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0034 YARMOUTH ROAD - Health
4=I'ARMOUTWRD F— IS �71 I m I t I i e � � 1I,' I � 4 � V �, �,� � � � �. ` . � � \ i � � ��� � � � �� U ��� � � - -- Citizen Web Request Page 1 of 3 dys „ a.�AA Logged In As: C O t i Z e n Request Management Thw'sday,September 10 2015 TOWN\miorarandd Route to Users Search Requests Create Requests Request Information Request ID: 54019 Created: 9/10/2015 11:03:17 AM Status: Assigned To Staff Assigned To: Miorandi, Donna Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 9/24/2015 Change Estimated 6ug September 2015 Oct Completion Completion Date:Date: Sun Mon Tue Wed Thu Fri Sat 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 Created By: Miorandi, Donna'' Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor Hyannis, Ma 02601 Request Parcel Number Ma (— F6-7 1 Lot: Barnstable Police Department p: 327 Block: 17 000 called Donna Miorandi at home at approx. 11:52 pm on 9/9/2015 Parcel Lookup requesting a health inspector on the scene Email: Edit Requestor Information http://issgl2/interna1wrs/WRequest.aspx?ID=54019 9/10/2015 Citizen Web Request Page 2 of 3 I Track Request Progress •Request Work History: •Internal Note History: Entered on 9/10/2015 11:26:37 AM System entry on 9/10/2015 11:03:17 AM: by Miorandi, Donna Assigned to Miorandi, Donna DZM responded and met Sgt. Kevin Tyanan of - - BPD and Officer Armando??at 34 Yarmouth Road, Entered on 9/10/2015 11:26:37 AM Unit 8. Police stated that Attorney Kate Mtchell, by Miorandi, Donna owner of property,was on her way to house.The complaint was regarding a foul smell and many Madalena Williams, 508-477-1832 and 508- flies and the abutting tenant called police about 566-9108. DZM called her and left messages. odors, flies and of concern for occupant's health. Mother states he should be on meds but stopped The occupant in Unit 8 is Shane Williams and is 32 a couple of years ago. He needs mental health years old according to police. DZM took pictures of services and shall try to reach out to someone(?) debris that had to be 3 ft. high throughout the unit. for this need. Shane Williams should not be The bare mattress was black and there were many living in these conditions and not on his own flies as well as fruit flies swarming.The bathroom unsupervised.The plan going forward is to have was filthy. Occupant is also a smoker creating quite weekly checks on him.The neighbor in Unit 6, a concern. It appears since he signed the lease on named Ernie Washington may be active in Nov 5, 2012 and started occupancy that occupant, helping out. He was the complainant and after Shane Williams, has not discarded one bit of trash work(dishwasher at Spanky's) he shall possibly or garbage thereby creating quite a health hazard. meet with mother and Kate Mitchell. Luckily, Unit 7, across the hall was vacant and update delete clean with a new set of sheets, a shower and refrigerator that Kate Mitchell gave him the key and permission to move into that unit.The key to Unit 8 was taken away from Shane so he did not have access. At approximately 1:20 am we departed the scene and Kate Mitchell as well as myself will be contacting the mother, Madalena Williams. Kate Mitchell will also be meeting with the mother today (9/10/2015)to show her the condition of the unit and then to call someone such as Whalen Restoration to do the hazmat clean-up of the unit. Barnstable Police Case number is 15-1964-OF . Officer Armando 247 update delete Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) • l v v 1 Spell Ck�eck ,Spell Check -Add document or image link: http://issgl2/internalwrs/WRequest.aspx?ID=54019 9/10/2015 Citizen Web Request Page 3 of 3 e -- Browse.:. *You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 2.50-j Response time: 0.30 l *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. O Save changes El Check to notify town employee below to review this request. O Save changes and notify Health Office citizen* Sharon O Close request Crocker, �-�-- Brief message to reviewer: O Close request and notify citizen* i *notify works if email address was given Update ............. v SpeII Check Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/internalwrs/WRequest.aspx?ID=54019 9/10/2015 �ppTHE TAW Town of Barnstable I`a 6AF N-TA[3LE, 1639. Public Health Division fD MA't 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 INVOICE: # 34YannRdcopies DATE: August 1, 2011 TO: John Moffa, Esquire Law Offices of John S. Moffa 1436 Route 132 Hyannis, MA 0260.1 RE: Rachelle Andrade Plaintiff, Vs Ronald Bourgeois, Jr., etc. Property: 34 Yarmouth Road, Hyannis Dear Attorney Moffa: The expenses for the file copies of 34 Yarmouth Road, Hyannis, dropped off on 8/01/11 are: ITEM RATE COST Supplies: 83 Copies Std 8 t/Z x 11 $ 0.20 16.60 5 Copies Larger size $ 0.40 2.00 Postage 0.00 1.15 hours Labor $ 19.15/hr $ 22.03 TOTAL INVOICE $ 40.63 Amount Due $ 40.63 PAYABLE TO: TOWN OF BARNSTABLE Thank you. Sincerely, Sharon Crock) Administrative Assistant Q:\Legal\Let-INVOICE copies for 34 Yarmouth Rd Hy Aug201 Ldoc COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. SUPERIOR COURT DOCKET NO. 2010-00728 RACHELLE ANDRADE Plaintiff, 1 V. DEPOSITION SUBPOENA DUCES TECUM RONALD D. BOURGEOIS, JR., Individually and as Trustee of fit-JRUE COP TT ST OUR CHILD REALTY TRUST and JUL 2011 BASS RIVER PROPERTIES MANAGEMENT CORP., INC., DEptm sHeRiFF Defendants. TO: KEEPER OF RECORDS for Barnstable Health Department 200 Main Street Hyannis,MA 02601 Greetings: YOU ARE HEREBY COMMANDED in the name of the Commonwealth of Massachusetts, in accordance with the provisions of Rule 45 of the Massachusetts Rules of Civil Procedure to appear and testify on behalf of the Plaintiff,Rachelle Andrade,before a Notary Public of the Commonwealth, at the Law Offices of John S.Moffa, 1436 Route 132,Hyannis, r Massachusetts 02601 on Tuesday,August 2,2011, at 9:30 a.m.,and to testify as to your Q knowledge, at the taking of the deposition of the above-entitled action. YOU ARE FURTHER REQUIRED to bring with you certified copies of any and all documents and material set forth in Schedule"A'', attached'hereto. Hereof fail not as you will answer your default under the pains and penalties of perjury in the law in th t Pan nrnvided. !AURA JOHNSON Date June 30,2011 o Notary,Pubfic �} COMMOW AUN of M0&A4NUKM t� My cwftssiw FVkft LAAAZ Apro 25,2 14 Notary Public:/, a •a Johnson My Commission Expires: �l Kindly contact Attorney John S.Moffa at 1-508-362-5554 if you have any questions. Please note that your appearance is not necessary if copies of the requested records are mailed to and received by Attorney John S.Moffa, 1436 Route 132,Hyannis,Massachusetts 02601 prior to the date of August 2,2011. �e I r r .r SCHEDULE "A" 1. Any and all correspondence from the Town of Barnstable Health Department to the owner or property manager of the property located at 34 Yarmouth Road, Hyannis, Massachusetts. 