HomeMy WebLinkAbout0044 ORR'S AVENUE - Health 44 ORBS AVENUE, HYANNIS
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.� TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION
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Date s I Time: In Out
Owner Tenant
� S
Address �� � Address �f
Compliance Remarks or
Regulation# Yes O Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities Apmved:
6. Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal
17. Temporary Housing
18. Driveway Width N
19. Number of Tenants Observed
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max)
Number of Persons Allowed (max)
Person(s) Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION
Date Time: In Out
Owner 60-1 VA416 Tenant,5�awiM C',y &o 0
Address _g q 10I)R .S[ Address q 9 ®�F'S t4V e
fl5'►o1J }�� [gY/APj/j lei
Compliance Remarks or
Regulation# Yes NO Recommendations
2. Kitchen Facilities VtO L_
3. Bathroom Facilities Nkme OF I&ISWIT10A)
4. Water Supply
5. Hot Water Facilities `60
6. Heating Facilities p
I�•V'wiryi�r l
7. Lighting and Electrical Facilities _ I:
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal 3r9e
17. Temporary Housing
18. Driveway Width w /p�
19. Number of Tenants Observed N
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max)
Number of Persons Allowed (max)
Person(s) Interviewed Inspecto
If Public Building such as Store or Hotel/Motel specify here
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HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
FORM 30 C&w
BOARD F HEALTH
CI�Y TOWN
DEPARTMEN14,
i
ADDRESS
GSM SVByw
TELEPHONE
Address /J Occupant
I Ae /
Floor Apartment N No.of Occupants
No.of Habitable Rooms_ to No.Sleeping Rooms
No. dwelling or rooming units _ o Sn torpes
Name and address of owner (p-�✓�
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: I7
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Sty s, Flues ts,Safeties:
Kitchen Facilities ink 110 ul
S 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 F:
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 INSPECTIJGN,REPORT IS SIGNED AND CERTIFIED UNDER T PAINS AND
PENALTIES OF ER Y."
INSPECTOR TITLE
DATE' ®� TIME—
LAI P•
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
Ar u
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions,when found to exist-in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific'situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by,105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure.to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply,with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
K Roof, foundation or other structural defects that may expose the occupant or anyone else to fire burns shock accident or
( ) Y P P Y ,
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
r which m result in the release of powdered, crumbled or ulverized asbestos material in violation f 1 of asbestos dust o c may es p p0 05
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.
11
IKE rq�,
Town of Barnstable
• BAMFrABLE. • t/
9�A bs Regulatory Services Department
Public Health Division
200 Main Street, Hyannis MA 02601
Office: 508-8624644
FAX: 508-790-6304 Thomas A.McKean,CHO
APPLICATION FOR RENTAL REGISTRATION
Date:
Fee:$90.00 Per Unit Plus$25 for each
addtl..Unit on the same parcel
r
Property Location: 4 R A x_
Number`of Rental Units On This P perty � 14C9 w0 q,&L � ��� 10
Assessor's Map and Parcel: 1
-
Owner's Name: o c� -�
Date of Birth: - —
Telephone Numbers (Daytime) r �• C,
(Home Phone) (Cellular)
Owner's Address: 941 0 R n
Mailing Address: (if different than above)
Owner's Representative's Name (if Applicable): 13
Address:
Telephone Number: p
Occupant's Name: iJ rt rr r�, Ck/.0-5
Daytime Phone Number: Cellular
Number of Bedrooms: _3 Check One: Is this a single family dwelling unit? [
an apartment building? [ ] or an accessory apartment? [ ]
Do You Have Zoning/Building Division Approval for an accessory apartment?
Will there be any children under the age of six who will be occupying the rental unit?
(circle one) e§ No
Was the dwelling constructed prior to 1979? Yes N:'
I certify that t11e info r atioon provided a4ove is true:
�, �Lt`� Applicant's Signature
�' - /.
AsBuilt Page 1 of 1
LOCATION 1 SE CE PERMIT NO.
VILLAGE
�;T11STA LLER'S NAME J DS.
R UILDE OR OWNER
f
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED ]
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http:Hissgl2/intranet/propdata/prebuilt.aspx?mappar=291201&seq=1 4/8/2011
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LOCATION ,� SE GE PERMIT NO.
VILLAGE '
RA.'s�
VA-TNSTA LLER'S NAME A A,1\ s,S
T P
UCKING
4_ WEST Br,R •:STASUE, NAAS& 02663.
R U I L D E OR OWN ER TEL M2-3005
DATE P .IrRMIT ISSUED
DATE COMPLIANCE ISSUED
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FEs. .�3.........._
THE COMMONWEALTH OF MASSACHUSETTS
ABOARD OF HEALTH
....A....GJN..-- .....OF.................
----------------------------------------------
Appliratinn for Uiipniial Works Tonutrttrtinn thrutit
Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal
System at:
................. .......... _..A�U.c.......... .............. ----•-=---.........------.........----............
ss or Lot No
.. .
O/finer
In Address
staller Address f
UType of Building Size Lot... !?ADOO.......Sq. feet
�-, Dwelling—No. of Bedrooms....... ................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------•---•------------------••--•----------------•----------------------------------------------•-----------------•-•-----------••------------
W Design Flow.............�5.....................gallons per person, /er day. Total daily flow------------ 5�.........._.......gallons.
