HomeMy WebLinkAbout0056 SEABROOK ROAD - Health Se roo c oa , _yanffi
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Date:00
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: co-lh ",V
BUSINESS LOCATION: r;G INVENTORY
MAILING ADDRESS: 5f� �,,, mac;( � TOTAL AMOUNT:
TELEPHONE NUMBER: Sad a(
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: —EQ k 3(4�- 2( MSDS ON SITE?
TYPE OF BUSINESS: ,
INFORMATION / RECOMMENDATIONS: Fire District:
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease,
Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED -
Degreasers for engines and metal Printing ink
Degreasers for driveways&garages Wood preservatives(creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt&roofing tar PCB's
IS G�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 Applica ' nature Staff's Initials '.
No. `� Fee �J
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppliCatlon for Misposal *pstrm Const union Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon K ❑Complete System ❑Individual Components
Location Address or Lot No. j(p 5CF 4e*-ZC0K P`0 Owner's Name,Address,and Tel.No.
p 31� a 33 o B, s�
Assessor's Ma �tkx'jWNPP i pN 4Sa�
Map/Parcel
Installer's Name,Address,and Tel. o.$p$--4'1'7—%%7 j Designer's Name,Address,and Tel.No.
CO lAtC75T we S 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 gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
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 HealtIL
/-
igne Date O 1 ,
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. vim/ ` Q Date Issued 73
F, 1
c•'•.
No.L/`�/ — Fee P�
THE COMMONWEALTH OF MASSACHUSETTS -Enteredin.computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
t ftplication for 33isposal OpBtem-Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon k ❑Complete System ❑Individual Components
Location Address or Lot No. �(p 5s1(>3R(X)K Owner's Name,Address,and Tel.No.
` AAoN 6V
Assessor's Map/Parcel a 3 ,7 ` i . ?t G!QCUAfNiP" .DN 5;)-10
Installer's Name,Address,and Tel. o.• $pi$—+.f`(')-$$T j Designer's Name,Address,and Tel.No.
LI Co 7`l
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 gpd
Plan Date Number of sheets Revision Date
Title a
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs orAlterations,( swer 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
I 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 Health.
gne Date
Application Approved by Date L/
Application Disapproved by Date
for the following reasons
Permit No. �� '— C) ;rj Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned X)by AM-ja)i5 U e.
at Sf� n e BY4WIJ 1!_ has been constructed in accordance l
with the provisions of Title 5 and the for Disposal System Construction Permit No.X16 _09dated 4��Li// G
Installer 0_•( �C &) AA�� ag�, Designer h /A
#bedrooms Approved desi ow N gpd
The issuance of this jermit shall not be construed as a guarantee that the system wi ct on a dIe'si'gned.
` Date I ' f f Inspector UW
_.
No. Fee cL}
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal *pstem Construction i3ermit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( 1
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.
Provided:Construction must be comp eted within three years of the date of this p"rmit.
Date /y1�(j Approved b
° a
Town of Barnstable Barnstable
Board of Health j e,caU j
• BARNSTAB[E, '
9 MASS. $ 200 Main Street, Hyannis MA 02601
i°rFn MP1" 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
January 22, 2016
Ms. Amy Lois Everett
3370 Bishop St -
Cincinnati, OH 45220
l
RE Board of Health Show Cause Hearings �, �Rem><nder
5.6:S6brook Road H ann><s 5 A 3 A 3 7'2
. y
Dear Ms. Everett,
The Board hereby is requesting you to either appear or provide an update to the Board for their '
March 8, 2016 meeting at 3:00 p.m. at the Town of Barnstable Town Hall, Hearing Room,
second floor, 367 Main Street, Hyannis, for a continued show-cause hearing. This hearing will
be held to show-cause why your property at 56 Seabrook Road has not been connected to Town
sewer by the March 30, 2015 deadline.
If this property is a rental, you are reminded that you are required to register the rental unit(s) -
with the Health Division each year.
If you have any questions please call the Barnstable Health Division at: 508-8.62-4644.
PER ORDER OF THE BOARD OF HEALTH
c ean, C.H.O.
Agent of the Board of Health
Q:SEWER/Everett Sewer Hearing 2016 56 Seabrook.docx
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Commonweafth of Massachusetts
Executive.Office of Environmental Affairs tr9
APR 1 4 � •,��
��.r®rtmen TOWN OFF
�nvi ®nBU enta� Protect®® HEAU.4 r
Wllllam F.Weld J
Gammor i
:Trudy Coxe
S...Y, LA
David B. Struhs
Commissioner
s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION `
Property Address:��8 �"a bw& 114' "�4hnrS.V'ft4 Address of Owner:
Date of Inspection: p• 16.4171 (if different)
Name of Inspector:-TgrWs Allan Walker.Sr-
Company Name, Address and Telephone Number: 'N3 Old Kgrnllw�Fl. Vol.
Hyan�1's MA �bo)
CERTIFICATION STATEMENT /SOaP) 171' 2<<ay
I certify that I have personally inspected the sewage disposal s'•stem at this address and that the information reported..below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The systemm
Passes _. .
Conditionally Passes
Needs Further Evaluation By the Loa Approving Authority
Fails
Inspector's signature:,,;
Date:
g-
The System Inspector.shall submit a copy of this inspection report to the Approving Authority within thirty(30) days of'completing this
mspedion If the system is a`shared system or has a design_flow•ot�10,000 gpd,or_greater the,inspector and.the system;owner,shall submit
the report 104,4 appropnate;regionaLoffice'of the Department of Environmental Protection.
The original;should be sew to ine system owner and copies sent to the buyer, if applicable and the approving au '+on,�_
} INSPECTION SUMMARY:
9 r'
Check jA B, C,or D:
q] SYSTEM`PASSES:
a ?-f " ..
I have:not found any information which indicates tha the system violates any of the failure criteria as defined in,310 CMR 15.303.
,F a
Any failure criteria not evaluated are indicated:.below..
{
' Bj SYSTEM CONDITIONALLY PASSES 40,
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' One or mote system cotnpoitents need to be neplao> f,or.repaired The system upon completion of the replacement or iepair, x
= passes inspection f
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Indicate yes, no or�iiot�detertrtined (Y, N, or>NO) rt Descnbe;�sis of determinations to all instances If"not determined", explain why not)
�t The septic.tank is`tnetal,cracked,structurally unsound,shows substantial infiltration or i"Altiti6it or tank failure•is r
- imminent: The°system'_will pass.nsped!o.'t'the existing"septicaank is replaced with a conforming septic tank
approved by the Board.o(Health
(revised 8/15/951, 1
One Whiter Street • Boston,Massachusetts 42108 • FAX(611)556-1049 • Telephone(617)292-5500. t
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Printed on Recycled Paper`
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S:BSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM
t;13 PART A
CERTIFICATION (continued)
Property Address: %$i �� x 114h�IS 1�
Owner: �iC.hQe2 � ►
Date of Inspection: y_�.I;'
B] SYSTEM CONDITIONALLY PASSES (continued)
_ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
_ The system required pumping more than four times a year due,to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipes) are replaced
obstruction is removed
I C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
t"4 — Cesspool or privy is,within 50 feet of a bordering vegetated wetland or a salt marsh.
r�
a ': 2) ' SYSTEM WILL fAIL'UNLESS THE BOARD'OF HEALTH (AND PUBLIC-WATER SUPPLIER,IF APPROPRIATE).DETERMINES THAT -
°` THE SYSTEM IS FUNCTIONING IN A MANNER-THAT PROTECT-THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
tsq(. the sv�tern has a swic tanK ano soil absorption system anu i5 wrllun iw rtci iir a�UIIGLC Vvaici SuNN't Gi trlbuidi�' t0 d
surface water supply.
