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HomeMy WebLinkAbout0058 YARMOUTH ROAD - Health 58 YARMOUTH ROAD, HYANNIS '12D A=327-167 o h I' YOU WISH TO OPEN A N.1 E BUSINESS? / For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, I"FL.,367. Main Street, Hyannis.MA 02601 (Town Hall) DATE:Q Fill in please: APPLICANT'S YOUR NAME.-_WGA61, 6rPiavLJe5 BUSINESS YO HOME ADDRESS: ftirm TELEPHONE # Home lephone Number N/#ME QF AIEW BU6INES TYR CIE.OUMNESS. IS THIS'A HOME OCCUPATION?." 'YES 4 Ha ye you been given appr ival ro the builld'r�q�d��iSI ti':YE. NO ADDRESS DID BU IINESS MAP/PARCEL NUMOER When'starting a new business.there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.--.(oorner of Yarmouth. Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual.he b an infor a of ny I e m uirements that pertain to this type of business: Authorized nature* COMMENTS: MUST HAMMOUS M,4TEIZ S REGU" 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type ofbusiness. Authorized Signature**. COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: ••- 7 t Hazardous Materials Inventory Sheet Checklist -Date �i T/7shysical Street Address-Check database to ensure it exists �/INorking Phone Number �1/—Actual Amounts-(le.gas being used to fuel machines,thinner to (clean brushes all count as hazardous materials) Storage Information-location of storage,how long is storage for? If none,note.that. _�_Disposal information-where and who?If none,note that. 1 Applicant Signature-understand what Is listed and noted -Staff Initial-any questions,know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it-note that it was given Attach the Business Certificate with your sign off and comments "The' ventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. TOWN OF BARNSTABLE Date:n� /-Zy TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �'V ,' P411V-PN6 BUSINESS LOCATION: N��S�� INVENTORY MAILING ADDRESS: 5_8 R T? /I r9IVIV/S A10 6,ZZ 0/ TOTAL AMOUNT- TELEPHONE NUMBER: © 3 CONTACTPERSON: l,! AIVy Vie 2iV4Al0C5 EMERGENCY CONTACT TELEPHONE NUMBER:�7od� 3 Z S� MSDS ON SITE? TYPE OF BUSINESS: PlAtAI7 IV S 00 INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation. OrO04f C S � """-Las 6 Pippment of hazardous waste. a� Name of Hauler- Destination: Waste Product: icensed? Yes No NOTE: Under the provisio s of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for drivewayq&g ra� Wood preservatives (creosote) �/Grou�l ' Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc, Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers " (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ,.__ _ • ��R..�i . � _ • i� .� , �� . � � ��. :.I .. - / �� �, / � ./_� � A_ I i1 � ice. � i� � -� � � � �. ,A�. r � ' J� � � � i �' I �, :�� � � � , I� � � � r � - • � /I �r � � . / 1��. � -� / � / / /_ Z-'203 498 996 ` us Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International,Mail See reverse 0 reet ce, to IP od Postage Certified Fee Special Delivery Fee Restricted Delivery Fee N Return Receipt Showing to Whom&Date Delivered n Retum Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees Go Postmark or Date LL rn CL Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the 0) return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this 1E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. `- `L 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 a J Town of Barnstable Department of Health, Safety, and Environmental Services • &U NSUBLF, 9� ,MAM 9. � Public Health Division �fDN'0�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 4, 1999 Eugene Arthur Parent John Daniel Parent, Trustees 3 Lewis Street Nashua, NH 03060 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE H, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at ane,-Czatopi4e, was inspected on November 1, 1999, by Glen Harrington, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code H, Minimum Standards of Fitness for Human Habitation were observed: 410.200: No heat was provided to dwelling. Hot water was apparently being produced. However, hot water was not being circulated into the dwelling. 410.200: Thermostat was removed from wall in living room. You are also directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PPmA. ER OF THE BOARD OF HEALTH McKean Director of Public Health parent/wp/q/ls OF VIE ra, Town of Barnstable snxxsrnst.�, Department of Health, Safety, and Environmental Services ' A��� Public Health Division TEDN1°� P.O. Box 534,Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health ,sUdv, y� - , 1999 3 L his S f v A/"L„'C' . It/t/ 03060 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II,MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 81 Ginger,Lane, Centerville , was inspected on June 30, 1999 by Glen Harrington, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code.II,Minimum Standards of Fitness for Human Habitation were observed: 410.200 QUO l.e t, we-� 4 J'v&(t k'v� s 9 d— wa,^ t o-S ki-e-t'� lOvo ca''"�„¢_�Q e ''—/ i �5 . Z� 410. ": �frvwl tv�,G I ►� :5 410 254: 41 .481: 41 .482: 41 .500: 41).501: 41 .551: 41 .504: 410 602: pires/wp/q/Is You are directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (') days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health pires/wp/q/Is FORM30 Caw HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN w a f _ DEPARTMENT 5) 3 7l ate%^ Se>F-; i GL� ADDRESS 1 q/ •y' �M SyOy`0 r6 `~ 6/ / TELEPHONE Address S POP 4_G-e`-.40ccupant 7)a--i So y­s k o' Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units o.Stories Name and address of owner �t,e�_ Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual E ress: 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 d# Chimneys: A& hee, - cl rc,(✓a o ow Central `KY ❑ N Equip. Repair rad.; TYPE: JE 14 I/✓ Stacks, Flues,Vents: S o " ye 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 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 PENALTIE F PERJU " INSPECTO O` TITLE A410' V-tlJ l✓ �f+ 20 DATE ` TIME �" THE NEXT SCHEDULED REINSPECTIONft,l9'Pr P.M. ;;m'NPoinr,,. ,.,,...,y ...:;..�.,.y... ,.y;...::�T,r*f'•-:�N',i3lf+f.rrµ;rr .. .. �, ..K•r.� fL d� . .�*�.:•,qµ,�„�'*F*i��.k.��M�°�;��`.i'9� f1Yh�x�1w,.7 f:SYl�ik�r. . - 1 410.750: 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,temperafure, 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. required b 105 CMR 410.201 or improper ventin or use of a space heater or water heater as (B) Failure to provide heat asyg p 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, 1.05 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. plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, (L) Failure to install electrical, p g, g g g P p 9 9 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. SENDER: ,v_ ■Complete items 1 and/or 2 for additional services.. I also wish to receive the m ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. g ■Attttracc i this forth to the front of the mailpieoe,or on the back if space does not 1. ❑ Addressee's Address Z mh m _■Write'Return Receipt Requested'on the mailpieoe below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 0 v ,.,Article Addressed to: 4a.Article Number E 4b.Service 'Pe q ❑ Regis red y SS Certified CD W ' ` � ❑ Expr Mail�G Insured w o ❑ Retu ipt for ikchandise OD 0 7.Date ivory Z y/' O ��p 5 5.Received By: (Ptint ame) 8.Addressed It ss Wy if re nested LLI and fee is ®sQ W r g 6.Signat (Addressee a t) ~ 0' X /1 a� PS Forrd381 Iff, December 1994 102595-97-6-0179 Domestic Return Receipt I)I UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid I USPS Permit No.G-10 ® Print your name, address, and ZIP Code in this box o Driision Town of Barnstable P.O.Boot 534 Hpr*Mmachusetts 02801 r r s oFtr�ti Town of Barnstable BMxSTnB Department of Health, Safety, and Environmental Services �9. ��r Public Health Division eTEDA"p',Ip P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health July 1, 1999 Eugene Arthur Parent John Daniel Parent, Trustees 3 Lewis Street Nashua,NH 03060 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 58 Yarmouth Road, Hyannis, was inspected on June 28, 1999 by Glen Harrington, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 410.190: Hot water measured to be 105 degrees fahrenheit. Hot water shall be between 110 degrees fahrenheit to 130 degrees fahrenheit. 410.351: Gutters and drains observed to be filled with debris including vegetation. 410.351: Several dining room ceiling tiles were observed to be missing. 410.351: Burner to furnace in basement was observed to be leaking oil into a pan. Repairs and cleaning is required for proper maintenance. 410.353: Suspect asbestos containing material used as pipe covering observed to be damaged, loose and falling off of pipes. Licensed asbestos abatement company shall be hired by the owner to rectify any friable asbestos problems. 410.500: Rear entrance wooden steps were observed to be rotted. 410.500: Basement stairs observed to be broken and out of level. 410.501: A window in the second floor bedroom had a rotted sill. i parent/wp/q/Is r You are directed to correct these violations of 410.351 within twenty-four (24) hours of receipt of this notice. You are also directed to correct the remaining above listed violations within five (5) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH T oPasM can Director of Public Health parent/wp/q/Is yo,�xcro`. The Town of Barnstable •J �_ Health Department 1 NAW"An 367 Main Street, Hyannis, MA 02601 rua D 6�V• `p �r Office 508-790-6265 Thomas A. McKean FAX 501gj7p�344 ? o� ll Director of Public Health k'vgeve�9 Y�Nw�- Po,v8�+ f L TO" Dore) Potia,, 1,7rr✓J4tS a y o 6 a NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at r �rv��,o,�r..iW!2�, Yam"s inspected. on 3-+-P- Z 7 >, 199° by* G(e,.,, Ock ret%i5-�. > e._�j Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: to S CM 2 410,1 q (�.� Via.a-,r^-�-r� �9 JD5"/= . /k*f C'WA- Sly 1/ ►a_e fa.e,fweR +. �t t o°r fv 13o°F, , y O. 37- �(� C--, m S( y , /4 - H1.Uf� � �t� r„� rc,v-o�.�► CP,i ` � �' V You are directed to correct e violations within twenty- four (24) hours of receipt of this notice. � 4 to, 3s 1 � V�� You are also directed to correc)-, ww�, Vra (a.947.v1 within l` E da , yllhemas of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each ' separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health l v J S 3 SVS�e P�'F �¢J�J �r,r��c v �f Nj e-7 (� UL,lnl�d� !� �U M✓/Gt F4M�Q wl�` G D fe,vV-eat 9D �4 v cJ lJ (ti`*CJW T GP/1ti 0� tl'`r/Ul� �Q�`�(/1�j1M It I C (! Y, ITC l/ x m SENDER: I also wish to receive the 9 ■Complete items 1 and/or 2 for additional services. q ■Complete items 3,4a,and 4b. following services(for an a! ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address `y ■perm .eI'Return Receipt Requested'on the mailpieoe below the article number. 2. ❑ Restricted Delivery .t. ■The Return Receipt will show to whom the article was delivered and the date Q C delivered. Consult postmaster for fee. 0 v 3.Article Addressed to: 4a.Article Number d d d - a E �I 4b.Service Type "` `� u ❑ Registeredrej A r"' `"' ✓ ❑ Express Mai Puled cc ❑ Return Receipti 8D 7.Date o Delivery p w z / �vr7 0 J �j 5.Received By:(Print Name) 8.Addre sees Addr sg quests c W and fee is paid) 6.Signatur dresseeorA• t) a. X PS Form 3811, a ember 1994 1 102595-97-13-0179 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 O Print your name, address, and ZIP Code in this box O P011c Health Division Town of Bamstable PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 N a Z 203 499 028 US Postal Service ' s Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail Qee reverse Sent to 70 Street& 1191�— Postst Office,State,&ZIP Code Postage Certified Fee Special Delivery Fee Restricted Delivery Fee L Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees M Postmark or Date U. U) �9 Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) 6 return address of the article,date,detach,and retain the receipt,and mail the article. (r' ,. C 3. If you want a return receipt,write the certified mail number and your name and address 0oi II on a return receipt card,Form 3811,and attach it to the front of the article by means of they i gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article ;a RETURN RECEIPT REQUESTED adjacent to the number. a 4. If you want delivery restricted to the addressee, or to an authorized agent of tfte addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 d . .�nspection/ Risk Assessment Form al ,� br ° .