HomeMy WebLinkAbout0125 SOUTHGATE DRIVE - Health 12!5 sot thgate Drive'+'!�� g' ► �Ai ``
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lf'0 °2009 1":15 FAX 5087789848 M Tucker Realty Exec C�002
?:_ .I AN.2F.2009 9:SSAM DARNSTADLE BOARD OF HEALTH N0.®d 1 P. /3
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Date 0
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Aj.I _ n
r s T.Arh,.It May Concern.
�x. ,voluntarily grant permission to the Town
� r vV1 I� _—_--
of° stal la card®f ear (Agent Health Iaasp9ct0:)t0 inspect spy dwelling ua�it ..
tp.l located at
z (House#,[Api tN spit#i applicable],fit,tillage)
°pith the gown of Barnstable Code(Chapters 59 and 170) and the State Sanitary Code
ii05 Cyr 410.000)an 'qL' ® . Y hereby authorize acid Name
y iC to be ray tenant reprase ti7re for the
� . latatpose of this inspection. i�t�G� /yc is an adult parson
*r k! (Ooanpaut rqresentstive)
• dezignated and duly auftrized to act 0n my behalf and will be accompanying the Town
`f of Bmstable Board of Health for the inspection, graaltIng access to any and all loca:dons
`11e I . , Onw-hiding be�eoms,bathrooms, closes® ate,,)allowing the use of photo peas a�
i
answming questions.This authorizatiOn is only mid for the inspegagn date specified '
l Above and must be renewed fay any future inspection(s.)
PA
d! .�
tee®
h St Occupants Signature 1 Date;
Signature1 date
� ( Occupants Representative�
�: ;sf�i . �$:oFas�talOYdi��ae�>aroli�te�ssti®:���r�:ssa�n2.�ag
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FORM30 CIw HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEAL
50vt� c
CITY/TOWN /
53- f � IV
DEIPARTIVIENT
c, ADDRESS (/
4�M sey`0
TELEPHONE
Address Occupant_-
Floor Apartment No. of Occupants
No. of Habitable Rooms � No.Sleeping Rooms
No. dwelling or rooming units No. S ries
Name and address of owner _
7 ✓ Remarks Reg. Vio.
YARD Out Bld .: Fences:
Garbage and Rubbish
Containers: _p "
Drainage AP
Infestation Rats or other: MLIDIC'er;
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress: and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows: If r
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1 (*
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
S s, Flues, e s afeties:
Kitchen Facilities nk
St e
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REOPPOPT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF P Y. -I
INSPECTOR r TITLE
� A.M. �
DATE "" TIME P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall withi-i 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 orde,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 restoreelecthdItyIor 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 i-i 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 Boa-d of Health.
�
i I
JS
M Complete items 1,2,and 3.Also complete A. S'gnatu
item 4 if Restricted Delivery is desired. ❑Agent
M Print your name and address on the reverse X ❑Addressee
so that we can r:9tunrthe card to you. ` B. Rece. b dnte e) C. Date of Delivery
,® Attach this card to the back of tKi unaiipiece;x!u�
or on the front if space permits. C
1 D. Is delivery address different from Item 11 ❑Yes
1. Article Addressed to: v K 1 ff YES;enter delivery address below: ❑No
—�ilc �
a
i
3A�v e Type
..j r.+�.. is p o��� N►4 9L1t�1 E1C_ertifbd:Mail513 Express Mail
0 ❑Registe""red M Retum Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2..Article Number t:Bi 1 7003Y 1680 ;0Q04 i 54:58: 4821I
(transfer from serWce fabeq a $:r i
PS Form 3811;February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STA7A4 1,
• Sender: Please print your name, address, arrd ZIP+ .In this box• t
Town of Barnstable
Health Division
200 Main Street
Hyannis,MA 02601
it? fti? '1?ii ?3 81 f?I � f ` f
•..}4'..t'.•'.. ??:e: :?i 1 ::: t ???:f !??ii?i?1 r
Certified Mail#7003 1680 0004 5458 4821
IHE Town of Barnstable
Regulatory Services
RARNSCABLE,
9 MASS. Thomas F. Geiler,Director
Qj 1639. ♦�
pTf�""A�A Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 3, 2007
Chris &Michelle Tucker
P.O. Box 734 Ax
Hyannisport, MA 02647
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 125 Southgate Drive Hyannis, was inspected
on July 2, 2007 by Thomas McKean, Health Agent 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 410.552—Screens for Doors. Right side screen door does not close due to
"door closer" mechanism being broken; rear door is missing bottom screen/storm panel.
