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Home My WebLink About0067 SEA STREET - Health 67 Sea Street Hyannis ;E%IER A = 308 - 170 i o i I F • T I No. 04 Q Fee o BOARD OF HEALTH TOWN OF BARNSTABLE 0(ppYicatiou jf or Yell Cow6truction permit Application is hereby made for a permit to Construct(✓j Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel C.)K-C v�c,S VAaoy), "A 1 Owner i Address /� 1L11� ri in V�)0 t��yZ zc - 6- <'�✓ y Installer-Driller Address Type of Building Dwelling Other-Type of Building °S/ Apczg fts- -1 No. of Persons Type of Well I►-mo ce.kt0 _ Capacity Purpose of Well t r-j Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well P otect*Z11 Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Co p is a as n issued by the Board of Health. Signed Date/ Application Approved By ' P►GAL-5&4,� Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( Altered( ), or Repaired( ) by tt � taw l� (( Installer at ��`� 2C-O �-� c,-2 co T \�Ucon,n has been installed in accordance with the provisions of the Town df Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector s+ , No. �(O Fee W BOARD OF HEALTH 1 y� TOWN OF BARNSTABLE 01ppYication jfor Yell Construction Permit Application is hereby made for a permit to Construct(/< Alter( ), or Repair( ) an individual well at: S S—�� ?jog 4-4, (70 Location-Address Assessors Map and Parcel + , fir, V ( Afe�i��S � ��fe�,�!—AVA . Vl MTl c Owner— � Address T�Installe -Driller Address Type of Building Dwelling Other-Type of Building 1�fc-A en+ ' No. of Persons Type of Well { ,��,�., ,v, �d�� Capacity Purpose of Well , r1 Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Complianncee�has been issued by the Board of Health. I Signed ��r� 1 18/ (_v vi' Date Application Approved By 14,tAL Date Application Disapproved for the following reasons: r yr Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(0 Altered( ), or Repaired( ) by_ N!::N�C_cVs.Q Installer has been installed in accordance with the provisions of the T6wn1f Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Very Construction Permit No. 1 ) „Af 0 Fee Permission is hereby granted to ` 1\ 0 Insta Ter to Construct U/lter( ), or ,Repair( ) an individual well at: No. Street as shown on the application for a Well Construction Permit No. Dated Date Approved By ^_ iK S Map Page 1 of 3 Town of Barnstable Geographic Information System New Search Home I Help Parcel I Custom Map IFAbutter, Map Size ® 13 E] Zoom Out In Viewer �ft� lip ElN e=]PG 308047 4668 .+..4. 3D8124 30827 4874w 3D9134 0831A 48310 309121 308123 435 8 3U8049 g649 ' 80„20� p438 N428 8350 xr 308133 p831B N831C ' , a24684 k876 ff,1r 659f,�p-845 �. '308122 306140 /t ''308135y 3D8142 308138"308137�7T7y'�08gl M,855-3'" 306141 p476 308194 p700 4675 888+�3D6138 .8488 N430 1 308153 308104 30BYM ST - - ,..g`'308167 308196 ' 453 0535 - - f/' \4469 308185 30816 308162" IA� 3081084 ®4 445 x 4701 N525 .+�'f�_�` 45D 308200 308201 308105 '� 1418 022`� .x �✓��,�✓ 308154 415 4509 t�L' "" " '308202 a,o 4�, N17306161 CND 0 432 ' 308170 CND 308203 lZ 308106 - 3�70 M. 0,15 N 30 308155 308180 091 N 424� 125� �424 p87 308204 �l 308180' r44B Full '38187 }, - 3081770 a 4391�d t Map: 308 Parcel: 170 . 9 4300 4?4; 308206 Property 308150 308150 �" 448 Location: 67 SEA STREET Info -434 035 �308178�r 308179 ,m `3118841888 -! •L9-'48822 1aa7 Owner: HAJJAR,CHARLES C&ANNE TTRS 348847 37283 N46 �48�® A 3N844d347880 3q?125.095 �048t - "- A 3��888C ND 307282 (Location Information &k� \ Map&Parcel 308170 307087 307085 307D84 307083 007082g,3070811 7„R — 307266 405 Location 67 SEA STREET �487� I� q�g �437 N21 415' 093 307248\d307254t 422p� 307086� 0 �-7t �A 307258 d Acreage 3.51 acres q53 g307080 4102 q3D 4-J 014y I 3n �i� �3070788 307077 3��0. _4109 307240 88 '.I 1 43zG' p22 441 r 11721*—_--- Current Owner 4 307068 307251'307253 307255 307257 �� 4.t t1�� 435�42651,21 8.15+ Mailing Address HAJJAR,CHARLES C&ANNE TTRS -- a.11 67 SEA STREET REALTY TRUST 30 ADAMS STREET Set Scale 1"= 210 1 Aeri I Photos v I MAP DISCLAIMER MILTON,MA 02186 [Appraised Value(FY 20163 Copyright 2005-2010 Town of Barnstable,MA All dghts reserved.Send quPt1f1ha F a`�u ht to GIS$2 300 BarnstableMA v1.2.5833[Production] Out Buildings $114,900 Land $563,800 Buildings $4,545,500 Total Appraised $5,226,500 (Assessed Value(FY 2016) Extra Features $2,300 Out Buildings $114,900 Land $563,800 Buildings $4,545,500 Total Assessed $5,226,500 (Construction Detail Style Apartments Model Residential Grade Average Stories 2 Stories Exterior Wall Wood Shingle Roof Structure Flat Roof Cover Tar&Gravel Interior Wall Drywall Interior Floor Carpet Heat Fuel Gas Heat Type Hot Air _ AC Type None Number of Bedrooms Number of 0 Full-0 Half Bathrooms Total Rooms 0 Living Area 27600 Replacement Cost $1,800,348 Year Built 1973 Depreciation 24 Construction Detail Style Apartments Model Residential Grade Average - Stories 2 Stories Exterior Wall Wood Shingle http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=308170 5/18/2016 Map Page 2 of 3 Roof Structure Flat Roof Cover Tar&Gravel Interior Wall Drywall Interior Floor Carpet Heat Fuel Gas Heat Type Hot Air AC Type None Number of Bedrooms Number of 0 Full-0 Half Bathrooms Total Rooms 0 Living Area 27600 Replacement Cost $1,800,348 Year Built 1973 Depreciation" 24 !Construction Detail Style Apartments Model Residential Grade Average Stories 2 Stories Exterior Wall Wood Shingle Roof Structure Flat Roof Cover Tar&Gravel Interior Wall Drywall Interior Floor Carpet Heat Fuel Gas Heat Type Hot Air AC Type None Number of Bedrooms Number of 0 Full-0 Half Bathrooms Total Rooms 0 Living Area 34500 Replacement Cost $2,249,745 Year Built 1973 Depreciation 24 Construction Detail Style Ranch Model Residential Grade Average Stories Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp ' Interior Wall Plastered Interior Floor Pine/Soft Wood Heat Fuel Electric Heat Type Elec Baseboard ' AC Type None Number of 3 Bedrooms Bedrooms Number of 1 full-0 Half Bathrooms Total Rooms 6 Rooms Living Area 1354 Replacement Cost $139,095 Year Built 1971 Depreciation 25 Building Sketches I http://66.203.95.236/arcims/appgeoapp/map.aspx?propertvlD=308170 5/18/2016 Map Page 3 of 3 aT= MAP DISCLAIMER This map is for planning purposes only. It is not adequate for legal boundary determination or regulatory interpretation.This map does not represent an on-the-ground survey. Enlargements beyond a scale of 1"=100'may not meet established map accuracy standards. Parcel lines on this map are only graphic representations of Assessor's tax parcels.They are not true property boundaries and do not represent accurate relationships to physical objects on the map such as building locations. http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=308170 5/18/2016 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M ^C(, I � DATA / yOPG \"ND DID ASI& , y t, S . l6AC S b P- s` 60 .' • 6 J aAw AC'5 N y S&C ,1 66 \\4 \\ f J 36 AC-Si yM1 . 