur#inn Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
........: .�z-..._c.� :... z1.ul _ . .................. ..................................................................................................
Loo ti n-Address or Iqt No.
za
T Owner ///s...........
................................................... 12. d2v-3.t/.
Installer Address
UType of Building Size Lot...... .....Sq. feet
Dwelling—No. of Bedrooms..............2..........................Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—T e of Building /!_tar✓.
Other—Type g .._ .. _....._.. No. of persons............................ Showers ( �) — Cafeteria ( )
dOther fixtures ..................•--------------•--•-----------•--•--.....---------------------------------------•--.---------...---•----•-••......•-•-•-•-----.......
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitylPO:Q..gallons Length......I..... Width_�....... Diameter................ Depth.,$::--........
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......... /........ Diameter................ Depth below inlet........40e....... Total leaching area..................sq. ft.
Z Other Distribution box (1() Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
W ........................•---•-•••................•-••-••---........_............._..•-•------••-•-----._...--------•-----•---•••--•.............._----......
0 Description of Soil........... ,„�_
V -' .....-•............... - - - -
.......•---•------...---- -- ----•----....... ---- -- • ----.........---......... •--------........•......
W
U Nature of Repairs or Alterations—Answer when applicable.....W-C4-/--e......................................
..........
--------------------------•---...---•-----•-------•-----...----•----...-----------------•----............-•--••------------ -----.......-•----------...-•---------......--------•-••............•--....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System_in accordance with
the provisions of TITiE 5 of the State Sanitary Code— The undersigned further agre s not to place the system in
operation until a Certificate of Compliance has een issued by e b a �health_
Signed-• O..•• ..••1. r
Date
Application Approved BY ..... C'�.e:;:;�+r:;...._.���.. ... -----
�� �\JJ Z� Date
Application Disapproved for the fol owing reasons--------------••--------•---•--•--....----•---................-------•-•--.....--•-••--•-•-•--••••---......---
.............••-•••-•-•--•---•-••._.._.._.....•••---.....-•••-----..........--•••-••--••----•....._...--•I-•....-•---•••--•••.................•••-•••••...............••••--•.........••...•----.........
Date
Permit No.....---- Issued-..................---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
cvi ...............OF.....� ..........................
Grtif iratr of Toutpliattrle
THE IS T CERTIFY,d
hat the Individual Sewage Disposal System constructed ( ) or Repaired (k)
�„J iS(I(i by........ ..:�.(...... �.------•--- ------------••• ----..........---• ---•-------•---_...-•-.............-•••-•--•-•-•-----•----- ........................._...._
nn In Ill'
been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.............. ..<1.4... dated..............r.................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......................... .A U
. ---.....-•-------...... . . Inspector ...................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........f...d.4�...............0 F..:... .....eAfi/.t,7:� C........................................
�fu�rosttorku (4 notrurtinn Orrutit
Permission is hereby granted...,.,1
to Construct ( ) orr}repair (V_) an Indio* `S�.wage Dispo�t�r
System
at No..... ��i._.. .21A1✓l..!1. ' �✓1 • -- .-------•................................•-•--•---.....•........
et
as shown on the application for Disposal Works Construction Permit No.._... tyl.DDated..........................................
.......---••-------------••....•••. t •---•---...._.•-•••-
Boai'R�of Health
DATE.................
._.. -.. _t�........................:.. ......
