HomeMy WebLinkAbout1057 SANTUIT-NEWTOWN ROAD - Health 1057 Santuit-Newtown Rool-V
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LCmA A ,T ION � SEWAGE PERMIT NO.
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VILLAGE
INSTALLER'S NAME ADDRESS
OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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r'.THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
1 To.... .------...O F......... 1��3 .1'r���c
Appliration for Disposal Works Tom1rurtiun ramit
Application is hereby made for a Permit to Construct ( _�or Repair ( ) an Individual Sewage Disposal
System at:
- -----•-------------•---------------------......-----------
Location-Address �r or Lot No.
..........T_t.2eltl,.'e.S_.....�0,v_ 14!�1�:..........................•-•-----•----._..._ Y/�f7(!E•_.__. .../f�J!�yt/ s fpn/ TV.ICf:_a� 67Z
a .wrier Address
aC .► :e ...moo =_______________________________________________ __________________________________________________________________________________________________
Installer Address
Type of Building Size Lot____- -----Sq. feet
Dwelling—No. of Bedrooms_______________3____.____._______.____._._Expansion Attic ( ) Garbage Grinder ( )
'_l Other—T e of Building No. of persons____________________________ Showers — Cafeteria
a' Other fixtures __________________________________ ______
W Design Flow_____________________`•_ .._.____._______gallons per person per day. Total daily flow_...__..._..3�A._____._______...___gallons.
WSeptic Tank—Liquid'capacity!oo .gallons Length_.,e.`G""__ Width_4��U_". Diameter________________ Depth__' o��
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........../.......... Diameter_._. Depth below inlet____ Total leaching area...i�6 ....sq. ft.
z Other Distribution box ( ) Dosing tank ( )
a Percolation Test Results Performed by.....
r.._ LLiS-�L®•-mac Fv6�.� ,¢{, �Date_.e�!�jzC�
Test Pit No. 1___ .2._._minutes per inch Depth of Test Pit... g. Depth to ground water________________________
(14 Test Pit No. 2................minutes per inch Depth of Test Pit... ! ". Depth to ground water........................
a ? s>fir r 1 d' ".....TPA•S�'�
.........................................................
•-----•--
O Description of Soil-------•---------------------------------•-•--••------------•1Z .. ... �'� oiv -- ;......v__.. ra,
x �8�*.--..�u••• ivvr '¢ °' ............................•-----••-----
U
W /Zo"-/4C¢" ifif
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 LITITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued ib� the board of health.
Signed-- •-- ........................
Application Approved BY = _..---•-- ��--//.�.---�-----•---
Date
Application Disapproved for the following reasons_______________•__-__________________________.___..._________________-______________.__._______._..._..________-_
Date
PermitNo................................................... - Issued.......................................................
Date
.y
No................:........ Fss.............................
THE COMMONWEALTH OF MASSACHUSETTS
- BOARD OF HEALTH
} --.OF......... ra z,
---........----------------•---.......-••••-•...............••
ApplirFa#ilan for Diipuial Work.5 Tonotrur#tnn Famit
Application is hereby made for a Permit to Construct ( "1�or Repair ( ) an Individual Sewage Disposal
System at:
..................... .... z� 7
..---•--................................... .-. ..............................................................
Location-Address or Lot No.
.......... . ..._._1��.s. yam.. : yc>'' . vc. f�/. /cif,�.��Jy�.z r,� j!l, ._•Oe 6 77-
.._.......-•••--•--•••--•• :... ..........•-.........
W 4 e,! Q-0m e; Address
a ••-••••••...................••-••-•------•--.._.........._.................-••-•-........•_----_.. ...••---•---••••--•••-•--•-......•••••-...._.........••................_......................_...
Installer Address
UType of Building Size Lot_____S f_ ....Sq. feet
Dwelling No. of Bedrooms....:.......... g............................Ex Expansion Attic Garbage Grinder ( )Other Type of Building ............................ No. of persons__..__._______..__ ( )Showers ( ) Cafeteria ( )
Q, z. Other fixtures ...... ••------ •-•--•---••---• -
W Design Flow.................... .-'.`_______._.___._gallons per person per day. Total daily flow............................................gallons!
WSeptic Tank—Liquid"capacity.6."_'gallons Length..I:6''�_ Diameter................ Depth... _..'3
x Disposal Trench—No. .................... Width.......__........... Total Lefigth..........._...::._. Total leaching area....... ...........sq. ft.,,-
Seepage Pit No........... Diameter..__ f:__. Depth below inlet..... C' __ Total leaching area.._,2 T.sq. ft.
z Other Distribution box ( ) Dosing tank
a Percolation Test Results Performed by-_._.J__. Ee�s.( � nLrr�i�-ez/,c �ate___✓��'<�% _ Fa __-.
f "
Test Pit :�T o. 1................minutes per mch Depth of Test Pit _._ Depth to ground water_._._..____._____._____
Test Pit No. 2................minutes per inch' Depth of Test Pit____ fir.... Depth to ground Water...........................
............7 ,.S eri
._...-•------•-................ ----------------------------------
0 Description ✓e ii--4�ri �•�L a�lll..�!r.-,..1:�'.:.rc�----l-r-l-fs T.✓ �G_..c✓
Description of Soil.. .. _ ---........
U
........................................................... ....._._..
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 TiTI_: , 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b b o d f hth.
r ed
Application Approved By......................................................... J - .
Date
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------•------••--------
•••....................................•-•••-••.._....-•--•••--•-••-•-•-.......-••-••---•-•••••--•--••---
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................... r;r..,:..............OF..............:..... '�1! .f `✓ T _ ......................
...-
(Intifirab laf f�una�rl� nrr
TH- -k, 'Vf Rl",Rhat the Individual Sewage Disposal System constructed or Repaired ( )
by....................................................................................................................................................................................................
Installer
at... .... " ..........................G S
7�----------------------•••-•---------------------•-•-------------------
has been installed in accordance with the provisions of Tj9t'-/>gghe State Sanitary Code as described in the
application for Disposal Works Construction Permit No...................................... .' dated-...............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE......................................... E .......... Inspector................. [� .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......................................OF............. 1?A?• V-5 ;7,4. 4 �...••--•-....---.................
No......................... FEE........................
t ea T6mirudion rrmit
Permissionis hereby granted..............................................................................................................................................
to Construct (<or Repair ( ) an Individual Sewage Disposal System
at No....... vt_�S'_ ... !f/ rv'�!s[N.../. _..._-tO�if!u!_Z�Tc?!?!sJ......4 4GG..----Af/-f ss-------------------
Street
as shown on the application for Disposal Works Construc i>nmi o „ *P� D ed..........................................
.....................................-=----•-.......................................................
DATE..........................................................
Board of Health
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
I
VAPOWASM Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Irene M. Rogers January 3, 2006
85 Lewis St.
Hyannis,MA. 02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY
CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE.