4J \\ 4 t \9 DC in 40 40 t� lap �1 tP i . a o° nF 142 `4 f ,e 136 wu 141 42AC n 'e 138 c 137 ABAC �•� n•• 18AC \ _r • lDPC \ S 0 U T i �1 VS. \�►F' 40 •0 39 •G q iBG-S 30 ♦a 153 164 16A 162 (` : \9 SS- 152 n a a 6' ® 111 1 P 200 - `1 f. a 145 OAC iSQCe i o9a 165 ,y „o . .; : . O CAAC 9 RR 0 7 in F... b. wSt Glt�-S qt�C:-S / 45 f M .83 AC - OAK M b 1 �yso 20 146 154 161 04AC 150 B a 18 AC .ZCAC . .20 AC I I765 - a .66 A: - 166 .21AC 21AC 177 148 167 140GtAt. fi x 8 156 159 8 N 178 c 2 C .21 AC 2,AC i W 33:i r� O 0 168 W J 149 A ► s .2bAC 1.j tdS�4 v ` • 32 158 9 157 .21AC 169 5 v! SCALE 1 .ON OF THE '.16AC v .21AC Iacti.'R } I Qa ;SESSONS \a .• :::r �. .� c ;ONNECTICUT 2 I �ry No. v / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpYication for Disposal *pstrm Construction 3pPrmit Application for a Permit to Construct( 1 Repair(Upgrade( ) Abandon( ) Rvomplete System ❑Individual Components Location Address or Lot No.45-,--, %AT Owner's Name,,Address,and Tel.No. Assessor's Map/Parcel Insta ler's Name Address,and Tel Designer's Name,Address,and Tel.No., �a �. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided `�7 gpd Plan Date '�� Number of sheets Revision Date Title Size of Septic Tank ��' '�®® ype of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Board of Signed Date Application Approved by Date r�� Application Disapproved by Date for the following reasons Permit No. Date Issued r No. Fee THE COMMONWEALTH �,OF.MASSACHUSETTS Entered in computer. `Yes n PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS 2pplitation for -Mispo8 pstem Construction 3permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No.�j 7 C,00(ro 4''0i° -e Owner's Name,, "dress,and Tel.No. Assessor's Map/Parcel / do;p Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building O '4:0 x No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided !7 ! gpd K. Plan Date 001 Number of sheets Revision ,/°i Revision Date Title �- Size of Septic Tank /��40L✓' ram® 1�' ype of S.A.S. �'C Q�lfi G/fj� '•R��'' Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Board of He Signed Date (J&V Application Approved by' Date Application Disapproved by Date for the following reasons Permit No. 0 Date Issued D 017— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of Compiiante ,. THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by ��h9 G-00e ��'�� `��4C at 40�7 �'T G��/�ilr�/�°� ..•9d�'f has been constructed in accordance - r with the provisions of Title 5 and the for Disposal System Construction Permit No. Of b-30Idated �- a w InstallM,�.,s* ,� ,04MV '/..e" Designer qe),67 .002�-4f'd"- Or-r #bedrooms :r Approved design w n j y',� gpd f The issuance of t is pe it shall not beyconstrued as a guarantee that the system willtnctiol!il as design ` Date Inspector �t �J No. C9 � . . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ► Misposal *pstem (Construction Vermit Permission is hereby granted to Construct( ) Repair(�< Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. \ n Provided:Construction must be rcompleted within three years of the date of this permit. Date �j a t ( K/ Approved by Town of Barnstable THE Regulatory Services Richard V.Scali,Interim Director saa AMR XAffi. Public Health Di-tzsion- ° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designorr Certification Form Date: I Zo ::�, Sewage Permit* Assessor's Assessor'sMaplParcel "z Y1^'06,:sr- Designer: installer: 4!1 Address: ` Q0LXx_ A Address: N4\1L' ,S On was issued a pern-&to install a dat (installer) septic system at �nn� ��tf.ii Gallia\]� "ased on a design drawn by (address) dated (designer) V I certi fY that the septic stern referenced above was installed substantially p system s pally according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to fallow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in c Jiance with the terms o the 11A approval letters(if applicable) '�Ji' t1 U F 114,q�,�C S = DAVID y cE (Installer's Signature) MASON V t fT) v ,p No.1066 O 4"'t F.S[i~�� r�tJflriARtf` (Designer's ature) (Affix Desi Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Qaseptic\Designer Certification Form Rev 8-14-13_doc Date: 16/Z3 117 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM -91 NAME OF BUSINESS: SAI�� n/4/4 -7/ii. ev 1 BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: ��C�fi' �� -0 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATI S: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: `, ��, CG >' 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, to,,,�-Lacquer thinners (including carbon tetrachloride) Any other products with "poison" labels ,NEW ❑ USED (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 ✓t. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A ,icant's Signature Staff's Initials YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost s40.00 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. Tale the completed form to the Town Clerk's Office, 1st FI_, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. ,> DATE: 0) f 1.6 Fill in please: APPLICANT'S YOUR NAME/S: _ A/L $ „y SDa�)BUSINES � YOUR HOME ADDRESS: &q _ <5 srFna260L 'FELEPHONE # Home Telephone Number 50e �7 6 NAME OF CORPORATION: 0 0 R E L 14 AYD 5C721n1 iV NAME OF NEW BUSINESS — i 5 C m min TYPE OF BUSINESS LNDSC0m nn IS THIS A HOME OCCUPATION? YES _ N❑ ADDRESS OF BUSINESS C74 5e MAP/PARCEL NUMBER [Assessing) Oa 6�L 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 down. - 1. BUILDING COIIVV�� 15 l EA'S ❑FFI E This indivlddal inform d of n er requirements that pertain to this type of busi MUST COMPLY WITH HOME OCCUPATION \ rMLES AND REGULATIONS.. FAILURE TO ut e Bignatu COMPI..Y MAY RESULT IN FINES.- COMMENT fle) AVG .2. BOARD ❑ HEALTHIZ6 This Individual has,been 1 o mad of the permit requireme s that pertain to this type o _.: . ' IIiPY V(IkT+'AI.G 61 gnature * L�iAZARDQUS Mi4TE R COMMENTS: ��.`�.REG( TIm, 3. CONSUMER AFFAIRS [LICENSING AUTHORITY] This Individual has been informed of.the licensing requirements that pertain to this type of business. ° Authorized Signature* COMIVIENTS: TOWN OF BARNSTABLE Date:, 0`/0)0 ►ti TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: 5odRe L ND5CALV i n- ` BUSINESS LOCATION: q S i n S INVENTORY MAILING ADDRESS: q -QQ Sr = C,5 a np r I`Y/A a�2-6o l TOTAL AMOUNT: TELEPHONE NUMBER: 59 5'7 q 8 , CONTACT PERS ON: .