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HomeMy WebLinkAbout0070 WOODBURY AVENUE - Health 70-72 WOODBURY RD, HYANNIS A= 307-205 :r No. u� -3 Fee , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Disposal *pstrm Construction VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. `7® (�App {Zy I�('�� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 07 2Q u15 �1.f3�6Z�(NN 1 L-APB' BAbJ5TA u Installer's Name,Address,and Tel. o. ''p$"177—2$71 Designer's Name,Address,and Tel.No. OAPC--Le)6AE f'5VTC-ILPAU3ee; "C,. lv�� 1 �xe�euui��-c f4-c— 5 r M 45'NPe 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) A�X1 JD Qly C ST t DUCE S f=M C> SV�9_L H 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 Healt .. Signed Date 9 Is p"1®I Application Approved by 0 Date L/ Application Disapproved by Date for the following reasons Permit No. Q ( — / Date Issued _411 y c No. Fe�r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION-. TOWN OF BARNSTABLE, MASSACHUSETTS ftpYication for Misposal *pstm (Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon()� ❑Complete System ❑Individual Components Location Address or Lot No. 7 O wxxibsVp_y V 1= Owner's Name,Address,and Tel.No. ri A(.r -TL�tG�Assessor's Ma /Pazcel oao N cAuE BARN6 A Installer's Name,Address,and Tel.f4o. 5'0 g-q-77--g$7, Designer's Name,Address,and Tel.No. ~r=tc)tDiff 4trLJi'e9LPQ1se.9 t..c.C, NIA SZ M 45 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) �r 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 r Nature of Repairs or Alterations(Answer when applicable) ti x1 D oN) C—W ST i A�)& S EPT.(Crr 5', S-rE M 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 Healt Signed Date 9 Application Appr'.oved by Date y" Application Disapproved by Date for the following reasons Permit No. )Q 114 ;j Date Issued C( Q,- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(y)by C lA pec o nDE OQ K CX at ?::— 4yj� )Q(5 has been constructed in accordance _with the provisions of Title 5 and the for Disposal System Construction Permit No. o 3 t1/y dated q Installer Designer #bedrooms Approved design flow gpd The issuance of this pe it hall riot�be cons/tr_ued as a guarantee that the system will 'ctio sig�dd �? Date vI l�Gf Inspector f f V ='+ -------------------- ------------=-- A------------------ - = ------------_------ ----- _-------------_----— I rrl�-- No. c)(�,' L/ Fee ZJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(4) System located at !2 8 W b Da SU72 A—V�A Uac !4 VA1J jU!S 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:Constru tion st be completed within three years of the date of this permit. l / Date -I 1 �� Approved by AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 70�7 101, SEWAGE# 46 Vxa.LP GE� /'7��'Qr1l�f`S ASSESSOR'S MAP&LOT 9 INSTALLER'S NAME&PHONE NO. 607`?l / CO yZ$-BliZd SEPTIC TANK f APACT17Y /�rr--� 64 L LL+ACHIIVG=.,4 LITY;(type) yWl7�>�>� 191 (size) bo k7 NO.OFBEDRO,"314' Y BUILDER OR OWNER "G, ier PERMTTDATE: 2- COMPLIANCE DATE: Separatipn Di.,ance 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) 2/ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by , �y g :33 0 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=307205&seq=1 9/19/2014 COMPLETE . . THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig u r item 4 if Restricted Delivery is desired. X ❑Agent_ ■ Print your name and address on the reverse ❑Addressee st that this can return the card to you. p B. elves b�� C. Date of Delivery I ■ Attach this card to the back of the mail iece,or on the front if space permits. D. s delivery ddress different from item 1? ❑Yes 1. Article Addressed to: If YES delivery address below:' No AL! BERT P. LUCIER n 0 02630 18661PHINNEYS LN BARNSTABLE,MA 02630 3. SeeiceTyp� WWertified MallEXpr2ssM ❑R,glstered M tum Rec ' Ise ❑Ins d Mail ❑C.O.D. 4: Restricted ee �` t'" 6 _._ (�'F 1 -�,.,,� es 2. Article Number i 7 012 1010 0000 2848 1339 11 (Dansfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt W2595-02-M-1540 a UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • M Sewer Connect Public Health Division s Town of Barnstable 200 Main Street Hyannis,MA 02601 �,i:,li,+i�iiii),ii„:,ii,j,�►'.�lf�,tiiJ�i,i,ii,,,,,Jiiiil ll��t�; T Q- m .. M v ra OFFICIAL USE '•+ L Us=� 43 Postage $ ru �Nli g Njq O Certified Fee Return Receipt Fee �PosttmarkHe C3 (Endorsement Required) �7r $ (13 `o Restricted Delivery Fee O (Endorsement Required) / 0 Total Postage&Fees $ Cn !! PS r�[[�� "O a . ALBERT P. LUCIER 1866 PHINNEYS LN BARNSTABLE, MA 02630 Certified Mail Provides. o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: i o Certified Mail may ONLY be combined with First-Class Maile or Priority Mails. o Certified Mail is not available for any class of international mail. c NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n 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 i Barnstable F'W ray Town of Barnstable UAmM Regulatory Services Department caC j _P_ublic-Health-Division-_____._--------------_--__- _ —.