The following violations of the Town of Barnstable Code were observed:
1& 70-9—Parking Restrictions. Driveway is twenty-five feet ten inches (25'10") wide
and is greater then 25% of front yard.
You are directed to correct the violations listed above within thirty (30) days
of your receipt of this notice by repairing the storm door so it has the bottom storm
panel; by repairing the right storm door so it closes with ease, and by reducing
parking area so it is no more then twenty (20') feet wide and less than 25% of the
front yard area.
QAOrder letters\Housing violations\Rental ordinance\125 Southgate Drive.doc
1
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 o speak with the inspector who performed the inspection.
PER ORDER OF TH OARD OF HEALTH.
Thomas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
QAOrder letters\Housing violations\Rental ordinance\125 Southgate Drive.doc
FO,RM30 H&W HOBBS&WARRENTM THE COMMONWEALTH OF MASSACHUSETTS
��
A",
BOARD OF HEALTH
_y --
CITY/TOWN
a DEPARTMENT
'p ADDRES !„
4�M c0y`0
T LEPHONE
25 so � n 1
Addresses Oc. pant
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: \,A c9
Lighting5�
STRUCTURE INT. Hall,Stairw c'-c ez,\
0bst'n.: Qn " /i
Hall, Floor,Wall,Ceilin :
Hall Lighting: Ar
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
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil,Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors: ,
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS�A CONDITION W I
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE M� �9Cr All
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE _ �J
AUTHORIZED INSPECTOR.(See Over) `�
"THIS INSPECTION REPORT SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES O 00MIJAY." /
INSPECTOR TITLE
_ A.M.
DATE �77 TIME
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within th s 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 3MR 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 Contrcl, 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.
'
Following are some of the things the health inspector will be looking
for at the inspection. . .
-Measuring bedrooms to determine how many occupants can occupy each
room
-Testing hot water temperature to be sure it is 110-130 degrees
Fahrenheit
-Checking to see that there are smoke detectors and carbon monoxide
alarms on every habitable floor within ten feet of bedrooms
-Checking to see any mold or signs of chronic dampness that could lead
to mold
-Structural elements in need of repair (i.e. holes in walls, broken
windows, leaking roofs, missing cabinet doors, peeling or chipping
paint, etc. . )
-Light covers & switch plates in place
-No temporary wiring
-GFCI outlets grounded properly (outlets in kitchen and bathroom, near
water sources)
-Any decks, porches, balconies etc. that are 30" in height are to have
a 36" high guardrail and balusters that are no more then 4 1/2" apart.
This is the basis of things I have seen in order letters.
Date
voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health(Agent or Health Inspector) to inspect my dwelling unit
located at in accordance
(House#, [Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on I hereby authorize and name
(Date of inspection)
to be my tenant representative for the
(Occupant representative)
purpose of this inspection. is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will,be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
Occupants Signature \ Date
\
Occupants Representative Signature \ Date
Q:\Rental Ordinance\inspection permission 2.doc
FAX F110NE:508-778-9848 FAX PRONE: (508)790-6304
cc:
Urgent C For Your Review a Reply ASAP X Please Comment
NOTES/COMMENTS:
Good Morning Michelle,
Following is a list of things the health inspectors check for. I am curious if the
property is currently occupied? If so, we would need the tenant to be present, or to
have them sign a document electing someone else as their representative. This
document is also enclosed. We would like to schedule this inspection for Thursday,
June 28, 2007 at either LOAM, 11AM, 1:15PM or 2-.15PM. Let me know what time
is convenient for you,or if you need a different day all together. Thank you for
your assistance with this,it is truly appreciated.