The property owned by you located at 1057 Santuit-Newtown Rd. Marstons Mills was
inspected on December 28 2005 by Donald Desmarais R.S., Health Inspector for the
Town of Barnstable, because of a complaint.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. (Free
from chronic dampness) Mold and signs of water damage were observed in the front
bedroom and the furthest back bedroom. The toilet water feed was observed leaking.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The
exterior siding and corner boards were riddled with holes.
105 CMR 410.550(B): Extermination of Insects, Rodents and Skunks. Mouse
droppings were observed in the kitchen.
You are directed to correct the violations listed above within thirty (30) days of your
receipt of this notice, by removing the mold and the source of chronic dampness
causing the mold to grow in the dwelling, repair and replace the exterior siding and
corner boards so it is weather tight, exterminating the rodent infestation, and repair
the leaking toilet.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
Non-compliance could result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Q:Health/Order letters/Housing violations/32 Fresh holes.doc
r '
PER ORDER OF THE BOARD OF HEALTH
!;okma?s?A. McKean, R.S.
Director of Public Health
Town of Barnstable
Q:Health/Order letters/Housing violations/32 Fresh holes.doc
4
Health Complaints
23-Dec-05
Time: 9:20:00 AM Date: 12/23/2005 Complaint Number: 18590
Referred To: DONNA MIORANDI Taken By: JOAN AGOSTINELLI
f.
Complaint Type: CHAPTER II HOUSING
Article X Detail: UNSANITARY CONDITIONS
ess Name:
Number: 105 SStreet SANTUIT-NEWTOWN ROAD
Village: COTUIT Assessors Map_Parcel:
r
Complaint Description: He says he has mold in the house he is
renting. He contacted the landlord about a
month ago. Spoke with Irene Rogers. She said
she would have someone contact him. Child of
2 1/2 living there.
Actions Taken/Results:
Investigation Date: Investigation Time:
J
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Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma., 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important: A. General Information
When filling out
forms on the
computer,use 1. Inspector: qV Jj
only the tab key
to move your Robert Paolini
cursor-do not use the return Name of Inspector'
key. Capewide Enterprises,LLC
Company Name
fQ P.O.Box 762
Company Address '
-1
Centerville Ma. k"102632 ='?
iemm City/Town State �jtiZip Code;
(508)428-4028 S14454 _
Telephone Number License Number r—
t3� �
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Nee Further Ev , ation by the Local Approving Authority
i
10/17/2007
Inspector's Signature Date
The system inspector shall submit a copy,of this inspection report to the,Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
The septic system is in proper working order at the present time.
B) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass" section need to be
replaced,or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not
determined," please explain.
❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.
System will pass inspection if the existing tank is replaced with a complying septic tank as
approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate
of Compliance indicating that the tank is less than 20 years old is available.
ND Explain:
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or.uneven distribution box..System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
;M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is
required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ distribution box is leveled or replaced
ND Explain:
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced .
❑ obstruction is removed
ND Explain:
C). Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the,SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the.SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
I ,
Commonwealth of Massachusetts
Title 5 -Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
"*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No" to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
El ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
L—
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�nM 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
.Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory, for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA)or.a mapped Zone II of a public water supply.well
If you have answered "yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
I
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15
J
Commonwealth of Massachusetts
q. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form.- Not for Voluntary Assessments
°M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit' Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
El ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
❑ ® Existing information. For example, a plan at the Board of Health.
❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
1059 newtown rd.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is Cotuit Ma. 02635 10/17/2007
required for
every page. City/Town State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms (actual): 2
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 2
'Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 2007: 34,000
g ( y g (gpd)): 2007: 44,000
Sump pump? ❑ Yes ® No
Last date of occupancy: Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow (based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe):
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments
�M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City[Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information: Capewide Enterprises,LLC
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 500
gallons
How was quantity pumped determined? measured
Reason for pumping: Cesspool Check for ground water intrusion.
Type of System:
❑ Septic tank, distribution box, soil absorption system
® Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)
❑ Tight tank. Attach a copy of the DEP approval.
® Other(describe):
Overflow leaching pit.
Approximate age of all components, date installed (if known)and source of information:
Pit installed 1985
Were sewage odors detected when arriving at the site? ❑ Yes ® No
1059 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15
Commonwealth of Massachusetts
W. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
c�M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
1 5„
Depth below grade: feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line. 20'+
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints appear tight.No evidence of Ieakage.System vented through the house vents.
Septic Tank(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
---- ----------------------------------------------------------------------------------------
Dimensions:
Sludge depth
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
1059 newtown rd.-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Co.mmonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�,M _ ,•''v 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required-for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
I
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,.
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain):
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
' Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°wM 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank (cont.)
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Pump Chamber(locate on site plan):
Pumps in,working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is Cotuit Ma. 02635 10/17/2007
required for
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
® leaching pits number: 1-1000 gallon
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Sandy dry soil.No signs of hydraulic failure.Leaching pit was dry at time of inspection.Stain line was
40"from invert pipe.
1059 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15
Commonwealth of Massachusetts
W Title 5 -Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007 "
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration cesspool with overflow LP
Depth—top of liquid to inlet invert
1'
6"
Depth of solids layer
4-1Depth of scum layer
Dimensions of cesspool 6'x6'
Materials of construction Concrete Block
Indication of groundwater inflow ❑ Yes ® No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Sandy dry soil.Main Cesspool water level was 12" below outlet invert pipe at time of inspection.
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
1059 newtown rd.•08/0, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15
Map Page 1 of 2
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• Commonwealth.& Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is Cotuit Ma. 02635 10/17/2007
required for
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
1059 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15
' Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
;M 1059 Santuit Newtown Rd. (Duplex right side)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to ground water: Bottom of leach pit 45'
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
As-Built Card
❑ Checked with local excavators, installers - (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
USED:Gaherty& Miller Model 12/16/94 ground water elevations. USED:USGS Observation Well
Data June 1995. USED: Technical Bulletin 92-000-01 Plate#2 annual ranges of ground water
elevations.
1059 newtown rd.•08/06 — Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
r
Town of Barnstable
Regulatory Services
sntvsrns Thomas F. Geiler,Director
9$A1639. •0� Public Health .Division
rEv Mai
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601 = .
Office: 508-862-4644 Fax: 508-790-6304
This septic system inspection report was completed by a private inspector who is certified
by the State of Massachusetts, Department of Environmental Protection.
Although the Town of Barnstable Health Division received the original/copy of this
report; this Division does not warranty the functionality of the septic system in the future
nor does this Division agree with any technical observation s and interpretations
contained within this report.
In addition, by receiving this report the Town of Barnstable Health Division does not
automatically approve the number of bedrooms listed within this report. The actual
number of bedrooms approved at a particular property would-be listed,on the "Disposal.