`f'►9, 1 S D IV 5 JCL Qe, EMERGENCY CONTACT TELEPHONE NUMBER: pff y 15 1) 3 qV MSDS ON SITE? TYPE OF BUSINESS: L, In 42 D 5 r—ot " INFORMATION / ECO MENEYATIONS: Fire District: a15Alk-lreely f 7 S 4 sra)-,ss Nor -C w e fj e Q e, M4 i'2,h4l S !V lq2 u( ed . . a to ransport 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. Obs rved / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid C�aK�-�// / >< Disinfectants Engine and radiator flushes / ` Road salts (Halite) f , Hydraulic fluid (including Ibrake fluid) Refrigerants / Pesticides j h , Motor Oils S�Q. •� ❑ NEW ❑ USED X (insecticides, herbicides, rodenticides) >(� Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 he ting oil ❑ NEW ❑ USED Photochemicals (Developer) Miscellaneous petroleum pr ucts: grease, lubricants, gear oil(aY, c c ❑ NEW ❑ USED - Degreasers for engines and metal S44 Printing ink Degreasers for driveways&garages ��/ Wood preservatives (creosote) Caulk/Grgut Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents y ents Leather dyes ' � �k �S Car waxes and polishes X 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 X removers(including bleach) Spot removers&cleaning fluids (dry cleaners) C Other cleaning solvents ' Bug and tar removers - / _.indshield-wash ff WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Si t e Staff's Initials �C 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. DATE: Off.Q6.,?O/6 Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: G 1 e� s a/�f G ' TELEPHONE # Home Telephone Number 6 P G PAS'-2 9�2 NAME OF CORPORATION: -- - - NAME OF NEW BUSINESS Ca o /J�o /��o�.4i TYPE OF BUSINESS /-'�ooziilo IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS 6 �s�o rE a,� G- MAP/PARCEL NUMBER ` I (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 CO ISSIO ER'S OFFI This individu a inform d ny rm'. r quirem tits that pe into this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Aut on i natu * COMPLY MAY RESULT IN FINES. OM NT `NITH ALL 2. BOARD OF HEAL4 ,r'- , ` ... 31IR�1Li1.ATlf!n.14 This individual has been informed of the p rmit a •'r e s t t pertai .to this type of business. HAZAnUUu f�ifi Lr.i �� i;G ULA i I��►� Authorized 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: M Date:,2 L2-T TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: 6-7-re'? rr, Q,,2 ze - ! �- /� ij /X.q INVENTORY MAILING ADDRESS: 6-, Se4 st, a�el 6- TOTAL AMOUNT: ell TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: r--7 9 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 I CANARY COPY-BUSINESS ant's Signature Staff's Initials DEC 20116 Pn12:21 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. DATE: 02 s II__ (�4ill in lease: APPLICANT'S YOUR NAME/S: F4 ` BUST ES YOUR HOME ADDRESS: cry TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS ' lQuIdivi t��, IS THIS A HOME OCCUPA I N? YES NO J ADDRESS OF BUSINESS _ 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 SSIO ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individu I h s tnftyr- d a p mit re uir ments that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES ut on S gn OI)(IMENT // 2. BOAR O EALT 4 This individual has been informed of �requirempnts that pertain to this type of business. MU .COMPLY WITH ALL HAZARDOUS MATERIALS REGULATIONS Authorized Signatu e* 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: ,;� . . .�. l o�l l � TOWN OF BARNSTABLE Date: rho TOXIC AND HAZARDOUS MATE IALS REGISTRATION FORM NAME OF BUSINESS: AV tp.a , BUSINESS LOCATION 1 INVENTORY MAILING ADDRESS: ) ^TOTALAMOUNT: TELEPHONE NUMBER: - CONTACT PERSON: EMERGENCY CONTACT TELEPHO NUMBER: MSD 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 ':i,:a ✓.,e'. ..... G.}"'..':'a '..,.x .':..a:.,.sX..,a a;.... w a ..u r',;>..... '.;,'.".'.. < . .Y,:t:..n,..,.. v,., .e.. ,.".-0b. ..>rx.RK.., ....e...,, ,M>.....a..H:,:. ..a.,.,� • ..,.w .wxh .. x.. a. ..„...... .>... d .; ,H,. .. ., x.o'n.•,¢ ,. .+<..M.. r .,....,n. .... YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificntes(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it dots.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. DATE:p&� Fill in please: t ;, a{ xG`y APPLICANT'S YOUR NAME/S: b �ti � I ►'t •i' ;rta' _BUSINESS YOUR HOME ADDRESS: y/�-'�h��'� rti r _I r� 10 L/-A, r 41� 'TELEPHONE # Home Telephone Number �� E-PIA I L: J J d h NAME OF CORPORATION; - NAME OF NEW BUSINESS iN i` �� TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO n ADDRESS OF BUSINESS. �� e. ' MAP/PARCEL NUMBER � E" (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 farm 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 regally operjt jr6U0Fsyir ipHggC)ME OCCUPATION 1. BUILDING COMMISSIONER' 17F ICE � RULES AND REGULATIONS. FAILURE TO This individual has been f r of a p i requirements that pert ' this type of business.!Zt COMPLY MAY RESULT IN FINES. A thorzed Si nat e** COMMENTS L 2. BOARD OF HEALTH MUST COMPLY WITH ALL This individual has been 0o`rrn-of the-permit requirements that pertain to this type of business. C HAZARDOUS MATERIALS REGULATIONS Authorized 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:— ..... .........- .. P 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 tha is required by law. . DATE: 09 -2 01+ ill in please: YOUR NAME S: P SatYl 1^ Skit-Lkib t APPLICANT'S / -ly N.. ' Sit lL Q.X," LkA BUSINESS YOUR HOME ADDRESS: 6�- �- �+ 5• (i`�!Li.P�Yi..;•`iFt ;�', .rr'"° 4 J� Q 0 013 0 l thick-iyi'tii' - �r7+iii � •'1 D� SE.... .I`, TELEPHONE # Home Telephone Number aL'•:�d vrjsa.i� •E-MAIL: ShttAKinLASp tMckil•Cvm NAME OF CORPORATION: Fes- Y. FIooP ING C01'1P14IV NAME OF-NEW BUSINESS L3 'Y•- F1 aJ 0.i N C- C-10M P H NV TYPE OF BUSINESS 140" IS THIS A HOME OCCUPATION? ✓ YES NO _ [Assessing) � MAP PARCEI.NUMBER I [ g) ADDRESS OF BUSINESS G St. G / cxdjb O 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 ya.0 have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S FFI MUST COMPLY WITH HOME OCCUPATION is that pertain to this e of business. RULES AND REGULATIONS. FAILURE TO This individual has been r d any perm) q i P type a COMPLY MAY RESULT IN FINES. tho ' d Signatu ** _ C COMMENTS: ^� Q C( C -- ' 2. BOARD OF HEALTH This individual has by n informed�ollpermit r irements that pertain to this type of busine s. 'A hOrIzed Signature A COMMENTS: HAZARDOUS MATERIALS RE!PQL.ATIf1N 3. CONSUMER AFFAI (LICENSING A ORITY) This individual i o wed a icensin requirements that pertain to this type of business. t i d ur COMMENTS i Date:03/ is./ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM ' NAME OF BUSINESS: BUSINESS LOCATION: Sg� `L, APO" ,S INVENTORY MAILING ADDRESS: 64 SC-so,-&E , " IC--C OZc uytAs fl-L TOTA AMOUNT: TELEPHONE NUMBER: T-7 it— Pea- 0130 CONTACT PERSON: A kk-SCLV-"&' EMERGENCY CONTACT TELEPHONE NUMBER: � 1-P-��'�31�'� 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 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 Sig turd Staff's Initials o 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. f DATE: 0 Fill in please _ : .� ugg APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: q� "`''" TELEPHONE # w°3g 9t�liyr''' 'd Home Telephone Number #: _ % E-MAIL: NAME OF CORPORATION: NAME OF-NEW BUSINESS M AI_1h6r9 TYPE OF BUSINESS *�,9n IS THIS A HOME OCCUPATION? . YES `_NO l 1 - C ��/�� MAP/PARCEL NUMBER�� I l [Assessing] ADDRESS OF BUSINESS. 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 O� Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business'in this town. I� M SIGN R'S OFFICE �. BUILDING CO �' SMPLY WITH HOME OCCUPA N This individual he n '0 or. e o a �mit uirement that pertain to this typ i � RULES AND REGULATIONS. FAILURE t on Si natrire** COMPLY MAY RESULT IN FIfUE�, � JNMR T ) t , n HE ALTH 2. BOARD OF t ei�tain to this e of business. as been infor of the ermit re u+ ments that p type This individual h q • Authorized Signature** COMMENTS:. L-�90 Lis ;a� �uaZ~ ^rQ+✓tcQx�i f1;� � i i`3: CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . Feburary 6, 2010 Dear Mr. Thomas Geiler, I am writing to inform you of a situation that is going on at my apartment.complex; I live at 67 Sea street apartments in Hyannis. Twice.now my basement level apartment has flooded. The first time was last August, 2009. It rained really hard, I was told something got clogged and flooded the laundry room plus my bedroom.The next day they ripped out the bedroom carpet and installed new. Now I should also inform you that I am terminally ill. I am in kidney failure and do dialysis from home. It is vital that I have a clean sanitary place to do this, plus store'my medical supplies. Last Monday 1 awoke to find my bathroom and hallway flooded with water and human waste which came out of the tub! When I went to get.the maintence man, I notice the laundry room was flooded also. The maintence man"said he was aware of the situation, that the sewer had backed up, a bunch of building had flooded and he had to shut the water off. Within an hour he came and wet vac my apartment, but he didn't have me leave the premises. A week before the flood I kept noticing a sewer smell everytime I took a shower. At the moment I have pink eye and I also obtained a boil on my skin which J had to hav lanced. I have gone to the Barnstable Housing Authority which has put me at the top of the list as a priority. So I can get out of this place, medically it's not safe for me. I've heard this flooding has,happened many times before I lived there. It shouldn't happen to any one else. Shouldn't they have called hazmat? Thank you for taking time to read this. l can be reached at 508 771 2864. . Sincerely, Jennifer Murphy yr �1 Town of Barnstable Barnstable �pF SHE Tp�� NAP db °� Board of Health j 2"a j -�na SS. 1. 200 Main Street, Hyannis MA 02601 O 8 039. �e 2007 o°AIfD MAt 1, Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi July 8, 2013 I, Sharon Crocker, Administrative Assistant to the Town of Barnstable Public Health Division and to the Board of Health, certify this is a True Attested Copy of the Public Health Division's rental inspection done on August 20, 2009 for 67 Sea Street, Unit#H-4, Hyannis, MA. _ 3 haron Crocker Administrative Assistant z Q:\Legal\Records.Req for 67 Sea St H4 Hy Plaintiff AttyGreg L July2013.doc C&� HORBSRWARREN'M THE COMMONWEALTH OF MASSACHUSETTS FORM 30 a f-' BOARD 9F HE L H CITY/TOWN W D PARTMENT ,n ADDRESS fin, sv>y\y TELEP ONE Address `____— Occupant_. Floor Apartment N . No.of Occupant No.of Habitable Rooms -I' No.Sleeping Rooms- — No.dwelling or rooming units_ No.Stori s___ _ Name and address of w r _ _ 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: Stairs:--- Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: - -Hall, Floor,Wall,Ceiling: — l0 °� Hall Lighting: Hall Windows: r HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: DIMS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond, Distrib, Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup,Ten., Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,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 OF PE U TITLE / INSPECTOR I ' A.M. DATE —O TIME t D P.M. O A.M. THE NEXT SCHEDULED REINSPECTION P.M. Page 1 of 1 f Crocker, Sharon From: Gregory Lucyniak [,re,oryjlucyniak@,mail.com, Sent: Monday, July 08, 2013 4:02 PM To: Crocker, Sharon Subject: Re: 67 Sea Street, Unit# H4, Hyannis Yes,please. On Mon, Jul 8, 2013 at 3:25 PM, Crocker, Sharon<sharon.crockerktown.barnstable.ma.us>wrote: Hi Gregory, Just so I have it straight. The only record you would like me to send is the 8/20/2009 rental inspection.. You don't need the complaint record. Correct. Thank you. Sharon Crocker Gregory J. Lucyniak I 7/8/2013 ri Page 1 of 2 Crocker, Sharon From: Gregory Lucyniak [gregoryjlucyniak@gmail.com] Sent: Monday, July 08, 2013 3:11 PM To: Crocker, Sharon Subject: Re: FW: FW: Certified Inspection Report-Sea St. Apartments-Joshua Moore Thank you Sharon. If you could send me what you have with the certification you drafted I would appreciate it. I will contact Timothy for the rest. Thanks again. On Mon, Jul 8, 2013 at 2:54 PM, Crocker, Sharon<sharon.crockergtown.barnstable.ma.us>wrote: You can call him at 508-862-4644. His name is Timothy O'Connell. I will leave him a message to give you a call. He is in the office from 8:00-9:30 and again at 3:30 - 4:30. Then out doing inspections. Sharon -----Original Message----- From: Gregory Lucyniak [mailto:Qregoryjlucyniak@Qmail.com] Sent: Monday, July 08, 2013 2:44 PM To: Crocker, Sharon Subject: Re: M: Certified Inspection Report - Sea St. Apartments - Joshua Moore "Can I get in touch,with the inspector? On Mon, Jul 8, 2013 at 2:43 PM, Crocker, Sharon<sharon.crockergtown.bamstable.ma.us>wrote: ' My Director told me as keeper of the records, I am only to respond to that. I won't be able to add that line in as I am not the inspector. Regards, Sharon Crocker Administrative Assistant 1 -----Original Message----- From: Qregoryjlucyniak@gmail.com [mailto:grego[yilucyniak@Amail.com] On Behalf Of Gregory J. Lucyniak, Esq. Sent: Monday, July 08, 2013 2:17 PM 7/8/2013 s re 0 Page 2 of 2 To: Crocker, Sharon Subject: Certified Inspection Report - Sea St. Apartments - Joshua Moore Sharon, Please incorporate the following into the certification so that I can present it at trial: This record was made in good faith and in the regular course of business prior to July 3, 2012. It was the regular course of business for an inspector to make such record at the time of such an inspection. Please send the certification to: Gregory J. Lucyniak, Esq. 224 Lewis Wharf Boston, MA 02110 Do not hesitate to call or email with any questions. Thank you very much. 3 -- i GregoryJ.Lucyniak,Esq. NEIL S. COHEN &ASSOCIATES, P.C. 224 Lewis Wharf Boston,MA 02110 Tel: (617) 367-0070 Mobile: (786) LAW-GREG Fax: (617) 367-1520 j.t The information contained in this transmission may contain privileged and confidential information. It is intended onlyfor the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review,dissemination,distribution or duplication of this communication is strictly prohibited.If you are not the intended recipient,please contact the sender by reply email and destroy all copies of the original message. Gregory J. Lucyniak Gregory J. Lucyniak 7/8/2013 f' 3113 I* S IQ5 70 Town of Barnstable Barnstable (,a3. p THE! AlAm P ti� Board of.Health I �,�f i G� BARNS[ABLE, • - . MASS. 200 Main Street, Hyannis