�� LEAD PAINT INSPECTIONS �sj B 4 BY FRED HEMMILA f > 'i� fVEO dd Lead Inspector LicA 12736 Method Used r I Risk Assessor Lic.0 R2736 / 16 Quaker Road, East Sandwich MA 02537 P(N%S expiration date 27 U L 21 Qt�t W X-Ray Fluo scene 19,99 Telephone/FAX(508)888-8378 Model WA Serial#�1 1tnyNOFeAq Toll Fina 1-800-286-8378 Address �Bi°E � HFALIHp Apt.# City 141AAJNI5 Child's Name( It I Birthdate(M/D/Y) Sex Parent/Guardian's Last Name Parent/Guardian's First Name Single Family $ Owner'sName: �� Le7v' G G i Multi-Family O Owner's Address: �, /u(�}//t f $j,�E��'- Number of Units — y KEY: CAP Dapped Remarks/Calibration: cov covered DIP dipped Cory r0` ENC enE Intact ' MI made Insect NA twl aceeaslble ���-_ep+' fjor 0QAS Kam/ NEQ negative -A i S Po$ p 18= REM reem�ovred edd REP teplacement REV reversed F f uaanacebavatesa cegrd I bars 6�OF VIOL Al 10AJ - CotaV TO GLEN MRRI.✓GTD�t/ Floor p_,_ Floor# -1 _ 1 _ 1 L L _L _ JI -r -I- - - - Rom' - -1 - { T - r - r r -r- -r-I- -1- -i- -,- - -1 - t - -r - T- r - r -r -r-- - 1 - L_L - - -I- -1- -1- -1- -1--I- J- 1 --1- 1 - L - L -L -L 1 1 I 1 I I 1 1 1 I I 1 I I 1 I I I I I I I I -f -I-- --I--1- -1- � 1 W - h -f—t- - -r -1- -I- -I- -1- �- 1- ( -T- t- t - t- -t-4 - 1 F -1- -1- -1- - 1-i - -t +- - h -F -F- - - -1--I- -I- -I-.=1- i- - - t - t -F--F - 1 I I _ (3 I D -1- -I--1- I I w�_ _ _ _ I D - -1- -1--1- - -4 - -{ - + - - I -►- -►- - - -►- -1- -1- -1- �I� -F - - 4- - 1- -F- -1- - I 1 I I 1 I 1 1 I 1 I 1 I I 1 I NAIkL. 1 1 1 I 1 -'I- - 4 - 1 - 4. - - ►- -I- -1- - -1- -I- -t- -I- -f- T - a - 4 - - - - I-700 -1- -1- - I 1 I I 1 l I I t 1 I I I 'A ' J 1 I I I - -t--t- -,- - - - I -� - - -,- -,- -,- -1- -I- T - - - j - I -i- -� - - 1 - - L -L -L - -L _I_ _1_ _1_ _I_ _ J _ 1 _ _ L _ L _L_L _ 1 1 t t I 1 I I 1 1 1 1 1 1 I 1 s I 1 1 I 1 1 r -t- -1- -t—.- - r -t- -f - -f- -1- -1- -1- -j- T - r-r-t-- _L _I- --1_ _I_ J _1 _ 1 _ 1 _ L _L _L _ _L_I_ _1_ _II_ J_ J _ J _ 1 _ _ L _ L _L_L_ A(street side) A(street side) Pb (lead) more than 1.2 mg/cm2 with x-ray fluorescence or positive with Na2S is Dangerous. RISK ASSESS.DATE Urgent Lead Hazards? Interim Control Date I I i-FE (YorN) Risk Assessor/Inspector Risk Assessor INSP.DATE raad Ha=arde? Recertification tY Date 0 7 ( Risk Assess Risk Assessor RE W SR4 DATE 1•In eonpllanea f.In compliance 2•work In aogra.. REINSP. DATE 2,work In proprese Full Compliance Date . 9.reaccupancy 4.failed 9.woccupamy 4.failed Inspector Did you complete a surface assessment for encapsulation? Y o Risk Assessor EXPLANATION OF LEAD INSPECTIONIRISK ASSESSMENT REPORT FORM COLUMNS SIDE:.. :. :._:::::;<::;:.:: Refers to A,8,C,or D side of dwelling unit. Refer to diagram on cover sheet. Refers to architectural elements being tested. I(Iwo locationslsurfaces are listed in this column subse u ?'SURFACE';::;::> :< columns will be subdivided to provide specific information corresponding to each surface. r?< . ....... The actual lead result. A numerical reading indicates that the surface was tested with an XRF analyzer and a reading (or average reading) greater than 1.2 mg/cm' indicates a dangerous level of lead. A"pos' or"neg'. notation i dicates that the surface was tested it sodium sulfide, a and aY notationPos indicates les a dangerous us level t oo(lead Each location tested must have an Individual result recorded In the YLead' u mn. L < :> ' . ;<<;;< The loose column Indicates the condition of the aimed surfaces tested. A check mark ./ or es'notation (loose) P l ) ( l Y 0 i r column means o 0 0 n this I mn m ns one or both of the surfaces tested is not intact. I(this column'is left blank or has a no notation, a surface(s) n nil means that he surfs s i question a I sl o s intact. Some ea n n t t m leaded surfaces are i violation e r Ir a q n n regardless of 9 their condition;others are I violation on ly i1 the paint is in tact.lac . Loos 6 leaded surfac esconsU'Iu to a urgent t ad hazard. Leaded window sil ls that areIoose must fully deleaded for interim control complianc e.le OWR ABT The'owr abl' owner deleadin column denotes whether or not a surface in violation can be corrected b a trained l 9) y homeowner/agent who is not a deleader. Ayes'in this column means that the trained ownerlagenl may elect to del ea d(his surface by performing n one of the specified low-risk el l eadin9 activities. Ano in this col umn means that only a licensed deleader der is permitted to delead this sur face. {DLR SRF PRN> > < The'dir srf prep'(deleader surface preparation)column denotes whether or not a deleader is required loprepare a surface in advance of it being deleaded by a trained homeowner/agent performing certain low-risk deleading a livities. A' es'in this column means that a licensed deleader us C y must be used to perform surface preparation if he o • 'sactivity l l w n k selected' encapsulation rs or covering a friclionlim ac surface 9 P 1 s rfa a with loose lead paint. >154 DAMAGE Ayes'in the greater than 25%damage'column Indicalas that the surface in question(except for walls,ceilings and floors)must be fully deleaded for interim control compliance. A'no"in this column means that The surface need only be made intact by a licensed deleade r for interim control compliance. :BAFEGUARDS' < >` ` The 'safeguards' column lists those window conditions which constitute urgent lead hazards and must be corrected for interim control compliance. IC DATE The'interim control dale'column indicates the dale that the surface was determined to be in compliance with interim controls. IC METHOD METHOD > < >' The'interim control method'column indicates the method by which each surface was brought into interim control compliance. Refer to the'key'on the cover page for method codes. RECERT,pAT The'recertification dale'indicates the date that the surfaces were recertified for interim control compliance. DI:EAD DATE`: >< The'delead date'column indicates the dale that the surface was determined to be in full compliance with the Lead Law. :`DELEAD METH.Dp The'delead method'column indicates the method by which each surface was deleaded to full compliance with : <;<:;«> :.:<:> the Lead Law. Refer to the'key'o hn the cover page for method codes. PR08LEM <><> The' roblem'column provides a description of those structural defects wlrch constitute urgent P Pg nt lead hazards and mu st sl be corrected for Interim control compliance. , :. EPAIR DATE: . The Orepair dale column Indicates the date that the structural defect was determined to be repaired in compliance with Interim controls. REPAIR METRb > The'repair method'column indicates how each structural defect was repaired to a condition of interim control'' compliance. :........:......::.:.::::.:...:.;>:::::::.; C%WPSWEAD199SfORMSti RAFRM UY FRED IIEMMILA Lcsd Impecim LIC-111136 Put Assasa U 16 Quaka RoeKl, S ul Suldwich MA 02i11 LEAD IIISQECT10111 Qage TcicphundFAx(101)111-1111 (USK ASSESSMENT F0(lld Tull fma 1•e00.216-1171 AMsm cf Nsk AsiessinenC 51 y/.17gmd JJ71 gyp,(-Q AI q Clty Room SIDE t0CAlKXY LEAD L (MR DLR SRF ►25% SAfEGUARDS iC IC (IECERI DREAD DEIEAp SUnFACE ADI1 POEM DAMAGE DAIE MEI1100 DAIE DAIS_ ME11100 l�walvLcwwill _ D� Door asin�laml, 15 — — l.i Dw+aikgllamb _ —'— NIX Door calityJamb Ooa D"aing►Jamb — T— Wiakne WalcaIAX2, i�Apm — t7 Wi►henSnl5kpc Win lasuluri m • Ex1 ckle u�b 1Yi.lr.11 — Win C116VApa, a IYnhcl&1s p3 , Wit aulddufaa p5 Q$ — E�IIAPallbeaJ E.1 Iik sail _ Wiwhw 11 •�•= Yrn a�ing!/yya� Win haJalSlopc FEE Wn lacbl.lufiau f • E,l IJlrul bead — Ed/klc 1„h — trnja.la — Wio ca�k,9rApm _ Wn he/(klBtops Win IlMlj m E,I IAPuI bebi Ecl Ak U1 Ckncl will CI hlala boa Cl aikg,lamb Cl Wld>wds f 60 - Cl lhclUS4490111 Rwlala ?TX I P) f IwilllrahokJ =5L_ O — C11GgCbaalcdu11 Wconse #127301 R2738 Dale JUL 1 6 1999 f IIY FRED IIEMMILk . LuJIMpocl« l-Ic.M 11116 Rlik Asmsm Llc.M R1716 16 Quakct Road, Gail Swuwlch MA 03517 LEAD 111SPGCTIOHI Pago of Lb Tcicplmmw FAX(JOI)III•1111 NSI(ASSESSMENT FOR14 Tull Fmc 1-600.116-8111 AMOSS of Msk Aueulnenl:15 Y,49,yoJ leo Cq_t` �d-fl f n00f.I a.. SIDE tOCAI1CIY LEAD L OWR DlR OF 1,15% SAFEGUARDS IC Ic RECERI DELEAO IJEIEAD SURFACE A011 FDEPi DAMAGE DAIE ME11100 DAIE DAIS MEIIIDD llpr,dutorrnli �.� 0iiebo�+JsiCiu��sl �_ —� Oow aiin9►lanLALI �^� I— v Dwc aiilyjwl e< t9(7 Oau� Diivy.1m 6 Q (�)uos a ooa Cif V'V Daa airg►lunl,�— � -.--- n Nli►l»it Z IYna�inglApm & — 'y IYinhc�lniSlgn 7 Q� WniuMJ„Gon' �D�i _� • E�Ii3Pa,ltxa�l OS � �— . EA ikk mh . IY'rrbu i l .• Win a164Apia, Yin i,c ltio/.lq4 Win siilrl,l,dan — EA I&Pul bew — EAl iilc tuh — 1Yirxtnr t� Win CZAIVApon — Win heudafS40 Win cu61•IuGau Ell Ar&jI &j Ed ikk suh Wix1i.ii — Win alloyApon Yin IN.(dk",lBlq)o (/ Wn uil,ri,iufiau EAI itiPiil Debi EA ik6 isiA Clriel,cili — L CIInlulu" 6 0 ClAiicboudvfba `_ 00 Cl ;4 -1 ihclUSypal, 60 60 _ n.J,la f ba111raholJ ` CdingCWail cc d LQ — sgctxe; ic-io O U License 0127301 R2736 Dale JUL, 16 1999 UY FREQ IIEAIMILA LcaItkupeclot LIc.111136 Ruk Assasa Llc:1 R1136 (� 16 Quakct Roa.h Gast Suidwich MA 01517 LEAD 111SPECTIO111 Pago TcicpholwlFAX(S01)III.1171 NSK ASSESSM111 FORIA Toll Fina 1•/00.116.1171 Ackiass o-f Nsk AssassrnenL Y/�/1hd�} � �Z0 A{,I y COY�i�jl/,�/� n00m 3 SIDE loCAlluv LEAD L MR DIR Silt >15% SAFEGUARDS IC IC f1ECER1 DELEAD [IEIEAp SUIfACE A011 PREM DAMAGE DAIE ME11100 DAIE DAZE MEIIN llp rali,lat will Q,D DilebosiJuCM�lal � -- LE 0m NO aliglw-b L�T•L — _SG.�� O17 Dour � — 1/7.r Dort mliby Duats�glJ+nL 0��l�� CL_ Ooa Doa aligllanI 0.0 Q �— _1Z Wi►!n iil Q� — Wit csti 4Apon O b o b Wi,k.&lSkp Q0 r 66 Eal sirwl bca l �— FEi EA inla 111b GWinatiylApa �('j;J_�— Wioheada151op1 D Wil utlrta�,ban • -- EaltAridbeaJ � ��C, y Eal ikk tah �Y'r><knv t 1 Win alkyApat Wit he adalsloplTZ- Win 161hl.lufiau Ell 1Aru1 bcaJ Eat okla auh YI•rxlur 1� — Win allrtgl/pa Y'fnheaJct�5lola — Wn Iuhh,IJGdu Eal Wail bcai E.I ikk lath clonalwilsibam44 — Cl knlnld 1L CI a14g►Jamb � Clbaltbo�di¢kta Cl thcWSyp0111 DIDL n"&Iat i --- . Cal'ugCba�IctEuq � {j U Llconso M27381 R2736 Dale JUL. 16 19�g T ~w uY FRED IIEMMILA- Ludinspecloi I-Ic.M 11116 Ruk Auasot 1-Io.1(iw M LEAD 111SPECT10111 16 ka Road. Gut Su�dwlch MA 02117 Pag o of TcicplmmwRAx 13011111.1111 IIISK ASSESSMElll FORIA _ Tull Ffoo 1-100-216-1111 AdAess of Illsk Assessment: y,Jt7'110urH &A-'0 Clty 1 '1- "tJr S ROOM SIDE 10CAl"m LEAD L (MR Dill SRF ►25% SAFEGUARDS IC IC RECERI DELEAD pEIEAD SUIIFACE A011 POEM DAMAGE DAIS MEOW DAZE OAIE ME11100 11p Malulor rnll D f1 Ora Dow ativJ,nt 7 _ Oar -'� Dow aiigllud, —'— D" Ooa a�ig1l.n L Doa - Doa air�glJ.n�b - T— Yfnal Apm � O �� IYnhednlSkp� (� - WnI11IVI�luGonl Pp5 Ea1OLPulbeal dS Eat ikk sail �S ►tin�.Wn a�i�yll�pa,0 YYnIK�dalSlc� � !� ' Wn u�id.l�fa�a �S• v� En v+►r,d bead e 1 S Eat Wo sail, VA� - IYixlaw Yln a�iyifpa� Ilia 6adcltstga Wn 141MAU 0118 Eat�1lPulbekl E.1 Ikk udl - YI•rr1�+ - Wn a�lrq!/pon Win 1e4SnrS4n Win satlAlJou E.I 11,a Ihb CI W116 dia Cl G*64.14" `!�-,1 -- Clba�d>ouduf100 -S'{' +'� - 1'+� CI sIKIUSypall 34 �b'Z — - rbanlrabou d � C.rkVc641«>G„y - . License #127381 R2738 Dale JUL 16.1999 rliii,aliitn L.CA�7 !IV FRED IIEAtAtILA Lad litsmlot 1-Ic.111136 �Rbk�sa LIc.1 ich NI LEAO IIISPECTIOIII Gj 16 a Ro l:al Sa�Jwlch MA 017)7 Pap _of TcicphundFAX(f01)111.1)11 [USK ASSESSIAEIII FORM Tull Ffoo 1•100.116-1111 1lcicilass of lilsk Assess,nenl s$ (/ hUJ f�-f NCI q Clfy 15 ROOM j SIDE (oCAlau LEAD ► MR •D1R SRF >25% SAFEGUARDS IC IC FIECEN DEIEAD DEIEAD SURFACE ADII PREPI DAMAGE DAIS (.IEII100 DAZE DA IE MEII100 llp rrlvlgm nip QKI Dva Duos ariyylanL 3 o`I, 1 DON arrgll«nh _ --�— Dual mi4lrnL I>oa Day aing►1«„, — T-- FIE 1Ynari�Apan (� Wn rribblurom — E,I Est Ikk 8416 GWna�iglfpa, � _ W"he$&ISklu i _ wn luld.lufa,a ,, � Ed 1AP111 baJ E.I sklr icrl, fbS 1Vn1nr la CE Wi�herdul5lapr 7j,1,� . �� _ Win 1636t.lullou E.1 Lit .,.J E,I skk ufh A66 _ Win a�hgl/pa, Wn he rJu�Sk)a YI•n uilyt.lulCixa Eil WON& E.Al IVU all p cu��l■dr base ri oU1Cl arhgllankClMubmdufbo oCI dKIUSypah WAX T • CdingCiiacl ceZ,q � ('� � _ , License #12736 R2738 Dale ,UL• 16.12S5 LEAD PAINT INSPECTIONS BY " . 1 1 TPU Free II I 1 • • 1 � /1 ®® .1 ® 1 1 1 1 � 1 •1 �® •1 1.. �MA MIR . ro■i■�i r■i ■■■■■■■■■■■ ICI ► "rMr ■■■■■■■■ ■■■■■■■■ M■►A■■■®■■■■■■■■■■■■■■■ . ... ■■►.■■■■■■■■■■■■■■■■■■■■ .. .. .. .. ..Mmm rh"# =I ■■�� Cyr �C �■ccm■■ ■■■■■■■■■�ii FINSPECTIONS i UY IFnEU UEMMILA WJ Inapccloc Lid.r 12n6 Rlak Auasot Lic.l R1116 Q/ 16 Qwkci Ro&k 631 Sandwich kA 02117 LtAUINSPECTIONI Page U ol/6 TcicphoncIFAX(l0I)III-Ills RISK ASSESSMENT FORM Top From 1-100-216.Ills Address of Risk Assessment Y/V MOJ-(,N G &V Apt I Clay y4NA J BATHROOM + SIDE IOCAIIOIU IEAD l OWR an sI1F >25% SAFEGUMDS lO IC RECERI oELEAD DREAD SURFACE A811 PREP1 DAMAGE DAIS MEII100 DAZE DAIE ME111o0 Up wduloa aral� ,J .