Work Construction Permit".
If you should have any questions regarding this report,.please contact the certified Septic
System Inspector who conducted the inspection.
i
\ Commonwealth of Massachusetts51�
r_ W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner .Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important: A. General Information C
When filling out J� / 2 1 _
forms on the J l.e J
computer,use 1. Inspector: >
only the tab key r.�
to move your : ' :4
cursor do not Robert Paolini Cj 2'1' O O _ .w .
use the return Name of Inspector tc 3 r
key. Capewide Enterprises,LLC
Company Name
r� P.O.Box 763 s
Company Address
Centerville Ma. 02632 '
rermn City/Town State Zip Code �?
(508)428-4028 S14454
Telephone Number License Number
B. Certification
I certify that] have personally inspected the sewage disposal system at this address and that the
information reported below is true,-accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further.Evaluation by the Local Approving Authority 4
10/17/2007 "
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection..lf the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if"applicable, and the approving authority.
****This report only describes conditions at the time of inspection and.under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
105,newrown rd.•08/01 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
Commonwealth of Massachusetts
W Title Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotu'it Ma. 02635 10/17/2007 .
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.) °
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the.failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
`Comments:
The septic system is in proper working order at the present time.
1
B) System Conditionally.Passes:
❑ One or more system.components as described'in the "Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved.by
the Board of Health,will pass.
Answer yes, no or not determined(Y, N, ND) in the ❑for the following statements. If"not
determined," please explain.
❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is
structurally unsound,'exhibits substantial infiltration or exfiltration or tank failure is,imminent.
System will pass inspection if the existing tank is replaced with a complying septic tank as
approved by the Board of Health.
l
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate
of Compliance indicating that the tank is less than 20years old is available.
ND Explain:
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken', settled or,uneven distribution box. System will
pass inspection if(with approval of Board of Health)-
Ell
broken pipe(s)are replaced
` ❑ obstruction is removed
1057 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
wM 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
_
every page. r City/Town State Zip Code Date,of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ distribution box is leveled or replaced
ND Explain:
❑ The system required pumping more than 4 times a year due to broken,or obstructed pipe(s). The
System will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
ND Explain:
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a.bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
i determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100,feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply. .
❑ ;The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
1057 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
Commonwealth of Massachusetts
to Title 5 Official 'Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments
,M 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
a
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑T The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
*'This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No" to each of the following for all inspections:
Yes No
El ® Backup of sewage into facility or system component due to overloaded or
- clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool .
El ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
El ® Liquid-depth in cesspool is less than 6" below invert or available volume is less
than '/2 day flow
El ® Required pumping more than 4 times in the last year NOT due to clogged or,
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
El ® Any portion of cesspool or privy is within.100 feet of a surface water supply or .
tributary to a surface water supply.
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of.lrene Rogers
Owner Owner's Name
information is required.for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® Any portion of a,cesspool or privy is within a Zone 1 of.a public well.
❑ ® Any portion of a cesspool or_privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50_feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed ata DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain'of custody must be attached to this form.]
® The system is a cesspool.serving a facility with a design flow of 2000gpd-
El 10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 16,000 gpd to 15,000 gpd.
t ,
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
El ❑ the system is located in,a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA)or a mapped Zone II of a public water supply well-
If you have answered "yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large�system has failed. The owner or operator of any large.
system considered a significant threat under Section E or failedunder Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
1057 newtown id.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15
•Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
required fo�is Cotuit Ma. 02635 10/17/2007
required for
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate "yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® El available
as built plans of the system obtained and examined? (if they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑, Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
Was the facility owner(and occupants if different from owner) provided with
El information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
❑ ® Existing information. For example, a plan at the Board of Health.
❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
1057 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15
e
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
-
every page. City/Town State Zip Code Date of Inspection
i
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms (actual): 2
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes. ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No .
Water meter readings, if available last 2 ears usage d 2006:34,000
g ( y g (gpd)): 2007:44,000
Sump pump? ❑ Yes ® No
Last date of occupancy: 1Date 7/2007
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow (based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:.
Last date of occupancy/use: Date
Other(describe):
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
•Commonwealth of Massachusetts
Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 500
gallons
How was quantity pumped determined? Measured
Reason for pumping: Cesspool Check for ground water intrusion.
Type of System:
❑ Septic tank, distribution box, soil absorption system
® Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)
❑ Tight tank. Attach a copy of the DEP approval.
® Other(describe):
1-1000 gallon overflow Leaching'Pit with 2' of stone.
Approximate age of all components, date installed (if known)and source of information:
Pit installed 1985
Were sewage odors detected when arriving at the site? ❑ Yes ® No
ti
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
^M 1057 Santuit Newtown rd: (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade: e6t
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: 20'+
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints appear tight.No evidence of Ieakage.System vented through the house vents.
Septic Tank (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
-----------------------------------------------------------------------------------------------------------------------
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
' D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
Dimensions:
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
1057 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System)Form - Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
® leaching pits number: 1-1000
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Sandy dry soil.No signs of hydraulic failure.Leaching Pit was dry at time of inspection.Stain lines were
49" below invert pipe.
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town state Zip Code Date of Inspection
` 1
D. System Information (cont.)
Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration 1 main cesspool with
overflow pit.
Depth—top of liquid to inlet invert
9"
611
Depth of solids layer
101,
Depth of scum layer
Dimensions of cesspool 6'x6'
Materials of construction Concrete Block
Indication of groundwater inflow ❑ Yes ® No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Cesspool water level was 2" below overflow invert at time of inspection.
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
1057 newtown rd.•08/06 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15
Map Page 1 of 2
Town of Barnstable Geographic Information System
i
Parcel Viewer I Custom.Map Abutters Map Size ® Zoom O'UtIMME ABlin,
1 11 K. K]d /
jrr
- r
< 'Xirlr
xr
4+ ve
O
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. 20 Feet
Set Scale 1" = 20 I Aerial Photos
1
rnn—inhf')6nF_9M7 Tnlun of Rornefnhln MA All rinhic race—,
http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=027008&ma... 10/17/2007
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
;M 1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene.Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
i
1057 newtown rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1057 Santuit Newtown rd. (Duplex)
Property Address
Estate of Irene Rogers
Owner Owner's Name
information is required for Cotuit Ma. 02635 10/17/2007 `
every page. Cify/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
❑ Shallow wells
Estimated depth to ground water: Bottom of leach pit 45'
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
As-Built Card
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
USED:Gaherty& Miller Model 12/16/94 ground water elevations. USED: USGS Observation Well
Data June 1992. USED: Technical Bulletin 92-000-01 Palte#2 annual ranges of groundwater
elevations.
