HomeMy WebLinkAbout0120 WEST MAIN STREET - Health GLES HAIR DESI
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Fire Department retains original application and issues duplicate as Permit.
APPLICATION
and P1��1l11T
for storage tank removal and transportation to approved tank disposal yard in accordance with th visions
of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by:
Tank Owner Name(please print) / D J 0 TN4+
Ion ,
store apptyvtg torpetmrt
Address I d l� (A) , MAi w �� Y O'X-'W M
cftY state Irp
aw
Company Name 0 &Cc� Co. or Individual
/ 'Prig i ii •. ^ f�,j Print
Address L3 (�(�r'Wl l w 1 JA— ,C 0� Address
Print Prat
Signatu rf pplyin f r permit) Signature(if applying for permit)
IFCI•Certified Other ❑ IFCI'Certified ❑ LSP# Other
Tank Location i' a (� I r IQ-I
,ram Sleet Address G7y . s •
Tank'Capacity(gallons) J E' (kyt3 Substance Last Stored
KU
Tank Dimensions(diameter x length)
y' y
Remarks: 'K(761K
0 • • • e
ATM
Firm transporting waste State Lic.#
Hazardous waste manifest;# E.P.A.#
Approved tank disposal yard d2A v Tank yard
Type of inert gas�P- i Tank yard address
City or Town 647A, FDID# Permit#
Date of'issue Date of expiration
Dig safe approval number. / Dig Safe Toll Free 1.Number-800-322-4844
Signature f 7itle of Officer granting permit _ �j®1 T
�i
After removai(s)("Consumptive Use'fuel oil tars� ® I #' igned by Local Fire Department to Office of the
State Fire Marshal, UST Regulatory Compliance.Unit, P.O.l0 ,Sow, MA 01775.
International Fire Code Institute
292.(revrsed 4197)
Hyannis Fire. Department
95 HIGH SCHOOL RD EZT
Hyannis, MA 02601
WORK 508-775-1300
Underground Tank Removal Checklist
Occupancy Name: Under Const Ph:
Address: 120 W Main
Hyannis, MA 02601
Inspector.: Melanson, Dean L.
Date Inspected: 07/29/2014
Permit .
Failure to obtain permit [X]Pass [ ]Fail [ ]N/A [ ]Unk
Removal form filled out (290-R) [X]Pass [ ]Fail [ ]N/A [ ]Unk
Site work
Dig Safe notified? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Tank clean and inerted? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Check for evidence of leaks? [X]Pass [ ]Fail [ ]N/A [ ]Unk
All piping removed with tank? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Tank exterior shows no leaks? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Tank exterior clean for transport? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Tank going to approved yard? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Paperwork
owner is filling out new FP-290R? [ ]Pass [ ]Fail [X]N/A [ ]Unk
Commercial site filling out new FP-290 [ ]Pass [ ]Fail [X]N/A [ ]Unk
other issues
There are no other safety issues? [X]Pass [ ]Fail [ ]N/A [ ]Unk
Hyannis Fire Department
• 95 HIGH SCHOOL RD EXT
Hyannis, MA 02601
WORK 508-775-1300
Underground Tank Removal Checklist
Occupancy Name: Under Const Ph:
Address: 120 W Main
Hyannis, MA 02601
Inspector: Melanson, Dean L.
Date Inspected: 07/29/2014
Property use: 5931 Office: business After Ers:
'Structure Type: l Enclosed building Fax:
Roof Covering:7 Built-Up Zone:
Detector Type: Station: l
Exting Type: District: 3
Building Class:B2 Stores, asmbl <50, facl. using matl not Stories: 2
NOTE CORRECTIONS BELOW
500 gallon steel tank, unk age, located in front lawn exposed on my arrival'. Witnessed the
removal, noted dry unstained earth around and under the tank. No staining or moisture on the
tank. Contractor struck the tank with a shovel handle to knock dirt off of it and I noted a
very small stream of liquid come out. The liquid was clear, had a lite oil smell to it but was
not -oily to the touch and left no oil residue. Appeared to be a small amount of moisture from
the tank. No indication of spill or release hole appeared only after the tank was struck. The
contractor stopped any more liquid from coming- out by changing the position of the tank. Only
ounces of this liquid were released.