2. Any and all correspondence from the owner or property manager of property located at 34 Yarmouth Road, Hyannis, Massachusetts to the Town of Barnstable Health Department. 3. Copies of any and all inspections conducted of property located at 34 Yarmouth Road, Hyannis, Massachusetts from January 1, 2005 to January 1, 2009. 4. Copies of any and all notice of health violations concerning the property located at 34 Yarmouth Road, Hyannis, Massachusetts. 5. Copies of any correspondence, plans, photos,permits and/or applications regarding installation, repair and/or maintenance of the septic system located at 34 Yarmouth Road, Hyannis, Massachusetts. .., II Date 31 `1 J To Whom It May Concern: voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at yGS�fi�e��1 /� ` ",NlS in accordance (House#, [Apt\Unit#if applicab ],s eet;villa de) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on 3 I hereby authorize and name ate of inspection) ► /� to be my tenant representative for the (Occupant representative) purpose of this inspection. q 4�' 1�� LL.., 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.) 73 I Occupants Signature \ Date a-- 1 Occupants R resenta ve Signature \. Date Q:\Rental Ordinance\inspection permission 2.doc Date To Whom It May Concern: I, .h� /�j c y a✓/�n� , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at �J c`tLM ��-�+S uN►� -1 in accordance (House#, [Apt\Unit 4 if a licable],street;village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on G 0 1 hereby authorize and name (Date of inspection) i 1T Ly to be my tenant representative for the `(Occupant representative) purpose of this inspection. r' 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 R presenta ive Signature \ Date Q:\Rental Ordinance\inspection permission 2.doc y Date F�-✓�i_Q -. To Whom It May Concern: I, M Ltd , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at 1 ! 9- � in accordance (House#, [Apt\Unit#if a licabl ],street; illag) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on Tv�' t a- • -1-6/ L) I hereby authorize and name (Ddie of inspection) T+ LL to be my tenant representative for the '(Occupant representative) `p purpose of this inspection. 'nf x w 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 Plate 44�p' JA� Occupants Re resentat e Signature \ Date Q:\Rental Ordinance\inspection pennission 2.doc TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date I— a , 10 Time: In Out Owner KC, ( C Tenant Address A Address I Complian,pe Remarks or Regulation# Yes O Recommendations ®� . 2. Kitchen Facilities Approwu-. A nCA'.� 3. Bathroom Facilities c ` 4. Water Supply 5. Hot Water Facilities t / 6. Heating Facilities 7. Lighting and Electrical Facilities 8.Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing YA- 18. Driveway Width S 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms L ,p l _NN umber of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here +) Date To Whom It May Concern: 1 A..S 4" h voluntarily �ant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector)to inspect my dwelling unit located at 67 Y 7oryN. -,wL�a4kL / tN Ny-� in accordance (House#, [Apt\Unit#if appli able],street,vi age) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on 2- • f I hereby authorize and name ( ate of inspection) i �LJku. to be my tenant representative for the '(Occupant representative) purpose of this inspection. � � II, TC ki 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 SIA re \ Date Occupants Re&esentat4 Signature \ Date Q:\Rental Ordinance\inspection permissionldoc - TOWN OF BARNSTABLE Approved: BOARD OF HEALTH MLDCed: l ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date C��1 2-6 d 4, Time: In Out Owner-" M 1�ts V Lv�}A con Tenant � � f��� �1l �V�tj Address t'U ?:�IOx Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities ✓ l [®a 6. Heating Facilities ✓ AS g }{ (,� 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities (✓ 10. Curtailment of Service p i 11. Space and Use 0 12. Exits 13. Installation and Maintenance of Structural t� Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal Iv l&Co 03 92 16. Sewage Disposal •Z 0 17. Temporary Housing Alk 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; '29 11114c. Removal of Occupants; Demolition O f-g-K 1Z 2 o g 0- 051". Number of Bedrooms &_ "�q%Lj +A Number of Vehicles Allowed (max) Z. Number of Persons Allowed�(mpax) -- Person(s) Interviewed Inspector 5 , If Public Building such as Store or Hotel/Motel specify here APR, 7.2009 11:33AM BARNSTABLE BOARD OF HEALTH NO.435 P.2i2 Date To Whom It May Concern: voluntarily grant permission to the Town (Occupants name of Bamstable Board of health (Agent or Health Inspector) to inspect my-dwelling unit _ located at 3 yks g. ems. U'j d- in accordance (Howe#, [Apt Unit#if applicable],street,village) with the Town of Barnstable Code(Chapters 59 and 00) and the State Sanitary Code . (105 CMR 410.000) on /7', 0�'bO ithereby, authorize and name (Date of inspection) (,W to be my tenant representative for the (Occupant representative) purpose of this inspection. 00 is an adult person (Occupant representative) designated and duly authorized to act on 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 ansivenng questions, This authorization is only valid for the inspection date specified above, and must be renewed for any future inspcction(s.) Lo bccupants Signature Occupants Repiesenta ve Signature 1 Date Q.AReatal Ordinanceiinspection permialon Idoe .. r TOWN OF BARNSTABLE Approved: /I BOARD OF HEALTH MLD Cert:_ ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date �f j� 2-ool Time: In-S t zo Out 25 Owner U c l-6 tQ Tenant ��"� l�D 6-S c 34 A� �o v'( V-0 � ►� Address �� �V X t� Address � }� 9>0- LW S14(5 L0 ti��► ���� �� � 1.1 i l �s 1� Pr G 2C�O` Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities K/ 7. Lighting and Electrical Facilities �.x'(�1�-a�o2 L, e- ar (s- 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal �AAe- j t-A ( 16. Sewage Disposal ✓ -70 1-1 A.) 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition pL(eLtA`-L T U b f- O Sx c INumber of Bedrooms S z vo i'6 l c q Number of Vehicles Allowed (max) 2- Number of Persons Allowed (max) Person(s) Interviewed Inspector S If Public Building such as Store or Hotel/Motel specify here II APR,. 7.2009 11:33AM BARNSTABLE BOARD OF HEALTH NO.435 P.2i2 Date To Whom It May Concern: I, m l e- tj cp voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health(Agent or Health Inspector) to inspect ray dwelling unit located at 3 .o�- noZ 4 . A, y d— � in accordance (Hou9e#, [Apt Unit# fap tieAble],street,village) with the Town of Barnstable Code(Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on lg ^ . I hereby authorize and name (Date of ins ection) Klt)— M r`�+c to be my tenant representative for the (Occupant representative) purpose of this inspection. k o l-J .