1057 newtown rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15
/,0 ,SVJk,.�TyWN OF BARNSTABLE GL
LOG ` luN hinblewraw.,41 no SEWAGE # 2 uO 1 `J 7 I—
I ILLAGE G n% U I T ASSESSOR'S MAP & LOT 027-00k
INSTALLER'S NAME&PHONE NO. M A -C 0.Al 6�e 9 t 9 a N
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ,2 m QR )� W e LL 's (size) /.-S k !Z. '
NO. OF BEDROOMS 3
BUILDER OR OWNER/
PERMITDATE: � A,7z I COMPLIANCE DATE: 1 J C)312-ua I
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
L
�r
y /9 /
1
�l
e F
rs:
No. 762
. '` V Fee 5 0_ 0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01ppYiration for ;Jiopozal Opotem Conotruction Vertu
Application for a Permit to Construct( )Repair(X' )Upgrade(<:)Abandon( ) O Complete System O Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
1 l\Lewtlown Road Cotuit Rtly Rogers 85 Lewis Road Hyannis
Assessor's M a ,
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Joseph P.. macomber & son Inc Joseph P Macomber & Son Inc
Box 66 Centerville 775-3338 Box 66 Centerville 775-3338
Type of Building:
Dwelling No.of Bedrooms Lot Size - sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil:Loamy to medium fine sand
Nature of Repairs or Alterations(Answer when applicable) Installing 1500 ga 1 1 nn tank, 1 —
Distribution box, 2-500 gallon leaching chambers
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Cod and not to place the system in operation until a Certifi-
cate of Compliance has been issu d by this o o alth.
Signed Date
Application Approved by 16f Date 0
Application Disapprove or the following reasons
Permit No. ,ZU0 1 e J 71 Date Issued a�1 U
Noiy1G/��"7 , t%. a ki• R a '`.. Fee 5 0_0 0
A Entered in computer:
THE COMMONWEALTH OF MASSACHUSETTS .ems•._,,,,
. . .,k- Yes
PUBLIC HEALTH-DIVISION --TOWN OF BARNSTABLEs MASSACHUSE17S �.
ZIppfication for 1.0iopogaf *pgtim Conotruction Permit
Application for a Permit to Construct( )Repair(X )Upgrade( X)Abandon( ) ❑Complete Syste -;'Individual Components
Location'Address or Lot No. Owner's Name,Address and Tel.No
`11 Newtown Road Cotuit RAY Risgers 85 Lewis oad Hyannis
Assessor's Ma /P l
arce
Installer's Name,Address,and Tel.No. ' .`` Designer's Name,Address and Tel.No.
} Joseph, P. macomber & son ?Zc Joseph P Macomber & Son Inc
Box 66 Centerville 775-3338 Box 66 Centerville 775-3338
a
Type of Building: d,
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) t
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons. ;~
Plan Date Number of sheets Revision Date k r
Title
Size of Septic Tank Type of S.A.S.
Description of Soil Loamy to meftuni\fine sand
Fa .,
Nature of Repairs or Alterations(Answer when applicable) Installing 1 500 gallon tank; 1—
Distribution box, 2-500 gallon leaching chambers
Date last inspected:
Agreement:]
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this -o i!i of alth.
Signed + Date
Application Approved by Date Z d
Application Disapproved or the following reasons
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Vertif Irate of (tompliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( X)
Abandoned( )by Joseph P, $acomber & Son Tgc,.,.
at 1049 Newtown. Roa Cotuit has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.7,4V/ 7/ dated 6 19—a
InstallerJ.P. Macomber & Son Inc. DesignerJ.P- Macomber & Son Inc
4
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
l
-------------=----- — -----
No. VW b l-�- Oo r ) Fee 50.00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
wfipogar *potent (ton!9tru tion Permit
Permission is hereby granted to Construct( )Repair()()Upgrade(x )Abandon( )
Systemlocatedat 1049 Newtown Road Cotuit
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction ust be completed within three years of the date of thi - t. r
Date: C� /6( Approved by {'
4 >
i f �
9 r
-�--. " ew: r- y
M99
i
NOTICE: This Form Is.To Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS)
4
Jose h P.Macomber Jr.
� P , hereby certify that the application for disposal works
' 6/28/01
construction permit signed by me dated concerning the
I
property located at 1 Newtown Roaa_Cotuit,Mass meets all of the
I {
following criteria: t
• The failed system is connected to a residential dwelling only. There are no commercial or business
uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch.
a ;
• There are no wetlands within 100 feet of the proposed septic system
• There are no private,wells.wi thin,lSO feet of the proposed scpdc system
There is no 'increase in flow and/or change in use proposed
• There are no variances requested or needed. ;
• The bottom of the proposed leaching facility will a9t be located less than five feet above the
maximum adjusted groundwater table elevation, (Adjust the groundwater table using the Frimptor
method when applicable)
• If the S.A.S. will be located with 250 feet of any vegetated wetlands, the`boa6ri of the proposed
leaching facility will M be located less than fourteen(14) feet above the maximum adjusted
groundwater table elevation,
Please complete the following:
A) Top of Ground Surface Elevadon(using GIS information)
B) G.W, Elevadon Q + the MAX. High G.W. Adjustment. A
DIFFERENCE BETWEEN A and B 7i
SIGNED : a DATE: 6/28/01
MUM(Sketch ro sed plan of system on back),
q:health folder.cm
2-500 gallon leaching
chambers. 25 'X13 'X2 '
Distribution box
a�
1 -1 500 Tank. Via
® T. h
Omitting cesspools
_ J r
I
AsBuilt Page 1 of 1
T WN OF BA.RNSTABLE
Svvvi*
LOCATION Ale W T U W.N 9 D SEWAGE# 2 00 1_ y? l
VILLAGE C_ of Ll 1 r ASSESSOR'S MAP&LOT 0—7-00'
INSTALLER'S NAME&PHONE NO, to A4 A C 0 4 8!�X t 5'el AJ
SEPTIC TANK CAPACITY I J-Q D
LEACHING FACIL=: (type) .`2- DR .) WWaLL's (size) /3 -k !%if
NO.OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: L/a'/XJ 1 COMPLIANCE DATE: f z 1 U 3 f zw i
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
I
i.,
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=027008&seq=1 9/5/2018
FORM30 Caw HOBBSB WARREN
'M THE COMMONWEALTH OF MASSACHUSETTS
BOARD g:F,,,�T
CITY/TOWN
ADDRESS
TEL HONE r
l�44�
F C
Address t b 7� — Occupan
Floor Apartme o. No.of Occupants z �2
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units_ o.Stories
Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof '
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin : 1z -
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.:
c s, F es V afeties:
Kitchen Facilities Si
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PE Y."
INSPECTOR TITLE j*
DATE � �0 TIME
G� ZMI
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
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 II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure.to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B) and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered,crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating,gasfitting, or electrical wiring standards that do not create an immediate hazard.
. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
rv �
o. �\ , b c
OD
r �-
C t� r),
r
Date
I, ()Ia4 r7V 61 voluntarily grant permission to the Town
( ccupants name)
of Barnstable Board of Health(Agent or Health Inspector)to inspect my dwelling unit
located at `: � v1 --� din o Cjlrxy,°i` . in accordance n
(House#, [Apt\Unit#if applicable],street,village) `
with the Town of Barnstable Code(Chapters 59 and 170) and the State'Sanitary-Code
(105 CMR 410.000) on `I 'Zf D I hereby authorize and name
CC ate of inspection)
U to be my tenant representative for the
(occupant representative)
purpose of this inspection. is'an adult person
(Occupant represe.tati� )
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms,bathrooms, closets, etc.,) allowing the use of photographs and,
answering questions. This authorization is only valid for the inspection date specified
above, and must be'renewed for any future inspection(s.)
A/e,
jantZ�;Ihicuep
ature \ Da e
tati• Signature \ Date
Q:\Rental Ordinance\inspection permission 2.doc
--�
Health Complaints
05-1un-06
Time: 3:25:00 PM Date: 5/30/2006 Complaint Number: 18839
Referred To: DONALD DESMARAIS Taken By: ELLEN WADLINGTON
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 1057/10 Street: SANTUIT/NEWTON ROAD
Village: COTUIT Assessors Map_Parcel:
Complainant's Name: KATHY LAVERDIERE
Address: 17 WHITES LANE, COTUIT
Telephone Number: 508-428-9927
Complaint Description: 1057-1059 DUPLEX ACROSS THE STREET,
PERSONS HAVE MOVED OUT AND LEFT
MOUNDS OF TRASH AND DEBRIS; 1049 IS A
DISASTER AREA WITH TRASH AND
DEBRIS, NO OCCUPANTS.
Actions Taken/Results: DD went on 5/31/2006 and saw multiple bags of
trash on property. Sent out warning on
6/5/2006 to Irene Rogers to have it cleaned up.
Investigation Date: 5/31/2006 Investigation Time: 2:30:00 PM
1
I
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender. Please print your name, address, and ZIP+4 in this box •
I
O.4 Town of Barnstable
e Health Division
200 Main Street
Hyannis,MA 02601
I
I
I
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signa
Item 4 if Restricted Delivery is desired. X ❑Agent
/7
■ Print your name and address on the reverse ddressee
so that we can return the card to you. g, R ived b (Pzin ed Name) C. Dat of liv
■ Attach this card to the back of the mailpiece, L 5� t ) _ L' .
or on the front if space permits.
D. Is delivery address different from kem 1? Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
"I Alti
�Ak lcxl �� .
.Z I.y 3. Service Type
®Certified Mall ❑Express Mail �
❑Registered 0 Return Receipt for Merch Ise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
s. Article Number 7226 2150 2202 1038 7145�
(Transfer from service Iabe1J
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
A
Certified Mail#7006 2150 0002 1038 7145
ti Town of Barnstable
Regulatory Services
swRrvsrns�
9 MAS& Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
April 9, 2008
Irene Rogers Living Trust
c/o Lisa Gilmourfit—)
41 South Sandwich Road CG
Mashpee, MA 02649
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at�1057"Santuit-Newtown Road; was inspected
on April 2, 2008 by Timothy O'Connell, Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.100—Kitchen Facilities.. Cabinets in need of repair; kitchen ventilation
system in need of repair.
105 CMR 410.351 —Owner's Installation and Maintenance Responsibilities. Open
wiring in kitchen.
You are directed to correct the violations listed above within thirty (30) days
of your receipt of this notice by repairing cabinets, vent system and wiring in
kitchen.
Q:\Order letters\Housing violations\Rental ordinance\1057 Santuit-Newtown Road.doc
I
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
> Non-compliance will result in a fine of $100.00 per violation. Each..day's failure to
comply with an order shall constitute a separate violation.
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
5PER OFT E BOARD OF HEALTH
Thomas A. McKean,R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Timothy O'Connell, Health Inspector
v
F
Q:\Order letters\Housing violations\Rental ordinance\1057 Santuit-Newtown Road.doc
` FORM30 C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF-IiE TH
CITY/TOW N
W '
4 DEPARTMENT c. 0 A
)_60 '-V(n�`
ADDRESS
GSM SvO y`0�
TELEPHON
Address I o _ Occupant
Floor—Apartment No. No.of Occupants��
No. of Habitable Rooms No.Sleeping Rooms .
No.dwelling or rooming units_ No.Stories Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H:W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.: � �— ( 5�
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil Lgtng. Qutlets Walls Ceils. Wind. Doors Floors Locks
Kitchen 0 jLV
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 INSPECTOR. (See Over)
"THIS INSPECTION ORT IS SIGNED AND CERTIFIED UNDER TIJE PAINS AND
PENALTIES
INSPECTOR L TITLE
DATE ^ TIME P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
Y • v �
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 ll, 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).
(0 Failure to comply with'any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install.electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
�
FORM30 Hew HOBBS&WARREN M THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
—�� CITY/TOW
o PARTME
— ` ADDRESS e I/— SD O
9M SyOy`ea _
I/JKuT(w��� TELEPHONE
Address G """'�' —__—Occupant_ -
Floor ��__Apartment No. __ No. of Occupants___;,
No.of Habitable Rooms No.Sleeping Rooms-;I-,--
No. dwelling or rooming units_ No.Stor sir
Name and address of o ner -
D's ri if 02 ew Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers: `
Draina e
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress: and Obst'n.:.
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters,Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line.-
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. 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.:
St Wks, Flues,Vent afeties
Kitchen Facilities --;n
ove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin, Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS NECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
ejq
INSPECTOR r TITLE
A.M.
DATE `1 TIME —AD
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
•� N
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shali be deemed conditions which may endanger or
impair the 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.
I
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B) and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness.which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
i
�- _
Y
._ �� n ..
FORM 30 II�w HOBBSS WARREN M THE COMMONWEALTH OF MASSACHUSETTS mar
BOARD O E LTH
- -
e
CI /TOWN
F
y
a D PA�
ADDRESS
GSM Sye y`oW _ n 1 dd (D —7 -
/"w TELEPHONE
Address ��� — —�— Occupant---
Floor S�� ----Occupant---
No. _ No. of Occupants
No. of Habitable Rooms No.Sleeping Rooms_
No.dwelling or rooming units_ No. >tories� 1
Name and address of o er . _ "I- T 'A �9y^�rj`
1 Pb I UC) Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other: _
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
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 ALI1► o
Bedroom 1 dyk_
Bedroom 2 '
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Yen.,Gas, Oil, Elect.:
Sta s, Flues Vent ties:
Kitchen Facilities i k
ove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub.-
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS 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 S SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY.'
INSPECTOR TITLE
DATE ^ta`', Q TIME
A.M.