� Ocleboard+�Clu�u1 --- • ooa y . Doa a+lrq►hmb , Dm ating►ltmb Winuthgr�pron winhednrslap+ Win wMJKXaru E,I+APall bad AA EAI aide oath bS 1Yndow ti — Win uiag�Apon ' Win headnrsMp+ Win issWufiont Eal tiMulbexl ' E�1 aid.tuh Up ab tt stn&Doo+ Up c"KII Crab Up ab thl A W a e , . low cab IamaiDoa Low abinda wdt low ab thM/5�pp Clotel wab CI Inleriot du G utinglJamb CI ba+rbwo&f I= Cl+htivsUm is Ouwen — Radakx f baflhahoW -- Ct'(4Cb1#ICt'q 0 1 I � I • I 6 I• • r 1 4. Lleense #127361 a2736 date JUL, 161998 LEAD PAINT INSPECTIONS: 11V FRE[D IIEMMILA Lead Impeder Liel 12736 Risk.Asmsor LIc.M R2736 LEAD INSPECTIONI Page 01�� 16 Quaker Road, Gwl Sandwich MA 02537 RISK ASSESSMENT FORM TclephonvT"(508)888-8378 Toll Fmc 1-800.286-8378 A(kloss of Risk Assessment: Q Apl 0 city " /Ji S IIALLWAY r SIDE LOCAIIOIy LEAD L OWR OLR SRF )-25% SAFEGUARDS IC IC RECERT OELEAO DELEAD SURFACE AGO PREP'? DAMAGE DATE ME11100 DATE DATE MEIIIOO Up walskow wale -- (Iaseboards�Chau rail ....— A Dom Dw casirvyJamb Png Gm casi 4lamb b 0oa Doo Iasi 4.1 mb Door Ooa casing/Janlb 0= Doar Iasi 4Jamb Ooa Door ca%6VJamb wyvbw sit WincasigApon ,.p V0,51, Win headerlSlopa Win sasldMulions $ Exl sinrParl bead po S 61 side lash F05 Iv Windnv sit 3• Lo Win caskVApon ,0 Win headerl5lops / Win sasmAull'rons b Exl shPad bead 05 p y ExI siida sash I 05 Window sin win ca*gApron 3 ,0 win heamrslor-1 I J Win sasl wfions fo Ex1 srlbParl bead jo�q r2 V Exl ide sash p Closel wags Cl Interim dm Cl caskVg amb Cl baseboarduflm Cl shelUSuppods i CkYsel Ovals Cl inlerior door Cl cm4vjamb Cl baseboardsif-Im' Cl shelUSupporls Radalor Fl"llhreslold •0 ®u CeifiiIiq Iosel ceiling I C/> a n Llc©nse #12736!R2736 Date JUL 16 1993 LEAS PAINT lN5['JEN BY FRED IIEM Lead Ilupeclor HeRisk Assasm LIc.N LEAD INSPECTION/ Page/001'b16Quaka Road, EastSand RISK ASSESSMENT FORM Tcicpitot►e1FAX(S08)Toll Free 1-800-28A"oss of Risk AssessinPJ 0J 1 MI 0 City Hj1WJ S IALLW" SIDE LOCATION LEAD L OWR OLR SRF EOAIMA%GE' SAFEGUARDS IC IC RECERT JOELEA0 DELEAO SURFACE A012 PREP? DATE IMETHOO DATE DATE ME11100- Up wabskow waCs NO -- 0aseboardslCha4 tail Door •—� Ooa casivIamb Door GDom casiVJamb Ooa . kl*iu _ Door casiylJamb Door Om askVJamb Doan Don ask4jamb Don — Don asingiJamb n wi-4sw sit f� Win asinglApon®ro Win headedSlops win saslJMutlions -g Exl 3Wad beadrOS Ex1 side sash r6 J Wixim 0 Win cask4Apm Win headeilSlops Win sashlMulliom Ext S&I'ad bead Exl side sash 1Yi►dow sil Win cask4Apm Win headerlSlops Wi►sasM.lullions ExlsiWad bead ExI side sash Cbsel watls CI isle"do* Cl mkVJamb Cl baseboardslfloa Cl sheluswpnls Cbsel watls CI inleriot door Cl cmk4Jamb Cl basetmids/f ko 5 Cl shelUSwPnts — Radialot fballtuahold' L) Q Ceili►gtibsel ceilkl 0.O l_Iconse #1273i I R2736 Date JUL, 6 1538 •_ LEAD PAINT INSPECTIONS BY FRED.IIE-NIMILA LcaJ hupcclor Clc.p 12136 Risk Assessor LIc.M R2736 LEAD INSPECTIONf Page of 16 Quaker Road, Gast Sandwich.MA 02537 RISK ASSESSMENT FORM Tcicphone/FAX(308)888-8378 Toll Free 1-800-286-8378 A►hkuss of Risk Assessmenl: /(y Apt N City t6��✓,tb S IIALLW" 0115ep&4, -r SIDE LOCATION. LEAD L OWR OLR SRF >25% SAFEGUARDS IC IC RECERT DELEAD OELEAO, SURFACE-. A017 PREP1 DAMAGE DATE MER 00 DATE DAIE ME11100 Up walsAow walls. BastboardslChaii,lail +-- 1 Ooar D Doa cas4VJamb Door casngfJamb AL Doa Doa casirylJamb Doa Ooa rasing�Jamb Door Dom casiVhmb Ooa Ooa ca$44Jamb WM1dTw Sal Win casirVApron — Win headeuSlop3l h,A Ion Win saslsrt.lulions �— Eal siWad bead 65 Exl side sash VS 1Yndry sil Win cas6VApron Win header/Slops Win sashhdulTrons Exl siM'ad bead Ell side sash %Yindow sil Win ca 4VApron Win header/Slops Win sashRdullions E,d silWad bead Exl i►da sash ' Cbsel wall Cl nleriar doa Cl caikVJamb Of Cl baseboardufIm Cl shelll&gpals Closel wall CI inferior doa Cl caskWJamb Cl baseboards/f loa Cl she11/Supporls . . Radalajqq — . f ba/(Walwid Q CeilinryCbsel ceilmy -�� License #127361 R2736 Date�Il �F) lg� Vwx 1-454 Inimlof Lid's 11136 abt Auasot l Ic.l R1116 IEAQ INSPECTIO111 12' I(p li Qwkn Rod, Bari 3$ndwlch MA OUl1 Page_oI Tdcphooc4AX(S01)111•Jill RISK ASSESSMENT FORM Toll Froo 1.100.116-fill A41031 or Milt Aueumed 69 yono o 114 h1rD ppi n sTAInCASr: I� TD �.lip Ftoo2, �L SIDE IOCAIDV IEAD I. CMR Din SwF ►25% SAFEGuuARO9 IC IC RECERI DEtEAO pEIEAD Su1FACE ADI1 PREP) DAMAGE l�rralulo.r�h DAIS h HIM DAIS DAIE MEII1011 O+�aboardwCM�nl �_ .� ,4- Ooa wiryllamb �- �'� 0 .0 G D� Doa c+iry�lamb 0 D Boa - o"wingllamb .Q _ Door NO a"irVILA Doa - Doai C444.1" Dooa wiry) W'rriac�i Y1n w�iryUyron Wn MadnfSlopt . Win Io"Wrou i fAl laf&dbcad EAf Ikk tuft Y'1'mdr.ii Win cat6grl iron — "—'-- Wn Milul5k;a — i Win m""ora EslW&I 104114 EA ikk m — , Cl of mall• — il CI hlob dwr Cl ca�irgllamb Cl Wocbo&duEba Cl�helUS.ppod� — i Ilc.�lpal JL= — (4L'9 0al,don 610 II Loan n) • lit" 00 06"1 (� 1! ski" Fbanhaholi Op �' C�irgaClo�alcdrq �, — ,. ram 0 0 [0 u 4., tot. ,Llc;ense 0127301 R2730 Dale . • . : . •SlgnelurA 1 16 • 02537 • • TcleptionelFAX is Toll Fmc ii SURFACE '•n�mmlmm�m ■nmmmm�m R .. IYl►�-.m__ SMI- E=8(in m " G momm um mom ►' � _mm__ ' rmmmm ■■ m rw mommm M ©Mmm�mmommm ��ai■■io ME mmomm a_®mmoms� amommmmmommm ® omommmmmommm M�i i iMii < 0 , UX.RREQ IIEWILA Lad Injpcciot Lie-1 12136 Rbk Asmux Llo.1 R2736 LEAD INSPECTION1 Page oll,& 16 Quska Rowl, East Sandwich MA 02337. RISK ASSESSMENT FORM To1cplorl�AX(50110ae-1111 Toll Frco 1-800.216-8171 Adless of Rlsk Assassmek Q Qp 1 N ✓ CRY /JI EXTERIOR SIDE LOCATIM LEAD L OWR DLR OF >25% SAFEGUARDS IC IC RECERT OELEAD DELEA0 SURFACE A017 PREP? DAMAGE . DAIE MEIHOD DAIE DAIE MEIHOD S"N Canaboar6s Lo«a 16m 5 Uppa Yre Ooa Om asi 4Umb , INC" C Dm b4%W9 Ooar aiuglJamb s Twahou 65 CDoor asirgNamb ItiaholJ Doa Boot alk4jamb IbahoW W'ndva s� 05 A)(3 Winb�asirg ' Win sashrfiluliom & YVrnSow sit 55 Windy asing Q.S Win suWMulions W'ndor sit S CWndwr acing p Win sastAmiau Wirdhr sit p S casing p Win SuMALI mm fg5 Celm win urwts I u� Celar win urrts Ulm win units Celas win unts Fomxiation () OuWrcad `—� Fences (� Shullety - — • Wln.boAreckell 64 11151i L s IIJ • 1062t.icettse127361 R2736 Date iUl. 1g99 lure LEAD, BY "FlIEDIJEM.MiLk TclephotKNAX I. 1 . 11 ... �........... Cam...... WAN ' 0001WASI■ ' III ��■■�� MAINE IIAM eC AM ©..■ o...■■�i � ...... � C ,. . :. . ®..■�C.. I.■........ ■Wool IN ...... ......... ..........■. .._....� C INS ■.1001.. IMIM o� IMIMMAINE NO IN AM IM MOM■■ IM �■r. LEAD PAINT INSPECTIONS ' 1 HEMMILA 16 Quakef RoA East Sandwich MA 02537 I: 1 . Toll Froo 11 ® • • 1 � •1 �® r 1 � •1 � 11 1 1 •1 IMIM ONEIMAM MKINIMIM IMIM m1mmem IM .�nimmommm.0...1011.. m..e... ■..�.....e..AM C...�.. i ��r,�u■�IMIM . IMIM IMIM I IMAM IMIM 0 imem WRON IMIM IM IWAN001100111010111000 AM 111010011001100111000 IM�os�� MINION IMIM IM AM �re ' ' © ■ e1001 AM � ©1000 DIME IMIM i ®MEONI IM IM IM AM .... ..AM ..ME IMIM IMIM IM �....� ME IMIM AM IM �n 11000111101 m NINE M1 ONE IM 00010001■ 0 VON AM ONE C:�:::C ONE p®®.. r4 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Southeast Regional Office 109 Rhode Island Road ARGEO PAUL CELLUCCI Lakeville, MA 02347-1349 508 Governor ( ) 947-1231.•.(617) 727-1440 WILLIAM D.O'LEARY Fax: (617) 727-9296 Secretary HOWARD K.KOH,MD,MPH Commissioner LEAD DETERMINATION REPORT FORM . D$te of Determination Inspector. `;T�r r= >\(,� ►^cV n'1 Liaxuc 6: Method USCd: Sodium Sulfide '�- Expiration date: X-Ray Flu0=' Cencc Model: I Serial#; Property Address: Oc fh i� 13�0.n�sr/�t3 Lc Apt� Description of Property: - —" Single.family • "Multi-family. #units Fence Age of Property:. Other structures S'�-i E� Pro.1978 OccuOccupant: Post-1978 P �BSS A r ib C A_ lam\/ Occupants under six year of age: /i l i3o Q AS k DOB: " DOB: Occupant's Telephone: DOH; - Property Owner(s):.Owner's Address: c r ni t , e M A-70 , ------------- Owner's TcicphonC: Lcad liarards Found? Yes No An X-ray fluorescence reading greater than 1.2 mg/cm2•or a gray or black reaction to sodium sulfide ~indicates a positive level or lead and constitutes a Positive dceamination. Deleading or lead Painted surfr,ces as a result of this tcpori or subsequent inspection must.be perfCriiiod by licensed deluding contractor and/or by an ownWage it who is trained to perform specific work as required under the Lead Law.Contact the Childhood Poisoning Prevention Program for additional information regarding dcicnding and training. ,•„vt wlnwiu•fc rOKv.i•:nnxsrr u f`p U-, LOCAVON SOURCE Pb L Child's bedroom G S;yX Window � sill area 2• �� tst L,ve�c� R 1 tdtioNd�l �' 1boo? F O� .Lf�oSE 3. Living room b 5;p c- Window parting beadftaoftw%area 4. Kitchen_ -Sly +anwo�e cr,&ArT a00rz.. ECz 5. Interior t,RonrT Ft; E''�'�— C-S1AC `P"e-CAS;aG, OS 6 bifoA Asnc-CLzs+•r ►dot C, NEG 7. S494M AsTc- 6 ep pcDm QW,vAndowoft A 14c n - � ; LoOsc 8: Exterior lindow Als below 5' —. 9. Exterior Main entry door casing 10. K-Taic-4� A-.Sa-,e Lower " g.N -r NE(� - 1I. . IGtehen C-Sli�� Doc g 12. Bathroom Window sill 13. Exterior Threshold ' 14. Interior hallway(common area) Stair tread or stringer :, 15. Interior hallway(common area) -Balusters I6. 7ateiior hallway(coaunon area) Aoorcasing 17. Porch Stair tread or user 18. . Porch Railing cap 19. Porch gale 20. Porch Support columns(<6" diameter.or square) 21. Porch Staircase stringer 22. Exterior C-Si D��. Bulkhead (► ��n o r k3t3sc�,c,•� ���� 23. Garage/Outbuild'ntg Door casing or jamb 24. Interior Closet-door or baseboard(uncapped) 25. Interior Cabinet door, shelf, or wall n2 -S1DE_ W 6-HT PQ S E laosc, e- LStL��' tN .EXI-4 S, i FAP- Lt--FT L.'sc i C�WI'5011.1i/1l)I'1')S�1.IC'I l)ltU.linl)Itl (''1'Will) >f The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 WILLIAM D.O'LEARY (617) 753-8400/800-532-9571 SECRETARY HOWARD K.KOH,MD,MPH COMMISSIONER ORDER TO CORRECT VIOLATION(S) c � DATE: I t)L�i 05060 Owner or agent of the property located at S� �i-2..M 0 crrH �Z.i�, /� nI.S T!-ti 1.t"— to Be advised that an agent of the Director of the Childhood Lead Poisoning Prevention Program has determined certain portions of the aforementioned residential property to'be in violation of the following: Massachusetts General Laws(MGL),Chapter 111, Section 197;the Regulations for Lead Poisoning Prevention and Control, 105 Code of Massachusetts Regulations(CMR)460.000 and the State Sanitary Code. Conditions exist in this:residence which may endanger and/or materially impair the health of the -- occupants of.these premises. DECLARATION OF EMERGENCY The Director of the Childhood Lead Poisoning Prevention Program declares that the presence of the aforementioned violation of the Lead Law and the Regulations for Lead Poisoning Prevention and Control constitutes an.emergency pursuant to the Lead Law,MGL Chapter 111, Section 198 and within the meaning of the Sanitary Code,Chapter I, 105 CMR 400.200 (B). CORRECTION OF LEAD VIOLATIONS) The Lead Law,MGL c. 111,ss. 189A-199B, and the Department of Public Health's Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, require that residential premises or dwelling units built before 1978 have lead paint violations either abated and contained for full compliance or brought under interim control when a child under the age of six lives in the residential premises or dwelling unit. If you are interested in interim control,then you must hire a licensed private risk assessor to perform a risk assessment and issue a"Lead Inspection/Risk Assessment Report" before you proceed. If you are interested in deleading for full compliance,then you must hire a licensed private lead inspector to perform a lead y inspection and issue a"Lead Inspection/Surface Assessment Report" before you proceed. C:\NVP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC 1 The Lead Law, the Department of Labor and Workforce Development's Regulations, 454 CMR 22.00, as well as the Regulations for Lead Poisoning Prevention and Control require that any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact, be performed by licensed deleading contractors—whether in the context of achieving Interim Control or Full Compliance. An owner or owner's agent, after meeting the training requirements of 105 CMR 460.175, may perform certain low-risk abatement and containment activities in accordance with these regulations without a deleader's license=again, whether in the context of achieving Interim Control or Full Compliance. These specific low-risk abatement and containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass,and acrylic,to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition, an owner or owner's agent may perform structural repairs, as defined ill 105 CMR 460.020,and cleaning of leaded dust, as may be required for interim control, except that the final clean-up required after the completion of high-risk abatement and containment work by a licensed deleader must be performed by a licensed deleader. ORDER You are hereby ordered to remedy all violations of MGL c. 111, s. 