The system ha, a septic tank and soil absorption system and is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
c
The system has a septic tank and soil absorption systen and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water an for coliform bacteria and volatile organic compounds indicates,that the well is,
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
ppm
D] SY
STEM
TE M FAILS:
I have determined that the system violates one.or more of the following failure criteria as defined to 310 CMR 15.303 The basis
for'thi3 determination is tdenttf ed below The Board of,HealtIi shottld be oonracted to determine what will be neoessatry to correct
3
the w = r
x, BacCcup of Sewage factlrty or system component due tb an overloadedsor dogged SAS or cesspool :;
x` u
Discharge
"or ponding of effluent to the surface`of the ground or surface waters due to an overloaded or clogged SAS or'
cesspool.
u
(revised 8/15/55)
SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 6 S-QbCO*k UA•) W{4mi5a VnA 0>601
Owner: "(GAtQ*( LlA/y
Date of Inspection:
D) SYSTEM FAILS (continued):
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 112 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
.Number of times pumped
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
_ Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet froin a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
EJ LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design f1mv of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a
public water supply well
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00.• Please consult the local regional office of the Department for further information.
i
(revised 8/15/95) 3
a
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: S& d-54M6rCWk 11411•1 W4*AN+13# MA
Owner: 1 QEtry
Date of Inspection: 197
Check if the following have been done:
X Pumping information was requested of the owner, occupant, and Board of Health.
�C None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection.
As built plans have been obtained and examined. Note if they are not available with N/A.
The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow
�C The site was inspected for signs of breakout.
All system components, excluding the Soil Absorption System, have been located on the site.
it The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
X The size and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by non-intrusive methods.
ThE facilit') c..:, ~2 occupant_, if d ffe e^t fro-r ov,•ne.- were provided with information on the proper maintenance of Sub-
Surface Disposal System.
(revised• 8/15/95) 4
SUBSURFACE SEWAGE WSPOSAL SYSTEM INSPECTION FORM
. PART C
ySYSTEM INFORMATION
Property Address: 510V 1501"MOt • � `""l�hhls M Oa�O�
Owner: MlCket L•t`►4'y p. _
Date of Inspection:
FLOW,CONDITIONS
"RESIDENTIAL:
Design flow:336 gallons
Number of bedrooms:
Number of current residents:
Garbage grinder(yes or no):PO
Laundry connected to system (yes or no):W
Seasonal.use (yes or no):VO "•
Water meter readings, if available:
Last date of occupancy: �{• �'41 '
t
COMMERCIAUI NDUSTRI AL•
Type of"establishment:
Design flow:_gallons/day..
Grease trap present:.(yes or no)_ -
Industrial_Waste.Holding Tank present:.(yes or no)_
Non-sanitary-waste.discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER:-(Describe)
Last date of occupancy
Y GENERAL INFORMATION
PUMPING RECORDS and source of information:
�—T Ae1t • C�Jr1Q r . . -
;System pumped as pan of inspection: (yes or no)J&
If yes,volume.pamped gallons
" Reason for:pum'ing:TbAhACTUHNEM,
>+ TYPE,OF SYSTEM
:Septic tank/distnbution box/soil absorption system
<4 `Single.:cesspool
` Overflow cesspool
Privy
Shared system Jyes or no) if yes, attach previous inspection records, if any) t
�� Other{explain) 7 _
44,
APPROXIMATE AGE of all components date instal led (�f knoe*i�l and source of information. �'Q3"1�►S1>�.e ld a+tN11E r' "
swage 6dors.detected when'arnvmg at the site: (yes or no)
�" Vxevised 8/15/95) 5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: .$ &w U • "4anhi 5 MIS a26oH
Owner: "i G b1&Aj Lit
Date of Inspection: if�� •a7
SEPTIC TANK:_
(locate on site plan)
�,. Depth below grade:
Material of construction: concrete _metal _FRP—other(explain)
- Dimensions: '
Sludge depth:ftane—
Distance from top of sludge to bottom of outlet tee or baffle: n i
Scum thickness:h*r%C-
Distance from top of scum to top of outlet tee or baffleAN0nC_
Distance from bottom of scum to bottom of outlet tee or baffle:r%011L
Comments:
(recommendation for pumping, condition of inlet an outlet tees or baffles depth of liquid level 'n relation to outlet invert, structural
integrity, evidence of leakage, etc.) N OtrM*A Li•gW 6 X-C Pe� . l eJu �[f G�rar.
GREASE TRAP:_
(locate on site plan)
Depth below grade:
Material of construction: concrete_metal FRP—other(explain)
Dimensions:
Scum thickness:
Distance from top of scum:to top of outlet tee or baffle: -
rlicja-I from bottom r`� cram to honor^ of outlet tee oc battle' :
Comments
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity,evidence of leakage, etc.
(revised 8/:5/95) 6
f,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM ttNFORMATION (continued)
Property Address: �� 1 ` mA olbo'
Owner: MIC�A42t Le4`(4j
Date of Inspection: Aj—+
TIGHT OR HOLDING TANK:_
(locate on site plan)
Depth below grade:'
Material of construction: _concrete metal _FRP_oth&r(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches,.etc.),.
DISTRIBUTION BOX:_
(locate on site plan;
Depth of liquid level above outlet invert
Comments ,, ----LL
ru
mote if level anu distribuiw y.,,, o ra, e�16cncE o1 su!.dc cauc o-.er, evidence of leakage .into or out of box, etc.),1•
PUMP CHAMBER._
,.._(locateion plain)lan) ._._ _ . . .
Pumps in working order.(yes or no)'
Comments
4
(note condition of pump dumber,',condition of pumps and o jip nanots,etc)
,,.
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i -{ :arx'�`` `X' r � r. � § v �ed''�' 3 `'i � � a' t t .,�`•' ..x. >, `''`'dp � r
n. ".'+i .a' `�. �'* �r i � �fat�'i:Y.^�Orc.fy f.:f•,y., '�+ ,Sd#i 'Z���eaT.S s -S _ - T
ax"`x�-y
(revised 8/25/95) 7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
�y SYSTEM INFORMATION (continued)
Property Address: .ao 8 •) '-kqr Ani5 M A O?6G)
Owner: M41NAtvi
Date of Inspection:
SOIL ABSORPTION SYSTEM (SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:,
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
CommentsO: (note condi io of soil, signs of hydraulic fai re, level ?f p g, condition of ve etition,et c.)
CESSPOOLS:
(locate on site plan)
Number.and configuration:
Depth-top:of.liquid to inlet invert:
Depth bf solids layer
,i; Depth of scum.,Iayer:
Dimensions of cesspool:'
Materials of construction:
Indication af.ground+rate:..
•--1 -'inflow(cesspool must:be pumped.as,part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:_
(locate on site plan)
. s Wr':,Itif` ,r �5 ('•�t „� adz P.ai S?