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pTHE T
Town of Barnstable Barn
Regulatory Services Department e'ca�j
+ BARM-MABLE, • O D .
MASS. $ Public Health Division !!!!
.or fb MAI a 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 70073020 0001 3429 8615
Pamela Terry, Trustee October 13, 2009
1185 Falmouth Rd.
Centerville, MA 02632
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 120 West Main St., Hyannis was inspected
On October 9, 2009 by Jaime Cabot, 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 410.354-Metering of Electricity Gas and Water:
Gas service to the mixed use building has been restored by the tenant for the entire
building, with no provision to meter gas usage for commercial and residential portions of
the building.
The following violations of the Town of Barnstable Code were observed:
1& 70-4—Certificate of Registration: Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within seven (7) days
of your receipt of this notice by providing for separate metering of the gas service
for the apartment and by registering the rental property with the Town of
Barnstable Health Division. 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.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health, Town of Barnstable
cc: David. Fitzgerald
0p THE r°�
Town of Barnstable Barnsta
P` ti
Regulatory Services DepartmentA14 'ca
i`• BARN STABLE, '
MASS. m Q_ �e39. ,� Public Health Division
oArF0 M a' 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX:. 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8615
Pamela Terry, Trustee October 13, 2009
1185 Falmouth Rd.
Centerville,MA 02632
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 120 West Main St., Hyannis was inspected
On October 9, 2009 by Jaime Cabot,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 410.354- Metering of Electricity Gas and Water:
Gas service to the mixed use building has been restored by the tenant for the entire
building, with no,provision to meter gas usage for commercial and residential portions of
the building.
The following violations of the Town of Barnstable Code were observed:
1704-Certificate of Registration: Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within seven (7) days
of your receipt of this notice by providing for separate metering of the gas service
for the apartment and by registering the rental property with the Town of
Barnstable Health Division.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 hall constitute a separate violation.
Should you have any q estions regarding the above violations, please contact the Town
ivis' nand a to speak with the inspector who performed the inspection.
R OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director"of Public Health, Town of Barnstable
cc: David. Fitzgerald
I
ul �. e
r-�
CO
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e
r• Postage $ H rq
Certified Fee
C Postmark N
O Return Receipt Fee Cn hem
a (EndorsementRequued) NoIZI
Restricted Delivery Fee U� 0
Q (Endorsement Required)
rQ Total Postage&Fees $
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Sent To y
O ee �p •----------------
S'trt,-A;W No., 1
O orPOBoxNo. �� �jJr rrALMt)c,�[1�
City,State,ZIP+4
------------------------ ----- ----
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IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONDELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature I
item 4 if Restricted Delivery is desired. X l;hAgent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Rece aed by( rint d Name) C. Da a of D livery
■ Attach this card to the back of the mailpiece, �!/ v
or"on the front if space permits.
1. Article Addressed to: D. Is delivery addread different from item 1 T Yes
If YES,enter delivery address below: �lo
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A i/1 9LA -T tgYLV2�1 -TW .
4�
3. Service Type
I CIE N ��!1 (_i„ ertified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
6 3 ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number ! ,70 01 .-30 2 0 =0 3 4 2 9 `8 615
(Transfer from service laboo
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED ST 'OW gdR NSF":,, '!'-S
eU,wP'
• Sender: Please print your name, address,and ZIP+4 iF;his •
Town of Barnstable
O Health Division I
200 Main Street
Hyannis,MA 02601
FORM30 CAW HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY/TOWN
W DEPARTMENT
0
c ^ ADDRESS 505 �62.- /1 �`f0
G,,M SV 9•'0� U' �lGo
' 'Z 6 ° '1 S7" ,T�E-L�E�PHONE
Address -"JA V4 W i S f ®2G0 1 Occupant_. / I Z Z r 2'A LC)Floor 2- Apartment No. No.of Occupants 2-
No. of Habitable Rooms No.Sleeping Rooms
No. dwelling or rooming units L- No.Stories �-
Name and address of owner 2 t�f-�/. `� 7 FEZ vS't I �
A L A o o-1 �� V aug 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 U4 ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents: v,-, t�1. lei oa S 0"
PLUMBING: Supply Line: -e-t-+.PLC -f -t
❑ MS ❑ ST ❑ P Waste Line: (L c, S. N 2
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
11110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen, Basement Wiring:
DWELLING UNIT
Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil,Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n: I 'L
General uildin Posted -tA(_ �-C I
Locks on Doors: -T U t," 6 ` tz/v_ ' !�
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 INSPE TION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES PERJURY '
INSPECTOR •s TITLE ZAI G7Z02
DATE �d 9 TIME -- �® P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION ��� P.M.