FORM 1255 A. M. SULKIN, INC., BOSTON
�
C2T
I
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION
Date G goo 13 Time: In Out
Owner " �� L L—L Tenant
Address �� Me— Address -7 1
Compliance Remarks or
Regulation# Recommendations
e u
9 Yes NO
2. Kitchen Facilities /� d
3. Bathroom Facilities '. o
A On
4. Water Supply v � '
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities /
8. Ventilation I"
9. Installation and Maintenance of Facilities — l�
10. Curtailment of Service
11. Space and UsewuJC�_
12. Exits
13. Installation and Maintenance of Structural r
Elements
14. Insects and Rodents _
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal /J C-t� a"""'
17. Temporary Housing (l
18. Driveway Width COL-)pj
19. Number of Tenants Observed (®(p p TL
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allow (m )
Number of Persons Allowed (max) 3
Persons Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
l
I-SENDER.- COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
' ■ Complete items 1,2,and 3.Also complete vA. Si ature d�1YD 7
item 4 if Restricted Delivery is desired. f" Agent
Print your name and address on the reverse X
■ ❑Addressee
II so that we can return the card to you. B. eceived by(Printed Name) C. Datq of Delivery
■ Attach this card to the back of the mailpiece, j
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
oad LLC
M13odick R
M venue
I ft
wea10245-28303. Sppice.Type On;MP' 1 rUfied Mail ❑Express Mail
wst e ❑Registered ❑Return.Receipt for Merchandise
❑Insured Mail ❑C.O.D.
r i 4. Restricted Delivery?(Extra Fee) ❑Yes
25-Article Number �o
(transfer from service Hai 7 012 1010 0 0 0 0 ' 2 8 5 0 7 9 8 5
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
I �
• Sender: Please print your name, address, and ZIP+4 in this box •
I
I
7Towryn of`Bact-nstabl.e
MRNRrARLE,)s Health Di-vislo,l
y MARR.
�q i63
A 200 Main Street
` . rEO MHY�
Hyannis; MA 02601
,} i:'li:ili}l:: 3} .t}i'll;l��111(�1i1� 'fi}s 'Illlil;''lfi•}
I
COMPLETE •MPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted.Delivery is desired. 6 1~�❑Agent
■ Print your name and address on the reverse X Addressee
so that we can return the card to you. B. Received by(Prin ame) C. ate�of Delivery
■ Attach this card to the back of the mailpiece, N �`
or on the front if space permits:
D. Is delivery ad ss nt sfr tem 1? Yes
1. Article Addressed to: If YES,enter delive S elow: ` 1 No
ti 5 t r V
Po
I ) a 6 o J 3. Service Type
OCertified Mail ❑Express Mail
Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2.-Article Number ; s;s i +
(transfer from service labeq �, .= 7 012 1010 0 0 0 0 2 8 5 D 8 0 2 9 j
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-15401
I
a �
UNITED STATES POSTAL SERVICE First-Class Mai
Postage&Fees�,
USPS
Permit No.G-1=,
I
• Sender: Please print your name, address, and ZIP+4 in this box •
Ftf�r I
-�°F+•� am of Barnstable
�o To
�: Healtli Division
i 'RNb AWXI
n3�9. 200 Main Street
s�o
Hyannis,MA 02601
I t
, �f„ F FgqIF}:}cf}•°' st}f. j ,ii !? !i}'}?Fi ?� i�gg}i
tf??l.7 J? }}.?1}r 12F� if ? ? }}•��? � � � i? fF? ? � } I
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I
Certified Mail#7012 1010 0000 2850 7985
'IKE ti Town of Barnstable
Regulatory Services
IARNSi'ABUB
MAC g Thomas F. Geiler, Director
��FA MA't A�0
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
June 21, 2013
" v
Bodick Road LLC
1418 Commonwealth Avenue
West Newton, MA 02465-2830
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 79 Old Yarmouth Road Hyannis was inspected on
June 20, 2013 by Timothy O'Connell, R.S. Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the Town of Barnstable rental registration.
The following violations of the State.Sanitary Code were observed:
105 CMR 410.500- Owner's Responsibility to Maintain Structural Elements.
Kitchen floor is not, and has bare wood and large gaps between boards. Exterior
siding not weather proof and in need of repair. Access area to crawl space not weather
proof or rodent proof.
105 CMR 410.100 - Kitchen Facilities. There is not a stove and oven provided within
unit for cooking purposes.
105 CMR 410.552- Screen Doors- Observed front and back doors without screen doors
You are directed to correct the violations listed above within thirty_(30) days of your
receipt of this notice by correcting all violations above.
