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HomeMy WebLinkAbout0250 LITTLE RIVER ROAD - Health 250 Little River Road K" Cotut - - — -- A 054—006 -006 I i i "- Ti�l r V)v r1l) W\- 0r El rr!1TR5tr ------------ VV 1 \V c� r V :f U �l 1 '\v Lj 9 V - V J112 c - 21 �f._t... - t t ,,II TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION ,{. '' // A Cft _ _ 0- Date (o - a`t�- I O �l}tj Time: to c S S Out - Owner nlc-� 9 k,*& FPr-V-�A Tenant c timy��✓ iZ - ?2-`-3 2i �z�w Address l a , (ZoG e-io Address o a3-3 Carty ' Irk . Q 9L S-5- -i 0. Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply �� 06 !1 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal7,1 3 17.Temporary Housing 18. Driveway Width 36e'S f T 2- 19. Number of Tenants Observed A PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of V cles ed m Number of Persons Allowed (max) 5 Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here i OOVJJay U-Nle �Ivey � w/ I�-Kv�Lisa l��cVSd� i n, - IL - I'A]\1' & tTAROWARE MARSTON! tt[I_ S MARKET PLACE F.T 28 MAR`.TON`: M[LLS.MA , 02648 Ln m Oft^ FURS MGR. - t~ i Merchant x: ;4;-'j;'93019Q �i96484Z057 M i r, Jeremy W to Normal sale N i029054000699 CO OTEECTOR k)"TF..R" 3t .99 1x y SUBTOTAL 31 99 TAX 1159 5% 1 .60 TOTAL 33 59 VISA 0711 33.59 077420 S U J _j HrNI,:; I.OR SHOPPING w 1,11T14 AUBUCHON fu SNORE HOURS: L MON - THI ' 'i AT 7:30 AM - 6:001"M c i FRIDP' 7,30 AN - 7:00 PM SUNDW 8:00 A H� 5:00 PM 1 o i. 0)5900101080080408 0159 001 1 1) 1:?131) O8;04/08 l2:5?:[' Q rc r Aug GS 2008 G: 5ORM Tenebr-ae LLC 781 -934-7951 P. 1 i � I=tli�;n930 : K Hoses a WARREN'M THE COM MONWEALT9-90F MRaSSACHU SETTS BOAR® OF HEALTH. H CiTyrrowrd DEP RTMENlT a- r7' TELripHo E Occupant_-Fir Apartment No. No. of Occupants N of Habitable'Rooms No.Sleeping Rooms N z,. dwelling or rooming units No.Storie� N .-!e and address of owner 1 4c, y`- 4 f Remavks Reg. '40iia, a�c°t1111Ei ---- Out Bld s.: Fences:. Garbage and Rubbish Containers: Drainage ---_ Infestation Rats or other: TF .CICTUSIE EXT. Steps.Stairs, Porches: Dual Egress.and Obst'n.: . h Cl Its Of F El M Doors,Windows:.-� Roof Gutters Drains: - Walls: --- Foundation: --- Chimney: -- - e ,!fEI1�fEt1 Gen. Sanitation: " Dampness: Stairs: -- _ Lighting: - _ST1iAICT!UI1dE]WT. Hall,Stairwa" . - Obst'n.: Hull,"Floor,Wall Ceiling: Hall Lighting: -- _ Hall Windows: . IIe'l:�'lii3�"c Chimneys: - Cuus+�s'_7 C .`T ❑.Ed Equip. Re it __- 7�Q'VE. Stacks, Flues,Vents: -- Iafwl!!tw!lSUD�6�uc Supply Line: - - RAIS ❑ BT. 1::3 P Waste Line: _ H.W.Tanks Safety and Vent(s) -- ELLi''W'C'°irR9CA L Panels, Metes,Cir.: -� 0 {'i1:d 0 220 Fusing, Grrid - a�tE9t" Geri. Cond. Distrib. Box: --- Gen. Basement Wiring: DWELLING UNIT -- Ventil. L to Outlets Walls Cells, Wind. Doors Floors Locks . -— p el n t iv7. �- — Daxo SbtSQP8.6'itS 9 ) -Iqzi t 1'-a,"M,F Fa c81. Sup.Ten.,Gas,Oil,Elect.: _- �_ Stacks,Flues,Vents,Safeties: - luit-j .-ent Facilities Sink — - -»------ Stove --- 0--V,-•zdrvr},Tolla'a Eazoli, Vent-,"Plumb.,Sanit'n.: __-- _ _ Wash Basin Shower or Tub` - Iv fi",:�t-iili64 -r Rats, Mica;, Roaches or Other: --- - foraa:?sue Dual and Obst'n: -- i? Eva,ral Building Posted Locks on Doors: --- ONE OR.KAORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY VATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS .DETERMINED BY 105CMR. 410.750 OF THE CODE OR THE AUTHORIZED INSPECT e Over) "TI�IIS INSPECTION R RT 8S SIGNED AND CERTIFIED UNDER THE PAINS AND la]*PECTC0 TITLE DA`1m- � ��� � En IME TH']E NEXT SCHEDULED REINSPECT@CN �I � P.M. FORM 30 C&w HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS •r BOARD OF HE A TH CITY/TOWN W DEPARTMENT r a G,1M SV 9 y`0w AD RESS TELEPHONE Address (va Occupant_. Floor Apartment No. No.of Occupants No.of Habitable Rooms 10 No.Sleeping Rooms No.dwelling or rooming units No.Storie Name and address of owner 1011 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.: A ❑ B ❑ F ❑ M Doors,Windows: IUD Roof Gutters, Drains: Walls: Foundation: Chimney BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECT .( e Over) "THIS INSPECTION R PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES l� Y. INSPECTOR TITLE DATE ` TIME ® o P A.M. THE NEXT SCHEDULED REINSPECTION 7 P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or material) impair the health or safety, and well-being of the Y P 9 Y P r II 1 MR 410.10 through 410.620 state minimum requirements of fitness for occupants or the public. Because Chapter 05 C 0 g q 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 (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410,353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. NAME OFOEF�END�1' r✓ t/ 1l-tt-1, so.nJ BAR 79978. TOWN OF ADDRESS OFF0/FFENDER, 4tl$�� ,/ 4 BARNSTABLE CITYI�ATf+E�,DP CODS,v if�1 /� r 7,J`. �1NE I - - MV/MB REGISTRATION NUMBER OFFE E`A,. 40 1`•a ?4",r R e F V im. (elf O 'e II, t P,'„�L..•. W �1ASfi. _ t039 < .. FDN1" TO is��f � � �, � r �, �� �vt rho TIME AND DATE OF VIOL ATIO V 4 C, LO OF VIO ATION r NOTICE OF 0 (� / P.MJ arcON .1J �I+tI w.+ P CcJ U!'Fr SIGNATUR�,F F.ENFORCING PERS N ENF RING � BADGE N0. LU VIOLATION r t�, . q OF TOWN I HEPrEBY ACKNOWLEDGE RECEIPT OF CITA X a ORDINANCE 1711111nahle to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS a Date mailed Lu OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER:EITHER OPTION(t)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD: . REGULATION 1 You ma elect to a the above fine,either b appearing in LL O y pay y pp g person between 8:30 A.M.end 4:00 P.M.,Monday through FMdey,.legel holidays exceppted, y� before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02830,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3),If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first,option above;confess to the offense charged,and enclose payment in the amount of$ Il Signature y'f 1 SENDER:p�COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete '"` A. Item 4 if Restricted Delivery is desired. ❑Agent e Print your name and address on the reverse XL-1�0 Addressee u so that we'can return the card to you. B. Received by(Printed Name) C. Date f Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from i< 1 Yes If YES,enter delivery address bel ❑No v 3. Se ce Type EMertifted Mail ❑Evf6ss Mail d;L 3 3 2- O Registered etum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra=Fee) ❑Yes 2..Article Number ;. i��- 0 0 6 =215 0 D 0;0 2 . 10 4-.2 0 2°7 9` 'IO sentt.Y. f. e,, PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M•1540 UNITED STATEr�S� tyyVRE3._ .. �^ ,+ ;R,"�irsC1 Mail.. f�osf it'Oaid I J"--19 30L. „�w«sue �per"it, o ;4_ , • Sender: Please print your name, address, and thls'bo'CD r° 1 dM Town of Barnstable "�Jk ( q Public Health Division - pig 200 Main Street �? � �# ono„,.••°. � I Hyannis,MA 02601 C:) C Mn I II I I !-f.F:» 1t�iFIiFlFfti�i}F�11lF.3}�i1�13.1�1Fs'Illt}4i}It3�{!}!I�'YlFI�t1!'! i i Health Master Detail Page 1 of 1 ._Jgw`ed a„ iks r•.s'WN\oi r''C3t2:^..{;. Health Master &....ae 1,.:'i5 Ao c----cn Ccn er Parcel ookai? Parcel sepflc Perc We M a,qt Tank i } Parcel: 0 4-006-0 Location: 250 LITTLE RIVER ROAD, C TU T° Owner: PA'A fIN ON$ PETER. M &LISA I Business name: _ Business phone: .tt Rental property: _ Deed restricted: # Number of bedrooms : 0' Contaminant released: F Fuel storage tank permit: 17 Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 054-006-006 Developer lot: l...OT 10 Location:250 LITTLE RIVER ROAD Primary frontage: 150 Secondary road: Secondary frontage: Village:COTUI_t. Fire district:C0.