1.K i 4 `lt `�`i����. �3'� ��' Y Y '�d✓ ,.yoY` & {}`t•'' r 2t-.,<�2Y y.;1'-S� ',_ _S t -•'f�.S}�t u Ks'•�`��•�.7fas' ,1�F4 Str •YY f /t/
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ors ��yy,,,����==JJ__ > f` `!r ' -• t L '�? 't. ..
i,F,} Tt .`} Y 31yt���Y�t�� MtG�7� ,+.�/r�t Y• •,�V,Gr S �S. t •N{�1, �{/fIIwIXYK'.F
hvv }f'7} tom' Q" 72, ka e VU YYc a4. t
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(revised 8/25/95) B
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' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
r v-b�k d j �Annis "F!oaboI
Property Address:�(�13
Owner: 4'rI'
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100•
7-
N S'2
,. •�L 2 1 6
�4
DEPTH 70 GROUNDWATER
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UNITED STATES POSTAL.SERVICE
� First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
N • Sender: Please print your name, address, and ZIP+4 in this box •
N � Sewer Connect
I O4Public Health Division
s Town of Barnstable
200 Main Street
Hyannis, MA 02601
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'COMPLET&THIS SECTION ON.DELIVERY
® Complete items 1,2,and 3:Also complete A. Signature
item 4 if Restricted Delivery is desired. ❑Agent
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® Attach this card to the back of the mailpiece,
or on the front if space permits.
1.,,,Article Addressed to: D. Is delivery address different from item 1? ❑Yes
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PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
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o d� . -
r- 0370 BISHOP ST
CINCINNATI, OH 45220
Certified Mail Provides:
o A mailing receipt
o A unique identifier for your mailpiece
n A record of delivery kept by the Postal Service for two years
Important Reminders:
e Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
o For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
o For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
1,(
THE Town of Barnstable Barnstable
.� Regulatory Services Department AI-AmedcaC"j
6ARNS'PAUM
' Public Health Division
— - 200-Main Street;Hyannis MA 02501 ------ 2D07—
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -1056
March 28, 2013
AMY LOI EVERETT
3370 BISHOP ST IMPORTANT NOTICE
CINCINNATI, OH 45220 Map & Parcel: 307- 230
The Department of Public Works informed us that public sewer lines are now
available in your neighborhood. According to our records, your property has a septic
system. This letter directs you to connect your dwelling, at 56 Seabrook Road,
Hyannis,MA, to public sewer on or before 3/30/2015.
The old septic system must be either removed or filled in due to future safety
concerns. This may be done by the same contractor who connects you to the sewer.
Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main
Street, Hyannis.
Failure to comply with this Board of Health Order may result in a complaint
against you, in a court of law.
For additional information pertaining to the sewer connection, please see the
reverse side of this page.
PER ORDER OF THE B ARD OF HEALTH
G
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Cc: Barbara Childs, WPC/Roger Parsons, Town Engineering, DPW
Enc.
QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING L.etA Sewer Up Merged 3-28-13 Yr2015.doc
1
Public Health Division March 28, 2013
ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS:
SAVINGS AVAILABLE/GRINDER PUMP:
A reminder to those of you who need a grinder pump for your connection:
Department of Public Works (DPW) sent you a letter in December 2012 stating the town,
for a limited time of two years, only from the receipt of the DPW letter, would provide
you with the pump at no charge. (This can save you thousands of dollars.) Please note:
You must pay the installation cost through ygur uvn contractor. Please make your
contractor aware of this, if interested. Also be aware: this is a shorter deadline than
the Public Health Division's deadline on the reverse side of this page.
SAVINGS AVAILABLE/PERMIT FEE:
The Town offers a waiver of the residential sewer connection fee of $420.00 for those
properties that connect within two years of the receipt of the DPW December 2012 letter.
LOANS:
For loan(s) available, please see the enclosed brochure, or see the town website:
http://www.town.barnstable.ma.us/cdbg (under the "CDBG Programs", see "Sewer
Connection Loan Program). For loan specific questions, you may contact Kathleen
Girouard, Growth Management, at 508-862-4702.
CONTRACTORS:
Information on Licensed Sewer Installers is available on our web site at
www.town.barnstable.ma.us/PublicWorksTech/sewerinstallers. Contractors, approved to
perform sewer connection work in the Town of Barnstable must obtain and file a Sewer
Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way,
Hyannis—contractors,please call Dave Anderson at (508) 790-6244.
FOR ANY QUESTIONS /ASSISTANCE:
Len Gobeil at the Town Manager's Office is available to provide you with direction you
may need in reference to the Stewart Creek Sewer Connections. You may contact him at
508-862-4701.
Q:\SEWER connect\Letters Stewart Creek Sewer ConnectsWAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
�t
No..0-9ez Finc 3.o.........._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Uigp.asal Works Tomitrnrtinn 1hrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( '�an Individual Sewage Disposal
System at: C (� 1
-•-• �¢--.....C.�:mac^ c 1 . .......... ----------------- G Vl!wV .................................................
Location-Address or Lot No.
Owner Address
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...._14----------------------------------Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building __________________________•- No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures .................................
W Design Flow.......... ......................gallons per person per day. Total daily flow............L.0 £ ...................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter__._____-____._- Depth--__-___-_--__--
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.......I------------ Diameter-----1.0....... Depth below inlet......CP_f........ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by------------------------------•••----------------------------------------
Date........................................
W
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_______--__-_-___ --.
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ ------------------------------------------------------------------------------------------------------------------------------------------------------•--•--
ODescription of Soil............................................................................------------------------------------------------------------------------------.......---_..
W
U ................................................................................................................................................................................=.......................
W
U Nature of Repairs or Alterations—Answer when applicable--_____1AV-0-______-A.tdr �-•_-___- __. f. _.!!`#-�..
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of as bee issued by the board of health.
Signed ----- .......... - --- ---_---- ------.� (--c----v......
\ Date
Application Approved By ------------- Dw
C ,e .�.- ..,,.,,.;.,•� �..� a--r..!'C)...
Application Disapproved for the following reasons- ---------------- ---- -- --------------------------------------------------- --------------------- ---------- -- -
--------------
Da[e
PermitNo. vwJkSk.......................... Issued ........------....------------------------------------------.------
Date
No.=AI& v F>s......3.a........._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
",NjV1iraffvn for UhipwiFai Works Tnnitxnrtilan rnmit
Application is hereby made for a Permit to Construct ( ) or Repair ( —)an Individual Sewage Disposal
System at:
........... � , ►a� w.� ./3
�- • -•-• .................... ....... " --.......... •?s r-----•......--•-•• •...---• •....------•.............'-
Location-Address or Lot No.
yS1/�A... i14 .\1 t.................... ..............................................................
•---------------- -• tr -
c� '
° Owner Address
Installer Address
U Type of Building Size Lot............................Sq. feet
41�-, Dwelling—No. of Bedrooms.__........ .......................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building ............... No. of persons............................ Showers
'a. YP g ------------- ...................................................... ( ) — Cafeteria ( )
Other fixtures ---------•---'-'-•------------------------ -----------
W Design Flow........��`......................gallons per person per day. Total daily flow..._._._� `!'..................gallon.
WSeptic Tank I Liquid capacityf_1fflgallons Length....Y_------- Width...-�....... Diameter________________ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.._.=sue_'...._ Total leaching area....................sq. ft.