x *.. f ,1 f: Tw4 yl.�.�j' - �.. .! 6' J:. ��.1�. '.� <i ...+ .. 1 h♦ ' G.!'`Tl ..1 .�Wl J�7'•'�:. �. .
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
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.
FSHEr Town of Barnstable Barnstable
o °ts-
ti
Regulatory Services Department . .
* BARN STABLE,
IM •
A'. Public Health Division
i639.
i A
A
le0 Mai" 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8288
Nancy Dedecko,Trustee July 8, 2009
67 Popplebottom Rd.
Sandwich, MA 02563
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 120 West Main St., Hyannis was inspected
on June 24, 2009 by Jaime Cabot, 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:
Kitchen cabinet door is damaged and falls off.
105 CMR 410.351- Owner's installation and Maintenance responsibilities.
Kitchen sink leaks.
105 CMR 410.482 — Smoke Detectors and Carbon Monoxide Alarms
CO detectors missing from bedrooms, smoke detector not maintained
105 CMR 410.190-Temperature of hot water.
Water was 62 Deg. F, no hot water provided.
The following violations of the Town of Barnstable Code were observed:
070-4—Certificate of Registration. Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by providing hot water between 110deg.F. and 130 deg
F. and installing smoke detectors in accordance with Mass Fire Codes. You.are
directed to correct the violations listed above within thirty (30) days of your receipt
of this notice by repairing the kitchen cabinet and the leaking sink.
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 rag the above violations, please contact the Town
Health Division and ask to s with the i, pector who performed the inspection.
PER ORDER OF THE B OF ALTH
Thomas A. McKean, R.S., CHO
Director of Public Health, Town of Barnstable
I
SHE Town of Barnstable Barn
l
Regulatory Services Department ;edcaC"j
BARNS-TABLE.MAS 8 _
.
i63939• Public Health Division
��
ArFD""A�s 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8288
Nancy Dedecko,Trustee July 8, 2009
67 Popplebottom Rd.
Sandwich, MA 02563
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.
4 The property owned by you located at 120 West Main St., Hyannis was inspected
on June 24, 2009 by Jaime Cabot, 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:
Kitchen cabinet door is damaged and falls off.
105 CMR 410.351- Owner's installation and Maintenance responsibilities.
Kitchen sink leaks.
105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms
CO detectors missing from bedrooms, smoke detector not maintained
105 CMR 410.190- Temperature of hot water.
Water was 62 Deg-. F, no hot water provided.
The following violations of the Town of Barnstable Code were observed:
1� 70-4—Certificate of Registration. Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by providing hot water between 110deg.F. and 130 deg
F. and installing smoke detectors in accordance with Mass Fire Codes. You are
directed to correct the violations listed above within thirty (30) days of your receipt
of this notice by repairing the kitchen cabinet and the leaking sink.
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 re _ the above violations,please contact the Town
Health Division and ask to s �QF
ith th i pector who performed the inspection.
PER ORDER OF THE BLTH
Thomas A. McKean,R.S., CHO
Director of Public Health, Town of Barnstable
I
PTHE T
Town of Barnstable Barn
Regulatory Services Department AbAmedcaCiry
M 1 1
BAR ABLE,
9 MASS. $ D
039. A Public Health Division
rfD MAI 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8615
Pamela Terry, Trustee October 13, 2009
1185 Falmouth Rd.
Centerville, MA 02632
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 120 West Main St., Hyannis was inspected
On October 9, 2009 by Jaime Cabot, 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 410.354-Metering of Electricity Gas and Water:
Gas service to the mixed use building has been restored by the tenant for the entire
building, with no provision to meter gas usage for commercial and residential portions of
the building.
