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Home My WebLink About0027 CAMP STREET - Health •27 Camp Street Sewer Acct # 1975 �ll Hyannis 1`A = 327 - 181 c � M J \ C_ Q - A TRUE COPY ATTEST U N 2005 of OLOMMOnmalt4 of isa's" 1 'BAI�tSfiABL&TAK�s. 17005 JUPd 29 PIS 2: 11 __________KEEPER OF THE RECORDS TOWN OF BARNSTABLE-HEALTH DEPARTMENT --------------------------------------------------------------------------------------------- 367 MAR SI&EEI ------------------------------------------------------- 0-i—5TU1N greeting. HYANNIS MA 02601 _________________- ---------------------------------------------------------------- UDu are hPrehg commanbeb, in the name of The Commonwealth of Massachusetts,to appear before the District _______ Court ----______BARNSTABLE ---- ---------- A�IN STREET.RTE. holden at 6A within and for the county of ------ BARNSTABLE on the 30th day of JUKE,2005, at 10:00 o'clock in the fore noon, and from day to day thereafter, until the action hereinafter named is heard by said Court, to give evidence of what you know relating to an action of - SUMMARY PROCESS then and thereto be heard and tried between JONATHAN TYLER Plaintiff, and ----------------------- ------------------------------------------------------- TEENA AND JASON DOWNING Defendant, and --------------------- ------------------------------------------------------- in the aforesaid Court, Docket Number 200525SU0576 you are further required to bring with you ALL DOCUMENTS RELATING TO: 27 CAMP STREET,HYANNIS,MA 02601 FROM OCTOBER 1,2004 THROUGH JUNE 29,2005 ------------------------------------------------- -�\ ------------------I fail not, as you will answer your default under the penalties in the law in that behalf made and provided. 193teb at HYANNIS --_-_- the --------_-29th----____- day of __---JUNE A.D. 2005. / ---- jc-L - ---- --------------- Notary Public. Justice of the Peace Subpoena issued at the request of: MICHAEL HERSEY -___ / Plaintiff - --------------------------- ------------------------ (name of parry/attorney) (attorney for) 687 WEST MAIN STREET --------------------------------------------- (street address). HYANNIS,MA 02601 (citti/town,state,zip code) 508-771-9544 (telephone number) PSC(800)518-8726—c.g.f. - t" LEAD DE ATION REPORT FORM Date of Dete ' atio Inspector: License#: Method Used: FSodiurn Sulfide Expiration date: X-Ray Fluorescence Model: /� Se ial#: Property Address: OC Apt. # Description of Property: j Single family Multi-family # units Garage Fence Other structures Age of Property: Pre-1978 Post-1,9/7$( ° Occupant: N9 �Y 01AA39A Occupants under six year o Aged`• r✓� o-,VIN �lY DOB: _ ��/oL / ay DOB: D Occupant's Telephone: > Property Owner(s): Owner's Address: Owner's Telephone: Lead Hazards found? Yes No. An X-ray fluorescence reading greater than 1.2 mg/cm2 or a gray or black reaction to sodium sulfide indicates a dangerous level of lead and constitutes a positive determination. Deleading should not be undertaken based on this report.A licensed lead inspector must do a full inspection in order for you to qualify for a Compliance Letter. Deleading of lead painted surfaces must be performed by an appropriately authorized person, including a licensed deleading contractor, a licensed lead-safe renovator, and an owner/agent who is trained to perform specific work as required under the Lead Law. Contact the Childhood Lead Poisoning Prevention Program for additional information regarding deleading and training. • Drive???Determination Report form without letterhead.doe rev 1/00 { LOCATION SOURCE Pb 1. Child's bedroom Window parting bead/exterior sill area Jr 2. Child's bedroom Window sill 3. Living room Window parting bead/exterior sill area 4. Kitchen Window parting bead/exterior sill area 5. Interior Flaking paint 6. Exterior Flaking paint 7. Exterior Cellar window units 8. Exterior Window sills below 5' 9. Exterior Main entry door casing 10. Interior (e6v pm 1) Outside corner of baseboard 11. Kitchen or Bathroom Chair rail 12. Bathroom Window sill 13. Exterior Threshold 14. Interior hallway(common area) Stair tread or stringer 15. Interior hallway(common area) Balusters 16. Interior hallway(common area) Door casing 17. Porch Stair tread or riser 18. Porch Railing cap 19. Porch Balusters 20. Porch Support columns(<6" diameter or square) 21. Porch Staircase stringer 22. Exterior Bulkhead 23. Garage/Outbuilding Door casing or jamb 24. Interior Closet door or baseboard(uncapped) 25. Interior Cabinet door, shelf,or wall 49 Drive???Determination Report form without letterhead rev 1/00 Donna Z. Miorandi, Rs FORM s'&W Hosesa WnaaeN'M THE COMMONWEALTH OF MA `OE �1•.w Health Inspector 0 Of i 1LAJWS TABM : Town of Barnstable MASS'1 1 `0m Department of Regulatory Services cITY OWN �fOMAIA W r PUBLIC HEALTH DIVISION DE MENT Office Hours: 200 Main Street,Hyannis,MA 02601 .v 8:00-9:30 a.m.Daily Tel: (508)862-4644 1:00-2:00 p.m.Daily Fax: (508)790-6304 ��1 �,M 0 •" ADDRESS Email: donna.miorandi@town.barnstable.ma.us Al t p -,p j Address . _: �� , ,�, dl -0ccupant.