Seepage Pit NO.....I �_�_ Diameter..__._k'D...__. Depth below inlet_... ........ Tota:,leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by................................................................f.......... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -------------------------------------------------------•...........---------...----------------------------------------'--•---------•---------. -------
W x Description of Soil........................................................................................................................................................................
-••-•••-----•-•-•-•••••-----•••••------•-'•'••••----•-••------------•---......•-----••-'--.....-•---•••-'-••---•••••-•-•-----------•-•-•-•----•--••-'.........••....•---••......-...••.................
U Nature of Repairs or Alterations—Answer when
-vu'-�,a: . Ier �IR-'( '���1C 4.- :i.„t1h-.'�,'1•�-Ste¢. .�C!�G'trYlsl,� Y _.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance-has been issued by the board of health.
Signed .. ----------- -------- �
A �..:'�t�.-
Application Approved B .tomes
PP pP Y Date
Application Disapproved for the following reasons- ....................... --------------------------------'..
------------------------------- 9
Permit No. ....` Issued .. ...[e
. Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
M Certiftrate of CZomlalianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( 'W-•�)�
t
by..... ---------------- . 4 , . +1 a V...... -----------------------------..........------------------------------......---------......---------------------------
at --- .....1' -- -c s A(ovr•_n.�� .f-..Rl .... *i.r+:� ,: _ .............................................................
has been installed in accordance with the provisions of TITLE 5 Q.f1The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..... l>..h..... ...._1 �_..-_ dated .................:..............................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - .- 4�� .rInspector ------------N -- ---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
p TOWN OF BARNSTABLE FEE
Dish oal Workii Tonstrudian ramit
Permission is hereby granted.--'-i� .$9. '.� '.. 'h � ...
to System
at No..struc.5 r .!4 �i�r ( �) � Individual .age D.. �+_. :f _f....:... ....
G I
Street
pp p Works Construction Permit N ._/l�� ��. Dated.........................................
as shown on the application for Disposal �V q,d �� - y
�-
Cy •-------------------------- Board oz Health
DATE..................�='-"--->---a=-----(-�'I
FORM 36508 HOBBS&WARREN,INC..PUBLISHERS
�
FORM 30 C&w HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY/TOWN
= W �ifAL:l)-A
o DEPARTMENT
ADDRES
GSM SVByW
TELEPHONE
Address JrCe 5 9,0�?,9ooK. aw . H.agW"j,5ccupant_1E9%C AA
Floor Apartment No. R W.of Occupants_
No.of Habitable Rooms No.Sleeping Rooms 2
No.dwelling or rooming units 2- No.Stories Z
Name and address of owner A V-4--f -Y
3 , V S�-1 U ��• ►� ► 4� 1 Z 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:
J Walls:
Foundation:
Chimney: '
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway: O
Obst'n.:
\ Hall, Floor,Wall,Ceiling:
J Hall Lighting:
Hall Windows: LI
HEATING . Chimneys:
Central ❑ Y N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST \❑ P Waste Line:
J H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
J Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1 U
Bedroom 2 Z O
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Stac s,Safeties:
Kitchen Facilities ink p a
Stove
Bathing,Toilet Facil. en ., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted v 1. D/N
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 O PERJUAN'; "
INSPECTOR TITLE AM G7
DATE _ vtS TIME 3o I P-.M.)
A.M.
THE NEXT SCHEDULED REINSPECTION A" 9 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 occipying the premises.This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation,any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.6J1 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 or.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 End 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.
-Z
FORM30 HsW HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
g?A 13 L�.
CITY/TOWN
o DEPARTMENT
'SMA
ADDRESS G Z^�4
v s y
TELEPHONE
Address 6 SfA lino Wt N occupant KA2jiv L Ai11��1C. AfUS M-jIV
Floor L Apartment No. &_ N .of Occupants rL
No.of Habitable Rooms No.Sleeping Rooms 2,
No.dwelling or rooming units Z No.Stories 2-
Name and address of ow er 45 v f-"77 �^
3 3 �� sf o C 1 NG r N )l yS 9? O 'ZZO Remarks Reg. Vio.
YARD Out Bld .: 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:
VVV Foundation:
Chimney: 44
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE IN Hall,Stairway:
Obst'n.: Qj
Hall, Floor,Wall,Ceiling:
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 . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom(1), V
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten., il, Elect.:
Stac eties:
Kitchen Facilities ink
Stove
Bathing,Toilet Facill f 1, m .,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted O V G&I co
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 WINSPECTOR TITLE ��1L7�! �'VS tG dde_
DA TIME Z �� �•M•
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
w
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 occipying 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 41C.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 41C.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 Ieadbased 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.
THE COMMONWEALTH OF MASSACHUSETTS
BOA D OF E TLJ
I's
CITY Ow
- --
a
j o ® D RTME T ,
.o ---jai
DDR S .
�M Sven LA
lt'v
TELEPHONE 5 I'
13
Addre s Fy _ KOO<) Occupant _
Floors -+'t Apartment No..--oL6No. Occupant-
No. of Habitable Rooms __ No. Sleeping Rooms_ __
No. dwelling or rooming units NIo�. Storie
Name and address of owner 1 L
'• 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 OF ❑ 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:
Hall Lighting:
Hall Windows:
z HEATING Chimneys:
z Central ❑ Y ❑ N Equip. Repair .
TYPE: Stacks, Flues,Vents: ,
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
m H.W.Tank(s) Safety and Vent(s)
o ELECTRICAL Panels, Meters, Cir.:
_ ❑ 110 ❑ 220 Fusing, Grnd.: -
0
AMP: Gen. Cond. Distrib. Box:
�° Gen. Basement Wiring:
DWELLING UNIT
Ventil. Lgtng. 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: a
Infestation ats, Mice, Roaches or Other: , X
Egress n,
General Building Posted: 3
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 REPO PT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALT OF PERJUR
INSPECTOR _ TITLE
DATE , - TIME 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 these items which are deemed to always have the potential to
endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499
state minimum requirements of- fitness for human habitation, any violation has
the potential to fall within this category in any given' situation but may not
do so in every case and4therefore cannot be included in this lis'ting. Failure
to include shall in no way be construed as.a determination that other
violations may not be found Ito fall within this category. Nor shall failure
to include affect the duty of the local health official to order repair or
correction of the violation(s) pursuant to 410 "CMR 410.830 through 410.833
nor shall it affect the legal obligation of the person to whom the order is
issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure
and temperature, both hot and cold, to meet the ordinary needs of the occupant
in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or
longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper
venting or use of a space heater or water heater as prohibited by 105 CMR
410.200(B) and 410.202.
(C) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B);
410.251(A), 410.253(A), 410.253(B) and the lighting in common area required
by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage system in operable
condition as required by 105 CMR 410.150(A) (1) and 410.300.
(G). Failure to provide adequate exits, or the obstruction of any exit,
passageway or -common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, rubbish, filth or other causes
of sickness which may provide a food source or harborage for rodents, insects
or other pests or otherwise contribute to accidents or to the creation or
spread of disease.
(J) The presence of lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(K) Roof, foundation, or other structural defects that may expose the
occupant or anyone else to fire, burns, shock, accident or other dangers or
impairment to health or dafety.