WSeptic Tank—Liquid'capacity 000..gallons Length---:!--... Width'9.'7/0..--_ Diameter................ Depth-ter_." ....
x Disposal Trench—No.-.._------------- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.......0........... Diameter..=O..... Depth below ..... Total leaching area../.746......sq. ft.
Z Other Distribution box (✓) Dosinytank�j )
Percolation Test Results Performed by..!7�L...S.sf}1� � .._ SS�� Date......ZZ/.� 1_��
�7 t J
Test Pit No. 1.. Z....minutes per inch Depth of Test Pit.../�l......_. Depth to ground water--- -----.
fs, Test Pit No. 2..4 z......minutes per inch Depth of Test Pit..ail........ Depth to ground water.___-----------------
----- - -------------•---•---..-----------------------•----------------•-•--------------------------
D ..
O Description of Soil....-�. 3�A_.__ ...f_5. ,5®/ -�;•.3(0 ••-72„�.4 •.............
x --. u FP�,4!�E�-t---7Z ..-./s�9_,ri�1 .L?I.Ldil�_. & �7 _Asa-roc 's„ -O�y'E'.
UW ........................ ------------------------------------------------------------------------------------------------------------------------------------------------
Nature of Repairs or Alterations—Answer when applicable...............................................................................................
....-...................................................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operat' n until a,Certificate of Ci liance has been i , ed y the board of health.
Signed .............. ���
._.... .
pp c tion prove y..
/ I (--BPS
Application Disapproved for the following reasons:__..___...
----•---......---••---------•---------•..........................................Date
--------------------------------------------------------------------------------------------------------------•--....--------------------------------------------------------------------------•--------
Date
Permit No............ '11_r,p-------•-•• Issued........................................................
Date
1 41,
THE COMMONWEALTH OF MASSACHUSETTS
OARD Off' HEALTH
Tow -
........ . ......... ........ ......OF.........................................................................................
Appliration for Diipusttl Workii Tonstxnrtinn .erntit
Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal
System t:
or Lot No.
Address ,
a ............................•---.._..----...---------- � .----•-.........._........... •--•--•••---------........•--•••••••••----•---•-------••••---_._.. ............ ••-•-••••••.....
Installer Address 12 6
0
0 `
VType of Building ] Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
pal Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QI Other fixtures ............................
W Design Flow............................................gallons per person er da Totallail flow..........................................._gajl
WSeptic Tank—Liquid capacity�r'�......gallons Length. . .... Width._. ................. Diameter Diameter................ Depth ..�s.
x Disposal Trench—N . -•---------------•-- Wi th:� _............. Total Length......,,__,__, Total leaching area_._____. .......sq. ft.
l' a -/ � ----- , 8
Seepage Pit No------------------ Diameter..._...................... Depth below inlet.................... Total leaching a rea..................sq. ft.
Z Other Distribution box (�) DosinAltank fi7 ) �v
,., SILL (:.4PE '5u"ev l C /Suer // / / ?`�
Percolation Test Results Performed by................ z-< - Date........
_./ !�___....
,-a Z j-A--•-•--•-
Test Pit No. 1_.� ......minutes per inch Depth of Test Pit...l_����..._.___ Depth to ground water________________________
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.------.___.............
Deserilption of oil_ .
/�Iv �r�� v..r;Lat t� l— ---76 � �-:t „v ; �7� i . �� `_ T� ✓�
W :;OG-------:zrr
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 TITIE 5 of t e §tate SanitaLbeen
ode he ndersign d rther agrees not to place t y etlA f
p �Iiance has issu bo erat' n until a Cer�h to of Signed... ... . ..........................•-•----------•-------•----•--•----•---•-
Date( p
Appli ion Approved By........._ l G 1 .
--------------- -----------•-----------
Date
Application Disapproved for the following reasons-----------------------------•-------•----------------.........................................................
---------------------•----........--------....--•--•---------•-------•----...--------..........-------------•-----•---•--------••----••-------•------------••----•----•-...----•-----------•-•----------
�- l I�Co
ate
Permit No......................................................... Issued--------------------
•------------
•---------------------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF..............................................................I....................
05rdifirtttr of Tu3nliliattre
THIS IS:jK;CZRf&,,Y� t the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by..••---} -----•-- •`-----....�--- ................................................................................................
`. .1_1..�1 InsitrFler
�' ,/1 Q 1 :
has been installed in accordance with the provisions of TITLF' , 5 T �ke State Sanitary Code/as described in the
application for Disposal Works Construction Permit No `�._�._�__._.._...._�..... date-.----�2_--.-`__-- ...................
THE ISSUANCEOF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
.�DATE...............................
......... Inspector.............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............................ ,
No......................... FEE........................
t �a kr15 %otrudionn amit
Permission is hereby granted..........................................A.................................................................................................
to Constttt t t( )j�t Re*T,�) a i jyidu L$$wag isposal System
atNo. _....----•--•--.--••••-•----•--••--•-•••-•---•-•-••••--•-•---•---•--•----•--•--•••-••------------------------- M
Street —G - i 3 e,
as shown on the application for Disposal Works Const>udion i I0.--•-----•-. Dated �...`--
tj-�-._.,.. ,
i - -------- - ------
Board of Health ..
DATE...................---•---- ........................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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