THE NEXT SCHEDULED REINSPECTION AJ P.M.
^'"'w -."'^'.,�„{�„r �';9ii'��'",,,,+r�c '��,'�"'9 v.'�lf'��,p '3k�1�w':•�:t...3:`�#7,,.,,.,�!t', .l..,f',�:: ... .}`fc. yri irk yQ:'.?�;•. pT�t.a�„ft�st.!'�.„s7...,..,...r��'t7ry.,{�,"��..r.:-...«TL+t+vf++e��s'+�-y
} r +
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 4.10.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B) and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas`burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
-z-k- e-,
'
Parcel Detail Page 1 of 3
d
.
5 5e.
Logged in As: Parcel Detail Tuesday, Octob�
Parcel Lookup
----_ ............
Parcellnfo
Parcel ID 027-008 Developer
Location�1057 SANTUIT-NEWTOWN ROAD Pri Frontage100 Sec
-- —_ ------------ -- -- .....................
Sec Road WHITE'S LANE Frontage 1200
village COTUIT Fire District COTUIT
Sewer Acct� � � Road Index
Interactive I
Map
7k�
Owner Info
Owner$ROGERS, IRENE M Co-owner
Streets i8 EWIS RD Street2` ._...�
city
HYANNIS state?� zip j02601 country US
Land Info
Acres 0 30 - use l Zoning wy RF Nghbd 10104
Topography Level Road ,Paved
_ ....
Utilities Public Water,Gas,Septic Location
Construction Info
Building 1 of 1
Year.----70 ������- Roof!Gable/Hip Ext Cedar or Redwd
Built Struct. Wall
Effect 1664 ._ Roof AC GIs/Cmp AC None
Area covert Types
Int
style Family Duplex ! D wall Bed`4 Bedrooms "
Walls Dry Rooms'
Model'Residential Int i_...T..__._. . _. __.. Bath Full
Floor! Rooms
Heat; _..... -. .... __gg Total
Grade;Average Minus I Type iHot Air . I Rooms 18 Rooms
http://issgl/intranet/propdata/ParcelDetail.aspx?ID=155 8 10/24/2006
Parcel Detail Page 2 of 3
stories Heat
1 Story Gas FO1"d- Poured Conc.t
Y Fuel; ation _.._._,__..__
.. � �
U
- ............. _..
(� Permit History _
Issue Date 1purpose Permit# Amount Insp Date Comments
-- ................. ................................_.
Visit History
Date Who Purpose
4/15/2005 12:00:00 AM Paul Talbot Meas/Est
2/12/1999 12:00:00 AM Frederick Stepanis Mea+Corrected Listing
-__.......
Sales History
Line Sale Date Owner Book/Page Sale P
1 11/15/1982 ROGERS, IRENE M 3422/288
Assessment History
........................... --- - -
Save# Year Building Value XF Value OB Value Land Value Total Parc( `
1 2006 $140,700 $0 $0 $106,500
2 2005 $117,000 $0 $0 $99,400
3 2004 $94,800 $0 $0 $79,500
4 2003 $60,000 $0 $0 $36,800
5 2002 $60,000 $0 $0 $36,800
6 2001 $60,000 $0 $0 $36,800
7 2000 $47,200 $0 $0 $19,500
8 1999 $38,900 $0 $0 $19,500
9 1998 $38,900 $0 $0 $19,500
10 1997 $64,000 $0 $0 $19,500
11 1996 $64,000 $0 $0 $19,500
12 1995 $64,000 $0 $0 $19,500
13 1994 $58,900 $0 $0 $17,600
14 1993 $58,900 $0 $0 $17,600
15 1992 $67,100 $0 $0 $19,500
16 1991 $74,900 $0 $0 $35,800
17 1990 $74,900 $0 $0 $35,800
http://issgl/intranet/propdata/ParcelDetail.aspx?ID=155$ 10/24/2006
Parcel Detail Page 3 of 3
18 1989 $74,900 $0 $0 $35,800 ;
19 1988 $51,700 $0 $0 $9,000
20 1987 $51,700 $0 $0 $9,000
21 1986 $51,700 $0 $0 $9,000
Photos
http://issgl/intranet/propdata/ParcelDetail.aspx?ID=1558 10/24/2006
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Cell 508 364-4350�r 508-364=875 ' t x', :; '�l12d18 s 2371Acia� j '
Estate Of Irene Ro ers '
r; 105.7-1059 Newtown Road GA
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Mashpee Ma 02649
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3/31/2008 1 Q1NHt One Klan Labor/1hr min. 98.00
reinstalled recept.from carpentry work/
used madison bars for support.
3 NM94 (Mack button)1/2' 0.51 T
2 REG6623 3/8 romex connector 0.40T
1 BEI Box extender 1.54'T
1 HOM220 20 amp DP Homeline 13.13T
2 TRVGF115W Tamper resistant GF115A Wh 45.48T
4/3/2008 3 TMR Licensed electrician&apprentice 1Hr 360.00
1 Min combined
installed hood fan SBO.fished new
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and hood fan.GFI recepts are tamper
proof,and are needed by 2008 code.
Sales Tax (5.0%) �
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(�Z $522.11
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TOTAL BALANCE DUE WITHIN 10 DAYS OF COMPLETION.IF BALANCE IS NOT PAID WITHIN 30 DAYS,INTEREST AT A RATE OF 1 1/2%
PER MONTH WILL ACCRUE. CUSTOMER WILL BE RESPONSIBLE FOR ALL LEGAL COLLECTION FEES AND WILL BE PROSECUTED IN ,
THE JURSIDICTION WHERE THE SERVICE WAS PERFORMED.A$25.00 FEE FOR ANY RETURNED CHECKS WILL BE ASSESSED.
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TOWN OF BARNSTABLE BAR-W 3659
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager
Address of Offender MV/MB Reg.#
Village/State/Zip �`� �; 4 I` '
Business Name ' '�L am/ on ft 20_
Business Address
gnature of Enforcing Officer
Village/State/Zip
Location of Offense :.a,,ti�
Enforcing Dept/Division
Offense ;•r r!
Facts
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
^1
Health Complaints
25-Oct-02 -
Time: 1:50:00 AM Date: 10/21/1902 Complaint Number: 3778
Referred To: SAM WHITE/DONNA MIORA Taken By: JOAN AGOSTINELLI
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail:
Business Name:
Number: 1059 Street: NEWTOWN ROAD
Village: COTUIT Assessors Map Parcel:
Complainant's Name: ANONYMOUS
Address:
i
Telephone Number: 508-428-9927
Complaint Description: Rubbish all over the yard. Garbage in front and
the rear of house. Renters in house. Animals
all over the place picking trash and garbage.
Occupants sling trash out of the house into the
yard. Needs to be cleaned up.
Actions Taken/Results: SW issued a written warning for trash in yard.