197 and 105 CMR 460.000, as identified by a licensed private lead inspector or, if you wish to pursue interim control, by a licensed private risk assessor. Whether you remedy said violations through full deleading compliance or interim control,you must do so in accordance with the following schedule: Within sixty(60)days of your receipt of this Order,you must provide to this agency a copy of a signed contract with a licensed deleader, if any high-risk abatement and containment work, including making leaded paint, putty or plaster intact, is required. If you or your agent is doing owner/agent low-risk abatement and containment and/or interim control work,you must also provide within sixty(60)days a signed and completed CLPPP form entitled "Documentation of Training to Perform'Owner/Agent Low-Risk Abatement and Containment and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Control Work Will Be Completed." The contract must specify, and if you or your agent will be performing low-risk abatement and containment work or interim control work, then you or your agent will attest in the CLPPP form described above,that the work will be completed according to the following schedule: (a) Violations of the interior of the dwelling unit and interior common areas must be abated or contained for full compliance,or as required for interim control, within ninety(90)days of your receipt of this Order. However, you have a total of one hundred and twenty(120)days from receiving the Order to complete the following activities: (i) any low-risk abatement and containment work you or your agent perform, as long as all dust-generating abatement or containment work, including surface preparation, required to be done by a licensed deleader, has been completed, and any doors removed have been replaced, within ninety(90)days of your receipt of this Order; application of encapsulants by a licensed Level 11 deleader, as long as all dust-generating abatement or containment work, including surface preparation required to be done by a licensed deleader, has been completed p eted within ninety(90)days of your receipt of this.Order; C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OWPLEDEP.DOC 2 (iii) installation of replacement windows, as long as you can demonstrate that new windows have been ordered within ninety (90) days of your receipt of this Order. (b) Violations on the exterior of the residential premises and exterior common areas must be abated and/or contained for full compliance or as required for interim control, within one hundred and twenty(120)days of your receipt of this Order. Any contract with a deleading contractor must also specify that the unit will meet acceptable lead dust levels, as determined by the results of sampling done by the licensed private lead inspector or risk assessor at the time of the reoccupancy reinspection, if one is necessary. Should any of the dust samples fail to meet acceptable standards, the contractor will be required to reclean the entire unit until all dust samples meet acceptable levels. In interim control cases in which no reoccupancy reinspection is necessary and no deleading contractor involved because no high-risk abatement and containment activities, including making leaded paint,plaster or putty intact, were necessary, then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these cases,dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or interior area in which one or more surfaces does not meet acceptable - dust levels must be recleaned by you or your agent in its entirety. You must comply with all of the deadlines stipulated above, and with all applicable sections of 105 CMR 460.000. Compliance with this Order will be determined by this agency's receipt of the appropriate documentation within the specified deadlines. The documentation consists of the following: a) if any high-risk abatement and containment work is necessary, including making lead- painted surfaces intact, a copy of a signed and dated deleading contract with a licensed deleader; b) if you or your agent will be doing low-risk deleading work or such other work as may be required for interim control, such as structural repairs and lead-dust cleaning, a completed and signed copy of the CLPPP form "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Control Work Will.be Completed"; c) a Letter of Lead Paint(Re)occupancy(Re)inspection Certification issued by a licensed private lead inspector or risk assessor, in cases in which high-risk abatement and containment work, such as making loose lead paint, plaster or putty intact, is necessary, thus requiring occupants to be relocated from the unit for the duration of the work; d) copies of results of all dust samples taken by the licensed private lead inspector or risk assessor; e) a Letter of Full Deleading Compliance issued by a licensed private lead inspector or a Letter of Interim Control issued by a licensed private risk assessor In addition, a copy of the deleading notification must be received by this agency at least ten (10) days prior to any commencement of deleading, whether performed by a deleader or you or your agent, and whether in the context of full compliance or interim control. PENALTIES Judicial proceedings will be initiated against you within seven business days of your failure to comply with any of the above deadlines. The law provides penalties of up to $500 for each day of noncompliance. In addition,you may become liable for civil punitive damages equal to three times any actual damages for failure to comply with this Order. C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If within the time periods stipulated above the aforementioned residential property is not brought into full compliance or interim control,this agency may contract with a licensed deleader to correct the violation(s)and obtain a Letter of Full Deleading Compliance or a Letter of Interim Control, and bill the owner,or initiate court action to reimburse itself. RIGHT TO A HEARING You may request a hearing pursuant to 105 CMR 460.900 of the Regulations for Lead Poisoning Prevention and Control, in conjunction with the procedures of 105 CMR 400.200(B),the Sanitary Code provision for hearings in emergency public health matters. As already noted,the aforementioned violation constitutes an emergency. (See"Declaration of Emergency"section.) As such,you may request a hearing only if you have complied with this Order. The hearing will be provided within' ten days of your request. This agency shall issue a written decision within seven days after the hearing. Z;Ilnsp for Director Massachusetts Department of Public Health Telephone S0 4( ` L/7-/23 1 Childhood Lead Poisoning Prevention Program (DPH/CLPPP) C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC REV.8/96 4 1 C The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poiso ning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 WILLIAM D.O'LEARY SECRETARY (617) 753-8400/800-532-9571 HOWARD K.KOH,MD,MPH COMMISSIONER �rA i -AeEr_\Z_F, 7T AS7 N P,S►-1 iJPr tJ N D �G 6 r� Dear M I performed a lead paint determination on the property owned by you at SSA YAR,myi-ra Zb Ae►" in �A M STAi3L6- . The determination revealed the presence of lead paint in violation of the Lead Law, Massachusetts General Laws, Chapter 111, Section 197, and the Department of Public Health's (DPH's) Lead Poisoning Prevention and Control Regulations, 105 Code of Massachusetts Regulations 460.000. The Lead Law and DPH Regulations require that residential premises or dwelling units.built before 1978 have lead paint violations either abated and contained for full compliance or brought under interim control when a child under the age of six lives in the residential premises or dwelling unit. A licensed private risk assessor must perform a risk assessment and issue a "Lead Inspection/Risk Assessment Report" before you can proceed with interim control. A.licensed private lead inspector must perform a lead inspection and 'issue a "Lead Inspection/Surface Assessment Report" before you can proceed with deleading for full compliance. Please contact this office at O 8 y -/ ?_ as soon as possible to discuss your responsibilities in this case, an"a the material enclosed. The Massachusetts Department of Public Health (DPH)'s Lead Poisoning Prevention and Control Regulations require that you provide to me, within sixty (60) days of your receipt of this letter, a contract with a licensed deleader, signed by both you and the deleader,,if any high-risk abatement and containment work, including making leaded paint, putty or plaster intact, is required. Also, if you or your agent is planning to do any low-risk abatement and containment work or other work, such as structural repairs or cleaning of lead dust that may be necessary for interim control, within sixty (60) days of your receipt of this letter you must provide this office with a signed and completed Childhood Lead Poisoning Prevention Program (CLPPP) form entitled, "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines By Which Owner/Agent Low-Risk Work and/or Interim Control Work Will Be Completed." C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 1 The contract with the licensed deleader must specify, and if you or your agent will be performing low-risk abatement and containment work or other work necessary for interim control, then you or your agent will attest in the CLPPP owner/agent form described above, that the work will be completed by the deadlines described in this paragraph. All violations on the interior and interior common areas must be deleaded for full compliance or brought under interim control within ninety (90) days from your receipt of this letter. However, you have one-hundred and.twenty (120) days to complete the following: any low-risk deleading work you or your agent perform, as long as all dust-generating abatement and containment work, including surface preparation, required to be done by a licensed deleader has been completed, and any doors that were removed have been replaced, within ninety (90) days; application of encapsulants by Level I1 deleaders, as long as all dust-generating abatement or containment work, including surface preparation, has been completed within ninety (90) days; and installation of replacement windows, as long as you can document that new windows have been ordered within ninety (90) days. All exterior violations must be deleaded or brought under interim control within one hundred and twenty (120) days. The contract must also specify that the unit will meet acceptable lead dust levels, determined by the sampling done by the licensed private lead inspector or licensed private risk assessor at the time of the reoccupancy reinspection, if one is necessary, and that the deleader will be'required to reclean the unit if necessary until it,meets acceptable standards for dust. In interim control cases in which no reoccupancy reinspection is necessary and no deleading contractor was involved because no high-risk abatement and containment .activities, including making leaded paint, plaster or putty intact, were necessary, then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these cases, dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or-interior area in which one or more surfaces does not meet acceptable dust levels must be recleaned by you or your agent in its entirety. This Department is required by law to file a case against you in court if it has not received the required documents by the sixty-first (61 st) day, or if the timelines detailed abovert and in the attached Order to Correct--Violation(s) are not adhered to as-documented. by a private lead inspector, or, in interim control cases, a private risk.assessor. In a criminal case, you may be fined by the court up to $500 for each day of non-compliance. Under the law, only deleading contractors licensed by the Department of Labor and Workforce Development (DLWD) may engage in any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact—whether in the context of achieving interim control or full compliance. After completing the required training, you or your agent may perform certain low-risk abatement and containment activities in accordance with 105 CMR 460.175 without a deleader's license—again, whether in the context of achieving interim control or full compliance. These specific low-risk abatement and containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass, and acrylic, to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition, you or your agent may perform any Y other work that may be necessaryfor interim control