— _ - 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -1339 March 28, 2013 ALBERT P. LUCIER 1866 PHINNEYS LN IMPORTANT NOTICE BARNSTABLE, MA 02630 Map & Parcel: 307- 205 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 70 Woodbury Ave., 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. �Z;A ER OF HE BOARD OF HEALTH McKean,R.S., C.H.O. - -- --- --- -Agent of--the-Board-of-Health----- Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering, DPW . Enc. QASEwER connectUztters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc !i -- ---.---._-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 your own 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 $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.barnstabIc.ma.us/cdb (under the"CDBG Programs", see"Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PublicWorksTech/sewei-installers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at(508) 790-6244. FOR ANY-QUESTIONS/..ASSISTANCE:____._._____ Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEwER connectEetters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 C& BOARD OF HEALTH CITYITOWN a DEPARTMENT ' ADDRESS (sop ) GIN Syey`0 TELEPHONE Address Z. elV®0 D'$Uf_q P-0 • 11NAi �Occupant Pik-, AN)A�s $ `31.4�NN a Floor — Apartment No No.of Occupants ?_ T� No.of Habitable Roomsq No.Sleeping Rooms__ No.dwelling or rooming units No.Stories Name and address of owner f-1Q-\ QGI 8 1 fV Ni; LAQ Remarks Reg. Vio. YARD Out Bld s.: Fe es: 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: \/l 0 LAJ I.Q ta S Walls: Foundation: Mllzv vk_,� Chimney: o BASEMENT Gen.Sanitation: � �T M „ 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 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 5 14 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Flues,Vents,Safeties: Kitchen Facilities Sink 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 E oS7E✓(.� 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 INSPEC ION REPO T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PERJURY ' INSPECTOR ez TITLE 46AL Z�� M-G"r0 �- A.M DATE d TIME 1 1 Q P.M. A.M. THE NEXT SCHEDULED REINSPECTION a P.M. 410.750: Conditions Deemed to Endanger,or Impair Health or Safety The following conditions, when found.to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to•include shall in no way be construed as'a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. • i (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. •f - Fs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratioaa for Di-tipooal Wark.6 Toaatitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X_an Individual Sewage Disposal System at: ..................................................•-•-------•-----------------(----------------- ------- Lo ation--A�d�dres .-----------,-�s.........�---J------......< ...................... ..................................... ---r�t_t or d�t o .- / ........... A owner A � p 7 `6 ,.a Le Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms-----------��...........................Expansion Attic ( ) Garbage Grinder (_ �/Jo aOther—Type of Building ---------------------------- No. of persons.......................----- Showers ( ) — Cafeteria ( ) p' Other fixture ,.- ------------------------------------------------- W Design Flow.............. ...... ...............gallons per person per day. Total daeil' flow------------ -_ -.-----_-------_--..gallons. . WSeptic Tank—Liquid capacity gallons Le ngth--.-�m� Width_. f-S'. Diameter---------------- Depth___----__-_----- x Disposal Trench—No- __/---------- Width......:7___------ Total Length------(e_®_..----- Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter--------------.----- Depth below inlet___.-......... Total leaching area..................sq. ft. Z Other Distribution box (VQ Dosing tank ( ) k PercolationTest Results Performed by.......................................................................... Date----------------......................................... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ �+ ------------------------------------------------------------------------------------------------------------------------------------------------ -----•----- 0 Description of Soil........................................................................................................................................................................ x U •--•--------------------------------------------•----------------------------------------------------------------------------------------------------------------------------------......