HomeMy WebLinkAbout0043 POTTER AVENUE - Health 4" Potter avenue
. - - --- � Hyannis
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YOU WISH TO ®PEN A BUSINESS? `
For Your information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does not give you permission to`operate.) Business Certificates are available at the Town Clerk's Office, 1`°FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: Fill in please:
APPLICANT'S YOUR NAME/S: A& elVG. W
wRi 1 fix!L 8
BUSINESS YOUR HOME ADDRESS: ✓ ,4A SINA
11 ,cj 1 'Xf SJ .1.�1 tiMl t
ell
TELEPHONE # Home Telephone Number .'a
At
NAME OF CORPORATION:
NAME OF NEW BUSINESS — (Jewvl! C TYPE OF BUSINESS l ct i es)vt AJW Of
IS THIS A HOME OCCUPATION? YES N
ADDRESS OF BUSINESS ' 1cft'T 2r4,jp tjVM&SMAP/PARCEL NUMBER (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1.- BUILDING COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
2. BOARD OF HEALTH
This individual has been infecJ of, he permit requirements that pertain to this type of business.
MUST COMPLY WITH ALL
Authorized Signature** 107ARDOUS MATERIALS REGUI_p.TIONIq
COMMENTS:
3. CONSUMER AFFAIRS (LICENSIN AUTHORITY)
This individual has bE6 info d f e licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
TOWN OF BARNSTABLE Date: ,j I/v
TOXIC AND HAZARDOUS MATERIALS ON-SITS INVENTORY
NAME OF BUSINESS: 1 S eLSA&V16 j6AVr69
BUSINESS LOCATION: INVENTORY
MAILING ADDRESS: Z/7 #OgSfSR/69 LAWC, C.6NY�,-RI/-r//e e TOTAL AMOUNT:
TELEPHONE NUMBER: _$"�c�' 737 313/
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: ,Sdgf- 'M WZZ MSDS ON SITE?
TYPE OF BUSINESS: rL,�� c,11F,,yjvrvq L iGW' 69JfkSM
INFORMATION/RECOMMENDATIONS: Fire District:
I-ocA IJdN J� ivc"l,vo% 91SAI.64AI- v r ,ary iAl
T�ryd06-6- Zdz Y;41A A..4o,:�'_ I� 40 �if� �F,�� G£�09✓
e2 �
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
r Laundry soil &stain removers
v (including bleach)
Spot removers&cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applica ignatu Staff's Initials
�
a
FORM30 C&W HOBBS&WARREN'M THE COMMONWEALTH,OFMASSACHUSETTS
BOARD OF HEALTH
1 d CIA
CITY/TOWN
DEPARTMENT
Zc�v 'Va N
ADDRESS
GSM SV9�0�
TELEPHONE
N ANNS
Address Ram E. a- \ E- Occi upant_. KCA NJ-A.
Floor Apartment No. — No. of Occupants_
No.of Habitable Rooms . & No.Sleeping Rooms_
No.dwelling or rooming units _No.Stores L
Name and address of owner
1z1 GR-S6— 5\4a `.�N� �f I'_ cg-Nj Remarks Reg. Vio.
YARD Out Bld s:: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness: ®�, ` S ijQ0 A
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway: �.
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1 Z O
Bedroom 2 v
Bedroom 3 3 p
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
St s, Flues,Vents,Safeties:
Kitchen Facilities Sink 6 0
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
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
PENALTIES PERJURY."
INSPECTOR TITLE k IAC.—[Sej Z S UL
DATE TIME P.M.
p J A.M.
q
THE NEXT SCHEDULED REINSPECTION !y I l� P.M.
410.750: Conditions Deemed to Endanger or Impair H6alth or Safety
The following conditions exist inresidential premises,shall bedeemed conditions which may endanger m
� impair the health, or safety anj well-being of a person or persons occupying the premises. This listing is composed of those
� items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants ov the public. Because Chapter ||. 1V5CIVIR41O.100 through 410.O2O state minimum requirements of fitness for �
� human hubitation, any other violation has the potential to fall within this category in any given specific situation but may not dono
� in every case and therefore is rfotino| d d this listing. Failure to include shall in n6way bo6onotruod anu determination that
� other violations orconditions may not be76mnd to fall within this category. Nor shall failure to include affect the duty ofthe local
� health official to order repair or correction of such vio|aAion(o) pursuant 1o1O5��R410.83Uthmugh41O.833 nor uhaUfailure 0»
� include affect the legal ob|�ahond the pe�onto whom the mdorio issued V:oomply with such order.