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.
QAOrder letters\Housing violations\79 old yarmouth rd 6-20-13
x
Non-compliance will result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation. Should you have any questions
regarding the above violations, please contact the Town Health Division and ask to speak
with the inspector who performed the inspection.
PER ORDER THE BOARD OF HEALTH
Tho as A. Mc ean, R. ." CHO
Director of Public Health
Town of Barnstable
QAOrder letterMousing violations\79 old yarmouth rd 6-20-13
TOWN OF BARNSTABLE
OFFICE OF
11�IST►BL BOARD OF HEALTH
0"G,
367 MAIN STREET
HYANNIS, MASS.02601
July 17 , 1990
Mr. Peter Watts
23 Falmouth-Sandwich Road
Forestdale, MA 02644
NOTICE ' ABATE VIOLAT LQN� 105 OR 410,0L- SM... SANI'TA$Y
;ODE I-L,.. MINIMUM RM 01 FITNESS TO$ HUMAN- HABITATION
The property owned by yo
u located at 79 Old Yarmouth
Rd . ,Hyannis , was inspected on duly 16 , 1990 by Donna Miorandi ,
Health Agent for the Town of Barnstable , because of a
complaint . The following violations of 105 CMR 410 . 00 , State
Sanitary Code II , Minimum Standards of Fitness for Human
Habitation were observed:
]REMpTT. M MR 410. 550-: Evidence of rats in house .
The rats must be exterminated.
410 500: Foundation has large hole-approximately 3 ft x 3
ft in size. This may be utilized as access for rats into
house.
You are directed to correct these violations within 24
hours 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.
PER -ORDER OF THE BOARD OF HEALTH
Thomas A McKean
Director of Public Health
• SENDER: Complete items 1 and 2 when additional services are desired,and complete llama
3 end 4. on
card from being returned-"RETURN
to Eyo RThe etur Space
l t fee will rbvidee ou the nemd of the will
on deliverevent red
b. to end the date of.delive .;.or a itiona ees t e o ow ng sery cea ere eve a e. onsu t postmaster `
or ees n .c ec ox es for edditibnal.service,(s)requested.
1; ow to whom deliveredi.date, and addressee's address: 2. ❑ rrtriictteed�De�llvery
fErtm charge),
4. Article Number
3. Article Addressed to �14 Of 317.
T pe of Service:
Registered 0 insured
y� 7 >3"rtlfied Return Recent
❑ Express Mall for Merchandise
R1. Always obtain signature of addressee 1
or agent and DATE DELIVERED.
+ 8: Addressee's Address (ONLY(f
5: Sig r Addre s i
requested and fee paid)
6.. Sig iiII Agent
s 7. Date of Delivery
PS Form 3811.Mar. 1988 * U.S:O. .O. 1988-212-866 DOMESTIC RETURN RECEIPT Y
23 Falmouth-Sandwich Rd.
Forestdale , Ma . 02644
July 9, 1990
Town of Barnstable
Office of the Board 'of Health
367 Main Street
Hyannis , Ma . 02601
ATtn : Thomas A . McKean , Director
Dear Mr. McKean ,
In response to your notice received on JULY 6th , 1990 .
In reponse to phone call of July 5th , by Donna M,imrandi , I
answered said phone call at noon of same day - she was not
there.
Next day I received the notice from your office. On that
same day I went to 79 Old Yarmouth Road - no one home and could
not gain entry - left a note for Ms . Hope that she was to call
me so that I could come back when she was home. I have never
heard from her (this is Monday a .m. July 9, 1990. )
Also , as pointof record - Ms . Hope NEVER notified us of any
hot water problem.
Sin erely,
Peter Watts
APPLICATION ADULT NUMBER Trial Court of Massachusetts }
FOR COMPLAIN O JUVENILE District Court Department
❑ _O.RRtST HEARING ❑ SUMMONS ❑ WARRANT COURT DIVISION
The within named complainant requests that a complaint issue against the within Barnstable Devict Cnun
named defendant, charging said defendant with the offense(s) listed below.