--------....... W --------------------- ---------------------------------------•-•----•-------------------------•---•-----........ ...................... UNature of Re airs or Alterations—Answer when appl' able------- .__ ___ .r' ___-. - -- 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 be n issued th board of health. �f Signed ...... . -------- --- - --- ------------------------ - 1.-.l9,1..� Daze Application,Approved By ....... ...----- ---------------------------------------------------------- .= 13- Application Disapproved for the following reasons: .................................. ----------------- ----------------------------------................--------------------------.....-----------------------------------------------------..............------------------- -------------- Da[e---------------- Permit No. - 5 / .. Issued - - ........................._........... Daze E r� 36o No..9J'-l�. ' FlR$...... .d....' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE t � - Appfiration for Diopootti Workii Tomitrnrt"ton ramit Application is hereby made for a Permit to Construct ( ) or Repair (X4—an Individual Sewage Disposal System at: .................................................•--•---•.........._,.................... ----- - ---------.....-•------••------........__-- Location-Address i o�i�t tro ---- --------------_. .--•- --•--- -----•- -------- ------------------- ------•-•---- ----...--------- Owner r-- Add,ess a '4et��l elm u�^l`ST�C.�1z�'"/U�1 7 4� f'`� ��is`� '' �,-"o l U .-----------••- •-------------------------------- ---...... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms------------ ------------------------------Expansion Attic ( ) Garbage Grinder (---)—AJQ aOther—Type of Building ---------------------------- No. of persons----------........:r._ :=. Showers ( ) — Cafeteria ( ) Other fixtures ----- -------------------•----.-------------------------- ----- d ............................... Desl n Flow................. �-------- ---------------... Ions. W 'g -gallons per person per'day�. •Totalldaily flow..--.-..-.-. gal GG Septic Tank—Liquid capa6ty/-.�V.gallons Length---- c Width-.--5— Diameter---------------- Depth---------------- Disposal Trench—No. -..-..-/-------.- Width..--...:7.------- Total Length------(F. ..... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet....i;;�......... Total leaching area..................sq. ft. Z Other Distribution box (eU Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ ,� Test Pit No. I---------- ---minutes per inch Depth of Test Pit.................... Depth to ground water.......--............... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....................--. (� .....---•-------•.................................••--•--...........--------•---•--•-------------------•------•---•••-••-•............................................................................ 0 Description of Soil............----------------------------------------------.........-------------------------------..-------------------------------------------------------------------- x W UNature of Re airs or Alterations—Answer when appl* able._ N-�'`��'_--�-----------d.r�-..-..------. ---.T!°^---- .1 I .�....._. ....%,��c,�.-'�!..3_- w/7: 'rFio l l�J Siz'�JE �� ,.1fst 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 be n issued th• board of health. Signed /�! � a----------- ---- Dace Application.Approved By ---------- i-•-,�--�.--..®,............. - - - - ------------- re' Application Disapproved for the following rearons: .................._............--........_................_..........................--...:......-. - --------------------------------------------------------------------------------------------------------------------. f 6 o Permit No. - ------- y�. .................. Issued .....................-:..------------------------Dae .... Dare I _._ _._._._.__._._-_._._._ �..�._��..�.-a m._�.��...����.A ._....,.�._..._�_.-o._..�....�- .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ,TOWN OF BARNSTABLE Cner#ifirate of C11ompliance THIS IS TO CERTIFY-,4hat the Individual Sewage Disposal System constructed ( ) or Repaired (N< by ................................................. �_f✓_!(7t.Ciu171------------C.('_1-_S71W C7-7 GrJ ..._._........... ... ----------------------------------------------- at .--------------------------...... 7U - 7�- 6dJbu� (�uk� ' ,�1. 1-,IJ-I,S -............ ..... .. ---.... ....has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....j�j ...-..�(..- ... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -� DATE . . �r. .._."._%.`1-------------------- ..-......- .. Inspector ........... ' - - ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �i TOWN OF BARNSTABLE FEE.. (�� �`�__...._..... �i� oott1 for Tonotrudion Vrrntit Permission is hereby granted.................. .o/A—i`—G U t 17 �-U'v���Gi'7 0� to Construct ( ) or Repair (K) an Individual Sewage Disposal System --at No.