HomeMy WebLinkAbout0114 SPRING STREET - Health 114 SPRING STREET Y
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FORM90 HOBBs&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS a
QAR FLjAL
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10 IM Njjl
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a`1« ; DRESS; _.. of.
p(�r/+ C� ` ]y' TELEP ONE
` I ddr'e'-I js �' o cupan
�,g
\I Floor _ `Apartment No
VVV No."of'Hatiitable Rooms' •.No.Sleeping Rooms—
No.dwelling or rooming units, S rie
Q Namean�l address of owner, � ALGA
Remarks Reg. Vim
ARD Out Bld s.: Fences:
Garbage and Rubbish ,
�Pkyi:f6t,S:w a ,s 'Containers: .,. . .,
e a =Draina a
Infestation Rats or other:
STRUCTURE EXT. -Steps,Stairs,Porches:
Dual E ress:and 0 ' ,
❑ B ❑ F ❑ M . Doors,Windows:
= " GuttersmDrains: u{
f Walls: F
Foundation:
ChimneY.
BASEMENT ra" ; , Gen.Sanitation:
W' Dampness:
Stairs:
Li htin
° STRUCTURE INT. Hall,Stairway:; ,x
Obst'n.:
4 € z Hall"Floor,Wall Ceiling:-`;
Hall L-i'htin
a. : -Hall Windows.
.�w. Chimneys:
Cqn NGa YJ;0.N. Equip.Re'air
',,,,.,Stacks,,Flues Vents: ,r
PLUMBING: .,,Supply Line:
❑ MS ❑ST.-.❑P .:,.Waste Line:o
.. H.W.Tanks Safe and Vent s
x' ELECTRICAL Panels,Meters,Cir.: !
.� ❑ 110,%0 220 Fusing,Grnd.:
<{; AMP: A Gen.Cond. Distrib:Boz:`
Gen:Basement Wiring:
> - DWELLING UNIT
Ventil. Lqtnq. I Outlets Walls Ceils. Wind. Doors Floors Locks
Kltch na
i1t t: e
Bathroom
Pant
AE Den
Livina Room
Bedroom 1
Bedroom 2 "
Y; Bedroom 3 i`
f} - Bedroom 4 s.
s:r Hot Water Facil. Sup.Ten. Gas,Oil Elect.: i
Stacks Flues,Vents Safeties:
t
, x�+ Kitchen Facllltles rkr j Sink qi t,.,. r < ,.,..
7,7 77 Stove: ._ •�,.:t _ . ,.
Bathing,Toilet Facll. Vent.,Plumb,.,Sanit'n . e
' Wash Basin Shower or Tub:
`i Infestation "d'"" Rats,Mice,Roaches or Other:
�A � ' Egress �. ; �. .Dual and Obst'n:.
v roeral BW!dln Posted
H„,Locke on Doors: : ,, _ ra
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.(S a Over)
`r.,a y t. � -
THIS INSPECTION REPORT IS,;SIGNED AND CERTIFIED UNDER T IE PAINS AND
PENALTIE8 F PERJURY.' 0 ATLE.
-INSPECTOR
�, •:e Y'7.ii, 'in, 94 a.-.i...
DATE` _ ,tea 3 �.. ,f.' TIME a M.
\• } A.M.
THE NEXT SCHEDULED REINSPECTION A _-Ar .-__-______ P.M.
Zr;203 499 104
US Postal Service
Receipt for Certified Mail
No Insurance Coverage.Provided.
Do not us for InAernational M•it Se everse
e umber
os State, P Code
Postage
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
LO
Retum Receipt Showing to {'
Whom&Date Delivered
Return Receipt Showing to Whom,
Date,&Addressee's Address
0 TOTAL Postage&Fees
M Postmark or Date
LL
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Stick postage stamps to article to cover first-Class postage,certified mail fee,and
charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier(no extra charge).
r 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the 0)
return address of the article,date,detach,and retain the receipt,and mail the article.