� is an adult person (Occupant representative) designated and duly authorized to act on ray 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.) O upan% Ignature 1 Date rj y-iY� y Occupants Repiese tative Signature 1 Date Q:Menlai Ordinancelinspecdon permigion Idoe ' TOWN OF BARNSTABLE Approved:. C q/1K/ff, .t BOARD OF HEALTH MLD Cert: 09 / ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION `/ Date 14 ' 1,1 Time: In &,w Out Owner 1`�G t-pl Of-'*f-1Lo RtAQ-r N Z_ Tenant V Address �a �l�?C 6 Address U N ,'( L 3 r Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 10,7,e 6. Heating Facilities 44 S N vt/ 7. Lighting and Electrical Facilities �✓ 8. Ventilation 9. Installation and Maintenance of Facilities Ai 10. Curtailment of Service ✓ (''' S 11. Space and Use ✓ �( 12. Exits - 13. Installation and Maintenance of Structural Elements v U 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 0 w 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Pa e. Removal of Occupants; Demolition Number of Bedrooms ��0 �Nt -t.,o;��ll09 Number of Vehicles Allowed (max) aQe a-C%,k Number of Persons Allowed (max) -'41 029- -cf. e00f, Person(s) Interviewed Inspector L _ A , If Public Building such as Store or Hotel/Motel specify here 7 . TOWN OF BARNSTABLE Approved: �( h BOARD OF HEALTH MLD Cert: ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In 3 f Out 4 Owner ��V �� r�n�� Tenant ALIkv,(Vet- VV I-V44007S Address Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities \\ d° F 6. Heating Facilities ✓ �cPS K w 7. Lighting and Electrical Facilities / 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents A Lo v-t 6 f=2 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing Aj 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; ti'[AL- Removal of Occupants; Demolition 't o F>o5.195!? Number of Bedrooms SZv r a [to t Number of Vehicles Allowed (max) 2- Number of Persons Allowed (max) �^ Person(s) Interviewed 4 Inspector L , 4Zltx V z /��s . If Public Building such as Store or Hotel/Motel specify here -w w a Town of Barnstable �ppSHE Tpw Regulatory Services BARNSTABLE, * Thomas F. Geiler,Director y MASS. a i639. Public Health Division ArFD MAC R Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 19, 2008 Attn: Hyannis Fire Health Inspector Jaime A. Cabot conducted an inspection of a licensed Rooming House. In accordance with the State Sanitary Code 105 CMR 410.482 the Health Department is � p required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector (and\or CO detector) violation(s): 34 Yarmouth Road, Hyannis, Assessors Map- Parcel: (327/170/) -No Carbon Monoxide Detectors provided for the third floor units #6 and#7. Jai e A. Cabot, Health Inspector Q:\Order letters\Housing violations\Rental ordinance\\Fire Violations\FIRE TEMPLATE.doc -� TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 2 113 I o ? Time: In Out 3 Owner C M D(EV(-�& o Mjt,►.►? Co . Tenan ayA I'NA *tov Sc Address `Q (t>(2< 16,6 Address 341 \( X f-M o y1 H �. Compliance Remarks or ° (� Regulation# Ye NO Recommendations t 0 e 2. Kitchen Facilities O 2 "- 6-- t.1 fit/1 3. Bathroom FacilitiesaN I N �- 4. Water Supply Ce,p S 5. Hot Water Facilities c,A S 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities �'; 10. Curtailment of Service 11. Space and Use 12. Exits ti C-9-m-w-mo ()A14E 13. Installation and Maintenance of Structural FEr€uNti PAI-'( S rl V4- Elements - - ISaTH A# 44q 1 4 7— � 14. Insects and Rodents 2 I t- 15. Garbage and Rubbish Storage and Disposal �'�� �'�'' y 16. Sewage Disposal S ,� 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed 3 PART II 37. Placarding of Condemned Dwelling; �Z k Removal of Occupants; Demolition ti f Lb T o #jG 90S?Lq Number of Bedrooms 46> Number of Vehicles Allowed (max) Number of Persons Allowed (max) 16 Person(s) Interviewed Inspector r s If Public Building such as Store or Hotel/Motel specify here Citizen Web Request Page 1 of 1 Citizen Request Management Request ID: 21505 Created: 12/31/2007 3:17:43 PM Status: Closed Assigned To: O'Connell, Timothy Health Office Anonymous: No Category: Title 5 : Section 353-7 Sewage E.C. Date: 1/2/2008 Created By: Health .Citations: Health Office Time Worked: 0.50 Response Time: 0.10 Request Location: 34 YARMOUTH ROAD Hyannis, Ma 02601 Parcel Number: Map: 327 Block: 170 Lot: 000 Request: Tenant states there is raw sewage backing up onto property. Was coming into apartment. Can see sewage coming out of manhole cover. Request Work History: Entered on 1/2/2008 3:31:04 PM On 12-31-07 went to said property and did observe raw sewage on ground. Talked with owner 5 minutes later who already contacted sewage pump truck to clean up sewage. On 1-2-07 observed sewage had been cleaned. Will close. http://issgl2/IntemalWRS[WRequestPrintPub.aspx?ID=21505 7/28/2011 a �Kb 1 L�� 5bg -36a 13 � � i " a Certified Mail#7003 1680 0004 5458 4906 TKE Tati Town•of Barnstable Regulatory Services + BARNSTABLE, v� MAS& Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 12, 2007 Our Child Realty Trust Ron Bourgeois 150 Main Street West Dennis, MA 02670 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 34 Yarmouth Road Unit I, was inspected on June 28, 2007.by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Outside step in need of repair(i.e. not level). 105 CMR 410.552—Screens for Doors. No screen provided at door. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing step so it is level and by providing screen for front door. 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. Q:\Order letters\Housing violations\Rental ordinance\34 Yarmouth Road Unit Ldoc i Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. QR4E4-"RDER OF E BOARD OF HEALTH cKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\34 Yarmouth Road Unit I.doc FORM 30 C& HOBBSS WARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH CITY/TOWN DEPARTMENT ADDRESS GSM SVey`0t. TELEPHONE Address �j i —CCC Occupant_ Floor Apartment No. No. of Occupants_ No.of Habitable Rooms- 1._—No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and address of owner �,� C� 1" r.n..- c Remarks Reg. Vio. YARD Out Bld s.: Fences: w-- 7 Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: TO 122L- El B ❑ F ❑ M Doors,Windows: 44 Roof Gutters, Drains: V Walls: l Foundation: Chimney: BASEMENT Gen.Sanitation: Doxi ��� Dampness: Stairs: Li htin STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den —Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: S s, Flues,Vents a es: Kitchen Facilities Qnk, 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 PERJURY." INSPECTOR < TITLE p DATE TIME � A.M. THE NEXT SCHEDULED REINSPECTION ( P.M. _ r U I , � 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. t - (D) Failure to provide the electrical'facilitizs 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. THE COMMONWEALTH,OF MASSACHUSETTS FORM 30 CH&W HOBBS&WARREN M BOARD OF HE" TH i CITY/TOWN DEPARTMENT Cad c^ . ADDRESS / � (,/ L4 /.