--•----••••--••••--••-•-•-------•--..7.0=-- AZ- t7c�D,3U.�C`�. = - -------------- Street ��LL as shown on the application for Disposal Works Construction Permit No.7-5--1bMated------ `�� ryQ •-•------••---------•----•-•---•••--•--- ---. -......................................... 71 �. .............................. (Bgard of Health DATE----------------v----=--------_ 1----------•-- FORM 36506 HOBBS R WARREN.INC..PUBLISHERS p � £ r _ k < CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS'CONSTRUCTION PERMIT(WITHOUT DESIGNED'PLANS) I hereby certify that the application for disposal works r , construction ernttt si ed b me dated �/Q��� p 8n y , concerning the property located at 76 ' 7� GJ n CO 3 u� � )meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: / .DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. �yar-a7.SL+.s�ga-.':•L3`"•S3'�4?.v.tp�p.%F.�_..,..r�,"r:w j c.&c�yty.,.#�.{?..,yf'+.-s,,.r'i,s:4�-s�>a•.str_<sviW.�,�.'„f•„�gt:�=-',2�",",-�,!�•l*S'"jY�.a�.,3 Y"+c�e1$ 647,f rar7'i.,F a td-•>•'�s.s.s.6y„,T,�.'1rg�Fa,4„`.S;}-)Py+�.x�4�`,�."_"u,_,:�-;3a,'r;4.w`,`:."a:''-e'"A"'.3�>���".a.`<-.'',xS;T�".�.,.:.°y.R1�.a i.,-„�`6'g�'-Tr<�za..i:�,�.y^.,SS,,?t.7ay;";.;C'g.,:��,a�y,`kry.',+.t..'`y?r��l•m..r#£,�?�„i_.=��a„�'Fury rk,T,.`hr"�z r�s33Y.Kv pI 4`}.,-<,{1f 4,,3.l.ir.,e.web.,'Y_+.�>''.Y"f 3�'�R!`rr.�t..�_g x'✓'`r�,„y�s,::€''Y�-'='T'��'`�x?.�.p'qgik`pp ts..�`<`#ri(.•h 1-`kL`C�'�>...Y*Y*-E`�xyv';-'�-,v.-.�;`-wr�..x'',axx.i„+";,-SYt�•�'e.,.t`�'�4'k�ft�drJet,�g,%f's's«+uM_-;,:{�1§,;V-4'-w-:'��F,Y.�rc°�t,�r.y x.,zr r3.y x'�.�'tr.:;.''`�,.r}yp'*,g�y.'4 Ytt+y�-.l��'ar'�P_U'`!:q"af4.,r�f,,<}£`,�zF%+..a aF>•e�#:r�±,rA:F;;n..- i.,e,+:,•tr.,�r}ac,+Ya»-,c..Y:-,gf.nvr7 1,� it " z a 1 1 � .!,YY �R, + ' +IN :.;- 4.. .a.F�. f�STp` � t�Y'� 4�pS(-.<?v h.'� T�`i-,'.: YP` 'IY. �.?',�>� .u"-. ` 34v'rh �3 PY����' �..('. Z F �'.'�. ,a,'*!.< �G l.•`.i�� �.J-M1;'F f :tskl` 1 ��si`- £ .k r'���t��� a���x.4-F.N ` �` ",zF�� � �' � s.�� � 2.. '.."•r.� M;� �° .. t��s r 4 an�� �.''�'s.<w � r � aT c ''KK:'�' 'S.. �` t'.y'�"+,kF Fs s .'-�`fr'. -iui�'�'Y 'S'" xg�,.; } -,,r.; 't va .sR ��'�'; 3�"z .•,'t � .. '..����i�f�ti�".'a aPy:-A'�'tY-,s r -a. tr�_.ru-i s�-.:.xss*x �'�; �- � } d it ti a v �S r V-� S I L 1 0 0� a��� Li z �EvJ � _ -.- 'J ��.q.� ,_� _sa �..* �.s s i'rf ,� �,t.: � wt � i�;``rt �� ps3�� n c..k,; ?-'' x""tn'�,�. v�`.i .w� 'itn �.: .a;,° _ •..3 �-";_':. 3 G.�--� FORM 30 CH W Homs E WARREN n THE COMMONWEALTH OF MASSACHUSETTS BOAR OF LTH CITY/TOW 4 W ' I,fl�✓� a D DEP�ENT i ' c; ADDRESS ,,� L PHONE Address-0'"�,"` -- - --Occupant_. Floor Apartment No._ ___ No. of Occupants a-- C� No.of Habitable Rooms No. Sleeping Rooms-0=_ No.dwelling or rooming units �torie Name and address of own tv 0 �r /4- d my Remarks Reg. Vio. YARD Out Bld s.: Fen es: 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: kr- Stairs: ; Li htin : STRUCTURE INT. Hall,Stairway: V ; Obst'n.: % Hall, Floor,Wall,Ceiling: ,' Hall Lighting: Hall Windows: -- / — O 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 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., Gas,Oil, Elect.: Sta s, Flues,Vet afeties: Kitchen Facilities n S 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 Locks on Doors: ONE OR MORE OF THE VIOLATIONS NECKED 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 PERJUgY.C.���J'7� INSPECTOR TITLE 1 to : M DATE 3 �� TIME - '" P.M. I l l� A.M. THE NEXT SCHEDULED REINSPECTION 1� P.M. r 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as-are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. I I ----1 CA� t i Parcel Detail Page 1 of 3 77 x Logged In As: Parcel Detail Friday, Mar( Parcel Lookup Parcel Info Developer Parcel ID 1307-205 I Lot Location i70 WOODBURY AVENUE I Pri Frontage 180 Sec Road , Sec: Frontage Village i HYANNIS I Fire District IHYANNIS Sewer Acct i Road Index i 1869 t�Interactive = Map _ Owner Info OwnerLUCIER, ALBERT P I Co-owner Streets 1866 PHINNEYS LN Street2 City BARNSTABLE I State MA zip 02630 Country!US Land.Info Acres 0.18 Use[TWO Family I zoning r Nghbd 0105 Topography Level Road i Paved utilities'Public Water,Gas,Septic Location E Construction Info Building 1 of i Year; ___ _.____ Roof r _.._ _____.. Ext Built 11969 struct!Gambrel I Wall Wood Shin g le Effect I" __— Roof!!` _._._. AC �.__e_.__ Area 12368 I cover iAsph/F GIs/Cmp I Type None Style jFamily�Duplex .. I IntPlywood Panel � Bed�4 Bedrooms Wall! Rooms Model €Residential Int Py Bath Floor!. Full + 2H Floor Rooms,- Heat Total Total 8 ROOmS Grade Average I Type f Hot Air Rooms= I http://issql/intranet/propdata/PareelDetail.aspx?ID=24751 3/30/2007 Parcel Detail Page 2 of 3 X Heat`_________.__ _.�_.._ Found- ___ ._ Stories 1 3/4 Stories Gas iPoured Conc. Fuel` ation _. ........ .. _..._..---- -- --. ................ - - Permit History Issue Date Purpose I Permit# Amount I Insp Date I Comments Visit History Date Who Purpose 3/11/2002 12:00:00 AM Paul Talbot Meas/Listed 7/15/1988 12:00:00 AM ML Sales His Line Sale Date Owner Book/Page Sale P 1 1/15/1994 LUCIER, ALBERT P 8994/135 2 12/15/1987 CARLIN, MICHAEL J & 6077/328 3 DAVID, GERTRUDE M 1428/796 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $207,300 $5,100 $800 $140,100 2 2006 $205,700 $5,100 $800 $141,500 3 2005 $198,400 $5,000 $800 $106,200 4 2004 $165,300 $5,000 $800 $75,000 5 2003 $81,400 $5,000 $900 $28,300 ; 6 2002 $87,300 $5,000 $0 $28,300 7 2001 $87,300 $5,400 $0 $28,300 8 2000 $80,900 $5,000 $0 $23,600 9 1999 $80,900 $5,000 $0 $23,600 10 1998 $80,900 $5,000 $0 $23,600 11 1997 $93,900 $0 $0 $20,700 12 1996 $93,900 $0 $0 $20,700 13 1995 $93,900 $0 $0 $20,700 14 1994 $92,000 $0 $0 $23,900 15 1993 $92,000 $0 $0 $23,900 http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=24751 3/30/2007 Parcel Detail Page 3 of 3 16 1&92 $104,500 - $0 $0 $26,600 17 1991 $126,500 $0 $0 $38,400 18 1990 $126,500 $0 $0 $38,400 19 1989 $126,500 $0 $0 $38,400 20 1988 $81,600 $0 $0 $22,500 21 1987 $81,600 $0 $0 $22,500 22 1986 $81,600 $0 $0 $22,500 Photos http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=24751 3/30/2007 3 C 'o FORM 30 Caw HOBBSR WARREN' THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HE TH t CITY/TOWN W a D PARTMENT GSM sy0y`eWADDhESS f/ TELEPHONE 0 Address �— �11 /_ Occupant Floor Apartment No. No. of Occupants �y No.of Habitable Rooms Lj_No.Sleeping Rooms Z No.dwelling or rooming units n No.Stories Name and address of owner �/ , (f/& F 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: ZO I ' C -ti- 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: Su ply 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 6� Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PER " INSPECTOR TITLE DATEr _ TIME_ V M Aj A A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. 2C� o � / �} � ��� 5��� Z � a �� � ti �� � �� � { �.__-,. _, � _ _� ewe.-.� i . kA r The Town of Barnstable Health Department 6'-eAJ-65 •unn.n i 3G 2-`1�vc� •M• 367 Main Office 508-790-6265 FAX 508-775-3344 - t r;INC L. i Joseph Carlin 1040 Brookrun Drive il Apt. 115 1/ • Charlotte, NC 28209 NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE RENTAL ORDINANCE The property owned by you located at 70 Woodbury Avenue Hyannis was inspected by Jerome Dunning, Health Inspector for the Town of Barnstable, on March 1, 1993 and re- inspected on March 8, 1993. The following violation of the Town of Barnstable Rental Ordinance was observed: 4-5 . 1 Only two (2) refuse receptacles provided for two or three rental units within the dwelling. Refuse was stored on the ground adjacent to the filled refuse containers. You are directed to correct this violation within 24 hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7 ) days of receipt of this letter. However, this violation shall be corrected regardless of any request for a hearing. : Penalty for failure to comply with any provision of this Ordinance shall be punished by a fine not to exceed $300.00 per day of violation. You are also subject to a $40.00 ticket citation. Tickets will be issued daily until the violation is corrected. PER DER OF THE OARD OF HEALTH Q- Thomas A. McKean Director of Public Health i� ARTICLE LI BARNSTABLE TOWN COUNCIL Item No. 91-141 Intro. 6/6/91 Revised 12/19/91 ORDINANCE SECTION 1 Chapter III, Article LI of the General Ordinances is hereby amended by striking Article LI and replacing it with the following: ARTICLE LI: RENTAL ORDINANCE SECTION 1 PURPOSE The purpose of this Ordinance is to protect the health, safety, and welfare of both the occupant(s) of rental housing units and the general pv.blic. It will assist the Board of Health in the enforcement of the Massachusetts State Sanitary Code ( 105 CMR 410.000) and provide a method of correcting violations when conditions require immediate attention, in particular, situations associated with recreational tenancy. SECTION 2 DEFINITIONS Board of Health: The Board of Health of the Town of Barnstable. Dwelling: Any building or area in a building used or intended for use for human habitation including, but not limited to, apartments, condominiums, cottages, group or limited group residences, guest houses, one, two or multiple-unit residential buildings, and rooming houses. Occupant: Any person over one year of age residing overnight in a dwelling. Owner: Any person who alone or severally with others (a) has legal title to any dwelling, dwelling unit, rooming unit or parcel of land, vacant or otherwise; (b) mortgagee in possession; or (c) agent, trustee or other person appointed by the courts to be in charge of the property. Person: Any individual, partnership, corporation, firm, association, or group including a city, town, county or other governmental unit. 1 SECTION 3 STATE SANITARY CODE PROVISIONS The provisions of the State Sanitary Code to wit: 105 CMR 410.000 through 105 CMR 410.960B: MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION (STATE SANITARY CODE, CHAPTER II: ) inclusive are hereby adopted as the provisions of this SECTION 3 of Article LI: Rental Ordinance. SECTION 4 DUTIES OF OCCUPANTS AND OWNERS 4-1 RESPONSIBILITY OF NOTIFICATION No person shall allow occupancy of any dwelling without first notifying the occupant(s) at the time of such occupancy of this article and of Article XXI, ANTI NOISE REGULATION of the Town of Barnstable. 4-2 KEEPING OF A REGISTER The owner(s) shall be responsible in keeping a register containing all names of current occupants in the dwelling. The register shall be retained for a period of two (2) years and shall be made available to the Board of . Health, the Director of Public Health, a health inspector, a police officer, or the Town's Licensing Agent upon request. 4-3 MAINTENANCE OF SMOKE DETECTORS The occupant(s) must routinely test, clean, and report faulty or inoperative smoke detector unit(s) to first ( 1) the owner of the dwelling; and second (2) , if necessary, the local Fire Department. 4-4 POSTING An owner of a dwelling which is rented for residential use, who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein, shall post and maintain or cause to be posted and maintained on the exterior of such dwelling within five (5) feet of the main entrance or within five (5) feet of the mailbox(es) , at least four (4 ) feet and not greater than six (6) feet above ground level, a notice constructed of durable material, not less than twenty square inches in size, bearing his/her correct name, address and telephone number. If the owner is a realty trust or partnership, the name, address, and telephone number of the managing trustee or partner shall be posted. If the owner is a corporation, the name, address, and telephone number of the president of the corporation shall be posted. Where the owner employs a manager or agent who does not reside in such dwelling, such manager or agent's name, address, and telephone number shall also be included in the notice. 2 4-5 STORAGE AND REMOVAL OF RUBBISH, GARBAGE, AND OTHER REFUSE 4-5.1 OWNER'S RESPONSIBILITIES The owner of any dwelling shall be responsible for providing receptacles with tight-fitting lids to be utilized for the proper storage of rubbish, garbage, and other refuse. Said receptacles shall be located in such a manner that no objectionable odor, enters any dwelling. The owner of any dwelling that contains three or more units, and the owner of any dwelling which contains one or two units which is rented or leased for a period of six (6) month or less, shall be responsible for the final collection of rubbish, garbage, and other refuse for the ultimate disposal at the Town of Barnstable landfill located in Marstons Mills or at the Town of Yarmouth Transfer Station. 4-5.2 OCCUPANT'S RESPONSIBILITIES The occupant(s) of any dwelling shall be responsible for the proper storage of rubbish, garbage, and other refuse within receptacles with tight-fitting covers. Said occupant(s) shall also ensure that all tight-fitting covers are kept so that all rubbish, garbage, and other refuse which is stored outside the dwelling unit is properly covered. Said occupant shall be responsible for the proper use and cleaning of the receptacles and keeping the premises free of rubbish, garbage, and other refuse. Unless a written lease agreement specifies otherwise, the occupant(s) of any dwelling which contains one or two units and which is rented or leased for any period greater than six (6) months shall be responsible for the collection and for the ultimate disposal of rubbish, garbage, and other refuse at the Town of Barnstable landfill located in Marstons Mills or at the Town of Yarmouth Transfer Station. SECTION 5 INSPECTIONS 5-1 Any dwelling shall be inspected by the Board of Health upon receipt of a written request, or may be inspected upon an oral or telephoned request whether the person requesting the inspection has previously notified the owner of the dwelling. All interior inspections shall be done in the company of the owner, occupant or the representative of either. SECTION 6 VIOLATIONS 6-1 Written notice of any violations of this article shall be given by the Board of Health or its agent specifying the nature of the violation to the occupant or owner and the time within which compliance must be achieved. 