I u')
3. If you want a return receipt,write the certified mail number and your name and address
on a return receipt card,Form 3811,and attach it to the front of the article by means of the _
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a
RETURN RECEIPT REQUESTED adjacent to the number. Q
4. If you want delivery restricted to the addressee, or to an authorized agent of the G
G
addressee,endorse RESTRICTED DELIVERY on the front of the article. Go
M t.
5. Enter fees for the services requested in the appropriate spaces on the front of this E
receipt. If return receipt is requested,check the applicable bloccs i1 item 1 of Form 3811. li
6. Save this receipt and present it if you make an inquiry. t 02595-s7-e-0145
y
c' PAR ] Real Estate System - General Property Inquiry] Help [ ]
Parcel Id: 328 081- - Account No: 244596 Parent :
Location: 114 SPRING STREET HY Neighborhood: 64AC Fire Dist : HY
Devel Lot : 16 & 17 BLK A Lot Size : . 16 Acres
Current Own: FALANGA, ROBERT R State Class : 105
114 SPRING ST No. Bldgs : 1 Area: 2520
Year Added:
HYANNIS MA 2601
Deed Date : 120188 Reference : 6555/142
January 1st : FALANGA, ROBERT R Deed MMDD: 1288 Deed Ref : 6555/142
Comments :
Values : Land: 17400 Buildings : 95800 Extra Features : 500
Road System: 114 Index: 1516 (SPRING STREET ) Frntg: 120
Index: ( ) Frntg:
Control Info: Last .Auto Upd: 050695 Status : C Last TACS Update : 091092
Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0189
Tax Title : Account : Taken: Account Status : Hold Status :
Cancel [ ]
Press XMT for more data
Next screen [PAR ] Action [ ]
Owners Name [ ]
Road Index [ ] Road Name [ ]
Parcel Number [328] [082] [ ] [ ] [ ]
0
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'FORM30 HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTHY
CITY/TOWN {
DEPARTMENT
`�M 5•''�` ADDRESS
TELEPHONE
Address -- I° iZ �!!4 `l Occupant t ! { t r A' Z
Floor Apartment No. No.of Occupants 42
No.of Habitable;Rooms No.Sleeping Rooms 4)_.--
No.dwelling or rooming units No.Stories
Name and address of owner 4 1 A L. I
Remarks Reg. Vlo.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n,,: v
❑ B ❑ F OM Doors,Windows: t Yl _" K(�.S i 1/, 7y � V 11`�LBOl,l )`�-,
Roof _
Gutters, Drains:
Walls: e
Foundation: _ G
Chimney:
BASEMENT Gen.Sanitafion:v
Dampness:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall,Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vents ,"{ )rc1'1s yfNh e,
ELECTRICAL Panels, Meters,Cir.: ; 1(-�� /N %r1•Lr/�K , lq k`, Mlkl4f Al / ] (,l} ov fr
❑ 110 ❑ 220 Fusing,Grnd.: �l G. f 04 1 (it
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: / >J X Gam. / �
Infestation Rats, Mice, Roaches or Other:
E ress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY.',! }
INSPECTOR �/ . '! .,i Tr .TITL �"
E( 1
Lx
4
A.M.
DATE 1 f C._- �"1 / TIME.. P.M.
THE NEXT SCHEDULED REINSPECTIONF= P.M.
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4
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
opcupants 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.
'(H) 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.
()I) Failure to comply with the security requirements of 105 CMR 4110.480(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
for 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.
(B) fRoof,' foundation, or other structural defects that may expose the
occupant or anyone else to fire, burns, shock, accident or other dangers or
isipAttbant 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.
(!Q Any of the following conditions which remain uncorrected for a period
of five of more days following- the notice to or knowledge of the owner
of said condition or conditions:
(fi)` 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
iwpalr 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.
Hazardous Materials Inventory Sheet Checklist
Date
Physical Street Address-Check database.to ensure it exists
Working Phone Number
Actual Amounts -(ie. gas being used to fuel machines,thinner to
clean brushes all count as hazardous materials--no blanks)
Storage Information -location of storage, how long is storage for?
If none,.note that.
Disposal Information -where and who? If none, note that.