( TELEPHONE Address T — Occupant_ Floor Apartment No. No. of Occupants No. of Habitable Rooms I No.Sleeping Rooms _ No. dwelling or rooming units No.Stories / Name and address'of owner ,` ► � �' '^^-�" j Remarks Reg. Vio. YARD Out Bld s.: Fences: Off. '70 Garbage and Rubbish Containers: Drainage Infestation Rats or other: A. STRUCTURE EXT. Steps,Stairs, Porches: C410 5 QV Dual Egress:and Obst'n.: ,/ 'i id40— ❑ B ❑ F ❑ M Doors,Windows: r Roof , Gutters, Drains: ,f V \ {L-11 V Walls: I f ►c? Foundation: & Chimney: T r L BASEMENT Gen.Sanitation: ! ; n � Dampness: Stairs: Li htin STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: f Hall Windows: HEATING Chimneys: - _ _ Central ❑ Y--❑ N Equip. Repair - " Y TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safet .:and•Vent s ELECTRICAL Panels, Meters,Cir.`- r ❑ 110 ❑ 220 Fusing,Grnd : t AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom 'i Pantry r ' Den Living Room Bedroom 1 I 0 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Oink . Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: i Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: / A 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." INSPECTORS ._ TITLE A.M. . DATE f TIME , 'FA ! A.M. THE NEXT SCHEDULED REINSPECTION _ P.M. f. eY 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. { !a Certified Mail#7003 1680 0004 5458 4913 WE Ta,'L Town of Barnstable Regulatory Services BARNSCABLE, 9� b MASS. `�g Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 _ 6�July 12, 2007 Our Child Realty Trust 7 — � Ron Bourgeois 150 Main Street West Dennis, MA 02670 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 of 34 Yarmouth Road Unit L, was inspected on June 28, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.100—Kitchen Facilities. No stove provided in unit. 105 CMR 410.552—Screens for Doors. No screen provided at door. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by installing stove and providing screen for door. 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 days failure to comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\34 Yarmouth Road Unit L.doc � y Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OFINTHE BOARD OF HEALTH �A�asfc Kean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\34 Yarmouth Road Unit L.doc I FORM30 C,W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH CITY/TOWN W a �V DEPARTMENTroe)t , G,M Syey`0c 1.�O�J ���—Ct�J. TELEPHONE Address 3 � / — Occupant_. Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units-- A ILA Name and address of owner 0 �+ MA Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B. ❑ F ❑ M Doors,Windows: Roof Gutters, Drains.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall, Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N 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.: Stacks, Flues,Ve„ats,Safeties: Kitchen Facilities n S ve l l7d ��) 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 i SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.' rR INSPECTOR TITLE- DATEI . . TIME f 15 j� 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 II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. 9 9 P PY (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(8)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 o"r 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. FORM30 'C&W HOBBSEWARRENTM THE COMMONWEALTH OF MASSACHUSETTS .° BOARD OF HEA -. TH 4'f • � G7 CITY/TOWN �' j�� a DEPARTMENT �F�a Gee f ADDRESS go- C1 6(I c7 TELEPHONE Address ✓ �E if — Occupant Floor Apartment No. No. of Occupants No. of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units No.Stories A Name and address of owner - t r S O �t'/L w ��, Remarks Reg. Vio. YARD Out Bld s.: Fences: A 1 �` r 01 670 Garbage and Rubbish Containers: i Drainage .. Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches:. C Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: - �' -� � �'-��- Wit.. L" S Sa 0 Roof u € Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin STRUCTURE INT. Hall„Stairmwa : Obsl'�i:, ° Hall'�Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair .. TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 . Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup. en.,Gas, Oil, Elect.: Stacks, Flues,Ve_nts,Safeties.- Kitchen Facilities S nk ,( .��.. Stole V-0 L1I 0 I t70 f�.)(d) -Bathing;Toi let Faci1. ----Vent.;Plumb.,Sanit'n.� - k 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 1.05CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT S SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.'(y jA ,e INSPECTOR � `- / TITLE DATE fo TIME "t'r 5 T) A.M. THE NEXT SCHEDULED REINSPECTION EE i J P.M. 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 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 sate 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 Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. t r • _ - __�_ - -- �+ (.�1J6 � F f A 7 • �� Y 1 -. rryw..�_ _T K�� i� Imo'FORM 30 H&W HOBBS&WARREN �` C_�� TM THE COMMONWEALTH OF MASSACHUSETTS •- BOARD OF HE A TH uir /TOW W * Pd a DEP RTMENT AD S 4V GSM SVO� TELEPHONE Address i — Occupan Floor Apartment No._ No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units �-�, o S rie Name and address of owner1:5D HA r l�l �rit v .S Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage It I It g 14y fflIJ5 0-05621VId-KE Infestation Rats or other: STRUCTURE EXT. Ste s,.Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE f OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTOO REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALT OMY " 00, INSPECTOR TITLE A.M. DATE TIME �D ��� P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found'to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to p ovide 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 top ovide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 10 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. Date To Whom It May Concern: I, C e'pl l do �,5��1� V0luntarily grant permission to the Town (Occupants name) of Barnstable Board of Health(Agent or Health Inspector)to inspect my dwelling unit located at Uf i� �. in accordance t Ime#,(Aptivnit#if applica iel,street,vlllap) with the Town of Barnstable Code(Chapters 59 and 170)and the State Sanitary Code (105 CUR 410,000)on 1 'Z (D . Thereby authorize and name of inspect an) to be my tenant representative for the (fit 've) purpose of this inspection. o,�9`� r 5 is an adult person (Occupant rapreseti 've) 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.) � 7 Occupants lure 1 Da &lift 1 6 -617 Occupants Representative Signature \ D QAR=W ordinmceVmWtlon pambdon 2.doo T i T'd 98S'ON Hi-IH3H d0 U8U08 319H1SNNUa WHSZ:I T 9002'E T'AON / l�V ' ' ---''� � ' 1 v� i � � e � ` TM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 CAW HOBBS 8 WARREN BO OF HEALTH I Y/TOWN e�� W a DEP RT ENT ADDR —� G M 5 B y`0W YL-L EPHO�NE Address ?� u _ Occupa t_�5A - 1' �a Floor Apartment No. No.of Occupants No.of Habitable Rooms I No.Sleeping Rooms No. dwelling or rooming units IV . tori Name and dressn,o\\f owwnpr t IV �J 1 • t Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. r 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.,G il, Elect.: Stac , lues,Ve 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 I SPECTIO EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALT F U INSPECTOR TITLE C A.M. DATE TIME ✓ A.M. THE NEXT SCHEDULED REINSPECTION P.M. ! 7 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any,other,violation has the potential to fall within 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 fora 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 Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. k- Date 6154,07 To Whom It May Concern: a r tv voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health(Agent or Health Inspector)to inspect my dwelling unit located at �r M d Apt in accordance (House#,(,AptlUnit#if applica lel,street,vi'ilage) with the`Town of Barnstable Code(Chapters 59 and 170)and the State Sanitary Code (105 CMtt 410.000)on 3 . T hereby authorize and name (O of inspectio n) to be my tM=t representative for the (Occupant antati")�1 pugmc of this inspection. �0�1��� �9^ 6 is an adult person (Occupant represed five) 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 S' tore 1 Datfi Occupants Representative Signature 1 D Q:1RmW Owinzm\inapectlou puu"5Wa 2.doo T i T'd 9$S'ON Hi-ld3H 30 Q8HOH 3-Hd1SWaba WdSZ;T T 9002 g 'r10N co MUM:UD co cz, gm w ,i'. <'K • �rw'�1�• ? C?�'d:`�'Y,p'' '�4;aso 1 b5""'! "vr. mcw Lrl Postage $ p Certified Fee p �ostmark p ReturnReciept Fee (Endorsement Required) 4fte p Restricted Delivery Fee c I c1l (Endorsement Required) Total Postage&Fees m te . ��m A �--------- //'') f- or PO Box No. D.!l.9. 1`._: .> _.___ Clry S A © ] Certified Mail Provides: (esieney)zooz eunr'ooec-ozi sd 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: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. e Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e 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. Internet access to delivery information is not available on mail addressed to APOs and FPOs. COMPLETE THIS SECTION ON DELIVERY SENDER:,COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete A. Si item 4 if Restricted Delivery is desired. % ❑Agent ■ Print your name and address on the reverse XX f� ❑Addressee so that we can return the card to you. i d Zddr ted Name) C. Date of Delivery 0 Attach this card to the back of the mailpiece, ,or on the front if space permits. . Is delivery different from item 1? ❑Yes 1. Article Addressed to: If YES,enter elivery address below: ❑ No DAk N PC®o �k), v' / . Service Type YA ,r,I�� `I/y1� ICertified Mail ❑ Express Mail /AY(iAVI ` U ) ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted.Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 1680 0004 5458 4081 (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102e95-02-M-1540 UN+TED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS s Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • s �A 0"/ HYAAfIVI > ��l r N Certified Mail#7003 1680 0004 5458 4081 Town of Barnstable Regulatory Services aRAM48rARM Thomas F. Geiler,Director NAM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 11, 2006 Mr. Richard D. Arenstrup, TRS Park Square Trust III P.O. Box 2248 Hyannis, MA 02601 Dear Mr. Arenstrup: The property owned by you located at 34 Yarmouth Road, Hyannis, was inspected on June 30, 2006 by Donna Z. Miorandi, R.S., Health Inspector for the Town of Barnstable, because of a complaint. Units 3, 4 & 5 were accessible on this date and all exhibited evidence of bedbugs. Unit 5 was extremely infested with them. Upon leaving this dwelling it was observed by Ms. Miorandi that Apt. 5 of 44 Yarmouth Road, Hyannis was discarding their mattress outside. On further inspection it too was noted to be infested with bedbugs. On this date also, the maintenance man, gave access to the building in the rear of this property. In the basement of this dwelling were approximately 30 mattresses in various substandard conditions including infestation of bedbugs. As a result of this inspection, Ms. Miorandi contacted the Hyannis Fire Department and the Building Department. This resulted in a scheduled appointment with Mr. Mark Sheehan, Trustee of Park Square Trust III. The appointment was for July 6, 2006 and Mr. Mark Sheehan was not present as previously agreed upon. It is understood that Griggs & Browne has done an initial treatment for bedbugs and shall do another one at the end of this week (July 10-July 14). Therefore, sometime on July 17 or 18t1i , Building, Fire and Health shall perform an inspection of 34 &44 Yarmouth Road, Hyannis. Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc l In the interim, you are required to provide this department with a copy of the written contract you have with Griggs & Browne for extermination and a receipt for the disposal of ALL the mattresses on the property being discarded. If there are any questions please feel free to call this office at the above listed number. PER ORDER OF TIC ARD OF HEALTH T h o 'A. McKean, R. . Director of Public Health Town of Barnstable Cc: Lt. Eric Hubler, Hyannis Fire Department Paul Roma,Barnstable Building Inspector Mark E. Sheehan, Trustee, 156 Main Street,Hyannis Martin E. Hoxie, Licensing Authority Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc FORM30 CI� HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS OARD K H AL'TH �n CITY/ OWN DfiPARTMENT Ag _.2r ADDp7rESS � � TELEPHO E 91n Address _ __ !� cupant CAP FloorT ._.-_Apartment No. ___- No,.of ccup nts �—- No. of Habitable Rooms -_ No.Sleeping Rooms - td No.dwelling or rooming units No.Stories Name and address of owner)27 o� �U► l ii t� i i . Remarks Reg. Vio. �Q YARD Out Bld s.: Fences: R f Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Ste s,Stairs, Porches: Dual Egress: and Obst'n.: ❑ B El F. ❑ M Doors,Windows: p .Roof Gutters, Drains: " Walls: . Foundation: Chimney: BASEMENT Gen; Sanitation: . a A^ d t Dam ness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin Hall Lighting: E; 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 V ntil,e Lqtnq. Outlets Walls Ceifs. Wind. Doors Flo ors- 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 BuildingII 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 j OCCUPANT AS DETERMINED BY. 105CMR 410:750 OF THE CODE OR THE I AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.". INSPECTOR 1 `I►�TITLE ` A.M. DATE TIME THE NEXT SCHEDULED REIN SPECTIONi U k O p.M, �t 410.750: Conditions Deemed to Endanger or Impair Health or Safety 9 P Y The following conditions, when found to exist in residential premises, shali be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the-health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within 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. l•• i • FORM 30 CAW HOeasa WARREN TM THE COMMONWEALTH OF MASSACHUSETTS n _ BARD Or HEALTH ` CITY/TOYVN- �*— F ss 4r r""S ARTMENT ¢� IV�. ADDR SS TELH 7�IE Q Address � cupant EP �- Floor _ Apartment No. N-.of cc is No. of Habitable Rooms No.Sleeping Rooms__ _ No.dwelling or rooming units No.Stories `f Name and address of owner i � � � • Remarks Reg. Vio. YARD Out Bld s.: Fences: I f Garbage and Rubbish O 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-MA , t fir., `�- IN H Stairs:' Lighting: < STRUCTURE INT. Hall,Stairway: Obst'n. Hall, Floor,Wall,Ceiling: Hall Lighting: k= Hall Windows: HEATING Chimneys: Central ❑'Y ❑ N Equip. Repair TYPE:117 ,, Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: R, H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters, Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: �.. AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: �;,_ _ '•• ..•,.�v ;� DWELLING UNIT v• Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks 'Kitchen�,:� r 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: �t 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 �i PENALTIES OF PERJURY." INSPECTOR �� .°4 r r .'�iR ' TITLE A.M.- DATE 4i TIME P-M. THE NEXT SCHEDULED REINSPECTION t& ; p,M, { � °t 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. � J Citizen We'.Request Page 1 of 3 a�4 �t e 6..SdL\STh�Li, �f Citizen Request Management - Internal Use ` Request ID: 20082 Created: 6/27/2006 11:24:25 AM Status: Closed Assigned To: Miorandi, Donna Health Office Anonymous: No Category: Article X - Food Unsanitary Conditions E.C. Date: 8/18/2006 Created By: Flynn, Judith Citations: Health Office Time Worked: 15.00 Response Time: 16.00 Requestor Details: Email martin.cap@gmail.com Request Location: 34 YARMOUTH ROAD 3-4-5 Hyannis, Ma 02601 Parcel Number: Map: 327 Block: 170 Lot: Request: Mr Milan Hrobsky states that he and six others living in units 3-4-5 have had to vacate these units thorugh no fault of their own due to infestation of bedbugs (?)Mr Hrobsky says that one of the group was taken to hospital in ambulance due to the severity of bites on feet, legs and hands and arms. The mattresses are stored in the basement when not in use Request Work History: Entered on 6/30/2006 8:29:44 AM by Miorandi, Donna Last modified on 8/18/2006 8:04:55 AM This complaint is not an article X-unsanitary food condition complaint. DZM has not been able to contact this man by phone as he has no money for one and DZM has e-mailed the complainant and trying to gain access to unit during our work hours. 6/30/2006-DZM inspected units 3, 4, &5 and the placed is infested with bed bugs. House # 44, unit #5 is also infested with bed bugs. Occupants work at Dragonlite Restaurant. Many pictures were taken. DZM visited Fire Dept. and Lt. Hubler and DZM are inspecting on 7/6/2006 at 3 pm. Lt. Hubler and DZM had scheduled another re-inspection for 7/18/06 at 3:30 for Mark Sheehan or his maintenance man. Neither of them showed up. Paul Roma was unable to attend due to the fact that Tom Perry preferred he no go to this inspection. Deputy Dean Melanson of the Hyannis Fire Dept. is the one who after looking at pictures taken by DZM on 6/30/06 that this property called for a BIRST inspection. The ittp://issgl2/intemalwrs/WRequestPrint.aspx?ID=20082 8/1/2011 Citizen Web Request Page 2 of 3 owner has not complied with requests for a copy of written contract from Griggs & Browne nor a copy of the disposal receipts for the mattresses infested with bedbugs. On 7/18/2006 DZM went alone into Unit #2 of 34 Yarmouth Road, Hyannis and the occupant Tony did not have bedbugs but indeed had fleas. DZM gave him directions on what to do for this problem. 7/27/2006- Received green card today for certified letter sent. Have not received a copy of contract from Griggs and Browne nor a receipt for disposal of mattresses nor have we gained access for an inspection as a losging house. Next step will be to pull them in in front of the licensing board for a hearing. On 8/7/06 had a meeting with Tom Perry,Tom Geiler and owner, Mark Sheehan along with myself.He provided receipt of extermination and a receipt for the mattresses. We have scheduled an on-site inspection with Lt. Hubler, Paul Roma and DZM for 8/9/06. 8/9/06-Inspected and 34 was generally alright-a plastic dryer vent in kitchen. In 44 was a defective CO monitor in unit 5 and no smoke in unit 6 which was COS (corrected on site) Outside in the rear was still much furniture debris and Mark Sheehan stated he would have it removed by Thursday, 8/10/06. On 8/10/06 he asked for an extension until Friday, 8/11/06. On 8/14/06 the debris was still there. DZM called Mark Sheehan and he stated the people didn't show up to take it away and that his truck was broken down. He stated it should be gone by 8/15/06. DZM shall check on 8/16/06 for compliance. 8/15/06-DZM investigated and found all the furniture on back of a truck. DZM took pictures. 8/16/06-DZM took pictures and truck and furniture was gone. Case closed if no one declares #44 a lodging house. Internal Note History: Entered on 6/27/2006 11:23:45 AM by Flynn, Judith Caller also states that the landlord refuses to return security deposit claiming that"this situation is their fault." Entered on 6/28/2006 11:24:16 AM by Fontaine, Tina caller would like an email instead of phone call Entered on 6/28/2006 11:25:35 AM by Fontaine,Tina would also like copy of report for legal issues System entry on 6/30/2006 8:29:44 AM: -Please Review-email sent to Health System entry on 6/30/2006 4:26:11 PM: -Please Review- email sent to Health System entry on 7/5/2006 8:11:54 AM: Estimated completion changed from 6/29/2006 to 7/10/2006 System entry on 7/17/2006 9:42:25 AM: Estimated completion changed from 7/10/2006 to 7/20/2006 System entry on 7/20/2006 8:22:20 AM: Estimated completion changed from 7/20/2006 to 7/27/2006 ittp://issgl2/intemalwrs/WRequestPrint.aspx?ID=20082 8/1/2011 Citizen Web Request Page 3 of 3 System entry on 7/27/2006 8:48:11 AM: Estimated completion changed from 7/27/2006 to 8/3/2006 System entry on 8/3/2006 8:29:28 AM: Estimated completion changed from 8/3/2006 to 8/15/2006 System entry on 8/15/2006 8:23:42 AM: Estimated completion changed from 8/15/2006 to 8/16/2006 System entry on 8/16/2006 8:09:12 AM: Estimated completion changed from 8/16/2006 to 8/18/2006 System entry on 8/18/2006 8:05:50 AM: Request Closed System entry on 8/18/2006 8:05:50 AM: -Request Closed- email sent to requestor ittp://issgl2/intemalwrs/WRequestPrint.aspx?ID=20082 8/1/2011 i 4 d� Y ,p��4 u.,�» �,,,z�. 6����` } a � �*.s �a-� y fl � 7a !� g � �Y � �� �� �� ,�� � �, � '� �' � � � t.; i� ,�' 1•. � �`�,�- 4 t. �� I M,� w, �° s _�:: .* : �. ,� a s r fit R r � muggy � 4 +r' M� sg 3 � I - r � UZIt' awi, f �* wv WRj t �g a . r//m , 3c � g J LCL 05-16-14;09; 32AM; ;5083621368 0 1/ 4 1 MCM DEVELOPMENT COMPANY LLC 761 Main Street P.O.Box 160 West Barnstable,MA 02668 (508)362-1369(rclephone) (508)362-1368(Facsimile) kfltemitcheUr?i:ome.ast.net Managers; Kate Mitchell Cindy Lee Caldwell FAX TRANSNUSSION SHEET TO: Terry @ Board of Health DATE: 5-16-14 FAX#: 508-790-6304 PAGES (including cover sheet): FROM: Kate Mitchell MATTER: Inspection for 34 Yarmouth Road Lodging House Owner: MCM Development Company LLC MESSAGE: Here is the letter from Barnstable Housing Authority. The direction is paragraph C) (1) on page two. Please note it specifically requires compliance with Article II of the State Sanitary Code and the issuance of a Certificate by the Barnstable Board of Health. Just for reference,I'm attaching the lodging house license showing it is current. This transmission is intended for the address only. It may contain personal and confidential information. If you have received this communication in error,please immediately notify us by telephone and return the original message to us at the above address by U.S.Mail. a o \ �' 1 r �� 1 �� r �. �� I �, `, I i I i O Y �� � u. �� � ,,` .,....—_-n.-.-�...M,.,., �' f� ��} . `,� O __ *."�\ . (i,' A� s !`C. ti. ,� `� `� �� ~-��-, �� �\ � i -- F NUMBER FEE 48• THE COMMONWEALTH OF MASSACHUSETTS $50.00 TOWN OF BARNSTABLE Mark E.Sheehan,Trustee d/b/a PARK SQUARE TRUST III Thisis to Certify that.......................................................................................................................................:............................................ ......................................................:34 Yarmouth Road ti ..................•................................................................. L insaid............................................Hy.. .............. .............. t a place only and expires December 31, 2006 less s er suspe o' violation f the 1 w" of the Commonwealth respecting the licensing of common victuall s s cense "� e aut o r nted to the licensing authorities by General Laws,Ch p r 10 aiY y et Ten Lodgers/8 Rooms In Testimony underji .. reun a official signatures. R ... .....�....... ................................................ .............................. . .............. .................... Licensing . ..................... ..... .. .. .... Authorities ............................. ' .......... January 1,2006 THIS LICENSE MUST BE POSTED IN A-CONSPICUOUS PLACE UPON THE PREMISES. Create Internal Request Page 1 of 1 Town of Barnstable Citizen Request Ce 6/27/2006 11:24:25 AM P �R� T,G gq: Create Town of Barnstable Citizen Request / Feedback 9�� Route to Users Search Requests Create Requests 3 The request has been submitted. If an email was entered, an email will be sent to the requestor. The WebRequest ID for tracking is 20082. The password for tracking is 33524. Create another request? 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V MUM TT �I P 4 r< , r M w �r tr+e TOWN OF BARNS 0 ew Application ,,► LICENSE APPLIC ►CAB enewal 1MASS. 200 Main Street ransfer �'rFpr,,ota Hyannis,MA 0260 FEB 16 2GC6 508-862-4674 ther Is —► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE N PREMSES -- Name of applicant/corporation: Nt LC Home phone#: —0311 Address of applicanUcorporation: —66 A-IAsn f kq*,01-S- H& 02160 1 Business phone D/B/A —AA-k- QuS d Z — Business phone#: Business location: � / Q,q� /. �' �Z 6 0 A-L S.__—. Business mailing address: G40 Local business address: /�,t& 1-1,4-iy S� �lS� 14,9 62,6a Local mailing address: _._-1_ __-- � sr _ ;— �Q—Z�_D1_.__.__--.---------------- LICENSE TYPE: ..:... / .........., f.�..S'.�.............................................................................. Annual Seasonal HOURS OF OPERATION: FID#: Name of manager: O - _ Email Local mailing address: ............ . ............1.4.q.?N..........5'r............ ........... ?.... 4..........(;z. I............................................ Manager's Permanent mailing address__ Manager's home phone#: -&0$L_2- .--57 Business phone#: © _� - �it Name of property owner: / —` ASSESSOR'S MAP/PARCEL#: MAP - .. ............ PARCEL ...._.,.._,.........., List any flammable substance or hazardous waste used in business(specify): Applicants must contact the Building Commissioner's office, (508) 862-4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections. Signature of applicanK v z .........................................................................................................................eo only... nl-........ .... ......................................................................... Fo ri us REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES NO INSPECTORS APPROVAL —� Capacity set by Building Division...-,-,,.,--..-....-_ ...._...... _.--„_-.--,_,_.,,._., Building/Zoning.------------------- Date ----._...__..__..._.. ---- Board of Health.-_...... -----------._... --_...—_ Date --------------- Wire .—_____..----.__.._._ Date ._..__.-....__.-._._._.......__..-_--...-._- Plumbing —___.------.---.-.-.-.-.-- Gas _.—.__.__.___._.__—__ Date Fire District ........ _ Date Comments:_.-.-__---------.--------------------------- __.... --.---.---..__..._.__..._.__._...._..__..__....__.__...__.. White-Licensing Authority Canary-Health Division Gold-Building Commissioner Pink-Fire Department TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner Z`0'� Tenant Address Address �' V Campllance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities G G 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 1/7 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents r 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Persons Interviewed,0 � InsQppec� ) If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH + ARTICLE Ik MINIMUM STANDARDS FOR HUMAN HABITATION Date Y 3 Owner �►� i r''`5 . Tenant Address 3 q Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities vvv I 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service nC ' 11. Space and Use ✓ 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents S 4- 15. Garbage and Rubbish Storage and Disposal ✓ GYc 16. Sewage Disposal Ot�lt� 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Y A Removal of Occupants; Demolition Persons Interviewe Inspector If Public Building such as Store or Hotel/Motel specify here Hoses&WARREN,INC. e4 4W TOWN OF BARNSTABLE BOARD OF HEALTH Z � ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner �� s��.c� ;�//;�/�✓���� Tenant Address E� �e Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply ,t j 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities s 8. Ventilation / , 9. Installation and Maintenance of Facilities"l ti 10. Curtailment of Service A �i 11. Space and Use 12. Exits 67-e 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal �rf 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition �� 7i',0rj Person( )Intervie Inspect ectoC �/` If Public Building such as Store or Hotel/Motel specify here HOBBS&^WARREN.INC. FORM30 �_ HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN o DEPARTMENT 'o ADDRESS 76 2 q IIw/ ,q 1/ °''N Syey`BW y'' TELEPHONE Address v z'v jo�'� Occupant_. Floor Apartment No. No. of Occupants_ No.of Habitable Rooms No.Sleeping Rooms-7- 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: ) " i yew► 7.