The following violations of the Town of Barnstable Code were observed:
1§ 70-4—Certificate of Registration: Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within seven (7) days
of your receipt of this notice by providing for separate metering of the gas service
for the apartment and by registering the rental property with the Town of
Barnstable Health Division. 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.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health, Town of Barnstable
cc: David. Fitzgerald
Town of Barnstable Barnstable
pf SHE
� taw
Regulatory Services Department "'�cac
ilv
' 0 D '
6ARNSTABLE,
9� MASS.
"S Public Health Division
prfD M a 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8288
Nancy Dedecko,Trustee July 8, 2009
67 Popplebottom Rd.
Sandwich, MA 02563
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 120 West Main St., Hyannis was inspected
on June 24, 2009 by Jaime Cabot, 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:
Kitchen cabinet door is damaged and falls off.
105 CMR 410.351- Owner's installation and Maintenance responsibilities.
Kitchen sink leaks.
105 CMR 410.482 —Smoke Detectors and Carbon Monoxide Alarms
CO detectors missing from bedrooms, smoke detector not maintained
105 CMR 410.190- Temperature of hot water.
Water was 62 Deg. F, no hot water provided.
The following violations of the Town of Barnstable Code were observed:
1§ 70-4—Certificate of Registration. Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by providing hot water between 110deg.F. and 130 deg
F. and installing smoke detectors in accordance with Mass Fire Codes. You are
directed to correct the violations listed above within thirty (30) days of your receipt
of this notice by repairing the kitchen cabinet and the leaking sink.
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.
PER ORDER OF THE BOARD OF HEALTH
,Thomas A. McKean,R.S., CHO
Director of Public Health, Town of Barnstable
Parcel Detail Page 1 of 2
- Developer(_ ____ __
Parcel ID 290-161 I ILOT 2
- --- - -- --- -- -- - - Lot -
Location 120 WEST MAIN STREET I Pri Frontage J55
Sec Road Sec
Frontage
Village HYANNIS I Fire District JHYANNIS
Sewer Acct 0446 Road Index,1813
Interactive °
Map
- Owner Info �,9>7'�2 — 7� —_ 7 SO :l S i m u,►U ` 9-D
owner DEDECKO, NANCY A TR Co-owner C/O PAMELA TERRY, TR.
Streets 67 POPPLEBOTTOM ROAD j Street2 '— ��Gg '-I
_ - - I _- - - 1-
City SANDWICH T--- - I State�MA zip i02563_-- Country
- Land Info
Acres 0.25 Use;STORE/SHOP MDL-91 zoning`HB Nghbd ,C109
Topography I Road
Utilities Location �-
Construction Info
Building 1 of 2
Year 1970 - Roof; - Ext
I _ WOOD FRAME
Built Struct`-- Wall -. -- --
_ _ �__ . b
Effect f 2489 I Roof i '� AC,HEAT ONLY —� 5 F
Area Cover . _ TypeInt ' `+
Style Office Bldg Wall - I Rooms
f Bed
BAS
Model Commercial Floor Int jCar et Rooms Bath '0 Full 6 eM7
� .
Heat.,._.. Total
Type,
Grade Average
- - -__ _ -- - - - ---_ Rooms - - --- _;
'Stories Heat--.."as Found Conc."' . .. Block_- _
'G
Fuel ation -- -
Building 2 of 2
Year Roof Ext.
1975 I I WOOD FRAME
Built - - Struct� -- Wall
Effect 2400 f Roof' Type 'AC NONE
Area - - -- 1 Cover -- ----- -- --- -------
style Warehouse-Wd F1 Int - Bed
- ------- - ---- Wall — -_ Rooms -- - ----
http://issgl2/Intranet/Propdata/ParcelDetail.aspx?ID=22498 6/24/2009
a
FORM 30 CIw HOBBS&WARREN
M THE COMMONWEALTH OF MASSACHUSETTS
BOA - D OF HEALTH -7 °7C
CITYlTOWN
W NAfitz,\_n ki
DEPARTMENT
ADDRESS
TELEPHONE
,�,;S �--t� �`�!���1
Address Occupant T2 §�,tAa_ U 3lrja
Floor 2— Apartment No. L5 No. of Occupants
No. of Habitable Rooms No.Sleeping Rooms--
No.dwellin o roo i gun No.Stories �-'�T� ' ` V�1ryt-V_0
Name ands �►G�c�� t
F6 -?4DL- f2_-x-> 0 �� L'�.l4���( Remarks Reg. Vio.