Applicant Signature -understand what is listed and noted
Staff Initial -any questions, know who to ask
Vehicle Washing/Rinsing? -give a vehicle washing policy and
explain it
Attach the Business Certificate with your sign off and comments
"The inventory form should explain what the business consists of and the procedures
I�`"' they are doing. Notes need to be left to explain what you discussed with them.
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OFFICIAL, ,
Postage $
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P G O �G Postmark b
Q Retum RecIs t Fee �/� Here 0)
(Endorsement Required) 6 5 ��
Restricted Delivery Fee
CO (Endorsement Required)
G .�rq Total,Postage&Fees
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O Sent To 1� k h
o {Nld. 0r,`nd
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orreet,Apt No.:
or PO Box No. ('y�
City,State,Z/P+4 --
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Certified Mail Provides: Z00Zeunr'ooBE Wind sd
o A mailing receipt
c A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
important Reminders:
o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®.
n 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.
a 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 USPSe postmark on your Certified Mail receipt is
required.
n 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.
Internet access to delivery information is not available on mail
addressed to APOs and FPOs.
TOWN OF BARNSTABLE Date500
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: SJMQpj 'Pain4wig
BUSINESS LOCATION: g9bQ4 ,3�f„a fags M A INVENTORY
MAILING ADDRESS: pjh0Z 0. S kZ a mly s MIA n2" S TOTAL AMOUNT:
TELEPHONE NUMBER: ,50,6 -3&0 -0J6Y
CONTACT PERSON: we t m i e sil i s
EMERGENCY CONTACT TELEPHONE NUMBER: 5,4 _ 815 - 03L MSDS ON SITE?
TYPE OF BUSINESS: PA,U,f
INFORMATION/RECOMMENDATIONS: Fire.District:--
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, .
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The board of health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
LJ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine'and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products:. grease,
Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways&garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform, formaldehyde,
Paint&varnish removers,.deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers&cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS plicant's Signature Staff's Initia s
`~ :iThe : Commonwealth of Muss-acn°usetts
Executive Office of Health and Human _Services
Department of Social Services , ,
CapeLLUM F.WELD
,& .Islands/Plymouth Area .Office
GO1Cm°` 32 Commercial Street, South Yarmouth, Massachusetts 02664
RLES D.BAKER Tel (508) 394-1325 Faz (508) 3 4-4356
Secretary � j
DA K.CARLISLE
Commissioner Y` }
+ Dear t 66VV111�!!J
.chelle Mason
Am Director As you know, I have talked to you about the report;
(Acting) hat t .e Departme t of Social Services received that
kit may have been abused .and%or neglected.
After visiting with you and yout children) and.
talking .to othr people who know your famil.
e y,'`the
Department ,has found reasonable cause to 'support the
allegation that your children) has been abused
neglected and -the report is :supported You have the
opportunity to dispute the support decision through the
;.• Department's Guievance procedures within thirty (30) days,
of the date of this letter . To do so, write to the+ Area '
,
Director of this office.
When the Department of Social Services makes this.
kind of decision, we are. required by law to .work` with .you
and your `family to help you. to change things for-the
better so that your child(ren) is/are healthy and . safe.
A 'social worker from the Department of Social Services,
Cape & Islands/Plymouth Area Office, 32 Commercial 'Street,
South Yarmouth .will call you or send -a letter to. you to set, up
a time to ;talk with you so that together you•can make a plan ,,
for the Department to complete an assessment. The purpose of
assessment- is to take a comprehensive look_ at you and your
family and to determine your family' s need for services .
As part of the assessment, \the Department will
collect and evaluate any new information related to the
supported allegation(s ) .
If the report about your. children) came from a
person who is required by state law to make this type of
report (this could be a doctor, teacher, nurse or other
professional ) I will be sending them a copy of this letter.
If you have any questions about this letter or
want' to talk to me, please call me or come to my office .
Sincerely,
�P
:c: Mand ted Reporter
ENTRY LETTER-3A/3B NOTICE TO PAREN S OF INVESTIGATION
OAS 200 OUTCOME: REPORT SUPPORTED ON A FAMILY
(rCV,r . G7/y 11 NOT CU999NTLY OPMOV rog .999VICffi19 