Sarah Redman stated work will be completed
on 10/23/2002.
Investigation Date: 10/21/02 Investigation Time: 3:30:00 PM
1
UNITED STATES POSTAL SERVICE First-Class Mo
Postage&Fees Paid
LISPSPermit No.G-10
I
•Sender: Please print your name, address, and ZIP+4 in this box•
oG2 11111111111111111111111111111111111111111111111111111111111111
I
SENDE# COMPLETE • •MPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete nX
Signatuitem 4 if Restricted Delivery is desired.■ Print your name and address on the reverse Addressee
so that we can return the card to you. B. eceived by(Printed Name) C. Dat of D livery
I ■ Attach this card to the back of the mailp►ece,
or on the front if space permits.
D. Is delivery address different from item 1. Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
3. Service Type
LA / >Certified Mail ❑Express Mail
❑ Registered Return Receipt for Merchandise
C, ❑Insured Mail ❑C.O.D. 1
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
7004 2510 0002 6231 0252
(Transfer from service labeo
PS Form 3811,August 2001 Domestic Return Receipt 10259571-M-1540
I
UAR"AISM Town of Barnstable
MASS.
163;9. Regulatory Services
Thomas F. Geiler,Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January 3, 2006
Irene M. Rogers
85 Lewis St.
Hyannis, MA. 02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE.
The property owned by you located at 11057—Santurt-Newtow_n�Rd-�7s %lills)was
inspected on December 28 2005 by Donald Desmarais R.S.,'Health Inspector for the
Town of Barnstable, because of a complaint.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. (Free
from chronic dampness) Mold and signs of water damage were observed in the front
bedroom and the furthest back bedroom. The toilet water feed was observed leaking.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The
exterior siding and corner boards were riddled with holes.
105 CMR 410.550(B): Extermination of Insects, Rodents and Skunks. Mouse
droppings were observed in the kitchen.
You are directed to correct the violations listed above within thirty (30) days of your
receipt of this notice, by removing the mold and the source of chronic dampness
causing the mold to grow in the dwelling, repair and replace the exterior siding and
corner boards so it is weather tight, exterminating the rodent infestation, and repair
the leaking toilet.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
Non-compliance could result in 'a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Q:Health/Order letters/Housing violations/32 Fresh holes.doc
Postal
ru
m CERTIFIED MAILTm RECEIPT
flJ (Domestic Mail Only;
For delivery information visit our website at www.usps.come
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Certified Mail Provides:e A mailing receipt (a—ay)ZOOZ sunp'009£wioA Sd
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years -
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted-elivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
Internet access to delivery information is not available on mail
addressed to APOs and FPOs.
O�
Town of Barnstable
MAW
%639.h Regulatory Services
Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
,
January 3, 2006
Irene M. Rogers
85 Lewis St.
Hyannis, MA. 02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE.
The property owned by you located at 1057 Santuit-Newtown Rd. Marstons Mills was
inspected on December 28 2005 by Donald Desmarais R.S., Health Inspector for the
Town of Barnstable, because of a complaint.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. (Free
from chronic dampness) Mold and signs of water damage were observed in the front
bedroom and the furthest back bedroom. The toilet water feed was observed leaking.
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The
exterior siding and corner boards were riddled with holes.
105 CMR 410.550(B): Extermination of Insects, Rodents and Skunks. Mouse
droppings were observed in the.kitchen.
You are directed to correct the violations listed above'within thirty (30) days of your
receipt of this notice, by removing the mold and the source of chronic dampness
causing the mold to grow in the dwelling, repair and replace the exterior siding and
corner boards so it is weather tight, exterminating the rodent infestation, and repair
the leaking toilet.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served. -
Non-compliance could result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Q:Health/Order letters/Housing violations/32 Fresh holes.doc
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
I
Q:Health/Order letters/Housing violations/32 Fresh holes.doc
77
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Logged In As: Parcel De t,a(I Tuesday, Octob�
Parcel Lookup
Parcel Info
�. ��..-___..,._...._..�.__.w..,_,_...._.,..�.,.. Developer
Parcel ID 027-008 Lot
Location 1057 SANTUIT-NEWTOWN ROAD _ Pr Front age100
Sec Road ,WHITE'S LANE Frontage r200
Village COTUIT �- Fire District;COTUIT i
Sewer Acct� Road Index 11425
Interactive
Map
Owner Info
owner ROGERS, IRENE M�_ �._.__.___ Co-owner
Streetl 85 LEWIS RD � Street2
City I HYANNIS State�A zip 02601 Country LS
!� -Land Info
Acres 10.30 use Two Family. _ � _zoning jRF rvgnbd 10104 -......v
Topography�LeV91 � � � Road ,Paved
Utilities Public Water,Gas,Septic Location
Construction Info
Building 1 of 1
Year 1970 Roof I Gable/HipExt R Cedar or Redwd
Built r Struct! Wall I
Effect 1664 Roof IwAsph/F GIs/Cmp AC None
Area Cover Type
Style(Family Duplex wall d s Drywall __. Rooms Bedrooms I
Model Residential T_ Int " " Bath 2 Full
Floor. Rooms
Grade Average Minus Heat Hot Air w _ Total $Rooms _
Type ,.o Rooms
http://issql/intranet/propdata/ParcelDetail.aspx?ID=1558 10/24/2006
Parcel Detail Page 2 of 3
a Y
stories or� � "eat Gas Found-1 Poured Conc.1 St
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Permit History
Issue Date IPurpose I Permit# I Amount I Insp Date I Comments
Visit History_T�
Date Who Purpose
4/15/2005 12:00:00 AM Paul Talbot Meas/Est•
2/12/1999 12:00:00 AM Frederick Stepanis Mea+ Corrected Listing
Sales History_____
Line Sale Date Owner Book/Page Sale P
1 11/15/1982 ROGERS, IRENE M 13422/288
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcc
1 2006 $140,700 $0 $0 $106,500 ;
2 2005 $117,000 $0 $0 $99,400
3 2004 $94,800 $0 $0 $79,500
4 2003 $60,000 $0 $0 $36,800
5 2002 $60,000 $0 $0 $36,800
6 2001 $60,000 $0 $0 $36,800
7 2000 $47,200 $0 $0 $19,500
8 1999 $38,900 $0 $0 $19,500
9 1998 $38,900 $0 $0 $19,500
10 1997 $64,000 $0 $0 $19,500
11 1996 $64,000 $0 $0 $19,500
12 1995 $64,000 $0 $0 $19,500
13 1994 $58,900 $0 $0 $17,600
14 1993 $58,900 $0 $0 $17,600
15 1992 $67,100 $0 $0 $19,500
16 1991 $74,900 $0 $0 $35,800
17 1990 $74,900 $0 $0 $35,800 ;
http://issgl/intranet/propdata/ParcelDetail.aspx?ID=1558 10/24/2006
Parcel Detail Page 3 of 3
Y
J �' • J
18 1989 $74,900 $0 $0 $35,800
19 1988 $51,700 $0 $0 $9,000 .