YARD 0 Id s.: Fences:
arba e and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. a s,Stairs, Porches:
Dual Egress: and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
` Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting: t£Z�G CCU
STRUCTURE INT. Hall,Stairway: `S- a
Obst'n.: zf7o Z,
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central F14 N E ui . 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 ,;o—
Pant g Ae 4-
Den
7—
Living Room V, _Te-d If d
Bedroom 1 dc-
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink ® -C L.
Stove
Bathing,Toilet Fac' . ent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other.-
Egress Dual and Obst'n:
General Building Posted 01 k 1-70 d
Locks on Doors: 4 &Co-r4a �. L if VgeY'
ONE OR MORE OF THE VIOLATIONS CHECKED ABO E 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 PERJURY."
INSPECTOR TITLE � `�
A.M.
DATE � 1-j TIME /to =' zoo
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
.. . ,yam ;, ,,: ,.a ,. ,.;, .• ;. .:�, .,_-. :, �,.�,, .. - .. .� .t"'c
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. 1
`2 -- L - - '. ,
(A) Failure to provide a supply,of water sufficient in'quantity;pressure and temperature, both hot and•cold,ito 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.)
t �
(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.,
r
(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)., t
(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.
02/01/2006 15:50 5087786448 HYANNIS FIRE PAGE 01
HYANNIS FIRE DEPARTMENT
ax S 95 HIGH SCHOOL RD, EXT. HYANNIS, MA. 02601
FM]CAL �6
��DfDggTtq HAROLD S. BRUNELLE, CHIEF IT00 NTA1100HI 111.1E000ITI011
FIRE PREVENTION BUREAU
BUSINESS PHONE: (508)775-1300 FACSIMILE PHONE: (508)778-6448
LT. DONALD H. CHASE,JR.,CFI LT.ERIC F.HUBLER,CFI
FIRE PREVENTION OFFICER FIRE PREVENTION OFFICER
FACSIMILE TRANSMITTAL SHEET
THIS FAX IS GOIIN,GG TO:
.............. .. ....................................
THIS FAX IS BEING SENT BY:
SUBJECT OF THIS FAX:
off.qo
DATE: FAX NUMBER: MBE OF PAG
DATE:
.... ��a:la. �. ... ...
(INCLUDE COVER)
NOTES:
..:.. . ...............................................
..... ............�... ...... .................... .... .... .................................................
. .. ............... / ........
.,.. ..........
xv-
.,1 .. ., .. 9
d..
024 2006 15:50 5087786448 HYANNIS FIRE PAGE 04
HYANNIS FIRE DL,['AR". -MEN I'
95 HIGH SCHOOL ROAD EXTENSION
HYANNIS, MASS. 02601
Paul David Chisholm $!?Zodl�e O'f�Ctll�d SQ!/° �'ived BUSINESS: 775.1300
CN16R EMERGENCYs 775.2323
August 16, 1990
Mr. Anthony Dedecko
P.O.Box 367 PLEASE ADVISE APPROXIMATE YEAR OF
Centerville, Mass. 02532 'INSTALLA.TION OF UNDERGROUND TANK/OIL
�IN FRONT YARD) AND IF IT IS CURRENTLY
' SING �S�D
It has come/ to the attention. of this Department ,that;•ttiere� s an .
underground tank located'•at this property.
!r �••1 .
Please .contac� t office within five days to verify `this j
information:�
Sincere
ERIC HUB LE ,rLieutenann'\ i _ '' % ,
Fire Prevention Officer`
For: PAUL DAVID .CHISHOLIJ � ••Chief
Hyannis Fire Dept rtment.