(L) Failure to install electrical, plumbing, heating and gas-burning
facilities in accordance with accepted plumbing, heating, gas-fitting and
electrical wiring standards or failure to maintain such facilities as
are required by 105 CMR 410.351 and 410.352 so as to expose the occupant
or anyone else to fire, burns, shock, accident or other danger or impairment
to health or safety.
(M) Any of the following conditions which remain uncorrected for a period
of five or more days following the notice to or knowledge of the owner
of said condition or conditions:
(1) lack of a kitchen sink of sufficient size and capacity for
washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either operable.
-(2)� ,failure to provide'a washbasin and -a-shower or bathtub as required
- 1 in 105ZCMR 4'10.I50(A)(2) -and, 410.150(A)(3) and any defect which
• ' � renders. them inoperable.
(3) 'any defect in the electrical, plumbing, or heating system which makes
such system or any part thereof in violation of generally accepted
plumbing heating, gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
(4) failure to maintain a safe handrail or protective railing for every
stairway, porch balcony, roof or similar place as required by
105 CMR 410.503(A) and 410.503(B).
(5) failure to eliminate rodents, cockroaches, insect infestations and
other pests as required by 105 CMR 410.550..
(N) Amy other violation of/Chapter II not enumerated in `105 CMR 410.750(A)
through, (M) shall be deemed to be a condition which may endanger or materially
impair"the health or safety and well-being of an occupant upon the failure of
the owner to remedy said condition within the time so ordered by the board
of health.
� --- � -�-+.,,�,,,.r-��y s;,=:p♦',,,,yo.. ..,"���.�,Ly'`�.r4.. •!f�`-„. 4.NF���'"''. `�S.�r3t l.� `aY'�"...-...,.. .._...--•--- _
THE COMMONWEALTH OF MASSACHUSETTS
" BOARD OF HEALTH ,
o
CITY%TOWN
h, 5
) DE'PARTMEN
kv
JA NAII
� _ ADDRESS .--:
TELEPHONE lJl
Address
—�+ Occupant
Floor partment No.-_ ___ No.Occupants
No. of Habitable Rooms ___ No. Sleeping Rooms
No. dwelling or rooming units —_ , No. Stories _
Name and address of owner 's
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.:
co
Hall, Floor,Wall, Ceiling:
Hall Lighting:
Hall Windows:
z HEATING Chimneys:
z Central ❑ Y ❑ N _ Equip. Repair
w TYPE: Stacks, Flues,Vents:
a PLUMBING: ... Supply Line: = - -
- ❑ MS ❑ST ❑'P' Waste Line: _
m H.W.Tank(s) Safetyand Vents) _
.0 ELECTRICAL Panels, Meters,Cir.:
0
❑ 110 ❑ 220 Fusing, Grnd.:
AMP: Gen. Cond. Distrib. Box:
( 0 Gen. Basement Wiring:
DWELLING UNIT
Ventil. Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
_ Bathroom
Pantry
Den
Living Room
_ Bedroom 1)
Bedroom (2)
Bedroom (3)
Bedroom (4) Eli=
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 OMeF7 4 �-
Egress - --Dualuand-6bst n,:-------------- A Q2
General Building Posted: Y
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) 41
"THIS INSPECTION REPORT IS SIGNED'AND CERTIFIED UNDER THE PAINS AND
PENALZIES OF PERJURY)'
o
INSPECTOR �L ✓J � TITLE
/ `7 '�0,N1
M.
DATE TIME / y
— ---
A.M.
THE NEXT SCHEDULED REINSPECTION -_ P.M.
t n
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises,
shall be deemed conditions which may endanger or impair the health, or safety
and well-being of a person or persons occupying the premises. This listing
is composed of these items which are deemed to always have the potential to
endanger or materially impair.' the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be 'construed as.a determination that other
violations may not be found to fall''within this category. Nor shall failure
to include affect the duty of the local health official to order repair or
correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it affect the legal obligation of the person to whom the order is
issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure
and temperature, both hot and cold, to meet the ordinary needs of the occupant
in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or
longer.
(B) Failure to provide heat .as. required by 105 CMR 410.201 or improper
venting or use of a space heater or water heater as prohibited by 105 CMR
410.200(B) and 410.202.
(C) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common area required
by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(G). Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the,security requirements of 105 CMR 410.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, rubbish, filth or other causes
of sickness which may provide a food source or harborage for rodents, insects
or other pests or otherwise contribute to accidents or to the creation or
spread of disease.
(J) The presence of lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(K) Roof, foundation, or other structural defects that may expose the
occupant or anyone else to fire, burns, shock, accident or other dangers or
impairment to health or dafety.
(L) Failure to install electrical, plumbing, heating and gas-burning
facilities in accordance with accepted plumbing, heating, gas-fitting and
electrical wiring standards.or failure to maintain such facilities as
are required by 105 CMR 410.351 and 410.352 so as to expose the occupant
or anyone else to fire, burns, shock, accident or other danger or impairment
to health or safety.
(M) Any of the following conditions which remain uncorrected for a period
of five or more days following the notice' to or knowledge of the owner
of said condition or conditions:
(1) lack of a kitchen sink of sufficient size and capacity for
washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either operable.
(2) failure to provide a washbasin and.a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which
renders them inoperable.
(3) any defect in the electrical, plumbing, or heating system which makes
such system or any part thereof in violation of generally accepted
plumbing heating, gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
(4) failure to maintain a safe handrail or- 'protective railing for every
stairway, porch balcony, roof or similar place as required by
105 CMR 410.503(A) and 410.503(B).
(5) failure to eliminate rodents, cockroaches, insect infestations and
other pests as required by 105 CMR 410.550.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition which may endanger or materially
impair the health or safety and well-being of an occupant upon the failure of
the owner to remedy said condition within the time so ordered by the board
of health.
UNITED SUT� ..O;Ty}AL ER�tVI�CE qqrP w'`q y "^� . .E' CIS ail
V% .
• Sender:Please print your name,address, and �tl s�i""'boz
Town of B,arnstable
Health Jivisicn
200 Main Street
Hyannis,MA 02601
1�.3...�?j?ilrz{r3i?zz.�I?�3?.11�r.:�iF?iFF�?1��FFi�9FFF?¢F�iF
SENDER: COMPLEW THIS SECTION COMPLETE THIS SECTION ON DELIVERY,
■ Complete items 1,2,and 3.Also complete A. Si ature
Item 4 if Restricted Delivery Is desired. en
■ Print your name and address on the reverse X ee
so that we can return the card to you. B. Received by nted Nil ate of 114 ry
■ Attach this card to the back of the mailpiece, 40 .�
or on the front if space permits. '
D. Is delivery address different rm t? es
1. Article Addressed to: If YES,enter delivery address 1 d
C.% n n f CA y5 L'z 0 3. Service Type
®Certified Mail 0 Express Mail
❑Registered Ell Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?Pft Fee) ❑Yes
2. Article Number( 7003 1680 0004 5458 5118 t`d Transfer from service
i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
t
J:
1 `
"4 Certified Mail#7003 1680 0004 5458 5118
Town of Barnstable
.� Regulatory Services
■ BAMSPABLE.
MAS& Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fa 508-790-6304
�
July 30, 2007
Amy Everett
3370 Bishop Street
Cincinnati, Ohio 45220
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 56A Seabrook Road Hyannis was inspected
on July 17, 2007 by Timothy O'Connell, 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 followingviolations of the State Sanitary Code were observed:
rY
105 CMR 410.503(A,B,C&D)—Protective Railings and Walls. Deck observed to be
unfinished and lacking balusters.
You are directed to,correct the violations listed above within thirty (30) days
of your receipt of this notice by pulling building permit and finishing deck so it is in
compliance with building and health codes.
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.
QAOrder letters\Housing violations\Rental ordinance\56A Seabrook Road.doc
So°lrould you have any questions regarding the above violations, please contact the Town
Health Division and ask to spea th the inspector who performed the inspection.
ER OF HE F HEALTH
T o ea , G„ HO
Director of Public Health
Town of Barnstable
Cc: Timothy O'Connell, Health Inspector
Eric Mussman, Owner's Representative
QAOrder letterMousing violations\Rental ordinance\56A Seabrook Road.doc
FORM30 C&W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD AOF H
CITY TOW
W
a a v v DEP MENT fj
ox-6c
ADDRE
TELEPHONE r
Address 5& Occupant—
Floor Apartment No. No.of Occupants_ _
No. of Habitable Rooms_ No.Sleeping ROOmS_,L_
No. dwelling or rooming units_ _No.Stories
Name and address of ownner
7 /70 Remarks Reg. Vio.
YARD Out Bld s.: Fences: q,5?-
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: /d (�
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows: oC4y/p 03 Cc�
Roof qto Su3 C
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
Bedroom 2 v
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
S s, Flues,Vent afeties:
Kitchen Facilities ink
ove
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 14 ,
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 INSPECTOO ORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
M PENALTIESJIEP
INSPECTOR TITLE
f DATE ' _ TIME—. 100
r A.M.
THE NEXT SCHEDULED REINSPECTION " r7 P.M.
�' rA
M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within:his 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.
so
Town of Barnstable
.......
Town
MOM
Regulatory. .Services Department
ate°
Public Health Division
200 Main Street,Hyannis MA.02601
Office: 508-962-4644
FAX: 508-790-6304 Thomas A.McKean,CHO
P
APPLICATION FOR RENTAL.-REGISTRATION
Date: kA 0(�
Fee:$90.00 Per Unit Plus$25 for each
addd.Unit [2006 Partial Year Fee$40
plus$10 for each add't unit]
Property Location: eL
Number of Rental Units.On This.Property
Assessor's Map and Parcel:..�0'1 Z"3a
Owner's Name:. Pam, -
-
Telephone.Numbers (Daytime) S —2,11 98
(Home.Phone) S.!3 6 -Z` C) (Cellular).
Owner's.Address: 33 10
Mailing.Address: (if different than above) 0a)ac:w_\V O"V\ o S-aW
Owner's.Representative's.Name.(if Applicable): 1M,u,A mAbL tic"►
Address: 756
Telephone Number:.
ry
Occupant's.Name: �•c- V1 rim 50'R -`Z`�$ '64?O LA
D4,vtime.Phone Number: Cellular. CD
Number of Bedrooms: Check One: Is this:a single.family dwelling it?.[..j; .
an apartment building? [a .or an accessory apartment?
Do.You Have Zoning/Building Division Approval far.an accessory apartment?
Will there be any children under the.age of six who will be occupying the rental V.. rn
(circle one) Yes
Was the dwelling constructed prior to 1979? Yes . No.
I,certify that the information provided above is true:
i
Appl is Signature
\ti �
UNITED$TATES�PZ� UFh OH 4-5 jpgtde h
C� �t
I
I
• Sender. Please print your name, address; and ZIP+4 in.this box.•
fiA
I
,Town of Barnstable
�i Health Division
I
200 Main Street.
Hyannis,MA 02601
-
I f1F8iiFIF:'d 3FiSfFFEi?:F�F iFii�FFiIFFFfF:F }FF �iEF?f?iF
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
i ■ Complete items 1,2,and 3.Also complete A. Signature
'..item 4 if Restricted Delivery is desired. ent
■ Print your name.and address on the reverse' X ressee 1
so that we can return the card to you. B. Received by Printed e) ate 9 elivery
0 Attach this card to the back of the mailpiece, 1:, v 1 at
or on the front if space permits. 1
D. Is delivery address diff 1? `
1. Article Addressed to: If YES,enter delivery a ow:
N011d�
33�0 (20,U)NA CA
3. Service Type
®cermed Mall ❑Express Mail
❑Registered ®Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number = 70p3 1680 0004 ' 5458 5156
(rransfer from service label)
PS Form 3811,February 2004 Domestic Return Receipt 102595.02•M•1540
Certified Mail#7003 1680 0004 5458 5156
,,�s rati Town of Barnstable
natuvs-rnstE, Regulatory.Services
b 9 s``� Thomas F. Geiler,Director
f°µAS Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 2, 2007
Amy Everett q
3370 Bishop Street
Cincinnatti, OH 45220
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 56 Seabrook Road lower level, was inspected
on July 17, 2007 by Timothy O'Connell, 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 410.450—Means of Egress. Observed bedroom within unit without proper
second means of egress as required by 780 CMR 104.5, 105.1 and 805 of the Mass State
Building Code.
105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements.
Observed back computer room in need of flooring ( i.e. carpet, tiling, etc.); observed
bathroom in need of flooring (i.e. tiling); ceiling height is 6'3".
You are directed to correct the violations listed above within thirty(30) days
of your receipt of this notice by pulling necessary building permits; by installing
flooring in both computer room and bathroom; by making ceiling height 7'0"; by
creating second means of egress in accordance with Mass State Building Code.
QAOrder letters\Housing violations\Rental ordinance\56 Seabrook Road lower level.doc
*Note: Bedroom is not to be used for sleeping until second means of egress (window)
is installed.
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.
RDER OF THE BOAOF HEALTH
c ean, R.S., HO
rector of Public Health
Town of Barnstable
Cc: Timothy O'Connell, Health Inspector
Eric Mussman, Owner's Representative
QAOrder letters\Housing violations\Rental ordinance\56 Seabrook Road lower level.doc
Certified Mail#0000 0000 0000 0000 0000
-�XHE T.
4� ti Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
date
137 n me t
address ~ V
city,state,zip j -1 %Z;k—d
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 b you located at S'G `
p p y y y � as inspect��)
7-. (Address)
on. /�/ �'� by CU , Health Inspector for the Town
(date) (Inspector's n
of Barnstable,
.(Reason for inspection)
The following violation(s) of the State Sanitary Code were observed:
State code violation number-violation d scri do
105 CMR 410. 600 -
105 CMR 410. 45 -
s
80 C M 9. 1Dy .5
.0 16 . ;_ SOS
Q:\Order letters\Housing violations\Rental ordinance\template.doc
105 CMR 410.
The following violation(s) of the Town of Barnstable Code were observed:
(Town code violation number-violation description) ,
§170-_ -
§170-_ -
You are directed to correct the violations listed above within ( 3y) days.
) ( P
of your receipt of this notice by ' � - �, (written #)
,r 1
R
a^/ -
You _ request a hea^ri
• 6 be ore the Board o liea th is writ�ition re uestin same
is received within ten (10) days after the date the order is served. q g
Non-compliance will result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc:
(Name,tenant,owner,Fire Dept.,Building Dept....)