-- �t Floor Apartment No. ___- ` -__. . o..of Occupggts :_.._. No.of Habitable.ROoms __No.Sleeping Roo No.dwelling or rooming.units , w t rie Name and address of owner_ Rerr}arks Reg. Vio. YARD O.ut-Bld s.: Fences: Garbage and Rubbish Containers: •Draina e Infestation.Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Ob 'n.:. O B .❑ F. ❑ M Doors,Windows: . : f F, f, *xl �, ir< d ev Roof :tl Gutters, Drains: . Walls: Foundation: Chimney: BASEMENT. Gen.Sanitation: Dampness: . Stairs: Li htin STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall Ceiling Hall Li htin Hall Windows; HEATING .:Chimne s: . Central O Y ❑ N. E ui ',Repair ;� ' TYPE: . Stacks,Flues,Ven Q PLUMBING Su I Line: (� -" ❑ MS . ❑ ST ❑ P Waste Line: H.W.Tanks Safetyand Ven s �.: ELECTRICAL Panels; Meters,Cir.: ❑.1.10 '❑ 220.. Fusin ,.Grnd.: jR AMP: Gen.Cond. Dlstnb. Box: Gen.Basement Wiring! DWELLING UNIT Ventil. L t utl t 1/V Its ils. Wind, Doors. FI ors:.. ockAL3- Kitchen it it a Bathroom Pant Den LivingRoom., Bedroom(1)... Bedroom 2 Bedroom 3 Bedroom 4 .: Hot Water Facil: Su Ten:,Gas,Oil, Elect.: Stacks; Flues,Vents,Saf ties kitchen.Facilities Sink Stove • Bathing,Toilet.Facll. - :,Vent:, Plumb.;Sanit'n:: Wash Basin,Shower or Tub. �,, d /. , Infestation Rats,Mice, Roaches or ther: E Bess Dual and Obst`n:. General BuildingPosted ��... 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 F 0 THE OCCUPANT AS DETERMINED BY .105CMR ,410.750: OF THE..CODE OR. THE AUTHORIZED INSPECTOR,(See Over) 'THIS INSPECTION REP RT j SIGNED AND CERTIFIED UNDER THE PAINS SAND PENAL.dE ;OF PERJUFtI� ' ✓ 3 l ,r INSPECTOR ' i(�o" TITLE "ti% v :: f•: ._. I + .: 1° v I; _. , DATE TIME a _1 ^'� ` t EXT SCHEDULED DIN. PECTIN. +� P.M. Health Complaints 01-J u I-05 Time: 12:40:00 PM Date: 3/2/2005 Complaint Number: 17951 Referred To: DONNA MIORANDI Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 27 Street: CAMP STREET Village: HYANNIS Assessors Map_Parcel: Complaint Description: Walls crumbling -floors in bathroom & kitchen coming up- no hot water in tub on ground floor- up stairs is make shift Actions Taken/Results: DZM investigated and there are numerous violations at the property including bedbugs, electrical violations, no smoke detectors, no anti-scald device and possibly lead since the paint looks old and house was built in 1770. Shall return at a later date to do a lead determination. Pictures were taken and a report shall go out to owner, Jonathan Tyler. Inspection took one hour to perform and document. A copy of the report went out to home owner and came back undeliverable as addressed. In the voter list DZM found a post office box 104, W. Hyport, 02672 and remailed it on 3/31/05. Still awaiting Sodium Sulfide from the State. 5/12/2005-Had a 10 am lead determination to perform and tenants are not home. On 5/12/05, DZM conducted a lead determination, positive for lead. Lead determination.report on file. Child was 6 at time of initial complaint, but the lead law is for under 6 years of age. On 6/30/05 DS went to court. 1 I Health Complaints 01-Jul-05 DS spoke with attorney Michael Hersey, the case is continued until Thursday July 7th, 2005. Investigation Date: 3/18/2005 Investigation Time: 10:15:00 AM 2 �,. i Health Complaints 12-May-05 Time: 12:40:00 PM Date: 3/2/2005 Complaint Number: 17951 Referred To: DONNA MIORANDI Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 27 Street: CAMP STREET Village: HYANNIS Assessors Map_Parcel: Complaint Description: Walls crumbling -floors in bathroom &kitchen coming up- no hot water in tub on ground floor-up stairs is make shift Actions Taken/Results: DZM investigated and there are numerous violations at the property including bedbugs, electrical violations, no smoke detectors, no anti-scald device and possibly lead since the paint looks old and house was built in 1770. Shall return at a later date to do a lead determination. Pictures were taken and a report shall go out to owner, Jonathan Tyler. Inspection took one hour to perform and document. A copy of the report went out to home owner and came back undeliverable as addressed. In the voter list DZM found a post office box 104, W. Hyport, 02672 and remailed it on.3/31/05. Still awaiting Sodium Sulfide from the State. 5/12/2005-Had a 10 am lead determination to perform and tenants are not home. Investigation Date: 3/18/2005 Investigation Time: 10:15:00 AM h _ Health Complaints 12-May-05 2