EH/dl
fi
%-02102 2006 15:50 5087786448 HYANNIS FIRE PAGE 05
�F�NN HYANNIS FIRE DEPARTMENT N N�
r" IS 95 HIGH SCHOOL ROAD EXTENSION
F f.. B HYANNIS, MASS. 02601
Rsaliul PAULD.CHISHOLM,CHIEFil
E a . 0 r
FIRE PREVENTION BUREAU
PREVMT10N LT. DONALD H. CHASE, JR. LT.ERIC HURLER
Inspector Inspector
August 6, 1991
TO: Anthony W. Dedecko
Box 367 - Centerville, MA 02632
16 MM110K I&EXT
- NrANMI�W QEbI
SUBJECT: 120 West Main St. (M290 P.161)
Dear Mr. Dedecko:
Recently this Department responded to a rescue call at
120 West Main Street, Unit B. At this time the smoke detector
was observed hanging from it's bracket. The Fire Prevention Office was
notified to follow-up.
Upon a brief inspection of the property on August 5, 1991, no smoke
detectors were observed on the first floor or basement level. Further, I
did not observe any fire extinguishers. I did, however, observe that an
underground tank exists on the site and that you heat with gas.
You are in violation of Mass. General Law 148.27A "Failure To
Maintain Fire Protection Equipment"; MGL.148.26E. "Failure To Provide
Adequate Smokp Detection On All Floors of Mixed Occupancy Building" and
MGL 148.ss9,10,28 and 37 to wit 527 CMR 9.22 "Abandoned Tanks".
Your noncompliance on the Fire Alarm issue goes back to
December 1, 1987 and your noncompliance of the tank issue goes back to
August 16, 1990.
FIRE DEPT. 775-1300 1 TOWN LINE 790-6328 1 EMER6ENCY 775-2323 1 FAX 778-6448
,< 92/k/2006 15:50 5087786448 HYANNIS FIRE PAGE 06
. r
TO: Anthony W. Dedecko Page 2
You shall, within 5 days of -receipt of this letter, resolve all
violations to the satisfaction of this office or we will take action
in Court on the violations.
ERIC HUBLER, Lieutenant
Fire Prevention Officer
For: PAUL D. CHISHOLM, Chief
HYANNIS FIRE DEPARTMENT
EH/dl
P 411 234 '301
RECEIPT FOR CERTIFIED WAIL:
NO INSIRIAIkE COVEMOE PROMED,
NOT FON INTERNATIONAL MAIL
�jWOMAN'
J
'p�•e l� (Sea Reve►se)
ill N 1•I' I :Y� a -
n I 7
;' Street 0.
P. a IP.0
elf r e h
1 rge Pos 9e S
Certified Fee
Special Delivery Fee
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01/25/2006 16:21 5087786448 HYANNIS FIRE PAGE 03
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STREET ADDRESS OF PROPERT-Y BEING SURVEYED; `17
Zo West ;Main Street - EYannis, NA
OWNER : AntnanY Dedecko
PHONE: 775-7g22
ADDRESS : 148 Park Avenue - Centerville / P.O. Box 367
OCCUPANT: PHONE 79.E
ADDRESS 120 west Main Street / Hyannis
PRESENT FLAMMABLE 1TTED STORAGE A PROPERTY;
TANK .P.RO(3U£ ...... LOCATION AGE C STRUCTION
S1ZE (GAL)
**ABANDCNED
? Aze tank ? #. 2 fuel oil Underground/ Front Yard ?AGE ?
275 gal. Diesel **ABANDONED ?AGE Horizontal
Aboveground
TANK MOVED FROM THE PROP
TANK CONSTRUCTION DATE
SIZE (GAL)
. •. REMOVED
None reported
SPILLS / LEAKS AT THE PROPERTY;
DATE: MATERI AL AP PROX. SIZE OF RELEASE
None reported
12/9/9 2 "HYANNIS FIRE PREVENTION 9UREAU"
HYANNIS FIRE DEPARTMENT
ANIG .00
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01/25/2006 16:21 5087786448 HYANNIS FIRE PAGE 02
HYANNIS FIRE D �
LI A1Z'�"NILN I
95 HIGH SCHOOL R6eD EXTENSION
HYANNIS, MASS. 0260,
Paul David Chisholm
Smvlze
Oetecta2"d Sava dived
BUSINESS: 775-I300
EMERGENCY: 773-2323
August 16. 1990
Anthony Dedecko`
P-O-Box 36 �
7
Centerville, Mass. 02532 PLEASE
. .. ADVISE APPROXIMATE YEAR OF
�,r•��.J ( ,_INSTAL-LATION OF UNDERGROUND TANK/OIL
'BARD) AND IF
�J ;.'...•^:�� i, I; EING qS�b, ,.' ., IT IS CURRENTLY
C has comethe,,
under ro /4.� to t�Iey Attention of Ithis Department
8 and ,tank located/,a that`,t�ieies a
x this property. I;\�` ..r� nt••..