Cc:
(Health inspector's name)
(Generic codes located at QAOrder letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC)
QAOrder letters\Housing violations\Rental ordinance\template.doc
FORM30 C&W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
- BOARt,OF LTH
= W
' ort&v DEPARTMT �
ADDRESS
M sey0
TELEPHONE
Address Occupant_4�'� \
Floor Apartment No. No.of Occupants___
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:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling: d tteo
Hall Lighting:
Hall Windows: 0. i 2 tr
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)., 10 _ 14 S
Bedroom 2 ni.•
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.:
SiReks, Flu s Vent eties:
Kitchen Facilities in
ove
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 0-9
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 I NED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJ FiY." ff pp
gA44
A
`
INSPECTOR TITLE
DATE _ _p TIME
T A.M.
` THE NEXT SCHEDULED REINSPECTION l / P.M.
l T
y
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 41C.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 Ieadbased 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 fGcilties 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 whic'i makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring s�andards 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.
�
r
a _
FORM30 �&w HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF LTH
CITY/TOWN
DEPARTMENT
�/� �
o ADDRESS .�
GSM y9 e
TELEPHONE
r
Address _ Occupant_ f \
Floor Apartment No. 9) No. of Occupants___
No.of Habitable Rooms___No.Sleeping RoomsV
N dwelling rooming units . No.Stories
Name and address
ress of owner --�
7 U Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
a r. Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof -, r ,
Gutters, Drains:
Walls: » .
' ''Foundation:
0 + a,r'Chimne a A 11
0ArSEMENT4,
_. Gen�SanataUo±m 1Sir ' t«i01,
Dam ress:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway: m -
Obst'n.
Hall, Floor,Wall,Ceiling:
Hall Lighting: 2 ► i
Hall Windows:
HEATING Chimneys: 0 2 -7
Central ❑ Y ❑ N E 'ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Su I' Line: P A,j% "1(
❑ MS ❑ ST ❑ P Waste Line: qQ - 1 / mac, !
H.W.Tanks Safety and Vents V-- V '
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), -- (J tv 14 10 . L4 S Ca N "I E'�?t►1�
Bedroom 2 1;1 f
Bedroom 3 '
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Stacks, Flues,Vents,,Safeties:
Kitchen Facilities inkf U
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin;Shower or Tub:
Infestation Rats, Mice,"Roaches or Other:
Egress Dual and Obst'n: 1
General Building Posted ►A ,_ C `sn_
Locks on Doors: 1 )%1(4
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
i 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)
M
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
INSPECTOR \ i / TITLE
" DATE -7 - 1-7 1
7 _ 1 !1 O r TIME 2) P.M.
( e( 7--) A.M.
' THE NEXT SCHEDULED REINSPECTION " 1 i J I`,/ 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 411D.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 emercency 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 Ctv1R 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 wash ng 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.
Sep 11 2007 1 : 40PM Herbert F. Lach Jr. 508-896-2126 P. 3
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MASS. g Board of Health � ' I
�A 1639. A�0
rf0 MAC 200 Main Street,Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
BOARD OF HEALTH MEETING AGENDA
Tuesday, September 11, 2007 at 3:00 PM
Town Hall, Selectmen's Conference Room
367 Main Street, Hyannis, MA
I. Hearings — Housing (New):
Herbert Lach, Attorney, representing Amy Everett— 56 Seabrook Road,
Hyannis, hearing requested regarding housing violations: means of
egress, ceiling, and floor.
II. Hearing — Continued use of tight tank:
John Norton, Attorney, representing Andrew Hatch — 110 Annabelle Point
Road, Centerville, requesting extension on use of tight tank.
III. Continued Items from Previous Meeting:
A. Joe Henderson, P.E., representing Jerome and Marlene Goldstein —
199 Meadow Lane, W. Barnstable, 1.38 acre lot, addition to house,
increase from four to six bedrooms, three variances (continued from
July 07 meeting).
B. Joseph Dunn, Island Merchant, 302 Main Street, Hyannis —food
establishment with grease trap variance, update regarding three
months tests wastewater entering and exiting grease recovery device
(continued from Feb 2007 BOH meeting).
IV. Septic Variances (New):
A. Peter McEntee, P.E., representing Thomas Capizzi, Jr., Trustee,
Centerville, LLC, 1084 Craigville Beach Rd, Centerville, 5,080 square
feet parcel, repair of septic system, eight variances requested
(postponed from July 07 meeting),
B. Down Cape Engineering representing Robert Jones —42 Briarcliff
Lane, Centerville, 15,080 square feet parcel, repair of failed septic
system, one variance requested.
C. Down Cape Engineering representing Saul and Irma Gershkowitz— 75
Marshview Lane, Marstons Mills, 10,454 square feet, repair of failed
septic system, six variances.
D. Arlene Wilson, representing Frederick Mycock— 765 Santuit Road,
Cotuit, 10,100 square feet parcel, repair of failed septic system, ten
variances.
E. Darren Meyer, R.S., representing Alice Carey — 255 Green Dunes
Drive, Hyannis, 1.2 acre parcel, one variance.
F. Mark Dibb, BSC Group, representing Marcia Elliott— 20 Rue Michelle,
Barnstable, 1.24 acres, house addition, one variance.
V. I/A Monitoring Plan:
Stephen Haas, P.E., representing Linda Mandella, owner— 168 Lakeside
Drive, Centerville, 9,955 square feet lot, review of I/A monitoring plan.
VI. Six or More Bedrooms:
Sullivan Engineering representing W. Frederick and Diana Uehleir— 109
Eel River Road, Osterville, 1.0 acre lot.
VII. Discussion:
Ed Pesce, Pesce Engineering, and John Kenney, Attorney, representing
381 Old Falmouth Road, Marstons Mills — (continued from BOH January
and June 2007 Meeting) discussion regarding failed septic system.
Vill. Subdivision # 816 (Preliminary Plans):
Down Cape Engineering representing Lesley Gimbel, Trustee, Preliminary
Plans # 816, Pine Lane, Barnstable, map and parcel 278-048, on public
water, on-site sewage disposal system.
IX. Old Business/New Business:
A. Lindsey Counsell, Three Bays Preservation —Water quality at
Warren's Cove, Marstons Mills.
B. Coffee for public consumption at gas stations, convenience stores,
etc.- Sink(s) and equipment to be Required
I. Hearings — Housing (New):
Herbert Lach, Attorney, representing Amy Everett, owner— 56 Seabrook
Road, Hyannis, housing violations: egress, ceiling, and floor.
Tim O'Connell, Health Inspector, reviewed the inspection he had done. The first
floor unit was 56A and had issues with the deck (no baulisters, wood missing on
deck flooring, and height of deck is over..4.feet high.) The unit in the basement is
56 and has an issue with windows , for properegress, the ceiling height.
Herbert Lach agrees to the issues. The owner lives in Ohio. The builder, Steve
Wayland, has purchased lattice for the deck and will be installed within the week,
and has ordered windows which will arrive in four weeks.
Linda Epson, Building Department, spoke. If the owner proves it was built in
1957 and the units existed in 1962; the ceiling is preexisting to the building code.