DATE OF APPL ATION I 7t OF FENSE I PLACE OF OFFENSE RIB 6A
vs-1
it NAME FNANT
'V A'V� � 86 U7 l:1£ ,
_ NO. OFFENSE s G.L. Ch. and Sec
ADDRESS AND ZIP CODE OF COMPLAIN IN
T
.+r .'
# _ /00
2.
NAME,ADDRESS D ZI -
P DE OF D FENDANT
4 � -
{ ! z
T /
4 l fta/f(�C `,.
COURT USE A hearing upon this complaint application DATE OF HEARING TIME OF HEARING COURT USE
ONLY will be held at the above court address on -�? 2 U AT /� o--ONLY
y CASE PARTICULARS - BE'SPECIFIC
NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED '
NO. Owner of property, -Goods stolen,what. Over or under SUBSTANCE OR WEAPON
person assaulted,etc. destroyed,etc. $250. Marijuana,gun,etc.
1 �
2
3
4
OTHER REMARKS: 70 1,AC/`
f Iof 1�J'r� �� (Al ��' 'ram -��ov� ' � o
ev T � � C01PPLOW X
� �
SIGNATURE O OMPLAINANT
DEFENDANT IDENTIFICATION INFORMATION — Complete data below if nown.
DATE OF BIRTH PLACE OF BIRTH SOCIALSECURITYNUMBER SEX RACE HEIGHT WEIGHT EYES HAIR
J
OCCUPATION EMPLOYER/SCHOOL MOTHER'S NAME(MAIDEN) FATHER'S NAME
n
O
• 3
r
D
Z
D
Z
tJ)
- C7
O
DC-CR2(3/88)
y,,,...r,.•--...�_,..,....a,��rr;r,..wr.P�..wa'w...�..-::-�...s.a...,,.;,—,.,,..,r,r�r,..,,...r.,r'rs..+.-^+rti-+.,-....vv-•.•r«+.,�•"+.�....'+�+..r-s.+' .- tiw'w'�r'-�r+.'"*..rvf'L.'-''.b""7r�..a..r�.,.a.\
T - THE COMMONWEALTH OF MASSACHUSETTS .--
BOARD OF HEALTH
&E7
o C14Y/ OWN
Z W
i=. Q DEPARTM`NT
A( 9-i-AE el
ADDRESS
,M SVey`AddressTELEPHONE
- APO,�ccupantant
Floor �___ Apartment`No._ No. Occupants
No. of Habitable Rooms _ No. Sleeping Rooms- ,-- _
No. dwelling dr rooming units No. Stories
Name and address of owner
Remarks Reg: Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish:
Containers:
Drainage
Infestation Rats or other.-
STRUCTURE EXT. Steps, Stairs, Porches:
Dual Egress: and Obst'n.:
❑ B ❑ F ❑ M Doors, Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney: at9
5 BASEMENT Gen. Sanitation:)
Dampness:
Stairs: ,
_ Lighting:
STRUCTURE INT. Hall, Stairway:
Obst'n.:
co
° Hall, Floor, Wall, Ceiling:
Hall Lighting:
o Hall Windows:
z HEATING Chimneys:
z Central ❑ Y ❑ N Equip. Repair
W TYPE: Stacks, Flues,Vents:
cr
ir
" PLUMBING: _Supply Line:
❑ MS ❑ ST ❑ P Waste Line: -
m H.W.Tank(s) Safet and Vent(sj" '
-<o E -
LECTRICAL
Panels, Meters, Cir.:
❑ 110 ❑ 220
Fusin r"o g,
G nd..
AMP:� Gen. Cond. Distrib. Box: I
o Gen. Basement Wiring:
` DWELLING UNIT
r' Ventil. Lgtng.I Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1)
Bedroom (2)
Bedroom (3).