(\) Failure to provide a supply ohivater sufficient in quantity, pressure and temperature, both hot and cold,1omeet1heordinary
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 ofaspace heater orwater heater as
prohibited by 1O5CIVIR41O.2OO(B)and 41O2O2.
� (C) Shutoff and/or failure to restore electricity orgas.
(D) Failure 10 provide the electrical facilities required by1O5CIVIR41O.25O(8). 410251(A). 41O.253 and the lighting in com-
mon aroamquinad by 105CIVIR410.254.
(E) Failure to provide a safe supply nfwater.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CIVIR
41O15O(A)(1)and 410.3UU. .
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage ortrash,which prevents egress in case ofan emergency 105 CMR 410.450. 410.451 and 410.452.
(H) Failure Vn comply with the security requirements of105CMR41O.48O(D).
(|) Failure 10 comply with any provisions of 105 CMR 410.600. 410.601 or41U.0O2which emuUo in any accumulation ofgm`
bage, mbbinh,filth or other causes of sickness which may provide afood source or harborage for mdonm, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105CIVIR460.000. (See M.Gl. o. 111 6D6D 1S0 through 199j
(K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers nr impairment\o health orsafety.
(L) Failure to install e|eotrioa|, p|umbing, heating and gao'bumingfaoi|idom in accordance with accepted p|umbing, hoahng,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CIVIR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety,
(M) Any defect in asbestos material used as insulation or covering on o pipe, boiler or furnace which may result inthe m|oaoo
of asbestos dust orwhich may result inthe release of powdorod, crumbled or pulverized asbestos material in violation of 105
CIVIR41O.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
� knowledge of the owner of said condition orconditions:
�
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen�tensils or lack of a stove and oven
or any defect that renders either inoperable.
�
(2) Fai|urotmpmvidouwanhbaoinanduhowerovhathtubaorequiredin1O5CIVIR41U.15U(A}(2)�and41O.15UVV(3)orany
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 p|umbing, houAing, gasfi8ing, or electrical wiring standards that do not create an immediate hazard.
� (4) Failure to maintain auafe handrail or protective railing for every stairway, porch ba|oony, roof orsimilar place as
� required by 1O5CIVIR410.503(\)and 41O.5U3(B). .
(5) Failure V»eliminate mdentm, 000kmaohou, insect infestations and c4ho/pests as required by 105 CIVIR 410.550.
(P) Any other violation of 105 CIVIR 410.000 not enumerated in 105CMR 410750(A)through (0)shall be deemed to boa con-
dition whiohmayondangerormatehuUyimpoirthohou|thornafetyandweU'boingcdan000upantuponthofai|uroofthomwnor
to remedy said condition within the time oo ordered by the Board ofHealth.
�
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Certified Mail#7006 0810 0000 3525 0250
� r Town of Barnstable
Regulatory Services
stsrns Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Philip T Aylward October 16, 2006
217 Horseshoe Lane
Centerville, Ma 02632
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE Il
- MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE
TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 43 Potter Avenue, Hyannis, Ma, was inspected on October
16, 2006 by David W. Stanton R.S., and Timothy B. O'Connell, Health Inspectors for the Town
of Barnstable. This inspection was conducted on the basis of the rental registration in accordance `
with Chapter 170 of the Town of Barnstable,Code. The following violations of the State Sanitary
Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Broken deck
board observed near the front gate entrance.
i
105 CMR 40.500: Owner's Responsibility to Maintain Structural Elements: Side slider
which opens to the deck is missing its' handle and no screen door present.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The room •
located on the right side of the house has an unfinished wall present.
105 CMR 410.253: Light Fixtures Other than in Habitable Rooms or Kitchens: No lighting
provided in closets.
105 CMR 410.552: Screens for Doors: Screen door not present on front side entrance or on
slider leading to deck. (Must have screens on April 1 —October 30) *
105 CMR 410.256: Temporary wiring: Temporary wiring observed on the front of the house
running from and electrical outlet to a permanent light fixture.
105 CMR 410.503: Protective Railings and Walls: No protective handrail provided on the
stairway leading to the basement.