3 6-2 Violations of an unoccupied dwelling shall be corrected prior to occupancy. Violations found in an occupied dwelling shall be corrected within the time specified as determined by the Board of Health or the Director of Public Health. SECTION 7 PENALTIES 7-1 Penalty for failure to comply with any provision of this article/or other applicable statutes shall be punished by a fine not to exceed three hundred dollars ($300.00) per day of violation. 7-2 This Ordinance may be enforced by the provisions of MGL Chapter 40, Section 21D. 7-3 The fine for any violation under this provision shall be $40.00 for the first violation and $15.00 for each additional violation. 7-4 Each day shall constitute a separate violation with the same fines assessed as per section 7-3. SECTION 8 SEVERABILITY 8-1 Each provision of this article shall be construed as separate. If any part of this article shall be held invalid for any reason, the remainder shall continue in full force and effect. SECTION 2 Ordered that Section 2 of Article I, Chapter IV, of the Ordinances is hereby amended by inserting after the words "Board of Health" the following: "Article LI Violations $40 for First Violation, $15.00 for Each Additional Violation, Rental Ordinance" . SPONSOR: Town Manager DATE ACTION TAKEN 4 . TOWN OF BARNSTABLE LAC:,1,T1ON 70- 7Z (,�DO�J'��!y r�-f SEWAGE # ASSESSOR'S MAP&LOT 3 - INSTALLER'S NAME&PHONE NO. .��� (� � /'�/ ' 412 0—F�'a SEPTIC TANK CAPACITY LEACHING r4 :.f:;?,x.1TY: (type) L �� u> (9T(size) x 7 NO.OF BEDR01,0MS__�—_ BUILDER OR OWNER 4-Q lel- PERMI T DATE: -Z 1`7 5� COMPLIANCE DATE: Separating 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) rV Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 7.2 ear 33 V 3d i TOWN OF BARNSTABLE L - LOCATION -7 D UJ'D D Bvi.A 4v•e SEWAGE # A167 VILLAGE 14 y A vL ca:'es ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�� SEPTIC TANK CAPACITY rc"�S t C�'=ft (. t'Sc eQ LEACHING FACILITY:(type) p GA5,r PiT (size) 6x w13� NO. OF BEDROOMS °-� PRIVATE WELL PUBLIC WATE i BUILDER OR OWNERb�STfru�; DATE PERMIT ISSUED:_ Vrg<7 DATECOMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �./' � v c,j -i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ......O.W.r.........OF.. ...... .................................. ... .. ........... Appliration for Disposal Works Tonstrurtion Errant. Application is hereby made for a Permit to Construct or Repair an Individual" Sewage ,Disposal System at: ..........7 .... .Kif�............................ .......... ......................................... Location-Address or Lot No. it?................ ................ . .............................. ..1.5.Ad ....... ner Address .... ...Za ZAje...... .... .116AZ�. .. ,............................. .................. ................................................. 10-1 Installer Address Type of Building Size Lot............................Sq.- feet Dwellifig—No. of Bedrooms......4........................... Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ .Showers Cafeteria ( ) Otherfixtures ...................................................................................*--------------­­*------ ........................ " ........ WW Design Flow..............15. .S .1 ....................gallons per person per day. ..Total daily flow.............�.4.......Q .......gallons. Siptic Tank Liquid capacity..........._gallons gallons Length................ Width..;............. Diameter................ D�pth---------------- Disposal Trench—No..................... Width_....`............. Total Length.................... Total leaching area....................sq:ft. Seepage'Pit No.......I............. Diameter.......LO........ Depth below inlet.....(a............ Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit..................... Depth to ground water............._.......... Test Pit No. 2................minutes per inch Depth of Test- Pit....._.....:_.__:__. Depth to ground water........................ .....................:...................................................................................................................................... 0 Description of Soil.........................................................................................I...........�.-.................................................................. .................................................................. --------------- -----------------------*----------------------------------------------------- ............. .................................................... ................... U Nature of Repairs or Alterations—Answer when applicable........rVA0........ . J......pz=.......................................................................... Agreement: The undersigned agrees to install the aforedescri6ed Individual'Sewage Disposal System in accordance with the provisions of-TI'APU 5 of the State Sanitary Code,— The undersigfied further agrees not to place the system in operation until a Certificate of Compliance ha's been issued by the board of health. Signed. ................ ---------------- Date Application Approved By................ . ... . __• ------------------------- ....... Date Application Disapproved for the following reasons:...............•............................................................................................ ...................................................................................................................................... ................................... ......................... Date Permit,No:.....9.2=....7_� .................... Issued........._.....-...................................... Date 0 _�7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF....r.. l��� .'^-:�5`� .� ;? -C:................................ Appliration for Disposal Works Tonotrixrtion VverrAft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: `r t7 1 at n Rya �! V!F .......................... .......... `'• wVvti C.......................................-_.-------__ Location-Address or Lot No. �P,G�'t A,,,1 R- :�_A,Nv ..............• G• v vF~.......... ...---.... ----•----............_........ ._..,Owner Address a M-iCa, :r,i- ,;)�Y) .+✓ ��-- - :G�:W Y�...1........... ........................................... " Installer ° Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g --...-•-•-•----------------- P ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------•--------------.......--•--•--------•-------•-----------•----.....------.............:_....... .............. WW Design Flow............:�::�..........-.....__..gallons per person per day. Total daily flow..........--.�....0 ...............gallons. WSeptic Tank—Liquid'ca.pacity.._.........gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width_._.. ._..._....... Total Length........_..........Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter......!A).'...... Depth below inlet....!lsa__.......... Total leaching area_.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................:.. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ---....---------------------------------------------------------.....------ ----------------••••-------------------------------••.....--•---...•------- ..-. 0 Description of Soil...................•-----...--•---•-----------•---------•-..._....._...-•---••---•--•----. W C) -•---•--•-•-••-•----•---...-•---••-•••----•----......--•-------------•.....--•--•-----•---•-••••----••--••-•---...................•-----•-•--...-•-•••--•-............._..------ ------------•. W UNature of Repairs or Alterations-Answer when applicable_..._._ .......a. ........ ...... ................ -.----------A1 .�9 �J st-a S`t V�-4................................................................, Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of thealth. a Signed.. .-�_ - � .c �� ..__.._ .��`)............... �.. _e *: r:.-J-----------------------_ •...... — Date Application Disapproved for the following reasons_..............._............................................................................................--- ......................................................................................................................................................................................................... Date Permit No.--- a--Z=---M��----------------.--• Issued-...........................................-..._....- Date THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH .......... .t...V�r O F......t.7 G�Y w`�C G�n .'-t°......................................... ..,...................... ...... fwIrxtifutttr of Toutphaurr THIS IS TO CERTIFY, That-the Individual Sewage Disposal System constructed ( ) or Repaired - b ----Y• • :.:..........+ ----------....................-•-------------•----•--------•----•---...............----............ . Installer at..................... t a C r � �/2x t2� rL!tl� 1 c <- :. ....-- _.. w.- . ;------------------------------ -- -= ':.------.... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... --7-:_. <......_.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............I ------------- ...... Inspector................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF...... .. �..✓•t� s•`r. (.. FEE.... :+ .......... M-Sposal Works Tonutrurtion rerutit Permission is hereby granted....._ ...__.__.._� . `.. k to Construct ( ) or Repair (t..)-in Individual Sewage Disposal System atNo.:---------�-a'ra-........ s- ra•fin•CZ r rz' :` --------•----- - = ----------------------- ...................................... Street as shown on the application for Disposal Works Construction Permit No97`7?�._._ Dated.......................................... Board of Health j DATE............... ? -,) - i .?--------------------------