such as structural tructural repairs, as defined in 105 CMR 460.020, and cleaningof leaded dust except that the final clean-up p u required after the P q completion of high-risk abatement and containment work by a licensed deleader must 'be performed by a licensed deleader. C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 2 F Before you or your agent may perform low-risk abatement and containment work, you or your agent must read the Childhood Lead Poisoning Prevention Program (CLPPP)'s educational booklet, view the CLPPP encapsulation video, if encapsulation will be performed, and take a self-corrected exam that must be submitted to CLPPP. I have enclosed a copy of the booklet, "Low-Risk Deleading Work by Homeowners and Their Agents." To receive a free copy of the completh owner/agent abatement and containment package, including the encapsulation video, call the CLPPP Central Office at 1-800-532-9571. If you or your agent will be performing other work for interim control, such as structural repairs and cleaning of leaded dust, you or your agent must take safety precautions and perform cleanupin accordance with procedures described in the CLPPP educational booklet "Interim Control of Lead Paint Hazards: A Step-by-Step Guide." I have also enclosed a copy of this booklet. I have also enclosed two brochures explaining the options of encapsulation and interim control. If after reading "Deciding Whether to Encapsulate" you decide you would like to have an assessment for encapsulation performed, you must hire a licensed private lead inspector to perform this assessment. Results of the assessment shall be recorded on the initial "Lead Inspection/ Surface Assessment form" and a copy should be sent to me. I have enclosed a copy of a list of licensed private lead inspectors. Only those surfaces approved by the licensed inspector will be eligible for encapsulation, no matter who actually applies the encapsulant—a licensed Level II deleader or you or your agent. If after reading "Interim Control of Lead Paint Hazards: A New Option for Property Owners" you decide you would like to have a risk assessment performed, you must hire a licensed private risk assessor to perform this assessment. Results of the assessment will be recorded on a "Lead Inspection/Risk Assessment Report" form and a copy should be sent to me. I have enclosed a copy of a list of licensed private risk assessors. At least 10 days before any necessary deleading work begins, whether in the context of full compliance or interim control, the deleader must provide written notification to DLWD, all residential occupants, the local board of health and CLPPP. It is your responsibility, as the owner of the premises, to make sure the contractor sends the completed forms to all parties. If you or ` your agent will be performing low-risk abatement and containment work, you are responsible for providing the written Notification of Deleading to DLWD, the residential occupants, the local board of health and CLPPP, and-for also writing on the form which low-risk abatement and, containment activities you or your agent will be performing. All occupants and pets must be relocated from the dwelling unit for the entire time that interior deleading work not defined as low-risk performed by the licensed deleader is in progress. Occupants and pets must stay out of the work area while you or your agent perform low-risk abatement and containment work, structural repairs or cleaning of lead dust, but may return after you or your agent have cleaned up following completion of the work. However, occupants and pets must be out of the of the dwelling for the dayfor the day while you or your agent apply coverings to a surface with peeling, chipping or cracking lead paint or plaster, or during airless spray application of encapsulants, but may return upon completion of the owner's or owner's agent's cleanup and need not be out of the unit overnight. Occupants and pets who have been relocated from the unit over night may not return until the licensed private lead inspector or licensed private risk assessor approves reoccupancy by conducting an on-site reinspection of the unit, including taking dust samples to assure that lead dust levels meet ,approved standards. This reinspection will be done at least 25 hours after deleading work is completed: The lead inspector or risk assessor must wait at least one hour after the deleader performs a final clean-up, and the deleader must wait at least 24 hours after the completion of deleading work to perform that final clean-up. Deleaded surfaces 3 C:1WP50\LEADI995\GENERAL\GENERAL.DOC\COVPLD.DOC REV IV% are not to be repainted until the lead inspector or risk assessor performs the reinspection All work is to be done in a workmanlike manner, and the property must be returned to a. condition that meets the requirements of Chapter II of the State Sanitary Code. If any surfaces were scraped, they must be feathered, made smooth and repainted. (Repaint only after reinspection.) If any windows and doors were deleaded or replaced, they must have all panes of glass intact and must be weathertight. You are required to provide written notice of the presence of lead paint to all other occupants of the building.. "Notice to Tenants of Lead Paint Hazards" is enclosed for that purpose. You are also required to send a copy of the "Lead Inspection/Surface Assessment Report" or the "Lead Inspection/Risk Assessment Report," and any risk assessment reinspection report, to all mortgagees and lienholders of record. Questions regarding the Department of Public Health's Lead Poisoning Prevention and Control Regulations should be addressed to the CLPPP central office, 1-800-532-9571 or (617) 753- 8400), or to me. Questions regarding Department of Labor and Workforce Development's regulations should be addressed to the DLWD central office, (617) 727-1933, or regional offices. Sincerely, /V In ector Massachusetts Department of Public Health Childhood Lead Poisoning Prevention Program DPH/CLPPP C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 d 4 r, The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health UT Childhood Lead Poisoning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 WILLIAM D.OTEARY (617) 753-8400/800-532-9571 SECRETARY HOWARD K.KOH,MD,MPH COMMISSIONER ORDER TO CORRECT VIOLATIONS) DATE: T I-cart=►J�- /� . +'t� ?&YT NASNi)r, N LI n --Z,06U Owner or agent of the property located at .Be advised that an agent of the Director of the Childhood Lead Poisoning Prevention Program has determined certain portions of the aforementioned residential property to be in violation of the following: Massachusetts General Laws(MGL),Chapter 111, Section 197;the Regulations for Lead Poisoning Prevention and Control, 105 Code of Massachusetts Regulations(CMR)460.000 and the State Sanitary Code. Conditions exist-in this.residence which may endanger and/or materially impair the health of the -- occupants of these premises. DECLARATION OF EMERGENCY The Director of the Childhood Lead Poisoning Prevention Program declares that the presence of the aforementioned violation of the Lead Law and the Regulations for Lead Poisoning Prevention and Control constitutes an emergency pursuant to the Lead Law,MGL Chapter 111, Section 198 and within the meaning of the Sanitary Code, Chapter I, 105 CMR 400.200 (B). CORRECTION OF LEAD VIOLATION(S) The Lead Law,MGL c. 111,ss. 189A-199B, and the Department of Public Health's Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, require that residential premises or dwelling units built before 1978 have lead paint violations either abated and contained for full compliance or brought under interim control when a child under the age of six lives in the residential premises or dwelling unit. If you are interested in interim control,then you must hire a licensed private risk assessor to perform a risk assessment and issue a"Lead Inspection/Risk Assessment Report" before you proceed. If you are interested in deleading for full compliance,then you must hire a licensed private lead inspector to perform a lead inspection and issue a"Lead Inspection/Surface Assessment Report" before you proceed. C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC 1 J,. The Lead Law,the Department of Labor and Workforce Development's Regulations,454 CMR 22.00, as well as the Regulations for Lead Poisoning Prevention and Control require that any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact, be performed by licensed deleading contractors—whether in the context of achieving Interim Control or Full Compliance. An owner or owner's agent,after meeting the training requirements of 105 CMR 460.175, may perform certain low-risk abatement and containment activities in accordance with these regulations without a deleader's license—again, whether in the context of achieving Interim Control or Full Compliance. These specific low-risk abatement and containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass, and acrylic,to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition, an owner or owner's agent may perform structural repairs, as defined in 105 CMR 460.020, and cleaning of leaded dust, as may be required for interim control, except that the final clean-up required after the completion of high-risk abatement and containment work by.a licensed deleader must be performed by a licensed deleader. ORDER You are hereby ordered to remedy all violations of MGL c.. 111, s. 197 and 105 CMR 460.000, as identified by a licensed private lead inspector or, if you wish to pursue interim control, by a licensed private risk assessor. Whether you remedy said violations through full deleading compliance or interim control, you must do so in accordance with the following schedule: Within sixty(60)days of your receipt of this Order,you must provide to this agency a copy of a signed contract with a licensed deleader, if any high-risk abatement and containment work, including making leaded paint, putty or plaster intact, is required. If you or.your agent is doing owner/agent low-risk abatement and containment and/or interim control work,you must also provide within sixty(60)days a signed and completed CLPPP form entitled "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Control Work Will Be Completed." The contract must specify,and if you or your agent will be performing low-risk abatement and containment work or interim control work;then you or your agent will attest in the-CLPPP form described above,that the work will be completed according to the following schedule: (a) Violations of the interior of the dwelling unit and interior common areas must be abated or contained for full compliance,or as required for interim control, within ninety(90)days of your receipt of this Order. However,you have a total of one hundred and twenty(120)days from receiving the Order to complete the following activities: (i) any low-risk abatement and containment work you or your agent perform, as long as all dust-generating abatement or containment work, including surface preparation, required to be done by a licensed deleader, has been completed, and any doors removed have been replaced, within ninety(90)days of your receipt of this Order; (ii) application of encapsulants by a licensed Level I1 deleader,as long as all dust-generating abatement or containment work, including surface preparation required to be done by a licensed deleader, has been completed within ninety(90)days of your receipt of this Order; C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OWPLEDEP.DOC 2 u (iii) installation of replacement windows,as long as you can demonstrate that new windows have been ordered within ninety (90)days of your receipt of this Order. (b) Violations on the exterior of the residential premises and exterior common areas must be abated and/or contained for full compliance or as required for interim control, within one hundred and twenty(120)days of your receipt of this Order. Any contract with a deleading contractor must also specify that the unit will meet acceptable lead dust levels, as determined by the results of sampling done by the licensed private lead inspector or risk assessor at the time of the reoccupancy reinspection, if one is necessary. Should any of the dust samples fail to meet acceptable standards,the contractor will be required to reclean the entire unit until all dust samples meet acceptable levels. In interim control cases in which no reoccupancy reinspection is necessary and no deleading contractor involved because no high-risk abatement and containment activities, including making leaded