I
Q:\rder letters\Housing violations\Rental Ordinance\43 Potter Ave.doc
The following violation of the Town of Barnstable Code was observed:
§ 170-7 of the Town of Barnstable Code: Owner\Property Manager's name, address and
telephone number were not posted inside the dwelling.**
*Note: The current tenant stated that he removed the door between the kitchen and the front side
door entrance and has no issue with having no screen door present. Upon change in occupancy,
the door between the kitchen and front side door entrance shall be re-hung or a screen door must
be in place between April 1st and October 30th. The slidinplass door on the side of the house
will require a screen door between April lst and October 30 as it opens directly into a habitable
room.
**Note: Once all the other violations have been corrected, you will be issued a certificate of
registration for the rental property. The certificate of registration will have all the necessary
information to satisfy the requirements of§ 170-7 of the Town of Barnstable Code.
You are directed to correct the violations listed above within thirty (30) days of your
receipt of this notice by pulling any required building permits (if applicable), by repairing
or replacing the broken deck board, by installing a handle on the slider, by finishing off
(spackling the wall so it is smooth and then priming and painting the wall) the unfinished
wall, by providing and locating electric light switches and fixtures in all closets, by _
removing the temporary wiring, and by providing a protective handrail for the stairway
leading to the basement.
You may request a hearing before the Board of Health if written petition requesting same is
received within ten(10) days after the date the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each days failure to comply with
an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
as A. McKean, R.S.
Director of Public Health
Town of Barnstable
Cc: Eric Rigling, Tenant
QArder letterMousing violations\Rental Ordinance\43 Potter Ave.doc
motUl
ru .
m Postage $ A 39 HYAN .y
Certified Fee
C3 Re turn.Receipt Fee. p U Postm
�• (Endorsement Required) , 0 tJO Here D 4
C3 Restricted Delivery Fee (n rp N
(Endorsement Required) awl
o Total Postage&Fees
p Sent To
h- b`Ireeet,Apt.No.; —7 /or PO Box No. �. rt.Q...JI�_eute..._
City,State,Z/P+4 '--`-------------•
Certified Mail Prpvidesy
d A malting receipt r (ewened)Zooz eunr'008e-0:1 Sd
p A unique identifier for your mailpiece
n A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined pith First-Class Mail®or Priority Mail®.
`• Certified Mail is not available for any class of international mail.
m NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
is 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 waiverfor
a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is
required.
in For an additional fee, delivery may be restricted to the addressee or
addressee's authorized a 1ent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
if 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.
Internet access to delivery information is not available on mail
addressed to APOs and FPOs.
DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X X�q"O ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. b Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece, � Received � � _r,��A
or on the front if space permits. �__
" ;: D. Is delivery ddre�s different from�nem 1? ❑Yes
1. Articlb Addressed to: If YES, me,delivery address•below; ❑No
� e 3. Service Type
�Q /' 7 rtified Mail ❑Express Mail
K T���ll�'/ tM✓¢. 0�6 oC 13 Registered Retum Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service labeiI 4.:`ij 0 2 5,
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
G
UNITED STAlif'AL: PC � � t' � ^4Y1� °:
Y Aye
• Sender. Please print your name, address, and ZIP+4 in this box
Y
Public Health DivkW
?own of B
200 Main St
Hyannis,Massachusetts 02601
I
I
I
Certified Mail#7006 0810 0000 3525 0250
Town of Barnstable
Regulatory Services
srtsTat Thomas F. Geiler,Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Philip T Aylward October 16, 2006
217 Horseshoe Lane
Centerville,Ma 02632
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 43 Potter Avenue, Hyannis, Ma, was inspected on October
16, 2006 by David W. Stanton R.S., and Timothy B. O'Connell, Health Inspectors for the Town
of Barnstable. This inspection was conducted on the basis of the rental registration in accordance
with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary
Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Broken deck
board observed near the front gate entrance.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Side slider
which opens to the deck is missing its' handle and no screen door present.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The room
located on the right side of the house has an unfinished wall present.
105 CMR 410.253: Light Fixtures Other than in Habitable Rooms or Kitchens: No lighting
provided in closets.
105 CMR 410.552: Screens for Doors: Screen door not present on front side entrance or on
slider leading to deck. (Must have screens on April 1 —October 30)
105 CMR 410.256: Temporary wiring: Temporary wiring observed on the front.of the house
running from and electrical outlet to a permanent light fixture.
105 CMR 410.503: Protective Railings and Walls: No protective handrail provided on the
stairway leading to the basement.
Q:\rder letterMousing violations\Rental Ordinance\43 Potter Ave.doc
I_
4.
The following violation of the Town of Barnstable Code was observed:
4 170-7 of the Town of Barnstable Code: Owner\Property Manager's name, address and
telephone number were not posted inside the dwelling.**
*Note: The current tenant stated that he removed the door between the kitchen and the front side
door entrance and has no issue with having no screen door present. Upon change in occupancy,
the door between the kitchen and front side door entrance shall be re-hung or a screen door must
be in place between April 1st and October 30th. The sliding glass door on the side of the house
will require a screen door between April 1st and October 30 as it opens directly into a habitable
room.
**Note: Once all the other violations have been corrected, you will be issued a certificate of
registration for the rental property. The certificate of registration will have all the necessary
information to satisfy the requirements of§ 170-7 of the Town of Barnstable Code.
You are directed to correct the violations listed above within thirty (30) days of your
receipt of this notice by pulling any required building permits (if applicable), by repairing
or replacing the broken deck board, by installing a handle on the slider, by finishing off
(spackling the wall so it is smooth and then priming and painting the wall) the unfinished
wall, by providing and locating electric light switches and fixtures in all closets, by
removing the temporary wiring, and by providing a protective handrail for the stairway
leading to the basement.
You may request a hearing before the Board of Health if written petition requesting same is
received within ten(10) days after the date the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each days failure to comply with
an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
Tn'Umas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Cc: Eric Rigling, Tenant
Q:\rder lettersWousing violations\Rental Ordinance\43 Potter Ave.doc
ICAmoll u)a
F: r
1
FORM30 &w HOBBS&WARRENTM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
LA Y/T WN
a DEPA TMENT
^M a 1��7_ADbqAss
SVey LEPH E /
AAddress / 3 h �AN4 1JOccupa �r 1 '
Floor Apartme t No._ No. of Occup ts—,
No. of Habitable Rooms_.No.Sleeping Rooms-
No.dwelling or rooming units No.Storie
Name and address of owner +. l 1,n
of rr''r AO,
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: _ rw
Dual Egress:and Obst'n.:
❑ B ❑ F Doors,Windows:— Wr_ �,�,, A,�_4
. 4 l Roof _
0 Gutters, Drains: I '
Walls:
�t yi0 w Foundation:
6rNS Chimney:
Gen.Sanitation:
�q1 Dampness:
Stairs:< ;1 vi
Lighting:
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:- `M i �, ;
Hall Lighting:
Hall Windows:
HEATING Chimneys:
NwCentral ❑ Y ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Su I Line: ° - M ,
t11.1si ❑ P Waste Line: :
E✓y1 H.W.Tanks Safety and Vent
RICAL Panels, Meters,Cir.: 9. - i1A t 0,4r dr.A,4W -&WBWL-9 4—Cd ,
❑ 110 11220 Fusing,Grnd.:
AMP: 6 K_1 Gen.Cond. Distrib. Box:
Ord'( ( 12 . Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Buildin Posted y e ,p0,1 ; rp W,
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 I S CTI REPO T IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENAL S O P JURY.'
n 1�--
INSPECTOR ! ` TITLE 11 _.i✓1 �- +�.
DATE 10 r/ TIME _I�7 �� P.M.
THE NEXT SCHEDULED REINSPECTION Sc � P� P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in 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) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, `"
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,•
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective 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.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
i
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Parcel Detail Page 1 of 3
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Logged In As: Parcel Detail Wednesday, Octob,
Parcel Lookup
_ ...._..._...—
Parcellnfo
Parcel ID 308-149 - Developer Lot PLOT 14C, 15B& C& 16C� -
Location i43 POTTER AVENUE I Pri Frontage 190
--R-I V E --------——- _...._------- ---- ----
Sec
Sec Road DUMONT DRIVE Frontage 198
Village HYANNIS � Fire District�HY N
Sewer Acct 3923 � Road Index=1304
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Map
Owner Info
Owner`AYLWARD, PHILLIP T&WENDY G I Co-owner — --�
'streeti 1217 HORSESHOE LANE Street2
City CENTERVILLE - _ state HAD zip 02632 Country
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Land Info
Acres 10.32 use Single Fam MDL-01 I zoning 'RB j Nghbd 010
Topography Level I Road iPaved
-- - - -- ........... . . .. ........
Utilities All Public Location
Construction Info
Building 1 of 1
Year=1930 --...-._.I Roof(Gable/Hip I Ext+Wood Shin le
Built -- ---I Wall i g I
Effect`2534 I RoofAsph/F-GIs/Cmp I AC None
Area Cover Type I
Style.Colonial I vUali Plastered I Rooms 4 Bedrooms I
Model`Residential I Floor Int Hardwood I Rooms 3 Full Bath J
Grade Average a Heat H t Water Total 10 Rooms
Type Rooms
http://issql/intranet/propdata/ParcelDetail.aspx?ID=25009 10/11/2006
Parcel Detail Page 2 of 3
stories'2 St w/FAT Heat Gas Li Found Conc. 112 11
[ Y Fuel _ _ ation I •�
Permit History
Issue Date Purpose I Permit# Amount I Insp Date I comments
Visit History
Date Who Purpose
3/22/2002 12:00:00 AM Paul Talbot Meas/Listed
5/15/1988 12:00:00 AM ML
Sales History _
Line Sale Date Owner Book/Page Sale P
1 3/31/1999 AYLWARD, PHILLIP T&WENDY G C152537 ;
2 2/3/1997 HARVEY, MICHAEL L C143480 ;
3 2/15/1995 MOREL, MARK W C136514
4 7/15/1994 FED HOME LOAN MORTG CORP C134409
5 5/15/1987 PATULAK, DAVID M & C110893
6 10/15/1985 KENNEDY, ROBERT E ETALS C103940
7 10/15/1985 CANNING, JANET I C103939
8 10/15/1985 CANNING,ARTHUR J EST OF C103939
9 CANNING, ARTHUR J C258620
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcc
1 2006 $205,500 $16,100 $0 $147,700 ;
2 2005 $175,800 $12,900 $0 $133,800
3 2004 $155,500 $12,900 $0 $133,800 ;
4 2003 $127,600 $12,900 $0 $30,500
5 2002 $127,600 $12,900 $0 $30,500
6 2001 $127,600 $13,000 $0 $30,500
7 2000 $99,400 $10,900 $0 $26,400
8 1999 $99,400 $10,900 $0 $26,400 ;
9 1998 $99,400 $10,900 $0 $26,400
http://issql/intranet/propdata/ParcelDetail.aspx?ID=25009 10/11/2006
Parcel Detail Page 3 of 3
10 1997 $80,700 $0 $0 $23,100 ;
11 1996 $80,700 $0 $0 $23,100
12 1995 $80,700 $0 $0 $23,100
13 1994 $79,600 $0 $0 $26,700
14 1993 $79,600 $0 $0 $26,700
15 1992 $90,400 $0 $0 $29,700
16 1991 $133,900 $0 $0 $42,800
17 1990 $133,900 $0 $0 $42,800
18 1989 $133,900 $0 $0 . $42,800
19 1988 $102,300 $0 $0 $28,500
20 1987 $102,300 $0 $0 $28,500
21 1986 $102,300 $0 $0 $28,500 ;
Photos
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voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health (Agent or Health Inspector)to inspect my dwelling unit
located at W3 P,44 in accordance
(House#, [Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on S(0110q . I hereby authorize and name
(Date of inspection)
yo 1�4'rkrf to be my tenant representative.for the
(Occupant representative)
purpose of this inspection. awl j;,� is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
Occupants Signature \ Date
Occupants Representative Signature \ Date
Q:\Rental Ordinance\inspection permission 2.doc
Date?, j}
I, ,e� C/I/�.,WAfW , voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit
located at T%4,e 4k!!!�4, yA^/N/S in accordance
(House#, [Apt\Unit#if applicable],s6eet,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on /,409 O Lhereby authorize and name
(D e of inspection)
�,� Z to be my tenant representative for the
(Occupant representative)
purpose of this-inspection. / / /1/f�/t112 is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
Occu ants Signature \ Date
Occupants Representative Signature \ Date
Q:\Rental Ordinance\inspection permission 2.doc
Date
I, e L-, ���� , voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health(Agent or Health Inspector)to inspect my dwelling unit
located at a
4,,/c-u-,, � in accordance
(House#, [Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on 0 I hereby authorize and name
( ate of inspection)
l� to be my tenant representative for the
(Occupant representative)
purpose of this inspection. �/e V-, ��C,�,Q ( (/Ul is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms,bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
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Occupants Signature \ .Date
Occupants Representative Signature \ Date
1
:\Rental Ordinance\ins permission 2.doc
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