Bedroom (4)
Hot Water Facil. Sup.Ten., Gas, Oil, Elect.:.
_. Stacks Flues Vents Safeties:
Kitchen Facilities Sink _ r _
Stove ►)d�i�l� C M ICI ...
Bathing, Toilet Facil. Vent., Plumb., SaniYn.:
Wash Basin, Shower or Tub"
Infestation Rats, Mice, Roaches or Other: -"
Egress Dual and Obst'n:
General Building Posted:
Locks on doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED.UNDER THE PAINS AND
PENALTIESsOf PERJURY."
INSPECTOR / VITA E
DATE _ TIME / '° P M.
THE NEXT SCHEDULED REINSPECTION 1 A.M.
P.M.
e
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises,
shall be deemed conditions which may endanger or impair the health, or safety
and well-being of a person or persons occupying the premises. This listing
is composed of these items which are deemed to always have the potential to
endanger or materially impair the health or safety, and well-being of the
occupants or the public: Because Chapter II, 105 CMR 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations may not be found to fall within this category.' Nor shall failure
to include affect the duty of the local health official to order repair or
correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it affect the legal obligation of the person to whom the order is
issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure
and temperature, both hot and cold, to meet the ordinary needs of the occupant
in accordance with 105 CMR 410.180 and•410.190 for a period of 24 hours or
longer.
(B) Failure to provide heat as. required by 105 CMR 410.201 .or improper
venting or use of a space heater or, water heater as prohibited by 105 CMR
410.200(B) and 410.202.
(C) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105. CMR 410.250(B),
410.251(A), 410.2.53(A), 410.253(B) and the lighting in common area required
by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(G)• Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(I) Failure to comply with any.provisions of 105 CMR 410.600 through 410:602
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.
(4) failure to maintain a safe handrail or protective railing for every
stairway, porch balcony, roof or similar place as required by
105 CMR 410.503(A) and 410.503(B).
(5) failure to eliminate rodents, cockroaches, insect 'infestations and
other pests as required by 105 CMR 410.550.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition which may endanger or materially
impair the health or safety and well-being of an occupant upon the failure of
the owner to remedy said condition within the time so ordered by the board
of health.
OL
23 Falmouth-Sandwich Rd.
Forestdale , Ma . 02644
July 21 , 1990
Town oft Barnstable AV
Office of Board of Health± /
367 Main St .
Hyannis , h1a . 02601
Ref: Letter July 17 , 1990
L
Regulation 105 CMR 410. 550: Rat poison distributed
around house on July 18 , 1990.
If yard were kept cleaner rats would probably not
congregate.
410 . 500 : Foundation was not like that when tenant moved
in . Tenant must have created it .
Tenant still refuses to contact landlord of any of these
violations .
P ter Watts
i
�PyOFINC roe` TOWN OF BARNSTABLE
o► �, OFFICE OF
DeaalTADr, s NAM BOARD OF HEALTH
� Oj
a M�'i h. 367 MAIN STREET
HYANNIS, MASS.02601
July 17 , 1990
Mr . Peter Watts
23 Falmouth-Sandwich Road
Forestdale , MA 02644
NOTICE M ABATE VIOLATIOI. QX MQ MR 410. 00. STATE SANITARY
CODE II, MINIMUM STANDARDS QE FITNESS EQR HUMAN HABITATION
The property owned by you located at 79 Old Yarmouth
Rd. ,Hyannis , was inspected on July 16 , 1990 by Donna Miorandi ,
Health Agent for the Town of Barnstable, because of a
complaint. The following violations of 105 CMR 410 . 00 , State
Sanitary Code II , Minimum Standards of Fitness for Human
Habitation were observed:.
REGULATION M M$ 410,550: Evidence of rats in house .
The rats must be exterminated .
410,500: Foundation has large Bole-approximately 3 ft x 3
ft in size. This may be utilized as access for rats into
house .
You are directed to correct these violations within 24
hours 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.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health