paint, plaster or putty intact, were necessary,then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these cases,dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or interior area in which one or more surfaces does not meet acceptable dust levels must be recleaned by you or your agent in its entirety. You must comply with all of the deadlines stipulated above, and with all applicable sections of 105 CMR 460.000. Compliance with this Order will be determined by this agency's receipt of the appropriate documentation within the specified deadlines. The documentation consists of the following: a) if any high-risk abatement and containment work is necessary, including making lead- painted surfaces intact, a copy of a signed and dated deleading contract with a licensed deleader; b) if you or your agent will be doing low-risk deleading work or such other work as may be required for interim control, such as structural repairs and lead-dust cleaning, a completed and signed copy of the CLPPP form "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Control Work Will be Completed"; c) a Letter of Lead Paint(Re)occupancy(Re)inspection Certification issued by a licensed private lead inspector or risk assessor, in cases in which high-risk abatement and containment work, such as making loose lead paint, plaster or putty intact, is necessary, thus requiring occupants to be relocated from the unit for the duration of the work; d) copies of results of all dust samples taken by the licensed private lead inspector or risk assessor; e) a Letter of Full Deleading Compliance issued by a licensed private lead inspector or a Letter of Interim Control issued by a licensed private risk assessor. In addition, a copy of the deleading notification must be received by this agency at least ten(10)days prior to any commencement of deleading, whether performed by a deleader or you or your agent, and whether in the context of full compliance or interim control. PENALTIES Judicial proceedings will be initiated against you within seven business days of your failure to comply with any of the above deadlines. The law provides penalties of up to $500 for each day of 3 noncompliance. In addition,you may become liable for civil punitive damages equal to three times any actual damages for failure to comply with this Order. C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If within the time periods stipulated above the aforementioned residential property is not brought into full compliance or interim control,this agency may contract with a licensed deleader to correct the violation(s)and obtain a Letter of Full Deleading Compliance or a Letter of Interim Control, and bill the owner,or initiate court action to reimburse itself. RIGHT TO A HEARING You may request a hearing pursuant to 105 CMR 460.900 of the Regulations for Lead Poisoning Prevention and Control, in conjunction with the procedures of 105 CMR 400.200(B),the Sanitary Code provision for hearings in emergency public health matters. As already noted,the aforementioned violation constitutes an emergency. (See"Declaration of Emergency"section.) As such,you may request a hearing only if you have complied with this Order. The hearing will be provided within ten days of your request. This agency shall issue a written decision within seven days after the hearing. nspe or Director _ Massachusetts Department of Public Health Telephone(do C!' Childhood Lead Poisoning Prevention Program (DPH/CLPPP) C:\WP50\LEAD1995\GENERAL\GENERAL.DOC OTCPLEDEP.DOC REV.8/96 4 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 WILLIAM D.O'LEARY SECRETARY (617) 753-8400/800-532-9571 HOWARD K.KOH,MD,MPH COMMISSIONER DATE: y l—y IL--I N/-\SHuA , NH 0 --;;o60 Dear I performed a lead paint determination on the property owned by you at h YA(?M,)A ?oM�> in �N_�T�Q(c� /—l/\ . The determination revealed the presence of lead paint in violation of the Lead Law, Massachusetts General Laws, Chapter 111, Section 197, and the Department of Public Health's (DPH's) Lead Poisoning Prevention and Control Regulations, 105 Code of Massachusetts Regulations 460.000. The Lead Law and DPH Regulations require that residential premises or dwelling units built before 1978 have lead paint violations either abated and contained for full compliance or brought .under interim control when a child under the age of six lives in the residential premises or dwelling unit. A licensed private risk assessor must perform a risk assessment and issue a "Lead Inspection/Risk.Assessment Report" before you can proceed with interim control. A .licensed private lead inspector must perform a lead inspection and issue a "Lead Inspection/Surface Assessment Report" before you can proceed with deleading for full compliance. ' Please contact this office at 9 L4 7 - 1 2-3 4° as soon as possible to discuss your responsibilities in this case, an the material enclosed. The Massachusetts Department of Public Health (DPH)'s Lead Poisoning Prevention and Control Regulations require that you provide to me, within sixty (60) days of your receipt of this letter, a contract with a licensed deleader, signed by both you and the deleader, if any high-risk abatement and containment work, including making leaded paint, putty or plaster intact, is required. Also, if you or your agent is planning to do any low-risk abatement and containment work or other work, such as structural repairs or cleaning of lead dust that may be necessary for interim control, within sixty (60) days of your receipt of this letter you must provide this office with a signed and completed Childhood Lead Poisoning Prevention Program (CLPPP) form entitled, "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines By Which Owner/Agent Low-Risk Work and/or Interim Control Work Will Be Completed." C:IWP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 1 The contract with the licensed deleader must specify, and if you or your agent will be performing low-risk abatement and containment work or other work necessary for interim control, then you or your agent will attest in the CLPPP owner/agent form described above, that the work will be completed by the deadlines described in this paragraph. All violations on the interior and interior common areas must be deleaded for full compliance or brought under interim control within ninety (90) days from your receipt of this letter. However, you have one-hundred and twenty (120) days to complete the following: any low-risk deleading work you or your agent perform, as long as all dust-generating abatement and containment work, including surface preparation, required to be done by a licensed deleader has been completed, and any doors that were removed have been replaced, within ninety (90) days; application of encapsulants by Level II deleaders, as long as all dust-generating abatement or containment work, including surface preparation, has been completed within ninety (90) days; and installation of replacement windows; as long as you can document that new windows have been ordered within ninety (90) days. All exterior violations must be deleaded or brought under interim control within one hundred and twenty (120) days. The contract must also specify that the unit will meet acceptable lead dust levels, determined by the sampling done by.the licensed private lead inspector or licensed private risk assessor at the time of the reoccupancy reinspection, if one is necessary, and that the deleader will be required to reclean the unit if necessary until it meets acceptable standards for dust. In interim.,control cases in which no reoccupancy reinspection is necessary and no deleading contractor was involved because no high-risk abatement and containment activities, including making leaded paint, plaster or putty intact, were necessary, then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these cases, dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or interior area in which one or more surfaces does not meet acceptable dust levels must be recleaned by you or your agent in its entirety. This Department is required by law to file a case against you in court if it has not;received the required documents by the sixty-first (61 st) day; or if the timelines detailed above and in the attached Order to Correct-Violation(s) are not adhered to as documented by a .private lead inspector, or, in interim control cases, a private risk.assessor. In a criminal case, you may be fined by the court up to $500 for each day of non-compliance. Under the law, only deleading contractors licensed by the Department of Labor and Workforce Development (DLWD) may engage in any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact—whether in the context of achieving interim control or full compliance. After completing the required training, you or your agent may perform certain low-risk abatement and containment activities in accordance with 105 CMR 460.175 without a deleader's license—again, whether in the context of achieving interim control or full compliance. These specific low-risk abatement and containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass, and acrylic, to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition, you or your agent may perform any other work that may be necessary for interim control, such as structural repairs, as defined in 105 CMR 460.020, and cleaning of leaded dust, except that the final clean-up required after the completion of high-risk abatement and containment work by a licensed deleader must be performed by a licensed deleader. C:\WPSO\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 2 _4, Before you or your agent may perform low-risk abatement and containment work, you or your agent must read the Childhood Lead Poisoning Prevention Program (CLPPP)'s educational booklet, view the CLPPP encapsulation video, if encapsulation will be performed, and take a self-corrected exam that must be submitted to CLPPP. I have enclosed a copy of the booklet, "Low-Risk Deleading Work by Homeowners and Their Agents." To receive a free copy of the complete owner/agent abatement and containment package, including the encapsulation video, call the CLPPP Central Office at 1-800-532-9571. If you or your agent will be performing other work for interim control, such as structural repairs and cleaning of leaded dust, you or your agent must take safety precautions and perform cleanup in accordance with procedures described in the CLPPP educational booklet "Interim Control of Lead Paint Hazards: A Step-by-Step Guide." I have also enclosed a copy of this booklet. I have also enclosed two brochures explaining the options of encapsulation and interim control. If after reading "Deciding Whether to Encapsulate" you decide you would like to have an assessment for encapsulation performed, you must hire a licensed private lead inspector to perform this assessment. Results of'the assessment shall be recorded on the initial "Lead Inspection/ Surface Assessment form" and a copy should be sent to me. I have enclosed a copy of a list of licensed private lead inspectors. Only those surfaces approved by the licensed inspector will be eligible for encapsulation, no matter who actually applies the encapsulant—a licensed Level II deleader or you or your agent.,If after reading "Interim Control of Lead Paint Hazards: A New Option for Property Owners" you decide you would like to have a risk assessment performed, you must hire a licensed private risk assessor to erform this assessment Y p p . Results of the assessment will be recorded on a "Lead Inspection/Risk Assessment Report form and a copy should be sent to me. I have enclosed a copy of a list of licensed private risk assessors. At least 10 days before any necessary deleading work begins, whether in the context of full compliance or interim control, the deleader must provide written notification to DLWD, all residential occupants, the local board of health and CLPPP. It is your responsibility, as the owner of the premises, to make sure the contractor sends the completed forms to all parties. If you or your agent will be performing low-risk abatement and containment work, you are responsible for providing the written Notification of Deleading to DLWD, the residential occupants, the local board of health and CLPPP, and-for also writing on the form which low-risk abatement and containment activities you or your agent will be performing. All occupants and pets must be relocated from the dwellinIz unit for the entire time that interior deleading work not defined as low-risk performed by the licensed deleader is in progress. Occupants and pets must stay out of the work