€..U17 Sewer acct: Road index:090 Asbuilt Septic Scan: 054006006 1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Infra Owner: PA F I INSON P T ERA fvl & LISA W Co-Owner: Streetl: 121 ROCKERS lr A-Y Y Street2: City: DUXBURY s ` State: MA Zip: 02332 Cc Deed date: 5/13/2005 Deed reference: 19822/333 Land Info Acres: 1,39 Use: Single Farn M DL-01 Zoning:RF Neighborhood: 0 Topography:Above Street Road: Paved Utilities:Public Watt�r,Gras,Septic Location: Construction Info E€.€€1r3 €€gri::'s�:-.�i�.c- � ,a 1 1993 1837 3 Bedrooms2 Full + 2H Buildings value:$228,100.00 Extra features: $9,800.00 Land value: $408,300.00 c — '" o� Ind http://issgl/Intranet/healthMaster/HealthMasterDetail.aspx?ID=054006006 7/7/2008 Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 1 of 4 s KINLIN G RSV E R GMAC Home Property List Property Owners Cape Cod Links Homes for Sale w MI E,.tatc Vacation Rentals Property Search Office Locations Policies About Contact eNews Properties Property Details TPATT 250 Little River Road, Barnstable - Cotuit 1st floor: Front door entry to foyer. Dining room on right of entry. Stairs to second floor on the left of the entry. Ahead of entry is a large living room with a couch, chaise and +m M1 chair. This room is comfortable and bright room has immediate access to the deck surrounded by wonderful landscaped gardens. Great kitchen with breakfast area overlooking the garden has the entrance to a screened in porch. Master bedroom and bath off of the main living area. 2nd floor: Two large bedrooms with large walk-in closets and a full bath. Lower level: Large family/media room, office and adjoining half bath.Access to utility room and garage. Walk out entrance to parking and garage. This property also has a barn and stall with paddock and is accessible to great riding trails. GUESTS BEDS BEDROOMS BATHS RATES 1 Queen Bed(s)6 3 2 $2,500.00 2 Single/Twin Bed(s) send inquiry .> Calendar July, 2008 7 Reserve Online Now July 2008 August 2008 Reserving online is fast, easy, and S M T W T F S S M T W T F S secure. The calendar on the left shows 29 30 1 2 3 4 5 the days that this property is currently 1 29 30 31 1 2 6 7 8 9 10 11 12 3 4 5 6 7 8 9 available as blue on white, and days that are not available as gray. To 13 141 15 16 17 181 19 10 11 12 1 13 14 15 16 make a reservation for this property 20 21 22 23 24 25 26 17 18 19 20 21 22 23 now, select an available arrival date for 27 28 29 30 31 1 2 24 25 26 27 28 29 30 the first night of your stay by clicking 4 5 6 7 g g 31 1 2 3 4 5 6 on the calendar on the left. PLEASE NOTE: All properties are available Saturday to Saturday with a 7 night minimum unless otherwised noted. First Night Last Night http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=22960 7/7/2008 � _ J i s tom' � r} ,mow y, AAAl 1-6,616 L, Few �. • • •1121•• • - • •• • ••- ••1 11: Cape Cod Vacation Rentals — Kinlin Grover GMAC - Property Page Page 3 of 4 .f (click picture to enlarge) (click picture to enlarge) w� (click picture to enlarge) Amenities Business Entertainment Outdoor Convenience • High Speed Internet • CD Player • Outdoor Furniture • Sheets&Towels Service • Radio • Beach Chairs • Linens Provided • Wireless Internet Hook • Stereo • Deck • Cleaning Supplies Up • Color TV • Garage • Iron (Clothing) • INTERNET ACCESS • Cable Channels • Beach Toys • Iron Board Living • Ping Pong • Games • Central Vacuum • Heat Kitchen • Screened-In Porch • Pet Friendly-May • • Fireplace • Dish Washer 3 season porch Consider • ceiling fans . Microwave • standard stairs • Toaster • washer and dryer • Blender COPYRIGHT 2004 GMFC HOME SERVICES LE_—, .. F F� .. n,= -,T_5 HL H7U_I t4 FF OF TU 1l ITS Information Policy Site Usage Agreement © 1999-2007 Escapia, Inc. http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=22960 7/7/2008 I f �y Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 4 of 4 Kinlin Grover GMAC Vacation