20 1987 $51,700 $0 $0 $9,000
21 1 1986 1 $51,700 $0 $0 $9,000
Photos
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http://issql/Intranet/propdata/ParcelDetail.aspx?ID=1558 10/24/2006
USPS TRACKING
^#
CI
w First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 1933 6123 1778 83
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service
I
Town of Barnstable
Health Division.
O� + 200 Main Street
Hyannis, MA.0260_l
li:lili Ii�lii•j;�l�j:;;iliijjij;t.ltii'I"�f�rtiililflii.�l;ji;i'tlj �''
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signatu —
■.FrinI yqur n�'°rft�aod address on the reverse X '"� C>D T Agent
So that v>le c`a�rett1 ii the,card to you. ddressee
ter+' B. eived b Pnn Name) "' to oaf eliv
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If YES,ente deliv ry adds ss Olow: /No
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II I IIIIII Ilil III I II I II I I I IIII I II II II I IIII III ❑Adult Signature ❑Registered Mall
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❑Adult Signature Restricted Delivery ❑Regl Restricted
Mail Restricted I
❑Certified Mail® Delivery
9590 9402 1933 6123 1778 83 ❑Certified Mail Restricted Delivery O Return Recelpt for
❑Collect on Delivery Merchandise
2. Article_NumhPr_LTranaf._f ^^ ^•'__ —"' ct on Delivery Restricted Delivery ❑Signature Confirmation'
3d Mall ❑Signature Confirmation
7 015 17 3 0 0 ]; 4 9 9 0 3 318 d Mail Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530r02-000-9053 Domestic Return Receipt
THE Taf'b Town of Barnstable
Regulatory Services
BARNSTAHLE,
MAW.
9 1639,
A
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 11, 2018
Sheryon Rogers
55 Kings Way
Hyannis, MA 02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY ,
CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 1057-1059 Santuit-Newtown Road, Cotuit, MA,
was visited on May 10, 2018 by.Timothy B. O'Connell, R.S., Health Inspector for the
Town of Barnstable. This inspection was conducted in response to a complaint filed with
the Town of Barnstable Public Health Division.
The following violations of the State Sanitary Code were observed:
105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The
exterior siding in the back of the dwelling is missing and the corner boards and the front
trim were observed to have holes in them.
The following violation of the Town of Barnstable Board Code was observed:
170-4 of the Town of Barnstable Code: Owner's Responsibility to Register Rental .
The unit is not currently registered with the Town of Barnstable Health Division
You'are directed to correct Town of BarnstableCode violation § 170-4 within seven
(7) days of your receipt of this notice by registering property with Health Division;
within thirty (30) days of your receipt of this notice by siding back and fixing or
replacing exterior trim as stated.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served. However, said violation
must be corrected within twenty four hours regardless of any request for a hearing Non-
compliance will result in a fine of $100.00 per violation. Each day's failure to comply
with an order shall constitute a separate violation. Should you have any questions
regarding the above violations, please contact the Town Health Division and ask to speak ;
with the inspector who performed the inspection.
ORDER OF THE BOARD OF HEALTH
as A. McKean, CHO
Director of Public Health
Town of Barnstable.
Town of Barnstable
&uwsr"8m�: Regulatory Services
t6 9
rfo �" Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May l0, 2018
Christy Bixby
1057 Santuit-Newtown Road
Cotuit,MA 02635
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property occupied by you located at 1057 Santuit-Newtown Road, Cotuit, MA was
visited on May 10, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town
of Barnstable. This inspection was conducted in response to a complaint.filed with the
Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
§54-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: car parts, trash, garbage, coolers, chain saw
and tree equipment, tools, indoor furniture, clothes washer, toilet bowl; tree brush, tree
stumps and various other assorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing'said items from property and/or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received.within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
cK'ean� =
Director of Public Health
Town of Barnstable '
Citizen Web Request Page 1 of 2
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�.rEn µpi t<. ��.. �r/t%..�<1 �/` 1 � 'A�`, �r�#�,wr•y�
Logged In
TOWN\ conn Citizen Request Management Friday,May
TOWN\oconnelt
Route to Users Search
Request Information
Request ID: 59467 Created: 5/4/2018 8:49:16 AM
Status: Assigned To'Staff Assigned To: O'Connell,Timothy
Health Office
Anonymous: No Request Czcegory:
Chapter II : Housing
Substandard edit
Routine work: No Estimate: No edit
Date schedules: edit
Estimated 5/18/2018 4Change Estimated Apr � -tay 2(.,18 Jun
Completion 'Completion Date:
I Date: , vun`Mon Tue 1i:Ed Thu Fri Sat
\NJ lit29 3_0 ' ,.2 3 415
6 7: 8. ''5`r10 11 12
13 14 1 b 17 18 19
i'23> 24 25 26. 20 21 -
27 28 ?n' 10 31 1 2
3 4 5 6 7 8 9
Created By: Soto, Kathryn Priority: Medium edit
Health Office
Citation Numbers: edit
Re uestor Information
Requestor
Request Parcel Map i10"7 Block 008 Lot: 000 j
Neighbor reports trash, Number _ _. _ _...
broken windows at property.
It is being rented out but has Parcel Lookup
not registered in a number of
years.The RV is also possibly
being rented out.
Email:
Edit Reguestor Information /��)/
`
-Request Work History: -Internal Note History:
r
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http://issgl2/ir_temalwrs/�WRequest.aspx?ID=59467 5/4/2018
K C .
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager's )A ReT)m
Address of Offender ,, ; � ,, _ MV/MB Reg.#
s v \
-Village/State/zip ' ,,•.
Business Name "' an/,pm;f on,,P 209/
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Business Address
Signature of Enforcing Officer
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j Vh s will serve only as a warning At this time no legal `action has been taken.
.:
It r
is the goal of 'Town agencies ' to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. ;i. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Towne
I r, .
ENFORCING DEPT.
I FF NDER CANARY-ORD./REG.-PRO PINK-ENFORCING OFFICER GOLD-
Health Complaints
08-May-01
Time: 12:30:00 PM Date: 5/7/01 Complaint Number: 2843
Referred To: DONNA MIORANDI Taken By: FLORENCE SMITH
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail:
Business Name:
Number: 1059 Street: Newton Lane
Village: COTUIT Assessors Map Parcel:
Complainant's Name: Kathy Laverdiere J
Address: 29 Shaken House Rd. Sandwitch
Telephone Number: (508) 833-5202
Complaint Description: Trash in frount yard. Trash cans are out all the
time. Trash also in back yard. O
Actions Taken/Results: /
Investigation Date: Investigation Time:
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