area while you or your agent perform low-risk abatement and containment work, structural repairs or cleaning of lead dust, but may return after you or your agent have cleaned up following completion of the work. However, occupants and pets must be out of the dwelling unit for the day while you or your agent apply coverings to a surface with peeling, chipping or cracking lead paint or plaster, or during airless spray application of encapsulants, but may return upon completion of the owner's or owner's agent's cleanup and need not be out of the unit overnight. Occupants and pets who have been relocated from the unit over night may not return until the licensed private.lead inspector or licensed private risk assessor approves reoccupancy by conducting an on-site reinspection of the unit, including taking dust samples to assure that lead dust levels meet approved standards. This reinspection will be done at least 25 hours after deleading work is completed: The lead inspector or risk assessor must wait at least one hour after the deleader performs a final clean-up, and the deleader must wait at least 24 hours after the completion of deleading work to perform that final clean-up. Deleaded surfaces } k i C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 are not to be repainted until the lead inspector or risk assessor performs the reinspection All work is to be done in a workmanlike manner, and the property must be returned to a condition that meets the requirements of Chapter II of the State Sanitary Code. If any surfaces, were scraped, they must be feathered, made smooth and repainted. (Repaint only after reinspection.) If any windows and doors were deleaded or replaced, they must have all panes of glass intact and must be weathertight. You are required to provide written notice of the presence of lead paint to all other occupants of the building. "Notice to Tenants of Lead Paint Hazards" is enclosed for that purpose. You are also required to send a copy of the "Lead Inspection/Surface Assessment Report" or the "Lead Inspection/Risk Assessment Report," and any risk assessment reinspection report, to all mortgagees and lienholders of record. Questions regarding the Department of Public Health's Lead Poisoning Prevention and Control Regulations should be addressed to the CLPPP central office, 1-800-532-9571 or (617) 753- 8400), or to me. Questions regarding Department of Labor and Workforce Development's regulations should be addressed to the DLWD central office, (617) 727-1933, or regional offices. Sincerely, J C Ft= N OSSSPf&) -i pec Massachusetts epartment of Public Health Childhood Lead Poisoning Prevention Program DPH/CLPPP C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\COVPLD.DOC REV 12/96 4 404 C'r.,U. I- -9°I crpy dj IPr.Se. 7-W1- (c t o v5� �, t.�c� �m•, � +r2ya��1 c�'FJ �L e.v� p 9 0',e dA— ' L,0 i cIIdfIl A twu UCUIUUItt ImusC.Wltri tipstalls turf pnvate Uatni00111, ana Ilrst HOOT kilOten, r in'ing area,—IN room%iten area and a'itvrng room dtong%ifh a enclosed sun porch at the back of the house, a private driveway, garage and utility shed and select furniture throughout the home(the "Premises")located at 58 Yarmouth Rd, Hyannis, Massachusetts 02601. TERM. The lease term will begin on March 13, 1098 and will tenninate on December 31, LEASE PAYMENTS. Tenant shall pay to Landlord monthly payments of$500.00 per month, payable in advance on the first day of each month, for a total annual lease payment of $6,000.00. Lease payments shall be made to the Landlord at 3 Lewis-S."?, Nashua, New itatnpshire 03060-4150.which may be changed fror)t IIII)e it)time by Sandlord. POSSFSSION. Tenant shall be entitled to possession on the first day of the terns of this Lease, and shall yield possession to Landlord on the last day of the tern of this Tease, unless otherwise agreed by both parties in writing. USE OF PREM iSF—,;/ABSFNC:ES. Tenant shall occupy and use the Premises as a dwelling unit. Tenant shall notify Landlord of any anticipated extended absence from the Premises not later than the first day of the extended absence. PROPERTY INSURANCE. Landlord and Tenant shall each be responsible to maintain appropriate insurance for their repcc►ive inlerests in the Premises and properly located on the Premises. _.......... Z0'd St7:£S 02/60 66, SIfiUG 'd 2Ndf W06A ASSIGNABILI'I'N'/Sl)BLE7"I'ING. Tc-nam may not avofnl or%uhk--nse anv intert—t in the. IL J WIt1 JV Lit LI 14 FJ J%JJ Wl Ill411 4V/lx I11 VI Jrt111V"I V, WILL41J a Jtt 11 Illlt W.- UI t1413.11//IQV'iY LANDLORD: Eugene A Parent r Eugene A Parent TENANT: Scott Borasky "it,Borasky ------ TENANT: Cassandra Day r Cassandra Day — f� I'ttr�� 1nilidc� � C� _.......... Z0'd 9T:bT 02/60 66, S I fida '3 3NUf W06A (� :. ................:.....:::::..:... .............................................................. ........................ <:`•.i ::IYE' ':i?!«titi:@Iz: 327167 f1!.•........ ..:::x.. s:.: •+::5£ r::.:: 27 67 t1f:1!tA:.: :.0000000 ::.:•:�:;:p..� E ..............................:. ...........�`�#� :. ..•:.......,•,,,.......:.�::::......:.......,..:::.:............,:::::::::::::: A «. t.. ;7:•:+'. ♦,,, (ptr�y:?::ti'`: ...vvvv.::::::::ii{;;{::::::::n•vv•vi}•i:;ii;;:ii::isiiiii:::i:i}i;{?i%;{$i}{>.}::i}ii:; .}•.::::.:n::::::;::}:. ::..:::.:{.:}ii}.i':4iv:•isvi::-}i:v:LL:::..;':.::....:....:. :::....::::::•:�......::::::::::n.:n..:.......:;. .... PARENT EUGENE ARTHUR 8 101 « < > 1 PARENT JOHN DANIEL TRS ------------- 00 ........................ i 3 LEWIS ST 00 NASHUA Y:i N H 03060 - - 3? ttlt .:.>. 00 221..000 30191) : ................. E....TEUGENE'ARTHUR'&<}+PAR N 0390??, ::..... .............................. ::: �t#t#>:•>:•> ::•::1F1f�f1 5.. ........ .'>{��>EIS•::>::•>:•::•;:.................. 18000 i»:zh�t'�� it�S;;.:000000040 ••:;;;:::::..:..:.::::::::::::::::::::.....«•.:..:.:.::::...:.::::.:.: 58 ky •.:::::.:i UTH ROAD . 1890 ed Road Nam `'''? # sGRR7C > 0000 Unassi n R d e 0000 9 Y " ..v......................... ... ...............................................................................................................v. ...}t.. svv}.. tl.. ' /r, ��� ►��ws�y �r�� e��,rso,. w c, s ewe �,��A.. ,w, e' '6' � �..a�- �a-e.�-S r.►.� 1�.a.� ���,. /mot� �v�.a.,,,��- �,•.,y� �(2e.dv�c:� �v. S�?T S a,-f/ `NW, kA- GC,„,cd to r IZA 6 Z J UU to �Q o AA kv-v"p- r� sec, W- b,4-1 N1 v- � � f a:ro( f7 0a z Ua,n-o kF-` &AA'" pa,�a s w�� til a7" 99 r � � �� I ,_ E Cp4 Gam'`e1 S ati� �• "t( C. Q.e4 w l a.� f 47) lip Y / , , Island Dance Fever Hula hoops TO THE hit the nation's hips in 1958. MILLENNIUM Produced by Wham-0 Manufac- turing, the plastic rings enjoyed sales of twenty-five million as the young'swiveled their hips . 13 and laughed at their elders, FRIDAY many of whom couldn't keep the hoops above their knees. JANE F. DAVIS Attorney at Law 9 July 15, 1999 J U L 1 6 1999 Glenn Harrington Barnstable Board of Health MWOF Town of Barnstable 367 Main Street Hyannis MA 02601 E RE: GENE PARENT, OWNER/TRUSTEE/58 YARMOUTH ROAD, HYANNIS MA Dear Mr. Harrington: As you know, I am representing Gene Parent, Owner/Trustee of 58 Yarmouth Road, Hyannis, Massachusetts. As we discussed, Mr. Parent and I are scheduling repairs and inspections on the property. Until July 12, I was unable to get a response from the tenants to get into the property with work persons. Now however, they have an attorney who has contacted me and will make the property available. I will keep you informed as work progresses. S' cerely, Jane vis D: rlp cc: Gene Parent P.O. Box 1887 • 712 Main Street • .Hyannis,Massachusetts 02601 • (508) 771-4551 • Fax: (508) 790-4050 �tHME r Town of Barnstable do Department of Health, Safety, and Environmental Services # IAHNSPABL& 9� 1639. ,0� Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health June 29, 1999 Cassandra Day Scot Borasky 58 Yarmouth Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE, ARTICLE 51 The property occupied by you located at 58 Yarmouth Road, Hyannis, was inspected on June 28, 1999 by Glen Harrington, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II,Minimum Standards of Fitness for Human Habitation were observed: 410.550(A): Fruit flies and ants were observed in kitchen. Occupant responsible for extermination. 410.602(B): Conditions observed (floors contained excessive debris, clothes on floor, fruit flies, ants, human feces on floor) that indicate poor sanitary maintenance. These conditions are considered causes of illness. You are directed to correct these violations of within twenty-four (24) hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDE F THE BOARD OF HEALTH T as A. McKean Director of Public Health day/wp/q/Is The Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 MMl Office 508-790-6265 Thomas A. McKean FAX 501-17pt3344 J v � °I !y Director of Public Health C a S5 D o� amok1 C-C) 6Cv-a.s ccy ` T `/a v-w� a..w� 2r� C,,, � vk i� , •M A ©2(6 0 1 NO ICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 6 Ge-V(,red— The property of by you located at inspected on Z S) 1 `j by (,.(�� f/a ry i�,govr, 2 •S Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 10S'C-1A2 q�c�. C?�( S t✓t P d� c.� ,r�G U�_ .. (V✓ D � Z -N KY1 ZN...� d fl/Q C.. `� l GO IDS J (.�(/.I.'h0 j fA^ T4 � V• t/a --Cei 100.r A0,t az--t to��,v�Gam® l Lw. Wu A..-. !--N 1,'"/ C Ac v J-*f You are directed to correct these violations within twenty- four (24) hours of receipt of this notice. Y re al di ed t rr wi h'n d s s o rec i of t ti You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Fr {t t, i r, 7�ue,� 1 sA Lu,4� s v` db eaA/ - 0- re-Jal-.4�40-r� �„ C Id, / &- Z7 S P C La- •,I- SL'® q �l r `` 4" S;�.o� 1�/r'. �dfe- S or.c`� �� 4a �J { �r i$ Gw, r e_: le-,.-I�1 I. i lip � I liC ,I t e .� r y �'� ' + r � W 1, { � T 1 q.� r .. .. ' � , i ,� , 2` ' w � I �♦ _ fM , � � , ` .. .x r ' i � � 2 ? i � ,r ;�.- r�f� M i�'' r r �� � � �' i . r c ., d, z � ' . � S .- � a ' �,. •r� } • Y,, .. � ' . � � r� i .A ' ' . _ - �_t — _ ,� JANE F. DAVIS Attorney at Law July 1, 1999 Glen Harrington Board of Health Town of Barnstable 367 Main Street Hyannis MA 02601 RE: GENE PARENT, OWNER/TRUSTEE/58 YARMOUTH ROAD, HYANNIS MA Dear Mr. Crossen: , This is to confirm my telephone conversation with you. I am representing Gene Parent, Owner/Trustee of 58 Yarmouth Road, Hyannis, Massachusetts. As we discussed, Mr. Parent is making every attempt to get entry to the premises to do any repairs he needs to do. On June 28, 1999, I myself hand delivered a written request to enter the property to do repairs to Cassandra Day, one of the tenants. She stated that she could not give me any dates but would call me to schedule. To date she has not done so. I will keep trying to gain entry and keep you informed. S' Wy,J JFD:rlp cc: Gene Parent P.O. Box 1887 • 712 Main Street • .Hyannis,Massachusetts 02601 • (508) 771-4551 • Fax: (508) 790-4050 FORM3o HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH CITYITOWN DEPARTMENT 17cam.,'S'�- a,�,r ✓�dr� ,cG,M SVey`,� ADDRESS E TELEPHONE Address S7 yair 44 ciy 0) Aq1'� Occupant C l�cam, ¢ �,. /�01'&rk "y floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories I�a �� Imp avn Name and address of owner ' Remarks Reg. Vlo. YARD Out Bld s.: Fences: Garbage and Rubbish } Containers:Drainage -. Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters,Drains: Walls: ' Foundation: • Chimney: i> BASEMENT Gen.Sanitation: t.t^B S. i, ,a, ;-,,Vn Dampness: c-%1aLan Stairs: b16i S f Lighting: STRUCTURE INT. - Hall,Stairway: _. Obst'n.: Hall,Floor,Wall,Ceiling: Hall Lighting: ` Hall Windows: HEATING Chimneys: . Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: - ' PLUMBING: -Suppl 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 Wirinb : ' 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 t k Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other:,Q/q Egress Dual and Obst'n:. w- - a ReAw General Building Posted Locks on Doors: 4 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 PENALTI O PERJU " INSPECTOR TITLE DATE '�� 7/l/ I • TIME ` • ,' _ - A.M. - THE NEXT SCHEDULED REINSPECTION p,M, 410.750:: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist-in-residential premises, shall be deemed conditions which may endanger or impair the heaith, or safety- and well-being of a person or persons occupying the premises. This listing is composed of• these items which are deemed to alwaysahave the potential to endanger or materially impair the health or safety, and well-being of the - otcupants or the public. Because'Chapter II, 105 CMR 410.000 through 410.499 -state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot.be included in this •listing. ..'Failure to include shall in'no way be construed as.a determination that other violations may not -be found to fall within this category. Nor shall failure ' -to include affect .the duty of the local health official to order repair or correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it affect the legal obligation of the person to whom`the order is• , issued to comply with such order. { (A) Failure to provide a'-supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs .of the occupant in accordance with 105. CMR 410.180 and '410.190 for a period of 24 hours or longer. (B) Failure to•provide heat as required by 105 CMR-410.201 or improper venting or use of a space heater or water heater as prohibited,by 105 CMR 410.200(B) and 410.202. (C) -Shut-off and/or failure to restore electricity,or gas. (D). . Failure to supply the electrical facilities required by 105 CMR 410.250(B); 410.251(A),:410.253(A), 410.253(B) and the lighting in common area required 'by- 105 CMR 410.254. t _ _ R) - Failure to provide a safe supply of water: (F), Failure to provide a toilet and maintain a sewage system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. °(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by an object, including garbage or trash, Which prevents egress in case of an emergency 105 CMR 410.450 and ,410.451. (H) -Failure to-comply with the security requirements of 105 CMR 410.480(D). (I). Failure to comply with any provisions of 105 CMR 410.600 through 410.602 - 'v'hich.results in any accumulation of garbage, rubbish, filth or other causes • , `cf-sickneas which may provide a food source or•harborage for rodents, insects ,ror 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. os anyone else to fire, burns, shock, accident or other dangers or ' *4Othent to health -or dafety. .(t;) Failure to install electrical, plumbing, heating and gas-burningR facilities in accordance with accepted -plumbing; heating, gas-fitting and electrical wiring standards or failure to'maintain such facilities as ate required by 105 CMR 410.351 and 410.352 so as to expose the occupant or An else- to fire, burns, shock, accident or other danger or impairment to:health or safety. - (M) • Any of the following conditions which remain uncorrected for a period of five 'or-m-ore days following the notice to or knowledge of the owner of said"condition or conditions: lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack-of a.'stove and oven . or any defect that renders either operable. (2) failure to provide a washbasin and a showei or bathtub as required -in-105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which `renders them inoperable. (3). any defect in the electrical, plumbing, or heating system which makes such.system or any part thereof in violation of generally accepted plumbing heating,. gae-fitting, or- electrical wiring standards that do not, create• an immediate hazard. ,(r)_ -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 1m"*r the health or safety and well-being of an occupant upon the failure o_f the owner to remedy said condition within the time so ordered byjthe board of health. FORM30 HOBBSA WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN o DEPARTMENT ` r�"(/✓ d 7• �o)C S 3 N 3� a S ADDRESS 6, 2— 7 6— y TELEPHONE Address g /A�Ai �!�(fi`�'�' /` 4-"ft� Occupant 3G�c� � �r Floor Apartment No. No.of Occupants Nei-of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories )f�0 W- urn Sp P f Uvi -Narne and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls% Foundation: Chimney: p y BASEMENT Gen.Sanitation: CAIQ II S.t Dam ness: 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:X/v , i' Egress Dual and Obst'n: Uv a[G - r 47,Ct aAw 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 PENALTI F PERJU Q INSPECTO c f •L' TITLE C A.M. DATE! 9 g TIME f ( 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 these items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination that other violations may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required •by 105 GMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shut-off and/or failure to restore electricity or gas. (D). Failure to supply the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253(A), 410.253(B) and the lighting in common area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, Passageway or common area caused by an object, including garbage or trash, Which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (11) 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 410.6.02 -..'Rich.results in any accumulation of garbage, rubbish, filth or other causes 'of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of lead-based paint on a dwelling or dwelling unit in :.violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. =(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or ids roant to health -or dafety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilities as are required by 105 CMR 4i0.351 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. (H) Any of the following conditions which remain uncorrected for a period of five or more days following- the notice to or knowledge of the owner of said condition or conditions: (1). . lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack 'of a, stove and oven or any defect that renders either operable. (2) failure to provide a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which renders them inoperable. (3) any defect in the electrical, plumbing, or heating system which makes such system or any part thereof in violation of generally accepted plumbing heating,• gae-fitting, or electrical wiring standards that do not create an immediate hazard. .W_ 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 05 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 IsWr 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. FORM 30 Cx W HORBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4/P,,31 7 CITY/,TOWN W ! I DEPARTMENT ADDRESS Svey. TELEPHONE Address r_ 04dt/L V — Occupant Ccy5sa'°`dect bay' ,F_�Ga-t &O4 44*y Floor �' Apartment o. No.of Occupants_dl� No. of Habitable Rooms _No.Sleeping Rooms j_ tIC)i 6 No. dwelling or rooming units._No.Stories Z- X. 36 Name and address of owner P 3 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: S jsw PC Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: ; `Zo,,y2 f y� Roof Gutters, Drains: I V1 V -y,, e3;.z Walls: On 410OW-Vidieci , Sid b ✓o Foundation: gaa;i 0 Chimney: BASEMENT Gen.Sanitation: Dampness: A.-o<- Stairs: is'0 kv, -t Ov Li htin : A.f640_4 aid , STRUCTURE INT. Hall,Stairway: ' i v. W a� ,S t"iX e ftin ¢.� (eak Obst'n.: Hall, Floor,Wall,Ceiling: yy►'Jt.rt kr.-- vti E'C"-- m-) Hall Li g htin : V-.4 LA4tj Ua 0- C fO CAA dl W Hall Windows: fo 'cJ L[ C_,'// Y'P••ivIV HEATING Chimneys: O f.., _ !v Ct�'dk&g Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: ` v1 ctt - Fr,-ejfo.4 ree W PLUMBING: Supply Line: O'L-u ❑ MS ❑ ST ❑ P Waste Line: —e 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 ZYA'(- Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: .: IRLdj t64 0 -To� Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink a/ Stove e t ! Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: CLA,%.45 4- o ie 13V 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 ERJURY INSPECTO - T TITLE A.M. DATE J ) 6 TIME ` 3 _ A.M. THE NEXT SCHEDULED REINSPECTION P.M. I 7. f rc . i'v` *#CF�L.,, „ " -. 'y two .+"r' 7'f '!+/. °,Y{"r'! •'"r4rvs.�C,* �,:�f� `..��,Fr:K' +""V 4^+:�1r {,1,7'?gty:,p:°. �i+r < i. 61 410.750: 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 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. O (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. FORM 30 CW�,-Hoeasa WnaaeN M THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTHIPz�I�d7 it XV.-_ _ CITY/TOW N DEPARTMENT w,3 6`7 4,fa ,- S�► � -- ADDRES XZ - y6gq G,M 5•y r TELEPHONE Address _ OccupantC&Jjakdra bq f �O"f ITor�SjC�' Floor Apartment o. No.of Occupants y N&.-af Habitable Rooms No.Sleeping Rooms 7zlv No. dwelling or rooming units _Now.itoricd����-aJ if �.� /i K 3O -Name and address of owner • fil Remarks Reg. Vio: { YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: a1 S 0 Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: V4 j// Zkct F/ & SL/ K Roof Gutters, Drains: j 1 u7 v `oti. Walls: C42:'-9 0`^ Lvwd Sidl;P4 9 ij "Pe Foundation: g( i O Chimney: BASEMENT Gen.Sanitation: . Dampness: :�t o Stairs: .-O w..- 1 w � k Li htin : AJIVS S STRUCTURE INT. Hall,Stairwa : p�r:: fA.�(�� '(its w►TSih ~•• Gva 4-a(� 3� Obst'n.: Hall, Floor,Wall,Ceilin Fy'S¢M i fk;4�- G G qV Gy (40W P< Hall Lighting: w-4 f fA4j ko G- C+ Cureto rinn47. Al W 00 Hall Windows: fo aj UAOK - ��.// fe- HEATING Chimneys: L. iP ' t+-► I` -- Z +C{�,' Ott i Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: v PLUMBING: Su I Line: O'Lc ❑ 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 Z Pantry Den —Living Room Bedroom 1 1M Bedroom 2 'Z Bedroom 3 Bedroom 4 Hot Water Facil. Sup. en.,Gas, Oil, Elect.: u/ Rtd) / O—/JTV Q Stacks, Flues,Vents,Safeties: j Kitchen Facilities Sink t✓ jf Stove f—I ec. ✓ .>.r' Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: j Infestation Rats, Mice, Roaches or Other: a`.vx q31 4- Egress Dual and Obst'n.- General Building Posted Locks on Doors: ' ONE OR MORE OF THE VIOLATIONS CHECKED A.B'QVE IS A CONDITION WHICH ' MAY MATERIALLY IMPAIR THE HEALTH' RI AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 440.750 OF THE .CODE OR THE ` AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY ' / 1 INSPECTOR /� TITLE rr /� A.M. DATE U/ Z TIME 6' 3 ' A.M. ffTHE NEXT.SCHEDULED REINSPECTION P.M. Y ti 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 b 105 CMR 410.201 or improper ventin or use of a space heater or water heater as ( ) P q Y9 P prohibited by 105 CMR 410.200(B)and 410.202. Shutoff and/or failure to restore electricity (C) S y 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. violation f 1 MR 41 not enumeratedin 1 MR 41(P) Any other0 05 C 0 000 05 C 0.750(A)through (0)shall be deemed to be con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. I •.`• '..>''` 2 ''•.". « # ....�`'t5 �'?"� s.#%'••.`•: ��`���'``?'''''#`%:#''•<s :E'•'•?....... ............. %: '•'•?% o'• `% %•.`•3`•`: ::`z ?»,..... '.;•`.•`.2•`.;•`.,>.;;+?;`•`•???•`••`•'• 2:`? <'<''%% .....s}s { >',>sr>..,'ti''»r,>,'::: . ........... ........ 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"iiMill aF THE r� Town of Barnstable iaxtrsr.�sra, Department of Health, Safety, and Environmental Services '0a Public Health Division 367 Main Street, Hyannis NIA 02601 FAX Date: (umber of pages to Follow- z To: From: Phone: `�( — p Z 3 Phone: 503-790-6265 Fax phone: Fax ohone: 503-7 90-6 301- cc: REIyLARKS: [ UrSent or your,,-eview C Repty ASAP [ °terse comment /,,O { oFTHE71 Town of Barnstable SLUE:-- Department of Health, Safety, and Environmental Seriicas Public Health Division 367 Main Street, Hyannis MA 02601 FAX Date: Number of pages to follow: To: From: 4 ii - ©cams (sue r.,. ( n g t om, Q-S, Phone: -7-7 1 Phone: 503-790-6265 Fax phone: ��� �O j 0 FaYphone: 503-790-6301- CC: REIyLkRM: [ Urgent For your,2-iiew C Reply ASAP [ P!ease comment �r 'A 'm THE COMMONWEALTH OF MASSACHUSETTS A Y FORM 30 II&� HOBBS 8 WARREN , BOARD OF HEALTH CITY/TOW N DEPARTMENT ` ADDRESS \��/ 'GSM _�(� 2 - TELEPHONE Address_ Occupant�fJSa'"t Lb SG Floor '� Apartment jyo._ No.of Occupants y __ . V No. of Habitable Rooms- No.Sleeping Rooms-2-- No. dwelling or rooming units / No.Stories -7- / x 36 as— Name and address of owner_E PO-rf-" Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: S 3 /'i Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: ,b K Roof Gutters, Drains: rV1 Iqj D,,,j V -p— nny Walls: c— Qvvd vi is Foundation: 0 Chimney: BASEMENT Gen.Sanitation: Dampness: A,,-0�- Stairs: Li htin STRUCTURE INT. Hall,Stairway: i v.: CRl �� _s lh i"SIia,. Obst'n.: Hall, Floor,Wall,Ceiling: JaM i f e .- &ti Y ,W cry Hall Lighting: k-� -(-L44tj l e w C(Rc,,aa7�-,IVft>C W Z Hall Windows: " wt=,u - G, /f Ile-4-(V/k � HEATING Chimneys: Rt Q-- O �.., _(v 7_ 011,/ cel Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: is Rct(1.i _ - Fife-004 kg ') PLUMBING: Supply Line: OI-C4 ❑ MS ❑ ST ❑ P Waste Line: Q 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 7ZvL f Pantry Den Living Room Bedroom 1 Bedroom 2 Z., Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink L.--- Stove ce- Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: -�� j F ,Y �'Si7 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 ERJURY INSPECTO j/i ' / TITLE A.M. DATE TIME t/ A.M. THE NEXT SCHEDULED REINSPECTION P.M.