Rentals is powered by Escapia Vacation Rental Software I ClearStay Vacation Rentals 13 Barnstable Vacation Rentals I Centerville Vacation Rentals I Cotuit Vacation Rentals I Cummaquid Vacation Rentals Hyannis Vacation Rentals I Hyannisport Vacation Rentals I Marstons Mills Vacation Rentals I Osterville Vacation Rentals I Cataumet Vacation Rentals I Grey Gables Monument Beach Vacation Rentals I Pocasset Vacation Rentals I Brewster Vacation Rentals Ocean Edge Resort Vacation Rentals I Chatham Vacation Rentals I Dennis Vacation Rentals I Eastham Vacation Rentals Falmouth Vacation Rentals I E. Falmouth Vacation Rentals Falmouth Hts Vacation Rentals I N. Falmouth Vacation Rentals Teaticket Vacation Rentals I W. Falmouth Vacation Rentals I Woods Hole Vacation Rentals I Harwich Vacation Rentals I The Belmont Vacation Rentals I Mashpee Vacation Rentals I New Seabury Vacation Rentals I Popponesset Vacation Rentals I S. Mashpee Vacation Rentals I Orleans Vacation Rentals I Provincetown Vacation Rentals I Sandwich Vacation Rentals I Wellfleet Vacation Rentals I Yarmouth Vacation Rentals I Truro Vacation Rentals Disclaimer: All information deemed reliable but not guaranteed.All properties are subject to prior sale or rental,change or withdrawal. Listing broker(s)and information provider(s)shall not be responsible for any typographical errors, misinformation, or misprints and shall be held totally harmless. http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=22960 7/7/2008 • Town of Barnstable of Regulatory Services THE T �P� o Thomas F. Geiler, Director -= " Public Health Division BARNSTABLE, v MASS. ., g Thomas McKean, Director $ 1639. �� 2t7EiE ArF �.i s 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 7, 2008 Peter M. Pattinson 121 Rogers Way Duxbury, MA 02332 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 250 Little River Road, Cotuit. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, 'please feel free to call 508-862-4644. Thank you in advance for your/cooper ion. Timothy B. O'Connell Health Inspector Health Division Direct#508-862-4646 IL -TOWN OF BARNSTABLE . LOCATION Lotlo Ci I`flr � ✓cr- SEWA.G2 # r , s r � •"'1"a% VILLAGE �� v, f ASSESSir,?R'S�M A'h & LOT; ,3A 07, INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY f� JoP Q�/3srr w y . LEACHING FACILITY:(type) 171:,R y_ A f {size) / o.y NO. OF BEDROOM'S j PRIVATEOR,PUB LIC WATER c., BUILDER OR OWNER o %p s DATE PERMIT ISSUED: DATE COMPLIANCE:ISSUED: VARIANCE GRANTED: .Ye-S., _ No . ;� •vim �� 41 ` Z O . r 145 h No........................ � ZAPPROVED TH BOAR®AO FS"I ALTusM Qarnstabla Consorvotic8 �. .9�d O F...... ..t 4�1.�a L � .. Y:k � �r Appliration for Dispviial Works Tnnitrnrtinn rrmit 4' Application is hereby made for a Permit to Construct (V�/Or Repair ( ) an Individual Sewage Disposal com.....(1 (07 ......&0.......6 .......................................... .................. ocation- ddress or Lot No. ow Address a � ,,�� ® �y - d Typ Dwellinof g—No. f Bedrooms........... ...........................Ex Expansion Attic Si erLot___�'��=1....fi _.. j--feet V g p ( ) Garbage Grinder ( ) '4 Other—Type T e of Building No. of ersons---------------------------- Showers — Cafeteria a YP g P ( ) ( ) 04 Other fixtures -------------------------------- . WDesign Flow.................. ...---./...........gallons per person per day. Total daily flow.................9.30............. WSeptic Tank—Liquid capacityl_V&O_gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------/........ iameter----..--.1 ----- Depth below inlet....... _........ Total leaching area....!?L4l'.6...sq. ft. Z Other Distribution box (n Dosin tank ( ) '~ Percolation Test Results Performed by A)..r ... ...4Y6.1.4C.................... Date........4.71 .-9 L-. aTest Pit No. 1....�:....minutes per inch Depth of Test Pit--------1.0 a--. Depth to ground water..... ... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................---. --------------------------- - ------------------------...... ............................................................... Descriptionof Soil------------------ = ------ *01--- Y� sSOA. ........................................................... -------------------------------------------------------- . UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-------------------•---•--••-----•-----•------------------------------------------------------------------------------------------------------------------------------...............---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environment Co e—The Vied further agrees not to place tie system in operation until a Certificate of Complia a ed b e boa health. Signed ------- ---------- --- ------------ ----------- - ------------------ ---......... ...7- .... - < e Application Approved B E •�-- ........................................ / r� .. PP PP Y ............:"J�2i I?ate Application Disapproved for the following reasons: ......................................�.---.-- ....-- ... ----- . --- -- --------.......---........... ..... ............................................................... .. ....................................... e Permit No. � '- - - Issued ---------- . ":�s.`4 Date /— THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A C L DATA No...............-....... Fim.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .. .QW.1 ...............OF......Z.pV4s7"! .r3..-L Appliration fnr Disposal Works Tnnotrurtion rnmit Application is hereby made for a Permit to Construct (�4 Repair ( ) an Individual Sewage Disposal System at Cyr r cation.-G Address A_ or Lot No. O.G/ �- -1flc.c,� .�._r It .x...................... Ow Address Installer Adddress G h dType of Building 1 Size Lot--- 3 __..k,...Sq. feet Dwelling—No. of Bedrooms___..._---_-�...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QIOther fixtures ...--------•-------------------• . --------- ---•-------- ------------------- ....-•-- W Design Flow..................5.�.................gallons per person per day. Total daily flow____...................3. ............gallons. WSeptic Tank—Liquid"capacity...0 UD_.gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No./.................... Width.........._......... Total Length.................... Total leaching area..........__........sq. ft. Seepage Pit No..........1__ ___.. Diameter---------4V..... Depth below inlet.__...__......... Total leaching area....'Z 6 ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._� �_1�TEQ..__ ___ xE_.�iJe�................. Date....... ,,`�a Test Pit No. 1....Z'-----minutes per inch Depth of Test Pit.................... Depth to ground water---------- ___-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil................... l �1 .......-.- 1..................... m..... •----- �J f3 �{L- ............. -•........... ......•-• -•----.-••-•-......................................................... x -- U --------- W ----•-•---'•------------------------------------------------------ -----�---......_° ��:lv_-r..._.__.....�.'.�-------------------•---...---.....-------•----•--------------- VNature of Repairs or Alterations—Answer when applicable._.............................................................................................. -------------------------------------------•----•-•--•----------------------------------•-------•------------------------------------------------------------------•----------------........--••--•••-'- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc hh bee iss ed by`the boas he ,th. i �' j%`/,�. f Signed l "�.T'<-------_----_---- T� •� � Application Approved BY '-------''.-.-,. . �- -.• . - f --- ............... .........X......................................................................... ................Da[e----------------- Application Disapproved for the following reasons: --- --- ---------------------------------------------------------- ----- --- -- ---- --- - - ------ - ------ ----- -------------------------------- -- -------- ------ ------ ----------------------. .......... ' .. I r Dare �. Permit No. .... .................:`''..'=.'. Issued .........................aY -'F ------------------------------------------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----7o'wtj.... OF � �v s7�� .. ... ----------------- CITerttfirate of C amplialtr.e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( L/) or Repairedby ( ) .................. .......y .... .....'... 1 n staII r e J _ ,. / at -- ................... . �------ . I-A ✓ .---............. ... ..- ..--- .. ..... .. .. ..... . ..... ........ ....f...... + has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described-in the application for Disposal Works Construction Permit No. ...---{ .`-.-_`-. '.- dated -.-..: -..<....'":.f.-.`- _`'' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---------------------- 3..-.D....'../..-g.3................................................ Inspector ............... .7- J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A r. ,, , ...........................................OF..................................................................................... a No..•.. ........_._ FEE. �i �a1 nr ��a�tfruan .eruti# Permission is hereby granted----- ==---=-- ----- : "..........v=--.'...........---.............. •-•-••..................•...... to Construct ( i) or,Repair ( ) an Individual Se �xrage Disposal System , atNo ...... -------,••--'................ ...............'•---•-••................•- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......'.................................. •----•------•-•-r•--•--•.._.....--•- ..................................................... Board of Health DATE................. ... ........ •......•-••-•--•'•---•-•-•-•-•--••-.••---- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -j-I'll' :,-T A T-T ------------- 17i I ------- F7 T 7 L FJ T 71- A I j" TIT i -4 J/. T L T-F-T .T I , -61- ..... .....L T Tr 'OM A25k-L,- J.- T-- :6 QP, V i- i -14 71VA1411FEF�-0 _i L 1 I = i t_ I 1 i-j I-] 7- T: 1-T:--41--'- LE-'E --- --- R- I i 7i l-"AL 4-; z T-: IVAN 17 7.L -T No�-97 -4. �7— '7- -1 1 i L Ll .-17d 4--1-4- '"T 7, 71-E v4- all , t I I[" [MV-1 7 7- :771 T, T,T' -7 W' Q, !7 -7: 1L T WFZ 7.1 j J 7,7T S� T ........... 4-i j. A -1- 4. ..........------ -wit-I "R2 FTTLIT� i Ll 01 ll-rA4 T --.-T - "-- I I - , -+-+-q- L)- T T -F t �?-T 7T- T i L Ee�T�t, 4 - bt 4 ji TABLI45 AP CIA IT 1 71 ,j ELfTr_ 3 .; S{It' ASS aP�.NI s4 �cc. `6=1 ftzr� { F 7.1 �1. I - _ { r / \2► �/ Za i z 4� Al ` ---•���...111 r-s z3 0 � I 3o B F f { IpWTx 3,Z. , t. , r I y�,�� a d • e k ` : e 4 I I 17 \ \r !N , a PETERSUWV , AN }C� \.\ J 2.. RCHARD R VNLammv s.. i 5rA9.s_ 4 - ._.. 0'Si05i1993 i3': 34 -FROM POLCRRO CONST INC TO 17753344 P.01 POLCARO HOMES, INC. P. 0. Box 457 Marsi�ona Mills MA 02648-0004 (508) 888-8797 Facsm �—Cover Sheet To 3 F HEALTH - A7TTNTION: 'JERRY , _-- R,ARI�TSTAfirf IF RC1�1.�.� RD 0 „1. Yl.....r.......,` 1 r..--» .YY. FAX 775-3�44 File, 250 Little River Road, Cotuit, Q��B! Y1����;i/i.� ■ 11■ ■ ■YY�1�1 IWI WIINYiW ,. - . Time: :1:33 p.m. From: y JOE POLCARO TOTAL NO. OF PAGES, TNCLUAxHq THIS .PACs 11 you do not receive ell pages or have any problems with . receiving, please te,lophona or FAX immediately. Thank you. ADDITIONAL INFORMATION OR SPECIAL INSTRUCTIONS: P.0FOM POLCRRO CONST INC 40 /05/1993 13:3S 2 f ATO Mass. Cent. #:MA063 449 Ruutd 130 Sandwich, MA 02563 (508) 888 6460 CLIENT: PA1c:nry construGt•f on Cow . LOCAT1411: T.nt. .IO Little River Rd. ADDRESS: l nnMMas3tiQn V y i COLLECTED$ '. F. Clifford 5-11--�2 71>{,u SAMPLE UATE:` TIh : � ..._...... DATE MCEMM: .5 2 SAMPLE M. _ New Well � EPIi: 50 JOB W __.. RESULTS OF ANALYSIS: Parameter Units RecOIY]Iri�ni184f �13231t RoSait Coiifoxm bacttrial100 ml (MF Method) 0 pH pH units 6. -8.S 5.69 Conductance larrihos/cnY 5t3Q 157 Sodium mg1L 20.0 19.7 Niteate-N mg/L - -I0.4 0.08 'Iron in /I. 0 3 <0145 MxrtganaseringlL :0.45 Hardness mglG as CaCO, S00 Sulfate --— trlgfL 2.54 Potassium mg/L 20.4 Alkalinity mg/L. Ghlorldo mg/L ^ -250 . Turbidity ... --- NmU _ 5.0 Color A11C units fS.Q Background bactori2 COMMENT: .... i Low pH 1odl rates high corrosi vc characteristics, � EPA Mf,-Litod 601/602 VOC +a ug/L Bi0ow Reporting Lim. see attached report yu Q WATER IS SUrTABLE FOR DRINKING PURPOSE'S FOR PARA 7'ERS 'I'MTED. DATE ,5"J3 OROUNVWATE sx ANAL.YTIC'AL and 602 EPA METRObS 60 Velattle organics (GC/P1D/ELCD) Lab ID: os4 a� Field 10., E024 Batch 10, Yt{A-0983-W ProSQct• Polcaro Sampled; A �11�92 Client: Envirotech Laboratories ti Received; 05-11-92 Cone/Prsv., 40ml VOA Y1al/NaHSO4 C061 Analyzed. 0 3 Matrix:. Aqueous - CONCENTRATION REPORTING LIMIT `PARAMETER (uJL}UL (uG1L) Dichlorgdifluorameihane ORL 1 Chloromethana gRl 1 Vinyl Chloride SRL � Sromomethnil9 8RL 1 Chlor ethane gRt I Trich1orofluoromethane BRL a 1,].-D1 chl ci'tsethene . BRA. 1 Methylene Chloride i trans-} 2-DichlorUdthene "✓BRL } 1 1-Dic;loroethane ARL 1 ,2�OichlyoroettYne * - BRl I Chloroform BRL } 1,1,1.-'iri Ohl aroethline BRL 1 Carbon Tetrachloride B#il 1 8enzone =' 1 1,2-Dichloraeth�ne BRL 1 Trichloroethene I 1,2-gfCt�loropropane BRi. I Bromod i chl oromethane BRi... F 1 2-Chlorocthylvinyl Ether RL, 1 trans-113-Dichloropropene l Toluene BRIE 1 cis-1,3-0icnloroproene BRL 1 1,1,2-Trichl9roethane SRI. 1 Tetrachloroethene SftL 1 Dibromochloromethane BRL-- BRL 1 Ethyl benzene 8Ri. 1 M+ -Xylitne * BRL o..Xylene * BRL l Bromoform RRL . 1 1,1,r 2-10trachl orc�ethane 1 1,��D chlorob�nxena ORL 1 BRL I,2--Di chl orobenzene QC SURROGATE COM200D SPIKED MEASURED 'RECOVERY QC LIMIT'S Brofiothloromethane 3>7 is 97 63 117 % 30 3 J 10 F1 ctorpbenzene 0 � 8� � i I3 96 peo4able prason4a below llstcd CAI. Bel OW Rpp4riljig linit, Hsn-tnryat ctRFaund: "TFaCp" isldiCdCRS Rgportinq Limit. Method Referoncas' PurG�.,ebl9 Halocarbpni and sethpd 602 - Purgubl" Ara,wtias, 40 C.Q.R. 13b, Appendix A (194G1. TOTAL P.03 W r• f 3_ 1 NO.--' o.-- Fee--------------------- BOARD OF HEALTH „ TOWN OF BARNSTABLE Application lbr Melt Con9tructionpamit A pli lion is here y,. de for a permit to Construct (Alter ( ), or Repair ( )an individual Well at: /�_�r -G0k, - - - - -- --------------- -- Location — Address Assessors Ma and Parcel ~ Owner Address - -------------------------- ----------------- Installer — Driller Ad .ess Type of Buildings, c L — / C -? C /,. c�� Dwellin '�-- -r - Other - Type of Building -- No. of Persons----------------------------------------------------- Type of Well—�`J-�- _ -��" -- —1� -- Capacity ------------------------------------- Purpose of Well--- --- ? ----------------------___:_____ Agreement: The undersigned agrees to install the aforedescribed individual.well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation unt• C rtific e f li ce has been issued by the Board of Health.. / Signed - date 0 Application Approved By— - --------------- --- --; ------------ --------------------- date Application Disapproved for the following reasons. --------------------____--------_-----_------------------__-_-----__—_—________________ ------------------------------------------ — -- - - --------------------------------------------- -------------------------------------------------------- date Permit No.