Please) , 1
ntac� thl''
/office within five days to verify tha �, }
information,, rr I L I
l. �. -.ram 'I: 1 r 1•, \I
Sincere
f -
ERIC HUB LE XLieutenarii�
Fire Prevention Oficer�
For: PAUL DAV HISHO Iiyannis 1D' C Lk
Fire Department-'
EH/di `�
N.
Jlu
b
VIAkv
A o
19 9Io /�/
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TOWN OF BARNSTABLE BAR-W 5571
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager P,e."%tt to a..d 'T oc"rerr
Address of Offender , Ik A< CA t MV/MB Reg.#
Village/State/Zip ��,,"� , �,i1� c A 6 t�
Business Name _ 1u:Ite ,/pm, on /Q 20 #-
. . .P.S • —
Business Addresski t
Signature of Enforcing Officer
Village/State/Zip ",Qi,,
Location of Offense "A -rU
Enforcing Dept/Division
Offense 1-4 n e�a��C&. `/i Q4.�►"�#A�� ��i ���,"'�� 5'ro02,f a ArC ,P� �`�,�►�i
Facts 91&c :(
PU7,1X004. e,r�)4?44f. elIC 4#C k (1A) (4 AO 1:114C%4 /1)A,Q jZ0*
This will serve only-as-a! warning. At this time no" legal action hast been taken. NSt
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.
l.S WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W 51571
Ordinance or Regulation
WARNING,INOTICE
Name of Offender/Manager
Address of Offender ' MV/MB Reg.#
Village/State/Zip C %_il t'4V
4 IV
Business Name pm, on 2 0
Business Address
Signature of En, foicift4- Officdr
Village/State/Zip �N
Location of Offense ian wvs-k oAiw Hr&L-:Tq
Enforcing De'pt/Division
Offense 19G,
Facts
Ck ' -CIIWN 6C e,_) ��A G'A 46 4 �z VM 101<-/rJ A.,9 742 vS
This will serve only as e warning. At this time no' legal action hasl 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. I ! ,
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
4 P
fO�IC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: )qrU9/LS k4jz, _D E SI 07 AJ Mail To:Board of Health
MAILING ADDRESS: Ian l JCS4 M& w —z>+ L-1� ruN)S rV 45 Town of Barnstable
TELEPHONE NUMBER: - 179 j—r7)SS 00A(001 P.O. Box 534
CONTACT PERSON: CL&Q . Leaot�-e jt)rl ),0"06 hojvv, ,
Hyannis, MA 02601
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your own use, in quantities totalling, any time, more than 50 gallons liquid volume or 25 pounds dry
weight? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the
enclosed envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your
mailing address:
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous
characteristics and must be registered when stored in quantities totalling more than 50 gallonsliquid
volume or 25 pounds dry weight. Please put a check beside each product that you store:
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, varnishes, stains, dyes Fertilizers (if stored outdoors)
Paint & lacquer thinners PCB's
Paint & varnish removers, deglossers Other chlorinated hydrocarbons,
Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform, formaldehyde,
r Laundryit so & stain removers hydrochloric aced, other acids)
(including bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners) -4''v, So fc,,,ij
Other cleaning solvents to -c So
Bug and tar removers
Household cleansers, oven cleaners
white Copy-Health Department/ Canary Copy-Business
— — I
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
2. nters
BOARD OF HEALTH satisfactory 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY s (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
G�il/LW-.e QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATE RIALS / ground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscell neous:
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2 Water Supply
X Town Sewer ublic
O On-site OPrivate
3. Indoor Floor Drains YES NO
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES_XNO ORDERS:
O Holding tank: MDC
*atch basin/Dry well
On-site system
5.Waste Transporter
Name of Hauler Destination aste ' ice se v
YES NO
1.
2.