MA 02601If =ate or3rt9a�p.0 2007 / V7/ Office: 508-862-4644 Wayne Miller,MD. FAX: 508-790-6304 Paul Canniff,D.M.D. 7unichi Sawayanagi May 3, 2013 �. M1 I, Sharon Crocker, Administrative Assistant to the Town of Barnstable Public Health Division and to the Board of Health, certify these are True Attested Copies of the Public Health Division file for 67 Sea Street, Unit#H-4, Hyannis. Sharon Crocker Administrative Assistant FCommonwe lth of Massachu! tts County ofCt On this ?f' day of �` , 20(3, before me, Christine P. Ade the personally appeared - � undersigned Notary Public, I'C? Q V proved to me through satisfactory evidence of identification, which was/were ,�Q,) - i o t -e, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it purpose(s). voluntarily for its stated (as partner for a partnership) (as for, a corporation) (as attorney in fact for , the principal) (as for a/the Christine R Ado 0 �a BLIC (seal) 14 c Cmvnbft Eq*n May 26.201? Signature of Notary My commission expires I . j .. i COMMONWEALTH OF MASSACHUSETTS QUINCY DISTRICT COURT NORFOLK, SS. CIVIL ACTION NO: 12CVS1307 JOSHUA MOORS Plaintiff ) M.R.C.P. RULE 30(a) & RULE 45 VS. ) HAJJAR MANAGEMENT CO., INC. Defendant �TFgF qOc�Fs� F TO: Keeper of Records: Board of Health,Barnstable,200 Main Street,Hyannis,MA Tp FgSFgtrFq off Greetings: YOU ARE HEREBY COMMANDED in the name of the Commonwealth of Massachusetts in accordance with the provisions of Rule 45 of the Massachusetts Rules of Civil Procedure to appear and testify on behalf of the defendant before a Notary Public of the Commonwealth, at the office of Lynch and Lynch, Attorney Susan E. Sullivan, No. 45 Bristol Drive, South Easton, MA 02375, (Phone: 508- 230-2500) on Friday, the 261h day of April 2013, at nine o'clock a.m., and to testify as to your knowledge, at the taking of the deposition of the above-entitled action. ***********BY PROVIDING THE REQUESTED DOCUMENTATION PRIOR TO THE DEPOSITION DATE YOUR APPEARANCE WILL NOT BE REQUIRED************' **And you are further required to bring with you any and all records, however preserved and wherever stored, including correspondence, photographs, inspection reports, notices, violations and any and all other records pertaining to property located at 67 Sea Street Unit H4, Hyannis, MA, owned by Sea Street Realty Trust. J',5 f- lc f�- 't� P C ( �,� Hereof fail not as you will answer your default under the pains and penalties in the law in that behal /c made and provided. Dated: March 29, 2013 Qo Publi File No.: 17.22982 %mab jz� CHERYL WAITS W Notary Public Commonwecalth o$ Massachusetts My Coraaaaaission Expires February 18, 2016 COMMONWEALTH OF MASSACHUSETTS QUINCY DISTRICT COURT NORFOLK, SS. CIVIL ACTION NO: 12CVS1307 JOSHUA MOORE, ) Plaintiff ) NOTICE OF TAKING DEPOSITION VS. ) HAJJAR MANAGEMENT CO., INC. ) Defendant ) TO: All Counsel of Record Please take notice that, at 9:00 a.m., on Friday, April 26, 2013, at the offices of Susan E. Sullivan, Esquire, Lynch and Lynch, 45 Bristol Drive, South Easton, Massachusetts 02375, (Phone: 508- 230-2500), the defendant(s) in this action, by their attorney(s) will take the deposition upon oral examination of the Keeper of Records, Board of Health,Barnstable,200 Main Street,Hyannis,MA, pursuant to applicable provisions of the Massachusetts Rules of Civil Procedure, before David Laplante, Notary Public in and for the Commonwealth of Massachusetts, or before some other officer authorized by law to administer oaths. The oral examination will continue from day to day until completed. You are invited to attend and cross-examine. espectfull , S an E. Sullivan Attorney(s)for the Defendant(s) CERTIFICATE OF SERVICE I, Susan E. Sullivan, do hereby certify that on 9, 2013,I served a copy of the foregoing document by first class mail postage prepaid to Grego J. Luc niak, Esqu NEIL S. COHEN, P.C., 224 Lewis Wharf,Boston,MA 02110. Susa E. Sullivan Attorney(s)for the Defendant(s) File No.:17.22982 /mab w HOBBS&WARREN M THE COMMONWEALTH OF MASSACHUSETTS FORM30 Ca BOARD OF HEALTH CITY/TOWN o DEPARTMENT ADDRESS GSM Ste ye l.. N( TELEPHONE �J Address d �11 5�_ Unn� — Occupant INaS0n, ►T� '�ti Floor—Apartmer�_Wo. TI' No.of Occupants � No. of Habitable Rooms_ No.Sleeping Rooms__ No. dwelling or rooming units -11 No.Stories Name and address of owner - __x r 4,\ M 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: Stairs: ` Li htin : 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 A Bedroom 2 C, Bedroom 3 Bedroom 4 Hot Water Facil. Sup:Ten.,Gas, Oil, Elect.: Stack es,Vent eties: r� Kitchen Facilities ISK 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 rr Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF RJU T INSPECTOR TITLE Q`4®to— DATE TIME L- 5� n / /� A.M. THE NEXT SCHEDULED REINSPECTION 1 V✓ /1� P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such 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 CM,R 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. TOWN OF BARNSTABLE _ BOARD OF HEALTH ARTICLE 11: MINIMUM STANDARDS FOR HUMAN HABITATIOyppurov8d; 161 Z.I (��i MED Cert: Date / G r 09 Time: In Owner Aqs Tenant � AC<Jti-T Address J 3�4- Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use P p 12. Exits 13. Installation and Maintenance of Structural ElementsC, 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; ®� . Removal of Occupants; Demolition Number of Bedrooms Z, Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed n Inspector �h If Public Building such as Store or Hotel/Motel specify here ll- (.. Certified Mail#7005 1160 0000 0191 0546 Kex Town of Barnstable Regulatory Services Mass01Thomas F. Geiler, Director Da t6Sq. Public Health .Division COPY . Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: .508-862-4644 Fax: 508-790-6304 August 24, 2009 Sea Street Realty Trust 312 Peterborough Street, B2 K� Boston, Ma 02215 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE 11 —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 67 Sea Street H4 Hyannis, was inspected on August 20, 2009 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibilities to Maintain Structural Elements. Observed chronic dampness within rug near air conditioning unit vent. It was also observed that door to utility closet had what appeared to be mold on it. This door is located on out side of unit. You are directed to correct the violations listed above within seven (7) days of your receipt of this notice by replacing effected rug area or by elevating all chronic dampness including all sub flooring material in effected area;by cleaning utility closet door and ensuring all chronic dampness is elevated in this area. 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 $10.0.00 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 OF THE BOARD OF HEALTH QAOrder letters\Housing violations\Rental ordinance\67 Sea Street M6.doc Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Joshua Moore, Tenant QAOrder letterMousing violations\Rental ordinance167 Sea Street M6.doc V FORM30 H&W HoBss&WARREN M THE COMMONWEALTH OF MASSACHUSETTS BOARD F t-I E L Fi CITY/TO W N NT o \ n D D PARTMENT ADDRESS �G,M SV6y`eW -TELEP ONE Address OccuP ant_. Floor Apartment N. �I _No.of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units_— No.Stories_� /� Name and address of w r (/4 / 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.: iA O B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: — (p Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . 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 . IOUtlets Walls I Ceils. Wind. boors 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 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 REPPRT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PE INSPECTOR J/V // TITLE l D / ' A.M. DATE _ TIME l P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety. The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing..Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such 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. f Citizen Web Request _ Page 1 of 3 �W g, [€, t, K eauest Mange 2 - "K cute .Use-5 .?'::. �i 'i.:'<L.L'.S.i: € e _ R... ^ $gam - Request Itt a\ it -__ .__._.�.___� .._..___.....__..______..__._..-.__._.. -.___..__.-._..__. Request ID: 26789' Created: 8/20/2009 8:50:53 AM Status: signed To Staff Assigned To: O'Connell;�Timothy Health Office Anonymous: No Request Category: Article Food; Foodborne Illness Routine work: No Estimate:. No Date scheduled: .. _ _...... ____ __,g.._.___.__ ..... Estimated 9/3/_2009 Change Estimated Aug September 2009 Oct Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 30 31 1 2 M 4 5 6 7 8' 9 10 11 12 13 14 '15 16 17 18 19 20 21 22 23 24 25'26 27 28 29 30 '14 2 .3 4 5 6 7 8 9 10' Created By:' Wadlington, Ellen Priority. Medium Health Office Citation Numbers: Requestor� Information r Request Parcel Number !Map: 308 Block: 170 Lot: i< " Had problerrm-with central air conditioning.The repairman came in l land in repairing unit crimped the Parcel..Lookup drain tube which caused drainage - from unit to run back into house and soak carpet. Maintenance person has http://issgl2/intemalwrs/WRequest.aspx?ID=26789 8/20/2009 .(t,<A o-n S7 j 'itizen Web Request Page 2 of 3 been in wit shop vac and also with steam cleaner to clean rug. Have been going back and forth with manager about replacing the carpet. Had to go to the emergency room _..._...:... yesterday Email: Edit Requestor Information Track Request Progress Request Work History: Internal Note History: ( i System entry on 8/20/2009 8:50:53 AM.: I Assigned to O'Connell, Timothy Enter work progress: Enter internal note: (Viewed by everybody.) � (Viewed internally only) A SpeIT Check F Spell low] Add document or image link: ; Browse; t'.Ycau can also type in a folder name to see everything in the folder Current Links: Time worked on request: Response time: Time entries are in fours, Examples of tirne entries: 1.25, 0.5, 0,7-5, .; J.J, 0.25, 0.1 :K response tirne: Measured from the creation date to your first actions on the request. ' Do not include nights, .Areekends, and holidays in response time for most: depar trnents. http://issgl2/intemalwrs/WRequest.aspx?ID=26789 8/20/2009 Citizen Web Request Page 1 of 2 - itIzen R quest Management - Internal Use Request ID: 26789 Created: 8/20/2009 8:50:53 AM Status: Closed Assigned To: O'Connell,Timothy Health Office Anonymous: No Category: Chapter II : Housing Substandard E.C. Date: 9/3/2009 Created By: Wadlington, Ellen Citations: Health Office Time Worked: 4.00 Response Time: 0.20 Requestor Details: Email: - Request Location: 67 SEA STREET Hyannis, Ma 02601 Parcel Number: Map: 308 Block: 170 Lot: 00.0 Request: Had problem with central air conditioning.The_repairman came in and in repairing unit crimped the drain tube which caused drainage from unit to run back into house and soak carpet. Maintenance person has been in wit shop vac and also with steam cleaner to clean rug. Have been going back and forth with manager about replacing the.carpet. Had to go to the emergency room yesterday Request Work History: Entered on 8/21/2009 3:15:35 PM by O'Connell,Timothy j Last modified on 9/8/2009 8:37:07 AM On 8-20-09 went to said property and met with tenant. I did observe moisture within rug near AC unit. Entered on 9/8/2009.8:37:50 AM by O'Connell,Timothy Last modified.on 9/8/2009 8:56:12 AM On 9-8-09 called tenant to check status. On 9-8-09 talked with tenant who said he has since moved out.Although he did state that the rug had been replaced. He also told me he hired a mold expert who told him he has high levels of toxic mold. I have been told by the state DPH that we can not-use this type of testimony with our enforcement due to the lack of a state standards for mold. He has also hired a lawyer because he broke his rental agreement. http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=26789 5/3/2013 Citizen Web Request Page 2 of 2 �Internal Note History: System entry on 8/20/2009 8:50:53 AM Assigned to O'Connell,Timothy System.entry on 9/8/2009 8:56:26 AM: Request Closed by oconnelt d: I . 1 L http://issgl2/IntemaIWRS/WRequestPrint.aspx?ID=26789 '5/3/2013 { �. ,.,fiy. ,w r ...-:5. .,. ,. -�'.,�.. f§ .;.;.:,,...,.,.., ...,. ,,,... .kn.M -, ,.,�.s. k..,� F, .r✓� .t A�..,r. , 4-t• ;d. �-# +r r,: ,rm,o - ,... rl..,4,,p u .. k.�... .. n� 1 e" ...., ,..,. ,;t. �.:} �l> ,..r; { .,, r s.. ,�' � r >•e k -t i a r a ,7.. x: Y� 'w, ..S J ,$,-s r R :,,:f.. .,-.,�.f�•..�'. 7.. _.�+. .,l. �".. �Q ,� , >:.J A b' Y.. .�a .. 't �i.rr. ..kz•,:.� ... d �. .. ..,. +.: .c;.. .,n ,.,.,.,,. :K� .,..� n .. .._t ... ,.�wi a.. ,ii. ..�, .s.. ,r .r. t v' a, �)r., 4,, a r.. .,n: }., er^.,Ls,. �,. .6 .:.r. ,.• 1. -t 1: �„ R� ,)a 1 �,..s+�it',6 '.- .-.'.�., �. -; i' ,•e.),'x.n�iw,. , �' .I..:..,-,., " ,......":`,.;. ,:y >.Y� +1 �.y:fir.. .•t .,:�. t:! �. � !..,.�°,.� ...�..,Y.......,,..• .��.�:., .. t. ,,F._�2 .. ,.:.:f� I" �Yn, i,{.. ^4x ..�-.: ¢ 1: .C±;.gig.''vt"7 t:T�y., P yy .r �.�:, 1./,,� .� ".I.y� � t5 i. r�. 7"7t r - - 'lye 92PRP/C�l�/ ��a MAIL UNITED STATES POSTAL SERVICE Flat Rate Mail.ing Envelope Visit us at usps.com y From:/ExDdditeur s Board of Health - Crocker Town of Barnstable INTERNATIONAL RESTRICTIONS APPLY- 200 Main Street n Customs forms are required.Consult the Hyannis, MA 02601 International Mail Manual(IMM)at pe.usps.gov �Z7�_g ' ;• or ask a retail associate for details." "z_ 3 , To:/Desanataire: 3 Susan E. Sullivan, Esquire Lynch and Lynch 45 Bristol Drive South Easton, MA 02375 I - Country of Destination:/pays de destination: YOU WISH TO OPEN A BUSINESS? =or Your Information: Business Certificates cost $40.00 for 4 years., A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to 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,-1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE "� I Fill in please: APPLICANT'S YOUR'NAME/CORPORATE NA E BUSINESS YOUR HOME ADDRESS: � 4— ` -)'VI Y1 t TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS C—:L (— 0Y))N 6- ave you been given approva rom the building�d_ivsion? YES NO ADDRESS OF BUSINESS 1 .. S .- ILnA MAP/PARCEL NUMBER 3 67 I� CD 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 I STONE 'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individual has e i fermed ri it re uirements that pertain to this type of business. �. f ny, RULES AND REGULATIONS. FAILURE TO Authors d ignature* COMPLY MAY RESULT IN FINES. COMMENTSt0� C, c ,r 2. BOARD OF HE LTH This individual has een rme the permit requirements that pertain to this type of business. UST�;OMPLY WITH ALL HAZARDOUS MATERIALS REGULATIONS Authorized Signature"" , COMMENTS' t 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has Qen info d t licensing requirements that pertain to this type of business. Authorized Signature'" COMMENTS: Date:4 2/ 0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 4 - BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 5(o5 I - CONTACT PERSON: ql� - EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 660;,4 ti/,v & INFORMATION/RECOMMENDATIONS: Fire District: I 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 TOWN OF BARNSTABLE Bpi THE TQ� ��P ♦� OFFICE OF Bsaa9TaBL : BOARD OF HEALTH MA6R p °ems t639- �� 367 MAIN STREET 'EO MAY k' HYANNIS, MASS.02601 February 5 , 1990 Mr. Alan J . Green 46 Glen Avenue Newton, MA 02159 No TICK TO ABATE VIOLATIONS OF 105 MR 410. 000 STATE SANITARY CODE• N NINI IMUM STANDARDS OF FITNESS FQR HUMAN HABITATION The properties owned by you located on South Street, Hyannis (49_ 3;South'_Stx_e.et_and the buildings on each side) and known as Assessor's Map 308 , Parcel 170 was inspected on January 31 , 1990 by Donna Miorandi, Health Inspector for the Town of Barnstable, and again on Friday, February 5th by Donna Miorandi and Jerry Dunning, because of a complaint . The following violations of 105 CMR 410 . 000 State Sanitary Code II Minimum Standards of Fitness for Human Habitation were observed: REGULATION 105 �$1 410.550 LEI and (D) : Potential harborage for rodents living on the premises of these abandoned buildings . Upon inspection there were many empty cat food cans on the ground and in an open barrel . There is also loose cat food on the ground around one building's foundation. It appears that a person in the area must . be . feeding local cats . (B) The owner of a dwelling containing two or more dwelling units shall maintain it and its premises free from all rodents, skunks , cockroaches and insect infestation and shall be responsible for exterminationg them. (D) Extermination shall be accomplished by eliminating the harborage places of insects and rodents , by removing or making inaccessible materials that may serve as their food or breeding ground, by poisoning, spraying, fumigating, trapping or by any other recognized and legal pest elimination method. REGULATION 105 QNR 410.750 j11- Conditions Deemed JLQ Endanfer �r impair Health gx Safety. Failure to comply with any provisions of 105 CMR 410 . 600 , 410 . 601 , 401 . 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. These violations must be corrected within forty-eight (48) , hours of receipt of this notice . r You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date the order is received. However, these violations must be corrected regardless of any request for a hearing. Non-compliance could result in a fine of $500 . Each 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 LHea r. Certified Mail#7003 1680 0004 5458 5200 IKE h Town of Barnstable o� Regulatory Services • BARNh-rABLE, 9� MASS. Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 -- - y August 7, 2007 Diane McDonald 67 Sea Street Hyannis, MA 02601 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 67 Sea Street Apt. J2 Hyannis, was inspected on August 6, 2007 by Don Desmarais, Health Inspector 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 410.501 —Weathertight Elements. Broken window. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing or replacing broken window. You may request a hearing before'the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. Q:\Order letters\Housing violationARental ordinance\67 Sea Street Apt.J2.doc PER O ER OF THE B RD F HEAL Th fimaA. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Don Desmarais, Health Inspector Q:\Order letterMousing violations\Rental ordinance\67 Sea street Apt.J2.doc . r3..r� -,..,,�',.k `1"S` .�H'Rw' yr�,i•h�i"i' . t.. .. ..M:. A �;�;t� �.. � _ _ . I FORM30 C&W.° Ngsss.aWABF�ENTM THE COMMONWEALTH OF MASSACHUSETTS ** OARD OF HEALTH ��. fa- 61�. - CITY/TOWN W DEPARTMENT ( A,j1t ADDRESS j (' `l �TELEPHONE Address '' -7 Occupant Floor Apartment N No.of Occupan �'► No. of Habitable Rooms No.Sleeping Rooms No.dwelling or 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: 1, Walls: i Foundation: Chimney: BASEMENT Gen.Sanitatio-i: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: \ f Hall, Floor,Wall,Ceiling: Hall Lighting: I( Hall Windows: HEATING Chimneys: _ Central ?.Y ❑N Equip. Repair / T ► 7 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 Flo rs Locks Kitchen s Bathroom Pantry Den i Living Room Bedroom(1), i/� ✓' ✓ ✓' V' v !a 7 Bedroom 2 Bedroom 3 Bedroom 4 �J Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities VSjnk ove ? Bathing,Toilet Facil. ent., Plumb.,Sanit'n.: '°ash Basin, Shower or Tub.- Infestation LIF Rats, Mice, Roaches or Other: i E ress f bual and Obst'n: General L.,"Buildin Posted t/Cocks 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 l 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 rf PENCE%0FPLEf_RJUAY.11 L INSPE OR TITLE t IQ4`� �rf,7,Q r0 Y \ I "2� A.M. ` DATE !(0 TIME t� �'"' P-.M• i A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such 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. 1A_ Certified Mail#7005 1160 0000 0191 0546 Town of Barnstable Regulatory Services M 4S.S. a Thomas F. Geiler, Director "" `a Public Health Division Thomas McKean Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 24, 2009 ,Sea Street Realty Trust � � � 312 Peterborough Street, B2 Boston, Ma 02215 tt�� 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 CHAPTEI70. The property owned by you located at 67 Sea Street H4 Hyannis, was inspected on August 20, 20.09 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibilities to Maintain Structural Elements. Observed chronic dampness within rug near air conditioning unit vent. It was also observed that door to utility closet had what appeared to be mold on it. This door is located on out side of unit. You are directed to correct the violations listed above within seven (7) days of your receipt of this notice by replacing effected rug area or by elevating all chronic dampness including all sub flooring material in effected area; by cleaning utility closet door and ensuring all chronic dampness is elevated in this area. 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 $100700 per violation. Each day's failure. to complywith 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 OF THE BOARD OF HEALTH Q:\Order lettersMousing violations\Rental ordinance\67 Sea Street M6.doc 3 1. L Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Joshua Moore, Tenant y QAOrder lettersMousing violations\Rental ordinance167 Sea Street M6.doc TO ALL NEW BUSINESS OWNERS DATE: 03 /V��J)a Fill in please: �yyskk in, � APPLICANT'S m � I �k 5av1 a ' Y YOUR NAME:__ BUSINESS ,�- Av�c � ti YOUR HOME ADDR - -.�. TELEPHONE - - -- Telephone Number (Home) CRT NAME OF NEWiBUSINESS IS THIS A HOME OCCUPA?IO TYPE OF BUSINESS � �1/iGc' S S NO Have ou been ivena Y g pproval from th;e bu�ltling div�s�o,n� YES NO ADDRESS OF BUSINESS ?A EL NUMBER 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor - Town Hall) or if you get the business certificatefir .you MUST go to the following office to make sure you have all the required permits and licenses.. st GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 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 rip been informed pf the permit requirements that pertain to;this type of business. z Authoriz 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: Business certificates (cost $30.00 for 4 years), A.business certificate ONLY REGISTERS YOUR NAMIJ.in the town do by M.G.L. - it does not give you permission to operate - you must get that through completion of the processes from the v must de,�artments involved. various EGIVIFIE$APPROVAL FOR A BUSINESS CERTIFICATE� ONLY. cJ r YOU WISH TO.OPEN.A BUSINESS? For Your Information: Business certificates(cost$30.00 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, V FL, 367 Main Street,Hyannis,-MA 026t71 (Town Hall) w�• DATE: Fill in please: Ct APPLICANT'S YOUR NAME: 'Vr4-tI BUSINESS YOUR HOME ADDRESS: CS2Q 5f �J TELEPHONE # Home elephone Number66QP NAMe.OF NEW Bl]SiN�BS '?�C - TAPE Q>=WSINI=SS S fitB A. CyM P . .. ... .. � 01�U �' YE I1Q1\I. . � ApClRE5-S�E•B.LISCIV�!�S � ��Q•':5�.' � � �' AP,lP,A»G�I.NU)iIIB>"R •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 ISSI . ER'S OFFICE This individual ha e n infer of ermit requirements thatpertain to this type of bus"T COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS: FAILURE TO- `duthori ig t e* COMPLY MAY RESULT IN FINES. COMMENT 2. BOARD OF HEALTH. This individual ha an info oe�Zjfhe pe7rnit-reqwirements that pertain to this type of business. uthorized gnature COMMENTS: • 3. CONSUMER-AFFAIRS [LICENSING AUTH � ITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in.town (which you must do by M.G.4-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: O:fl Z je (�► dill in please: APPLICANT'S YOUR NAME/S: A,M i Q U tit ��• '` ` tI Y BUSINESS YOUR HOME ADDRESS 15 f�► ST(�� e r.� YI�k�1 TELEPHONE # Home Telephone Number E-MAIL: C EIN OR : (�r�n l I �j�V N A Z(� G IOU�. <.O NAME OF CORPORATION: NAME OF-NEW BUSINESS G ►Af ICE . T�Si UA C.ICR`niY►G TYPE OF BUSINESS C. C� •'� IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS /� C= N i S MAP/PARCEL NUMBER — (Assessing) . When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town,of Barnstable. This form is intended to assist you ir) obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of.Ya,rmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individ I h s e irtforMQ a%prri re uirem is th t pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPI.Y MAY RESULT IN FINES, Aut orize Si afar OMMENT ! 2. BOARA OFOEALTH MUST-COMPLY WITH ALL This individual has been infor d e it ments that pertain to this type of business. HAZARDQU$MATERIALS REPu�►TIQI+'9 Authorized ignature** 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: i/i Date: .o�/ ///j�G� TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF"BUSINESS: Cf-\M ' D Si/VA G nA BUSINESS LOCATION: ,-� SC,A - J- 4 1 N i S- VA INVENTORY MAILING ADDRESS: 64— J!�r%a, 5rtk rl TOTALAMQUNT, TELEPHONE NUMBER: _ _!5091- 36Z, -9-(Z-1 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 jJ 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 I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials i ASSESSORS MAP : - TEST HOLE LOGS PARCEL: � _ _._ _ 1) The installation shall cornp,� with Title V and Town of %*b of SOIL EVALUATOR: I �� I fealth Re ula ' --- FLOOD ZONE: g bons. ----- - ---- - -'� - - --- W I T N E S S 2) The installer shall verify the location of utilities, sewer inverts and septic REFERENCE: DATE: D( components prior to installation and setting base elevations.' � PERCOLAT I ON RATE: .. \AAI i 1 kL 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. The first two feet out of the d-box to the iCaching shall be level. ---- 4) This plan is not to be utilized for.property line determination nor any other TH- 1 TH-2 t� purpose other than the proposed system installation. 5) All septic components must meet Title V specifications. - _� 6) Parking shall not be constructed over III0 septic components. ICON � 7) The property is bounded by property corners and property lines. � 8 The property owner shall review design) p p y considerations to approve of total LOCATION MAP 1. design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed Capproval of the design flow by the owner. �t�1 9) The existing leaching or cesspools shall be pumped and filled with material �` per Title V abandonment procedures. Those within the proposed SAS shall n \w be removed along with contaminated soil and replaced with clean sand per ----- -�-�- i, ��0 Title V specs. 10)System components to be l0 feet from water line. Sewer lines crossing 9 Y p ssin the --" water line shall be sleeved with 4 inch SCII 40 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service - - , — line. The line is to be sleeved as aforementioned and maintained in lace; IZz ,�c SEPT I C SYSTEM DES I GN p \ ll) tUh1, i 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. FLOW ESTIMATE MATE 12 The installer is to take caution in excavation l.p l0 — ) around the gas line if such exists. O O BEDROOMS AT 110 GAL/DAY/BEDROOM -% GAL/DAY 13)Tne installer shall verify the location, quantity and elevation of the sewer - lines exiting the dwelling prior to the installation. �1 0 0 0 ( SEPTIC TANK 14)This plan is representative only that a system can fit on a property meeting 1 Title V requirements. 'N GAL/DAY ,x 2 DAYS - DGAI. i USE 6C0 GALLON SEPTIC TANK �� --01 L ABSORFT I ON SYSTEM _____-__._ -- f � DAVID S I DE AREA: ,, + 12, %7 " B. s BOTTOM AREA:, ,. 1 r„ SST SEPTIC SYSTEM SECTION A9 bF �I 1 J �Ffl f" , �5 �Jrb b 0-1 GAL SEPTIC TANK I�7i SITE AND SEWAGE PLAN - LOCATION : C PREPARED FOR : � Cy M `,•�f 1� LA O 5 ° SCALE A ED W DAVID B . MASONS DATE: a ° DBC ENVIRONMENTAL DESIGNS DATE HEALTH AGENT EAST SANDWICH . MA 3 ( 508 ) . 833— 2177 Z