- )---Old ----------=------------------------ Issued------- BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS O C RTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) _-_ - _ _____________________________________-------___-1_ b,Y- -© --------------C----- --- - - -- -- - - Aa t— --------------- has been installed in accordance with the provisions of the Town Barnstable Board f�`Healt rivate Well Protection Regulation as described in the application for Well Construction Permit No. CJ��I -Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—----------------------------- - — -- — ----------— Inspector---- - --- ------ - - - No.A)1�' BOARD OF HEALTH TOWN OF, BARNSTABLE ZIPPCitation- orwrIl Con0ructiouprrmit Application is hereby made for a permit to Construct ( Alter ( ), or Repair ( )an individual Well at: `�-!----�, Location — Address Assessors Map and Parcel . -------------------- Owner Address �lt it=��__/✓o�(_��=!l-1'-��------------------- �o ��k L,/1��----��—�--�"_ /1/7d d /rt'��,455 Installer — Driller Add ss Type of Building �. Dwelling S; �/e .4✓!. - Rc/wo 4� S- -- J ------- Other - Type of Building -------- No. of Persons----------------------- Type of Well Purpose of Well-- �?1 -y=�----------- — Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well.in operation until/a Certificate of omplia.ce has been issued by the Board of Health. Signed— — — - - ------ Application — , Approved By--C'� �-- .- - ' (J;� �! n'%�. i�� � w —date Application Disapproved for the following reasons: ---------------------------- —— ---------------------— ------------------------------- ---------------------------------------------- -------- i �... / `� ��1 A date Permit No. �� �--- �------- -. // - ---. - Issued----------�-_____ y_�__ V / ( i' / t / date — BOARD OF HEALTH _ r TOWN OF BARNSTABLE t Certificate-Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) ._� -- -- --- ------------------------------------ --- --__- ---- - by--. � — --- --_�— t Installer , ram; has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. t/�1- - Dated---- --- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------------------------------------------------------------------- Inspector- - - --- - - - ---- --- BOARD OF HEALTH TOWN OF BARNSTABLE VeryA) �on�tructionermit No.- ---- -;;- -� Fee d--�-- --- Permission is hereby granted -- �=" "= ;' - -�'"_ ''! �� (=. — /.!_ z"4 J/ f_A/_` q to Construct ( ), Alter ( ), or Repair ( ) an Individual Well at- No. No. - -- -y !_/7 I __tic� t tt r' 1�c r/1 i I I Y VIL7 I �t j r—� v —r r Street as shown on the application for a Well Construction Permit No.- -V: -� ,r --------- Dated------------- - �--, -• - - -- ,�'� Board of Health_ DATE , ---- �;�=-'-_- �' ---------------------- 40Lp tlo �1�riC �oT C._ y nNFL_ - I I �s -.R., r a I �l I EPi' 3o,X�3 I ! fi:: DlSpoSA 'PIT i iJaooG2� STd�I �ta� a�J F�E¢.C-O�' Sty ;. -w4L lo1 I• 1: SAX: `b �DG1'n ^ IoLE E BoTToM rr- 3F ;`rorA� (pAeT) A1�. w 33n�PD i• A55 5orzs NSAP 54 RL G-.� A. '. Mud OF {! { R CHARD SULLIVAN .. :• 33 - ..r r Z TF=3p T � � r77 � °1s N ��',1 I �O S r I ! 0-!4t. , I � F I t V Ii,f i-•r •_rt I F , , r � � t i I.. I .. .I II I ?, F i`�•'-f'-{-T-� I ---T->;, r ?- -r , r..., MOW �O1�1 i l ! aT 4 j I R2 II .. 5 D CoN( G 5 yvl'C�4 il•f- F." Fr� ��a61� ,t�. Par2rL . .. . 'l�oG,�"( A:_;. .I ,� t,l jai? FLD 551OW L.-LA�J�''Su�.V yorzS... ......... . IAtJ Not"; �STL'c?�tEtJ'C' z�u C , :. �P? :i Alit) I�IIt'' 'pE I o. L EtJG�1J EEt'S V G-Tj: -f D I C-�i'r BL 51-E -i E1Z.^I-y 5 ! t i?oP , 5 '(�2v la N� dPPLt /lNT. pl } �of.CA�Z � :��IST►Zv�Tio� POLGAED coo!gr A5V-40W-6. /AAP 54 PcL 4.1�Ph21- r (V srAti� 3 I 4 3,z o 4 �.. . . A :t tQ � ,:Yaw�t.t_• T �\ .. ..... TK. •,8I I. _ Peep �.. . �� ,�� ,�• , PETERSULLIVAN o \ \ o 2 L .o Al. 7W Z FuauFm / A .. ' 8 CXTER Naaaao SrAge JA-,