Caitie Barrett
Health Division
Rental Program Coordinator
#508-862-4072 Direct Line
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Certified Mail#7003 1680 0004 5458 4821
�'THE A Town of Barnstable
Regulatory Services
BARNSTABLE,
MASS. g' Thomas F. Geiler, Director
i639• ��
Arf° �A Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 3, 2007
Chris & Michelle Tucker
P.O. Box 734
Hyannisport, MA 02647
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 125 Southgate Drive Hyannis, was inspected
on July 2, 2007 by Thomas McKean, Health Agent 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 410.552 —Screens for Doors. Right side screen door does not close due to
"door closer" mechanism being broken; rear door is missing bottom screen/storm panel.
The following violations of the Town of Barnstable Code were observed:
070-9—Parking Restrictions. Driveway is wide and is more
then 25% of front yard.
You are directed to correct the violations listed above within thirty (30) days
of your receipt of this notice by replacing screen door so it has the bottom storm
panel and it closes with ease and by reducing parking area so it is no more then
twenty (20') feet wide and less then 25% of the front yard area.
QAOrder letters\Housing violations\Rental ordinance\125 Southgate Drive.doc
L�
1' �.
Certified Mail#7003 1680 0004 5458 4821
,,�j rati Town of Barnstable
Regulatory Services
+ BARN3'fABLE,
9Q MASS. Thomas F. Geiler, Director
-OA i6;q. A10
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 3, 2007
Chris &Michelle Tucker
P.O. Box 734
Hyannisport, MA 02647
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 125 Southgate Drive Hyannis, was inspected
on July 2, 2007 by Thomas McKean, Health Agent 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 410.552-Screens for Doors. Right side screen door does not close due to
"door closer" mechanism being broken; rear door is missing bottom screen/storm panel.
The following violations of the Town of Barnstable Code were observed:
1§ 70-9-Parking Restrictions. Driveway is twenty-five feet ten inches (25'10") wide
and isinew-th4n 25% of front yard.
You are directed to correct the vi tions listed above within thirty (30) days
of your receipt of this notice by n door so it has the bottom storm
panel an" closes with ease and by reducing parking area so it is no more then
twenty (20 feet wide and less to 25% of the front yard area.
QAOrder et er a ordinance\125 Southgate Drive.doc
Oct 08 04 11 : 47a Michelle .Montgomer!j 508-778-9848 p. 2
Town of Barnstable Health Inspector
�tHe rpm Office Hours
Regulatory Services 8:30-9:30
Thomas F.Geiler,Director 1:00-2:00
• BARNSTABI$
� a,.� Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
u, r,AMASTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
_J cv
' 1. `General Information: Size of Property:P y:
Address: Map Jd� Parcel OX9
!�
Name: f(,{d',Il - /GCCtGa;ic� Phone #: 4- Hy1
20 How `many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? I >i If yes, how many?
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?A—/
2d. Please include a copy of the floor plans for the entire property- showing the existing
rooms in; the home plus the proposed amnesty-apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? YES or NO
If the dwelling is connected to public sewer,skip questions 44 through 99 below.
4. Location of dwelling is INSIDE or OUTSIDE_ a Zone of Contribution to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER?
6. Is a disposal works construction permit on file? /YES or NO _
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6a. If yes,how many bedrooms were approved according to this permit? - Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES or NO
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8. Is there an engineered septic system plan on file at the Health Division? YES or NO Q (_(i,
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ft Vic;
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FOR OFFICE USE ONLY
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The Public Health Division has no objection to bedrooms at this property. T- sV
Special Conditions:
Signed: Date:
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Oct 08 04 11 : 47a Michelle Montgomertj 508-778-9848 p. 3
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Oct 08 04 11 : 47a Michelle Montgomery 508-778-9848 p. l
FAIt
Home office Fax:508-778-9848
To: Public Health Division Company:
Fax 508-790-6304 Phone:
From: Michelle Montgomery Cell Phone: 508-280-8848
Number of Pages to Follow. 1 Date: October 8,2004
Hi
I met with Beth Dillen and Bob Shea in regards to the Amnesty Program. Please see the
following documents,
1. Septic Questionnaire
2. First Floor layout.
3. Second Floor layout
4. Basement layout
Please call me at 508-778-9848 to confirm receipt of this fax and any other concerns.
Thanks so much,
Michelle Tucker
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Oct 08 04 11 : 47a Michelle Montgomery 508-778-9848 p. 5
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Oct 08 04 11 : 47a Michelle Montgomery 508-778-9848 p. 4
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