�c� 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: w� ❑ 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.: fr-Cn Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink ! Stove Vi Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: (.l - 6-rv)—e t Wash Basin,Shower or Tub: s 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 .( J ) y Z 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." Q � INSPECTOR �--� oC�y TITLE A6,.44 / M /09 DATE / ���/ TIME `/ _ P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. :.-.. ,,. ;, �,, .,. , ,,....s.}.�.y....._ . y. :, ..:. �.. .� _.. 4. .:r..i ". :,, d•, *l;.:c. :.`w+a•'• ;-r.+,tnd4'»:. :�^H.r1y;Yf:r� . . ._.. .�"ry �or._.;Str.. .... 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 heaith, 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 b 105 CMR 410.200 B and 410.202. p Y O (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. �1 FORM30 � W HOBBS&WARREN'm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOW N W a _ o DEPARTMENT 'c ADDRESS /mow// ZVq I 4 GAM Sv 9 y`0� �J j r IF-`' N I Q' �qV T'� p` TELEPHONE Address 3 y Imo,,4,, 7fi� /7yu,�, Occupant__. Floor Apartment No. _.._ _ No. of Occupants__. No. of Habitable Rooms_ —No. Sleeping Rooms___.___ w wr 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: 6., .STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: { Walls: 1 vHnWv�^ 7.Or Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: r HEAT'fNG Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: '^ PLUMBING: Supply Line: IA W A ❑ MS DST ❑ 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.: hG� 2 Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink / ay Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: t4i ll, &eM,d'S I rv+(ti -& - �—vK Wash Basin, Shower or Tub: S k4v j g I w wa 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 I to 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 .Q TITLE k. G ` -hS ee-Y4— e,� DATE Z/ / TIME-- J _ 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, shali be deemed conditions which may endanger or impair the heaith, 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. of Public n of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department (J) The presence p 9 9 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. FORM30 HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 W 1 L/ l J /�X� 1 �1 i � ���L,;,�•• r DEPARTMENT L,,4 I v .ADDRESS j 1 �I!YV y Y TELEO'H N I �^ Address j/l .1/1A,i/IhOccupant a A .f � floor' -`7 lApartment No. 11. ~°! t No/of Occupants h r.�U 111Vh -.�iV ` 44 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 t Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: `❑ B ❑ F ❑ M Doors,Windows: Roof f f i Gutters,Drairs:t {PVC =W__I1.1K -: I (.�11C/�< �s�.:,- / : Walls: �- Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: �t Obst'n.: Hall, Floor,Wall,Ceiling: - Hall Lighting: -»- Hall Windows: HEATING Chimneys: t 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: M t DWELLING UNIT Ventil. £ Lq tn, q loutlets Walls Ceils.,- .Wind. Doors Floors Locks Kitchen , Bathroom - ~� Pantry Den , Living Room Bedroom 1 - - ; Bedroom 2 Bedroom 3 ,- �• Bedroom 4 k 1 t Hot Water Facil. Su Ten.,Gas,Oil, Elect.: Stacks, Flues,,Vents,Safeties: ` Kitchen Facilities Sink Stove, Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: ,� ,, a,"r ,�, , �!! �„ � ,. -.- A / Wash.Basin,Shower or TA /J EVI TI 11):7 W/ VI-. r V I ..'' it V Infestation Rats;Mice;Roaches or Other: E ress A to Dual and Obst'n: , 1 I t flo f � i' __� 1� (, /�1C. " r`CiT General Building Posted 7 I+ �!�: i C Locks on Doors: ONE OR MORE OF TH_E,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 /A`7 A.M. DATE S ?'� TIME P M. , K7 . DULED REINSPECTION - - P.M. 1 f 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 _f 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.OiR 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 . t by 105 CMR 410.254. - (E). _Failure to provide a safe supply of .water. (F) Failure to provide a toilet and maintain a sewage system in operable" condition as required by 105 CMR 410.150(A)(1) and 410.300. - '(G) Failure=to provide adequate exits 'or the obstruction of any exit, passageway or common area caused "by an object, including garbage or trash, Which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. ~.. _00 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 4hich,results in any accumulation of garbage, rubbish, filth or other causes, `af: sickness which may provide a food source or harborage for rodents, insects .or other pests or otherwise-contribute to accidents or to the creation or =•.spread of disease. (J) The presence of lead-based paint on a dwelling or dwelling unit in - violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control'.105-CMR 460.000. -(K) _Roof,'.foundation, or other structural-defects that may expose the _ occupant or anyone else to. fire, iburns,: shock, accident or other dangers or s 8fitnent to health -or dafety. (L)_ Failure;to install electrical, plumbing, heating and gas-burning - facilitles• 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: _ r -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: (t)" 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's 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, syatem or any. part thereof in violation of generally accepted plumbing heating,. gas-fitting, or electrical wiring standards that do not create an immediate hazard. (i) failure to maintain a safe handrail or .protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A) and 410.503(B). (5)- �failure to eliminate rodents, cockroaches' insect infestations and other pests as required by 105 CMR 410.550. ` (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through (M) shall be deemed to be a condition which may endanger or materially impair the health or safety and-well-being of an occupant upon the failure of the owner to remedy said conditi'on'within the time.so ordered by the board of health.. -.i r Health Complaints 16-Sep-97 Time: 1:30:00 AM Date: 9/15/97 Complaint Number: +03 Referred To: Donna MIORANDI Taken By: Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: Mark Sheehan Number: 34 Street: Yarmouth rd. apt.L Village: HYANNIS Assessors Map_Parcel: Complaint Description: The roof is leaking, very dirty rugs. Very party and noisy neighbors (drunk, knocking to the door). Living condition very bad. She does not have a stove in appartment. $ Actions Taken/Results: Investigation Date: Investigation Time: 1