Upon a motion dulymadeby Dr. Canniff, seconded by Mr. Sawayanagi, the
Board voted to continue this to the November 13, 2007, meeting with the
following condition: the downstairs bedroom will not be used, and the deck will
be completed within four weeks from today. (Unanimously voted in favor.)
14ov 1:3 2007 2: 5ePM Herbert F. Lach Jr. 508-896-212Es
HERBERT E. LACH, JR.
ATTORNEY AT LAW
317 GOVERNOR BRADFORD ROAD
BREWSTER, MA 02631
t ;
(508) 896-2125 Telephone (508) 364-5069 Cell
' (508) 636®2126 Facsimile herbertlach@comcast.net
November 13, 2007
Public Health Division
Town of Barnstable
Attention Sharon Crocker
200 Main St,
Hyannis, MA 02601
Request for continuance of hearing today for property at 56A Seabrook Road,
y 1ya,nnis
Owner: Amy Everett, Cincinnati, Ohio
Case continued from September 11, 2007
Dear Ms. Crocker.
f I just realized that the above case had been continued from September 11, 2007
to today to allow time for the windows to arrive and to be installed.
I request a continuance to December q ! , 2007 for the following reasons:
a :
1. The windows that our contractor Steve Whalen had ordered arrived, but they
were not the correct windows, and he had to request the correct windows,to be
reshipped.
2. Immediately after the hearing'on September 11, 1 did talk to the tenants
downstairs and they had already been using the living room as the bedroom and
i
they said they would continue doing so until the new windows were installed.
S. I would request an earlier continuance date however at the end of November
and early December l am helping my son with a rental truck move to Atlanta,
Georgia. 9 didn't want to t continue that case to the last Tuesday in November or
the first Tuesday in December, because I might not be able to make it. Also,
am not sure exactly when the windows will arrive and I would hope and II would
hope that the windows would be in by December 11.
Nov 1,3 2007 2: 58PM Herbert F. Lach Jr. 508-896-2126 P. 3
i
. i
4. 1 called your office this rooming to get the exact time of our case anal Tina told
me that our case was not on the agenda so that hopefully I am not
inconveniencing anyone with my request for continuance. Please call me on my
cell phone if this is'a problem.
`"thank you for your anticipated cooperation in this matter.
Very truly yours,
Herbert F. Lach, Jr.
2
6
1
f
t
nsS 17 2007 10: 44nM Herbert F. Lach Jr. 508-896-2126 p. 2
HERBERT F. LACH, JR.
ATTORNEY AT LAW
317 GOVERNOR BRADFORD ROAD
BREWSTER, MA 02631
(508) 896-2125 Telephone (508) 364-' CrEIS t.,ell
' (508) 896-2126 Facsimile
herbertlacrr CO)cx)r°cast.net
December 17, 2007
Public Health Division
Torn of Barnstable
Attention Sharon Crocker
200 Main St. .
. Hyannis, MA 02601
„ Windows are in property at 56A Seabrook Road, Hyannis; Owner: Amy U'verett,
Cincinnati, Ohio; is hearing still on for December 18, 2007? Case cA)ntiriued from
November 13, 2007
Dear Ms. Crocker.
t
Attached is a copy of a fax to me from our contractor, Stephen VWh,:,lan. r,porting
i:hat the window has been installed in the bedroom and he has attaches! i.he r
permit to do the job.
! "Does this comply with the Board of Health's requests to us? If a final inspection
has not been done perhaps we should continue the case again until ffi rt is
accomplished?
If there is anything else that the Board requests my client to do, please lut me
know. On the other hand, if we have complied with the Board of HaICRIth
requirements and it is not necessary for me to appear on Tuesday, December .
18, 2007 at 2 p.m.,.please let me know.
Very truly;yo iir.s.
01
Ile
€ Herbert F. L� ic;h, Jr.
CC: Amy Everett by fax only
f.
J De'S 17 2007 10: 44AM Herbert F. Lach Jr. 508-896-2.1.2E; p. 3
12r08f2007 15:30 5OB4280338 STEPHEN WHALEN PAGE 02
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Stephen Whale
77 Eisenhower ®rive
Cotuit, MA 02635
(508) 428-0338
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11`,c� 17 2007 10: 44nM Herbert F. Lach Jr. 508-896- '.1�Ea p. 4
12108/2007 15:30, 5084280338 STEPHEN WHALEN PAGE 81
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nomas F.Geiler,Director
Building Division
a ',Coma 1Perry�CBO, Diailding C,'onuWsaioner
200 Main Street,Elytuanis,to 02601
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Office: 506462-403,I1
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14civ 12 2.007 2e 50PM Herbert F. Lach Jr. 508-89G-212E p. 2
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HERBERT F. LACH, JR.
ATTORNEY AT LAW
317 GOVERNOR BRADFORD ROAD
BREWSTER, MA 02631
(508) 896-2125 Telephone (508) 364-5089 Cell .
(508) 896-2126 Facsimile herbertlach@comcast.net
November 13, 2007
Public Health Division
Town of Barnstable
Aftention Sharon Crocker
200 Main St,
Hyannis, MA 02601
Request for continuance of hearing today for property at 56A Seabrook Road, _._
;-iyannis
Owner: Amy Everett, Cincinnati, Ohio
Case continued from September 11, 2007
Dear Ms', Crocker.
I ,gust realized that the above case.had been continued from September 1'l, 2007
to today to allow time for the windows to arrive and to be installed.
i request a continuance to DecembeX, 2007 for the following reasons:
1. The windows that our contractor Steve Whalen had ordered arrived, but they
ware not the correct windows, and he had to request the correct window: to be
reshipped.
2. Immediately after the hearing on September 11, 1 did talk to the tenants
downstairs and they had,already been using the living room as the bedroom and
they said they would continue doing so until the new windows were installed.
3, 1 would request an earlier continuance date.however at the end of November
and early December I am helping my son with a rental truck move to Atlanta,
eorgia. 8 didn't want to.t continue that case to the last Tuesday in November or
the first Tuesday in December, because I might not be able to make it. Also,
any not sure exactly when the windows will arrive and I would hope and i! would -
rope that. the windows would be in by December 11.
1:2 21_007 2: 58PM Herbert F. Lach Jr. 50a-a96-2126 p. 3
4. 1 c8ile:d your office this morning to get the exact time of our case and Tina told
rr,.e that our case was not on the agenda so that hopefully I am not
inconveniencing anyone with my request for continuance. Please call me,on my
ell phone if this is a problem. '
►'hank you for your anticipated cooperation in this matter.
Very truly yours,
lAr
Herbert F. Lach, Jr.
TOWN OF BARNSTABLE
LOA t Ol*b. �O Spa I Ole SEWAGE #
VILLAGE COS ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACELI TY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet-of leaching facili ) �- Feet
Furnished by: �r 7 Y G�QD G� 61�r G'7
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LOCATION c 'r ;S'elr�-- SEWAGE # —;�
VILLAGE i�,wvt-�S ASSESSOR'S MAP Gz LOT
INSTALLER'S NAME & PHONE NO. C�+Pa Cr0-"`(D �
SEPTIC TANK CAPACITY L`_ ASS eo�Q U�
LEACHING FACILITY:(type) &f,-E=4-5l—r gf� (size)
NO. OF BEDROOMS-_PRIVATE WELL OR C WATER "t,,
BUILDER OR OWNER �o ;�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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