Person (s) In erviewed Inspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
O satisfactory
2.F'rinters
BOARD OF HEALTH 3.Auto Body Shops
n unsatisfactory- 4.Manufacturers
COMPANYO lG�l S � S1C�N (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS UO V•L µVS2,� S-r. Class: 7.Miscellaneous
" f AWXS . QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, 02 (B)
Heavy Oils:
waste motor oil (C)
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
3S
Sv�c�u�cs� q S
ec v,\C. g� IS o
a;V 0.
DISPOSAL'RECLAMATION REMARKS:
1. ganitary Sewage 2.Water Supply
Town Sewer Public
O On-site OPrivate
3. Indoor Floor Drains YES___NO)
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO_)�_ ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler
YES NO
1.
2.
of
Person(s) In rviewed Inspector Date
Date: J
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS:
BUSINESS LOCATION: /_0
MAILINGADDRESS: j 4 a Mail To:
TELEPHONE NUMBER: Board of Health fb Town of Barnstable
CONTACT PERSON: A l , /1 - P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: S^i�ZOO S Hyannis, MA 02601
TYPEOFBUSINESS: 4&w- C_Z-o !1:ac,
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed
envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your mailing
address:
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous character-
istics and must be registered regardless of volume. Please estimate the quantity beside the product that
you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS.
Quantity Quantity
Antifreeze(for gasoline or coolant systems) Drain cleaners
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Diesel fuel, kerosene, #2 heating oil NEW USED
Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents Jewelry cleaners
Car waxes and polishes Leather dyes
Asphalt & roofing tar Fertilizers
Paints, varnishes, stains, dyes PCB's
Lacquer thinners Other chlorinated hydrocarbons,
NEW USED (inc. carbon tetrachloride)
Paint & varnish removers, deglossers Any other products with "poison" labels
Paint brush cleaners (including chloroform, formaldehyde,
Floor& furniture strippers hydrochloric acid, other acids)
Metal polishes
Laundry soil & stain removers Other products not listed which you feel
(including bleach) may be toxic or hazardous (please list):
Spot removers & cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
°p SHE T°�
Town of Barnstable Barnstable
y�P Regulatory Services Department A&Ame1Ce j
BARNSTABLE. D
9 ,�� Public Health Division
aw 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 7007 3020 0001 3429 8288
Nancy Dedecko,Trustee July 8, 2009
67 Popplebottom Rd.
Sandwich, MA 02563
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 120 West Main St.,Hyannis was inspected
on June 24, 2009 by Jaime Cabot, 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:
Kitchen cabinet door is damaged and falls off.
105 CMR 410.351- Owner's installation and Maintenance responsibilities.
Kitchen sink leaks.
105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms
CO detectors missing from bedrooms, smoke detector not maintained
105 CMR 410.190-Temperature of hot water.
Water was 62 Deg. F, no hot water provided.
The following violations of the Town of Barnstable Code were observed:
170-4—Certificate of Registration. Rental property is not registered with Town of
Barnstable Health Department.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by providing hot water between 110deg.F. and 130 deg
F. and installing smoke detectors in accordance with Mass Fire Codes. You are
directed to correct the violations listed above within thirty (30) days of your receipt
of this notice by repairing the kitchen cabinet and the leaking sink.
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.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health, Town of Barnstable
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the
Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the
necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main
re
St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law.
DATE „�--
Fill in please: IG A
APPLICANT'S YOUR NAME/CORPORATE NAME '„ci ;lye ( jz f',` •Meow BUSINESS TYPE: ,r�}„n�
BUSINESS YOUR HOME ADDRESS: / J
50" - , 7c 0 Nam` � ST- of t IyCLnn�
TELEPHONE # Home Telephone Number s d 4c3`3 mail Address ' �'��' .• C
NAME OF NEW BUSINESS C.�( _j EIN:
Have you been given app ? XES 01 1l
ADDRESS OF BUSINESS lab VV e Za iI%. MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
I This intended to a you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of
Barnstable. s form is inten assist y g Y Y
Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business
in this town.
1. BUILDING CO MI$SIO ER'S I
This indivi ual , en rm of y r i req •rements that pertain to this type of business.
? i.. thorized Sig a *
COMMENTS: c) 1 �)
i
2. BOARD OF HEALTH
This individual has been informed of.the per it uir a is that pertain to this type of business.
Authorized Signature—
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature"
COMMENTS: