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HomeMy WebLinkAbout0057 SUNSET LANE - Health 57 Sunset Lane L117 terville 133 u 0 a ,I GJ v v v ' a 0 v n r Jul 16. 2019 07:35 HP Fax page 21 �/7 - 133 Commonwealth of Massachusetts Title 5 Official Inspection Form -y Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 6 1/ 57 Sunset Lane �.A Property Address Miriam Wetter Owner Owner's Namer information is sterve MA 02655 7-12-19 required for every o ill r�� page. GtylTown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. IV,OF 9. Important: When filling out forms A. Inspector Information 1%9 (-I � •,cy on the computer, James `� JAMES `N use only the tab 5-1 m=_ key to move your Name of Inspector = ; :y o cursor-do not use the return Capewide Enterprises �,. o o ke Company Name � 7`�T N -•, .� y 153 Commercial Street s IC=U Company Address Mashpee Ma 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number ' s B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15,340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system'at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 7-13-19 pector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority, Please note: 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. t5irup.doc-rev.71282018 Tice s 0Mclal Ir5 pectlan Form:Subsurface Sewage Disposal System-Pagel or 18 Jul 16. 2019 07:35 HP Fax page 22 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7.12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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 system is a 1500 Gal Tank D Box and two chamber's. 2) 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. Check the box for"yes", "no"or"not determined"(Y, N, ND)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. ❑ Y ❑ N ❑ NO (Explain below): t5inwdoo-rev.7/2&2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 18 Jul 16. 2019 07:35 HP Fax page 23 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Jam' 57 Sunset Lane Property Address Miriam Weber Owner 6WWr s Name information is required for every Osterville MA 02655 7-12-1 g page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. ❑ 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 ❑ Y_ ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y. ❑ N ❑ ND (Explain below): 3) '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. a. 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: tSlnsp.doc•rev.MUMS Title 5 0lficial Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Jul 16. 2019 07:36 HP Fax page 24 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name inf ormation is required for every Osterville MA 02655 7-12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) - ❑ 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 b. 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. ❑ 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 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 must be attached to this form. c. Other, 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following forall inspections: Yes No ❑ ® 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 t5insp.doc•rev.7/2M018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Fage 4 of 18 Jul 16. 2019 07:36 HP Fax page 25 Commonwealth of Massachusetts vTitle 5 Official Inspection Form wj� Subsurface Sewage Disposal S stem Form -Not for Volunta A Y ry ssessments 57 Sunset Lane Property Address Miriam Weber Owner Owners Name information is required for every OStervflle MA 02655 7-12-19 page. City/Town State Zip Code Date of Insp ection C. Inspection summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cost.) Yes No ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool . ❑ ® Liquid depth in is less than 6" below invert or available volume is less than '/2 day flow EAef/iNv ❑ ® 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, ❑ ® Any portion of a cesspool or privy is.within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 t5insp.doc ree.M612D18 Title 5 09clal Inspection Form:Subsurface Sewage Disposal System•page 5 or to Jul 16. 2019 07:36 HP Fax page 26 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7-12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section C.4 above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15,304, The system owner should contact the appropriate regional office of the Department. li. You must indicate "yes"or"no" for each of the following,for all inspections: 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? ® 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: ® 0 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)] t5lnsp.doe•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-page 6 of 18 Jul 16. 2019 07:37 HP Fax page 27 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .57 Sunset Lane Property Address Miriam Weber Owner Owner's Name Information is required for every Osterville MA 02655 7-12-19 page. City/Town. State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms n desi ; ( 9 ) 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Description: 1500 Gal Tank, D Box,and two chamber's. Number of current residents: 1 Does residence have a garbage grinder? - ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection information in this report.). ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2017-4,000Gal's {Det ail: 2018 12,000Gal's II Sump pump? ❑ Yes ® No Last date of occupancy: Present Date 15alsp.doc rev.712612018 Tifle 5 Official Inspection Farr:Subsurface Sewage Disposal System•Page 7 of is Jul 16- 2019 07:37 HP Fax page 28 F , " Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 57 Sunset Lane u Property Address Miriam Weber Owner Owner's Name Information is required for every Osterville MA 02655 page. City/Town 7-12-19 State Zip Code Date of Inspection D. System Information cont. 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow,(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? - ❑ Yes ❑ No If yes, discharges to: 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 occupancyluse: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes,.volume pumped: . gallons , How was quantity pumped determined? Reason for pumping: Nnsp-doc•rev.MM2018 Title 5 Official Inspection Form:Subsurfaoe Sewage Disposal System•Page a of IS Jul 16' 2019 07:37 HP Fax page 29 Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 57 Sunset Lane Property Address , Miriam Weber Owner Owners Name information is OSterville required for every MA 02655 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 4. 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval, ❑ Other(describe). a Approximate age of all components, date installed(if known)and source of information: 2003 Permit #2003-585 Leaching. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain):' Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): Pi ein is 4" PVC SCH - 40. t5msp.doc•rev.7126/2015 Title 5 Ofridal Inspection Form Subsurface Sewage Disposal System-Page 9 of 18 Jul 16. 2019 07:37 HP Fax page 30 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7-12-19 page. CityfTown State Zip Code Date of Inspection D. System Information (cost.) 6. Septic Tank(locate on site plan): Depth below grade: V. 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: 1500 Gal. Precast H-20 Sludge depth: 2 Distance from top of sludge to bottom of outlet tee or baffle 28' Scum thickness 8" Distance from top of scum to top of outlet tee or baffle lop Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt-Plan-Tape Sludge-Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): H-20 Tank at working level. Tank and covers at 8"below grade. In and outlet tees. No sign of leakage or over loading. t5insp.doc-rev.7/262018 Trde 5 OfBdal Inspection Form:Subsurface Sewage Disposal System.Page 10 of 19 Jul 16. 2019 07:38 HP Fax page 31 Commonwealth of Massachusetts Title 5 Official Inspection Form 11. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i 57 Sunset Lane Property Address Miriam Weber Owner Owners Name information is required for every Ostervllle MA 02655 7-12-19 page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) 7. 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.); ' t 8. 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): Dimensions: Capacity: gallons Design Flow: gallons per day I5fnsp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Jul 16. 2019 07:38 HP Fax page 32 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7-12.19 page. City/To— State Zip Code Date of Inspection D. System Information (Cont 8, Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.):. - H-20 D Box is 20"x 20"-19" Below grade. Box is clean and solid w/no sign of over loading or solid carry over. L I t5insp.doc,rev.7f2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 16 I Jul 16- 2019 0738 HP Fax page 33 Commonwealth of Massachusetts Title 5 Official In• � section Formp Subsurface Sewage Disposal System Form Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owners Name information is required for every Osterville MA 02655 7-12-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) ' 10. Pump Chamber(locate on site plan), f Pumps in working order: [I Yes E] No' Alarms in working order: ❑ Yes ❑ No" Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located,explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: r ❑ leaching fields number, dimensions: + ❑ overflow cesspool number: ❑ innovativelalternative system Type/name of technology: Isinsp.doc•rev.7126=18 rifle 5 Official Inspection Form:Subsurfooe Sewage Disposal System•Page 13 o116 Jul 16. 2019 07:38 HP Fax page 34 Commonwealth of Massachusetts Title 5 official Inspection Form • Subsurface Sewage Disposal System Form •Not for Voluntary Assessments l' 57 Sunset Lane J Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7-12-19 page. City/Town Sate Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is two 500 Gal H-20 dry well chambers w/4' stone. Chamber's are 26"below grade w/wet bottom.No sign of over loading or solid carry over.Wall's are clean like new. 12. Cesspools (cesspool must be pumped as part of Inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indicationof groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r t6 nsp.doc•rev.7/2612016 Title 5 Official Inspection Form:Subsurface S 'sP awa e g Disposal System•Page 14 of 16 Jul 16- 2019 07:38 HP Fax page 35 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is required for every Osterville MA 02655 7-12-19 page, City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of sollds Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I5inep.doo•rev.7126r2018 Title 6 Oftiel Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Jul 16. 2019 07:38 HP Fax page 36 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information Is required for every Osterville MA 02655 - 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14, Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately ' / I z /41 ( o o h A 0 o a t5insp.doc•rev.7/2612018 Tdle 5 OfRctel Inspection Form:5ubsurlaoa Sewage Disposal System•Page 16 of 18 Jul 16. 2019 07:39 HP Fax page 37 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name Information is required for every Osterville MA 02655 7-1.2-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar - ❑ Shallow wells • 11'• Estimated depth tof�iigh ground water: 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: 12-26-02 Date ❑ Observed site (abutting propertylobservation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators,installers- (attach documentation) - ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T,H.on Design plan 12-26-02 11' no G.W.. Bottom of chamber's at 5'below grade. Bottom of chamber's at 6'above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form,Subsurface Sewage Disposal System-Page 1 T of 18 •Jul 16- 2019 07:39 HP Fax page 38 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Sunset Lane Property Address Miriam Weber Owner Owner's Name information is Osterville MA 02655 7-12-19 required for every page, CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form Inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed &Dated and 1, 2,3,or 4 checked ® C, Inspection Summary: 6 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed . ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included Gob, 3' 0 0 ` No t5tnsp.doc-rev.712612018 Title 5 Official Inspection Form:Subsurface Sewace 0Isposal System•Page 18 o118 TOWN OF BARNSTABLE LOCATION 5-7 SEWAGE# r VILLAGE BSSke"Ile ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. *^�G•�Zob wsey �¢ � S�rv.e� SDz �7S 877� SEPTIC TANK CAPACITY !Sd® G�=ilor► K 1J • LEACHING FACILITY: (type) 1.1ao J eaci_,'i Clu .b size) NO. OF BEDROOMS 13 BUILDER OR6;>7 I've b� PERMIT DATE: I I I�a 10�®3; COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom ofteaching 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 ;a =0 w .is TOWN OF BARNSTABLE `G LOCATION Su"s',t Lam. SEWAGE # r VILLAGE ©��e��'ILc ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ?7S 5,776 SEPTIC TANK CAPACITY 1:20 C 111,1 1 LEACHING FACILITY: (type) a '4010 1eaea'a5 C�-6t(size) •5�0 ' NO.OF BEDROOMS r BUILDER OR 6�5>— ¢6� PERMIT DATE: COMPLIANCE DATE: �f 4 9 1 o y �Ih Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of-Leaching Facility Feet Private Water Supply Welland Leaching Facility (Ifany-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 �� uJs� i a �3C � �� �� �� 1 � ' ,. t �� No. D " Fee $1 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rpprication for ;Bigogal *pe;tem Con5truction Permit Application for a Permit to Construct( .X)Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 5 0 8—4 2 8—8 8 9 0 57 Sunset Lane Adelheid Weber Assessor'sMap/Parcel Osterville, MA 23 Sunset Ln. , Osterville, MA. Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 5 0 8—5 6 3—1 9 9 4 W.E. Robinson Septic J. Doyle Associates PO Box 1089 Centerville, MA PO Box 595 W. Falmouth, MA , Type of Building: 3 o sT!N9 Dwelling No.of Bedrooms = = Lot Size sq.ft. Garbage Grinder(Io) 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 Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 septic system to plans of J. Doyle Associates. 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 Bo d Deal Signe ® Date Application Approved by ® Date Application Disapproved iorthe following reas61- PermitNo. Date Issued ——— - ------------------------- -- No.` { Fee"; $10 9.0 0 i Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer _ r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zlpo(ication for Zigozal *p5tem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components r { Location Address or Lot No 5 7 Owner's Name,Address and Tel.No. 5 0$—4 2 8:�8 8 9 0 Sunset Lane Adelheid Ifeber Osterville MA Assessor'sMap/P1ce1 - 3 r 23 ' Sunset Ln. , Ostervil`'le, MA, ' �- '` � Installer's Name,Address,and Tel.No. 5 0 8—7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. 0 8—5 3—1.9 9 Robinson Septic J. Doyle Associates '�PO Bqx 1089 Centerville, MA PO Box695 W. Falmouth, 'MA Type of Building: ex 1 Sfl N t Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(no) - Other 'Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures f Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets N-Revision Date Title v 1 ti3 Size of Septic Tank Type ofS A'S Description of Soil �� frlr+ .Rxt Nature of Repairs or Alterations(Answer when applicabl') I n 4 to ' new Title 5 septic system to plans of J. Doyle Assbc'iates. l Date last inspected: Agreement: 8 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance.W' ith 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 Board of -eal Signed // ,—, Dates Q 9 ✓ y Application Approved`by B(/ ji ;l l�a Date Application Disapproved for the following rease s� -� i Permit No. Date Issued Weber THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( X)Repaired( )Upgraded( ) Abandoned )by W.E. Robinson Septic at 5 Sunset Lane Osterville, MA has been-constructed in accordance with the provisions of Title/55 and the for Disposal System Construction Permit No. %ted I 1 Installer ���. Y�d tim no r�!, Designer 1 . �)y H .lX The issuance of this permit shall not be construed as a guarantee that the system-willdi "function as designed. Date !9 0 Inspector No.�ntohc ---------------Fee$100 00 C� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION S ON - BARNSTABLE} MASSACHUSETTS Moozal *pstem Con!truction Permit Permission is hereby granted to Construct( X)Repair( )Upgrade( )Abandon( ) Systemlocatedat 57 Sunset Lane Osterville, MA and as described in the above Application for Disposal System Constructi on Permit.The applicant recognizes his/her duty to . 4 comply with Title and the following local provisions or special conditions. 1 Provided:Cons bon mu t be c leted within three years of the date of the,ernu't. Date: l Ui l Approved by / %1 r Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 . Office: 508-8624644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH r Wayne Miller,M.D. February 27, 2003 Mr. John Doyle, P.E. t P.O. Box 595 W. Falmouth, MA 02574 RE: 57 Sunset Lane, Osterville, MA A= 245-081 Dear Mr. Doyle, You are granted a conditional variance on behalf of your client, Eleanor Cunningham, to construct a replacement onsite sewage disposal system at 57 Sunset Lane, Osterville. The variance granted is as follows: 310 CMR 15.211 M The soil absorption system will be located five (5) feet away from the southerly property line, in lieu of the ten (10) feet minimum separation distance required. This variance is granted with the following conditions: (1) Floor plans of the existing home shall be submitted to the Board of Health before a disposal works construction permit can be issued. Each room on the floor plan shall be clearly labeled as to it's use with the actual size dimensions of each room. (2) No additional bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the, property, at the Barnstable County Registry of Deeds restricting the property to the existing approved number of bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Q:HEALTH/WP/DoyleCunningham (4) The engineered plan shall be revised to show a soil evaluation witnessed an agent of the Board of Health. (5) The septic system shall be installed in strict accordance with the revised engineered plans. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. This variance is granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the very small size of the lot. This proposal appears to meet the maximum feasible compliance standards contained within the State Environmental Code Title V. Si ely y s, ayn Miller, M.D. Chair an Q:HEALTH/WP/DoyleCunningham OFZHE Tp� DATE: 4-1 FEE: vp + BARNSrABLE, 9 MASS. 039• ♦0 REC. BY TFOMAIA Town of Barnstable SCIiED. DATE Board of Health 200 Main Street, Hyannis MA 02601 - Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 7 Sv/✓SE% Assessor's Map and Parcel Number: MI R //7 PAZ, 133 Size of Lot: L s:F Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: —41AI APPLICANT'S NAME: EL6-41V62 CtJW11V6ytf j YJ Phone ,fob -s61 3- l y9�z Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON �/ Name: LcL��/✓0� �!�!1/�//�G�fr�/Y/ Name: OHAI Y L 6:- Address: 4 M/STy Z-All 13,e6-WSrC� Address: Phone: 54' 8 - g 9G - 4-75 3 Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) /S•2// Aim /S, �o S' Z A -= 14; " 1 /D P2o14F4Ty /n/r s�a4 C/< 7D Al 70- 3 ` NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\Application Forms\VARIREQ.DOC r � ��' ���� kp.3 i DELIVERY 0 Complete items 1,2,and 3.Also complete A. Signat re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery addr s below: ❑ No INC 3. Service Type c7 V' 5\� e t .i�1� f ,n/if� O Z Los Certified Mail ❑ Ex p e� 15� ❑ Registered ®Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7005 1160 0000 019 (transfer from service label)l l " "f M V 1 r M S k y x 1 , iti3�K i PS Form 3811,'A6g6st 2001 i j f DomEstic Return Receipt 102595-02-M-15401 UNITED irlass�ly) i • Sender: Please print your name, address, and ZIP+4 in this box • I - I N �— r OSTown of Barnstable Health Division 200 Main Street M Hyannis,MA 02601 1 I \ I I 1t 11 !1',4 l?F 11 S?!i'1f t F4F� A 4 1 111 F?4 �ti?F 1 1FF � Fli4 I 4F94FF Certified Mail#7005 1160 0000 0191 2434 �OFTWE ro Town of Barnstable '"� �° Regulatory Services IIARYSTABLE, 9a MASS. � Thomas F. Geiler,Director M Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 14, 2007 Adelheid Weber 23 Sunset Lane Osterville, MA 02655 NOTICE TO. ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE 11— MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 57 Sunset Lane Osterville, was inspected on April 15, 2007 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 410.351 —Owner's Installation and Maintenance Responsibilities. Stained ceiling tile in basement due to leaking pipe. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by replacing stained ceiling tiles and fixing leaking pipe. 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. QAOrder letters\Housing violations\Rental ordinance\57 Sunset Lane.doc r. 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 TH BOARD OF HEALTH as A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector Kristina Nickerson, Tenant Q:\Order letters\Housing violations\Rental ordinance\57 Sunset Lane.doc l— I Certified Mail#0000 0000 0000 0000 0000 t r Town Of Barnstabi Regulatory Services BAE�IST�S1;r # p F AS .' 0...:. - aaA Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 date a ddress (j SS city,stai e,zip NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BAR1NSTABLE CODE CHAPTER 170. The property owned by you located at 6- -7 . wag inspected on 15 / 0-7 by (Address), Health Inspector for the Town (date) (Inspector's name) of Barnstable, (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number-vi lation escri tign)_ 105 CMR.410. 35 I - f 1 ry ?►v 105 CMR 410. 105 CMR 410. 105 CMR 410. Q:\Order letters\Housing violations\Rental ordinance\template.doc 105 CNIR 410. The following violation(s) .of the Town of Barnstable Code were observed: (Town code violation number-violation description) §170 §170-_- You are directed to correct the violations listed above within ) days. of your receipt of this notice by (written a 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.- (Name,tenant,owner,Fire Dept.,Building Dept....) Cc: (Health inspector's name) (Generic codes located at QAOrder letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC) QAOrder letters\Housing violations\Rental ordinance\template.doc FORM30 C&w HOBBsBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s ITY/TOWN W DE ARTMENT c� ADDRESS O �+ ^ q 6 q q l^ TELEPHON Address 7 < �v V Occupan e Floor Apartment No. No. of Occupants �- t 3-,) No. of Habitable Rooms 5 No.Sleeping Rooms___ No.dwelling or rooming units N tories Name and address of owner < 1- d_3 J�liyvi.t — o 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: ,�.._ ,� 3 5 t ❑ MS ❑ ST ❑ P Waste Line: V, H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 11110 ❑ 220 Fusin ,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 Bt7 Hot Water Facil. Su .Ten.,Gas,Oi, le t.: S ks, Flues V S s: Kitchen Facilities ink 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 IGNED AND CERTIFWUNDEHE PAINS AND PENALTIES OF PERJURY." INSPECTOR TITLE DATE I _ y TIME C P• (� A.M. THE NEXT SCHEDULED REINSPECTION �/ P.M. d 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. t (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. 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , �-, m / IL DATA Parcel Detail Page 1 of 3 04 ; ,' :{ Logged In As Pa I"Ce I Detail Tuesday, Octob� Parcel Lookup _ ...... — - --- .....-....__ _........... - Parcel Info Parcel ID 117-133 Developer Lot LOTS 3A&3B Location j57 SUNSET LANE Pri Frontage Sec' _... Sec Road I Frontage Village jOSTERVILLE �� Fire District I O-MM � � Sewer Acct I � I Road Index j1565----W Interactive F a Map r .. .......... _...-____. ..... ............................._- Owner Info Owner MEBER, ADELHEID L TR - Co-owner THE HIDOLA REALTY:TRUST Streetl!%WEBER, ADELHEID L I Street2 23 SUNSET LN city JOSTERVILLE state LA zip 02655 country lUS Land Info Acres 0.13 use!Single Fam MDL-01 I Zoning �RC Nghbd 10114 Topography Level Road Paved .. f utilities Septic,Gas,Public Water I Location Construction Info Building 1 of 1 Year 20 4040 -� Roof Gable/Hip I Ext§Wood Shingle Built 1 Struct Wall Effect 1305 _ I Roof JAsph/F GIs/Cmp I ac!None I Area Cover Type= Int __ . __ Bed Style Ranch I Wall Plastered Rooms3 Bedrooms Model Residential -� Int�T �I Bath -1 Full Floor Rooms Heat ____._ .._. ._.- _ - Total Grade;Average I Type Hot Water I Rooms 5 Rooms http://issql/Intranet/propdata/PareelDetail.aspx?ID=6909 10/10/2006 Parcel Detail Page 2 of 3 Heat Found- stories 1 Story �� � Fuel Gas ati, i Typical � Permit History Issue Date Purpose Permit# Amount Insp Date Comn 2/26/2004 New Dwelling 74952 $130,000 11/16/2004 12:00:00 AM 2/12/2004 Demolish 74713 $10,000 11/16/2004 12:00:00 AM -- - - Visit History Date Who Purpose 5/30/2006 12:00:00 AM Gary Brennan Abatement Review 11 A 6/2004 12:00:00 AM Martin Flynn Meas/Listed 11/25/2003 12:00:00 AM Gary Brennan Data Mailer 9/18/2003 12:00:00 AM Paul Talbot Meas/Est 5/7/2001 12:00:00 AM SM. Meas/Listed Sales History Line Sale Date Owner Book/Page Sale P 1 4/20/2004 WEBER, ADELHEID L TR 18469/284 2 7/14/2003 WEBER, ADELHEID L 17256/209 3 9/15/1991 PIERCE, EST OF RUTH A ET ALS 7691/085 4 PIERCE, RUTH A 922/362 . 5 7/21/2006 WEBER, ADELHEID L 21202/282 Assessment History __ Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2006 $138,400 $16,100 $0 $248,800 2 2005 $45,300 $0 $0 $237,600 3 2004 $42,700 $0 $0 $201,100 4 2003 $32,900 $0 $0 $73,700 5 2002 $32,900 $0 $0 $73,700 6 2001 $32,900 $0 $0 $73,700 7 2000 $22,300 $0 $0 $37,000 8 1999 $22,300 $0 $0 $37,000 http://issgl/intranet/propdata/ParcelDetail.aspx?IDS 6909 10/10/2006 1. Parcel Detail Page 3 of 3 .9 - 199$ $22,300 $0 $0 $37,000 10 1997 $13,600 $0 $0 $34,200 11 1996 $13,600 $0 $0 $34,200 12 1995 $13,600 $0 $0 $34,200 13 1994 $15,100 $0 $0 $25,600 14 1993 $15,100 $0 $0 $25,600 15 1992 $17,200 $0 $0 $28,500 16 1991 $24,100 $0 $0 $34,200 17 1990 $24,100 $0 $0 $34,200 18 1989 $24,100 $0 $0 $34,200 19 1988 $38,300 $0 $0 $40,000 20 1987 $38,300 $0 $0 $40,000 21 1986 $38,300 $0 $0 $40,000 Photos 3 y p 4 .. +� } Ott .j n a 2w, L 1 lY. i ," , http://issql/Intranet/propdata/ParcelDetail.aspx?ID=6909 10/10/2006 � � 70 Watershed Way N SMarstons Mills, MA 02648 Plumbing & Heating, 508-771-2394 !/GvN�n SERVICE INVOICE f,�E �Q/�' e CUSTOMER ADDRESS! TOWN DATE .�. 1 C- DESCRIPTION OF WORK ;!57�QT SERVICE MATERIAL HELPER LABOR TOTAL $ r JIRVICEMAN'S SIGNATURE I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE DESCRIBED WORK CUSTOMER'S SIGNATURE SERVICE ORDER SERVICE ❑PICKUP REPAIR IN DATE ORDERED INSTALL ❑DELIVERY HOME ❑SHOP -5-1 a//) Name c Is-1ICea, S'D't� C.O.D. ❑CHARGE j Address 7 Ism.h Phone City State Zip MAKE MODEL SERIAL NO. T WARRANTY SERVIC REQUESTE DATE PROMISED ❑CONTRACT ❑ESTIMATE I t ii j i 5 dftllls MA 1 f SERVICES PERFORMED TIME START TOTAL MATERIAL ( 1. iJ LABOR AND TIME FINISH SERVICE ,I Ii TAX a2 L � R HOURS DEL.CHARGE OR Ij e MILEAG - f( les J �• , DATE COMPLETED �+ CASH ON COMPLETION OF WORK TOTAL ij I hereby accept above performance,and charges,as being satisfactory and acknowledge that equipment has been.ieft in good condition. CUSTOMER'S SIGNATURE TECHNICIAN'S SIGNATURE THANK YOU 3-584 SERVICE ORDER . I r Certified Mail#,7005 1160 0000.0191 2434 + ... ice. .. + _{ �'. I I�i :' - f . . . + .`. .., '{' .. '• 'i. ..`t pFINE rok� Town of Barnstable Regulatory Services natt s-raet.t:. - .� MASS. �A Thomas F. Geiler,Director .. .. ,., $A 1639• ' ' "'t 0 r ED MA'i Public Health Division -.." Thomas McKean,Director i r 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 t"' "r' ``' l .'`-Fax: �508-790-6304_j May 14, 2007 Adelheid Weber 23 Sunset Lane Osterville, MA 02655 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 57 Sunset Lane Osterville,was inspected on April 15, 2007 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 410.351 — Owner's Installation and Maintenance Responsibilities. Stained ceiling tile in basement due to leaking pipe. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by replacing stained ceiling tiles and fixing leaking pipe- 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 older shall constitute a separate violation. Q;\Order letterMousing violations\Rental ordinance\57 Sunset Lane.doc , 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 TH BOARD OF HEALTH as A. McKean, R.S., CHO_ Director of Public Health Town of Barnstable j Cc: Timothy O'Connell, Health Inspector Kristina Nickerson, Tenant 1. , � .r. • .!. . v • ♦.- ..— • r •. t 1 _ is ,, i• •, •, ! e J I QAOrder letters\Housing violations\Rental ordinancO57 Sunset Lane.doc 'CAPE ,C ODE>. A_��a� ,F�•ti'�+ m� �.c..e+s'°' ` Ms:Adelhe,d L_.Webers '^ __ _ r fir— f. 23,Sunset Ln ,.ry _ ry e MA 02653 ( - M �.. — Osterville rv� N h r ev �• � ) lueo+oMww NuioulGill�ryo(ar �5 Imo- cv/z a o© �12 . 6C.IT 4 CJ l,,,,,'1111 414., 111.6ill", I, I I 11 11 11 11 11 11 lilt lilt 1 1 1 I11 1 till Mill i t i Y • //F n IMPLETF- THIS SErTION COMPLETE THIS SECTION ON © Complete items 1 2 and 3.Also complete A Signs item 4 if Restricted,De' a...is d . Id" rint your name and ad�siorf�� � � »*�f�A�dtessee SO`thaf we aan return the Card to you: B. eceived by(rHONVN.W5ee C:Date"bf'L3"en 1 ® Attach this card to the back of the mailpiece, Er in, Vbb'v( G_'1 `or on the front if space permits. d D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ANo Ind wQ-t)� 9's �- Oc,_�,p � ���T 3. S rvice Type U 1c v\ku r J �Certfied Mail ❑F)(press Mail O Registered O Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?Oft Fee) ❑Yes 2. Article Number 7006 2150 0002 1041 9662 (Transfer from service laben PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540' r A - UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 Sender. Please print your name, address, and ZIP+4 in this boxCo • J C7 wn of Barnstable P c Health Division rt 2 `b+Z Main Street d cx� cV H,y5nis,MA 02601 17D fU . • r0 Er OFFICIAL USE p Postage $ r= `CIS ru Certified Pee p Return Receipt Fee stmark p (Endorsement Requi re red) C e��p� p Restricted Delivery Fee LY 20 O (Endorsement Required) ►1) ::) ,� Total Postage&Fees p� ru �sPS Se W.&AhLl � p treat or La�1 ty 3tat.ZIP+4 � 0 Certified Mail Provides: o A mailing receipt " a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. . o 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 LISPS®postmark on your Certified Mail receipt is required. 6 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 Delivery". a 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. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Certified Mail#70062150 0002 1041 9662 1HE Town of Barnstable Regulatory Services B M ; Thomas F. Geiler,Director F019, A'�� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Adelheid Weber June 20, 2008 23 Sunset Lane Osterville, MA 02655 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 57 Sunset Lane, Osterville, was inspected on June 19, 2008 by David W. Stanton R.S., Health Inspector for the Town of Barnstable. The inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violation of the State Sanitary Code was observed: 105 CMR 410.450: Means of Egress: Adequate egress was not provided in the basement that is being utilized as a bedroom. .The code reads specifically: "105 CMR 410.450: Means of Egress: Every dwelling unit, and rooming unit shall have as many means of exit as will allow for the safe passage of all people in accordance with 780 CMR 104.0, 105.1, and 805.0 of the Massachusetts State Building Code." However, it is noted that the correct reference to the Massachusetts State Building Code for egress is 780 CMR 102, 103, and 1010. It is noted that the tenant was notified during the inspection and on the inspection report that the basement cannot be used as a bedroom or for sleeping purposes. It is also noted that you have a deed restriction on the property for 3 bedrooms only in accordance with your ZBA decision. You are ordered to correct the violation listed above by ensuring that the basement of your rental property is not utilized as a bedroom or for sleeping purposes. You may request a hearing before the Board of Health if written petition requesting same is received. QA Order Ietters\Housing violations\57 Sunset Lane osterville.doc PER ORDER OF THE BOARD OF HEALTH Th s A. Kean, R.S., CHO Director of Public Health Town of Barnstable Cc: (��stma Nickerson, Tenant Tom Perry, Building Commissioner Chief John Farrington, COMM Fire Department QA Order letters\Housing violations\57 Sunset Lane osterville.doc f „ FORM 3O C&W ' HOBBS&WARREN" THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH I /TOWN F a DEPARTMENT �M61 A • ADDRESS OU Gib svyr, T EP ONE Address .L7 Si ►tel bn , 0 St _ 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: Lighting: I A f. 0 STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin e Hall Lighting: Hall Windows.- HEATING Chimneys: ' n Central ❑ Y ❑ N Equip. Repair i 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 GU B r edroom 4 ` Ho 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: ,Genera_I. 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 INSPECT N REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTI F RJUR ." INSPECTOR TITLE �- A.M. DATE Itloy TIME 00 A.M. THE NEXT SCHEDULED REINSPECTION W P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or 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. III Certified Mail#7006 2150 0002 1041 9662 Town' of Barnstable , regulatory Services 1 Thomas F. Geller, Director NAB& Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 >!08-790-6304 Adelheid Weber June 20, 2008 23 Sunset Lane Osterville, MA 02655 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 57 Sunset Lane, Osterville, was inspected on June 19, 2008 by David W. Stanton R.S., Health Inspector for the Town of Barnstable. The inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violation of the State Sanitary Code was observed: F 105 CMR 410.450: Means of Egress: Adequate egress was not provided in the> asemenhat 1,. is being utilized as a bedroom. r The code reads specifically: cry c o "105 CMR 41.0.450: deans of Egress: Every dwelling unit, and rooming uni all haveaas many means of exit as will allow for the safe passage of all people in accordance\ ith 780 CMR•, 104.0. 105.1, and 805.0 of the Massachusetts State Building Code." ^- c.n CU However, it is noted that the correct reference to the Massachusetts State Buildin Code For egress is 780 CMR 102, 103, and 1010. It is noted that the tenant was notified during the inspection and on the inspection report that the basement cannot be used as a bedroom or for sleeping purposes. It is also noted that you have a deed restriction on the property for 3 bedrooms only in accordance with your ZBA decision. You are ordered to correct the violation listed above by ensuring that the basement of your rental property is not utilized as a bedroom or for sleeping purposes. You may request a hearing before the Board of Health if written petition requesting same is received. , r V, OTT uB 'r 71 PER ORDER OF THE BOARD OF HEALTH r Th A. c ean, R.S.; CH® Director of Public Health , Town of Barnstable Cc: C�stm�aant Tom Perry, Building Commissioner Chief John Farrington, COMM Fire Department- s QA Order letters\Housing violations\ Sunset Lane 0iterville.doc TOWN OF BARNSTABLEBD#d in g °� Application Ref: 200803444 • * BARNSTABLE, * Issue Date: 06/26/08 Permit MASS 163q. A Applicant: Permit Number: B 20081322 ArFD MA't Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/24/08 Location 57 SUNSET LANE Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO .Map Parcel 117133 Permit Fee$ 25.00 Contractor PROPERTY OWNER. Village OSTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 2,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 2 EGRESS WINDOWS TO REPLACE EXISTING AND TO COMPLY WI H THIS CARD MUST BE KEPT POSTED UNTIL FINAL CODE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WEBER, ADELHEID L TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 57 SUNSET LN INSPECTION HAS BEEN MADE. OSTERVILLE, MA 02655 P Application Entered by: PR Building Permit Issued By: THIS PERMIT.CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY'OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS'ON PUBLIC PROPERTY`,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING:CODE;MUST BE APPROVED BY.THE JURISDICTION: STREET ORALLY,GRADES`AS WELL AS DEPTH AND LOCATION,OFPUBLIC.S,EWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC-.WORKS.;: THE ISSUANCE OF THIS PERMIT DOES NOTRELEASE THE APPLICANT FROM.THE CONDITIONS OF ANY APPLICABLE`SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ` Bk 17969 Pg 339 #135632 Road spoke in favor of the proposal noting it would be an improvement to the neighborhood as the existing structure is deteriorated. Findings of Fact: At the bearing of October 22,2003,the Board unanimously made the following findings of fact: 1. The applicant Adelheid Weber has applied for Special Permit findings pursuant to MGL Chapter 40A, Section 6,to permit the demolition of an existing single-family residence on a non-conforming lot. The property is located as shown on Assessor's Map 117,Parcel 133 addressed as 57 Sunset Lane,Osterville, MA in a Residence C Zoning District. 2. The property is a 0.13-acre lot accessed via a 10 foot-wide right-of-way from Sunset Lane. The lot was created by a 1933 plan entitled"Plan of Land in Osterville,Mass. formerly owned by Eunice S.Jones"dated May 1933. That plan created three lots and predated the 1949 adoption of zoning in this area of the Town that imposed minimum lot area and frontage requirements. 3. The dwelling located on the lot dates to 1920. It is a one-story,three-bedroom single-family dwelling with a living area of 628 sq.ft. and an enclosed porch of 72 sq.ft. The structure has a full basement of 628 sq.ft. that is unfinished. 4. The lot is a pre-existing legal non-conforming in that it does not meet the minimum lot area of two-acres required by the Resource Protection Overlay District,the minimum lot width of 100 feet nor the minimum lot frontage of 20 feet. 5. The applicant Adelheid Weber is proposing to completely demolish the existing house and reconstruct a new single-family dwelling. The proposed dwelling is a modest one-story,three bedroom structure of 1,072 sq.ft. The proposed location of the structure will comply with today's required setbacks for the district, however,the lot will remain undersized and have less than the required lot width. 6. The application to permit the demolition of the existing structure had been before the Barnstable Historic Commission with regards to the Demolition Delay Ordinance given the structure is over 75 years old. The Commission determined that there is no historic significance in the existing structure and it can be removed. 7. The proposed new dwelling would not be substantially more detrimental to the neighborhood than the former dwelling nor does it intensify the alleged nonconformity. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the special permit for the demolition and reconstruction with expansion of a single-family dwelling on the non-conforming lot subject to the following conditions: 1. Location of the dwelling shall be as shown on a plan entitled"Site and Sewage Plan prepared for Adelheid Weber",date September 02,2003 as presented to the Board in a modified version that shows the dwelling as 1,072 sq.ft. and drawn by J.Doyle Associates. 2. The dwelling shall be built in conformance to the plan and illustration presented to the Board noted as "Design 61093". A copy of which has been ubmitted 3—The�ess-flv area of the dwelling shall not exceed 1,072 sq. ft.,not including the basement. The dwelling is limited to no more than three-bedrooms. " 4. eon-site septic system s a e required to meet t e e ce. 5. Construction shall comply with all applicable Building Division and Health Division requirements. 2 e SEN DER:,COMPLETE THIS SECTION COMPLETE THIS DELIVERY .■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is"desired. Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. R ived by(Printed Name) C. Date of elivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. r D. Is delivery address different from item 1?❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No W1UJ4M Z044 5Y..EtToat I if ]►1��.L�S /cs+� Service Type 1► Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise 7•sZ Z S * " ❑ Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label f 7, Z Z 4/D OD D t G 2 577 1171,71 $ , f PS Form 3811,AU9USt 2001 I 11 1 I Domestic Return Receipt 102595-01-M-2509I UNITED STATES POSTAL SERVICE - �... PM usP • Sender: Please print Yo r<r e, address, andZIP�- his ox - �zs�¢ SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. /y1 ❑Agent ■ Print your name and address on the reverse X cm,yNj") !t Addressee so that we can return the card to you. B. Received by(Printed Name) C.'Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No 1-11-1-M V MV/YN/NG /00 _MJ-77,0/V - 961.MOiv7- , M•4- 3. Service Type certified Mail ❑ Express Mail OZ 479 ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from servj&e;la¢el) 7002 2�}-�D DOp/ �Z S� 7141 17 F06-3811,August 2001 I i i i Domestic Returnn'rW erpf 102595-01-M•2509 UNITED STATES POSTAL SERVICE First-Class Mail +I Postage&Fees Paid 1 USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 42C-7 I I 1111 i SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . di ■ Complete items 1,2,and 3.Also complete A. natyr� eO item 4 if Restricted Delivery is.desired. / Agent ■ Print your name and address on the reverse G ?�' ❑Addressee so that we can return the card to you. eceiv d by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. ✓ f 3 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No — ,64/Z..tBC Thy #-"5V//27 7'4-"'� . DS72 . V/L[.45 Ii9 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise J ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7QQ Z ZO (Transfer from service label) <iii , ,t PS Form 3811',August 2001 i; i Domestic Return Receipt 102595-01-M-2509 UNITED STATES POSTAL SERVICE�O Plq O a t_CI@ Z�,:� P M 01 � � Wefmi ofJ"`G-10�"' v 1 i3 a� LL. • Sender: Please prim oLu- M , address, and ZPP-+2rii this boX' J, a Yz,�- SIV �9s l/d� �91 rr�ov�7 /�l9 4ZS-7yL IlF?i.E?�S!?IFi'ili?ei?i??'�?St`?�i (0 COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete Signature item 4 if Restricted Delivery is de ' ,c5/�/, , t1 ent ■ Srint your name � a ��[ L' �G�%l��� L` ��f� Addressee B. eceiv d by(Printed Name) C. Date of Delivery ■ `, Q rd -.,,o pack of the mailpiece, ork'-me rf ont if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 23 © , jJ. 3. Service Type v Y ,LE Certified Mail ❑ Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. •7 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label)` �OD� ?'¢'�� 5,7 1 i 7j 7 0 PS Form 3811 August 2001 + Domestic Return Receipt 102595-01-M-2509 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 8x, 59.E tiU:ICALMQ�IT1�/ /1>>4 OZS7�. ,r 1 Health Complaints 17-Jan-03 Time: 9:15:00 AM Date: 1/16/2003 Complaint Number: 3896 Referred To: SAM WHITE Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: r Business Name: Number: 57 Street: Sunset Lane Village: OSTERVILLE Assessors Map_Parcel: 117133 Complaint Description: Septic overflowing Actions Taken/Results: SW investigated complaint. No signs of overflowing septic at all. Checked on both sides of property line fencing and found no r evidence of overflowing there either. Spoke with tenant's daughter who stated they just had it pumped. Investigation Date: 1/16/2003 Investigation Time: 3:00:00 PM r. 1 07-17-2001 10;.32AM CENT CST F1REDEPT 5087902385 P.02 make application to total Fire Deparlment. � r Fire Department retains original application and issues duplicate as permit `lam//MJ/ 7 9 0`d 91 APPLICATION and PERMIT for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions lug of M.G.L. Chapter 148, Section 38A,527 CMR 9.0o, application is hereby made by: e Tank Owner Name(please print) Ms. Eleanor Cunningham X NAB •� p•. Address 4 MiS, Lane Brewster MA 02631 Comp"Name Rnyirn-Safe Co.or individual Enviro-Safe---. - - Prirst Prb+r Address p•O-'BOX 810! E.Sandwichr MA Address p Bog 810 E. ,Ssndmirb_ MA o253 a --- - Pit" PR9! Signature (if ing or pe it) Signature(if applying for permit) X — ®tFCI Certified Other ' 0 Certified ® L.SP Otheroca _ Tanktion-^""'""'"''57 Sun`set'`sadne Qervle Tank Capacity(gallons) 2 7 5 Substance Last Stored heoLLna o i l Tank Dimensions(diamete/rx length) c ' Firm transporting waste Envi ro-Safe -_.,..State Lic.# 329 MA - f =�_ Hazardous waste manifest# MATUR4750 E.P.A. q oS Z 5932 3 - + Turner Salvage Of32 `3 7 Approved tank disposal yard Tank yard# Type of inert gas „ _ _ _Tankyardaddress 235 Commercial Street Lynn, MA ror , osterville— _ �,�, _,F1719# �t��p ,Permit#_ Date of Issue July 9: Ze 001 Date of expiration Dig safe approval number: 20012109839 �Dig Safe Tolt Free Tel.Number-l300-SP2 Signature/Title of Officer granting permit After removel(s)send Form FP-290R'signed by Local Fire Dept.to UST Regulatory Compliance Unit,One Ashburton Place, Room 1310,Boston.MA 02108.1618. TOTAL P.02 Property Location: 57 SUNSET LANE MAP ID: 117/133/// Vision ID:6909 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 02/03/2003 12 AW I A Fi ET,VW C'UNNIR % I A� Element Ca. Ch. Description Commercial Vata Ptements SFy�eype� 36 Uottage Element - Ca. Ch. Description vlodel 01 Residential Heat&AC 7irade OD Below Avg Frame Type 12 aths/Plumbing tones 1 1 Story B FEP Occupancy 00 Ceiling/Wall 6 6 Exterior Wall 1 14 Wood Shingle R%ooms/Prtns 12 Common Wall 2 all Height 8 Zu Roof Structure )3 Gable/Hip Roof Cover )3 Asph/F GIs/Cmp G-ujvv UIMUMLPE,,Hq %V Interior Wall 1 )3 Plastered 41 k,'Ilk, 2 Element Go de Description Factor Interior Floor 1 12 Hardwood Complex 2 Floor Adj Heating Fuel )2 Oil Unit Location 0 BAS Heating Type )9 Typical Number of Units BMT 24 AC Type )i one Number of Levels %Ownership Bedrooms )3 3 Bedrooms t Bathrooms 1 1 Bathroom A, M 0TV"M room X 0 1 Full rotal Rooms 5 Bedrooms Unadj.Base Rate 50.00 11 ----7— Size Adj.Factor 1.43408 Bath Type Grade(Q)Index 0.76 Kitchen Style 17 Adj.Base Rate 54.50 Bldg.Value New 43,818 Year Built 1920 ff.Year Built (A)1975 Nrml Physcl Dep 25 Funcnl Obslnc 0 W, 1W&","I'Econ Obslnc 0 1 Go de Description Percentage Specl.Cond.Code —MU single Farn JIM Specl Cond% Overall%Cond. 75 Deprec.Bldg Value 32,900 (;Ode Description LIT Units Unit Price r. p 1 0 n pr. Value �,Ofi k V Code Description Living Area UrossArea Ljj.Area Unit Gost Undeprec. Value HAS Mrs oor 628 lm--------bm-----54-.5u 34,226 BMT Basement Area 0 628 126 10.93 6,867 FEP Enclosed Porch 0 72 50 37.85 2,725 I M Gross iv ease Area 0151 1,-iLal 5u4juldg Val: 43,818 Property Location: 57 SUNSET LANE MAP ID: 117/133/// Vision ID: 6909 Other ID: Bldg#: 1 Card 1 of I Print Date.-02/03/2003 12:10 "LU C,1�4 1, ar'lawMe 4K , A-1, PIERCE,Ea I Ur,KUTH A E I ALN 6�eptic I Faved Description Code Appraised Value Assessed Value %CUNNINGHAM;ELEANOR F as RE&LANU—ID 73,71 801 4 MISTY LN 14 Z � bl w —RESNTL 1010 32,900 32,900 'BREWSTER,MA 01631-2419 7 . ic ate Barnstable 2003,MA ccountmwiyy U WEX 117M an Ret. ax Dist. 300 Land Ct# Per.Prop. #SR Life Estate #DL I Notes: VISION #DL 2 CIS ID: 6909 T.tall luo,ouu I U6,bUU wir �F -f�AG L3 ql/ftl n -W AA • leef` PJM, QjkMIA1' C, Q il Uf JKU1H A El ALb /oVI/u5ni ��-Wffml U I Yr. Code Assessed Value Yr. Go de Assessed Value Yr. a e ssessed Value PIERCE,RUTH A 922/362 Q 0 Ulu 73,-7UUZUU 1U1U J7,UUU 2002 1010 32,9002001 1010 32,9002000 1010 22,300 T --59-30U otak, 106,09, otaTr--------YW,600 Total.-I , nLa�"01 Vil i'mr u ORNSENNA11 N U, I his signature acknowledges a visit by auara Collector or Assessor Tl 11 NFINJI ,w -jr —, Year lypelDescription Amount Code I Description Number Amount Comm.'Int. k U1, Appraised Bldg.Value(Card) 32,900 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 Totaki Appraised Land Value(Bldg) 73,700 Special and Value *FY87 LAND VALUE AIE!TTW L -50%ACCESS. RUTH A PIERCE Total Appraised Card Value 106,600 DOD 1/23/01 Total Appraised Parcel Value 106,600 DC*13558/031 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value I06,6U0 A & I V �, 4 "i ',q, -_ 1,; NGE TMF 41MINVIN IN qVI 7?C A Permit ssue Date Iype Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purposelmesult Meas/Listed f kll***i�iz' w&z,&,iw , -`, B# Use Go de Description one D Frontage Depth Units Unit Price L Factor . * ctor af. Notes-AdjlSpecial Pricin Single Farn 0.13 AC --5- U.50 27k$U 2.4USPUL(.13,UIU)No-fe-s.--TUTBEDG-- 73JU0 To't-47 Card an Uni� U.131 ACI Parcel Total i7and Area:j b.13 ACI total an va ll I To: Barnstable Board of Health From: Eleanor F. Cunningham Re: Property at 57 Sunset Lane, Osterville Date: January 27, 2003 This letter represents authorization for John P. Doyle, PLS, to act on my behalf before the Board of Health on the variance hearing scheduled to be held in February 2003 on the above property. u. Eleanor F. Cunningham 0 Page 1 of 2 Title 5 Tax Credit The following is an protion of the Massachusetts law concerning a Title 5 tax credit: (i) Any owner of residential property located.in the commonwealth who is not a dependent of another taxpayer and who occupies said property as his principal residence, shall be allowed a credit equal to 40 per cent of the expenditures for design and construction expenses for the repair or replacement of a failed cesspool or septic system pursuant to the provisions of Title V as promulgated by the department of environmental protection in 1995. Said expenditures shall be the actual cost tothe taxpayer or $15,000,whichever is less;provided said credit shall be available to eligible taxpayers beginning in the tax year in which the repair or replacement of said cesspool or septic system was completed; provided said credit shall not exceed $1,500 in any tax year and any excess credit may be applied over the following three subsequent tax years. The amount of any such credit shall be reduced by an amount equal to the total interest subsidy or grant received from the commonwealth, whether directly or indirectly, toward the cost of said expenditures. The department shall promulgate such rules and regulations as are necessary to administer the credit afforded by this subsection, including, but not limited to, a notification system by the commonwealth to recipients of said interest subsidy or grant of the amount of the total subsidy provided by the commonwealth. The entire Chapter of the law may be viewed at: http://www.state.ma.us/legis/laws/mgl/62%2D6.htm (i) Any owner of residential property located in the commonwealth who is not a dependent of another. taxpayer and who occupies said property as his principal residence, shall be allowed a credit equal to 40 per cent of the expenditures for design and construction expenses for the repair or replacement of a failed cesspool or septic system pursuant to the provisions of Title V as promulgated by the department of environmental protection in 1995. Said expenditures shall be the actual cost to the taxpayer or$15,000, whichever is less; provided said credit shall be available to eligible taxpayers beginning in the tax year.in which the repair or replacement of said cesspool or septic system was completed;provided said credit shall not exceed $1,500 in any tax year and any excess credit may be applied over the following three subsequent tax years. The amount of any such credit shall be reduced by an amount equal to the total interest subsidy or grant received from the.commonwealth, whether directly or indirectly, toward the cost of said expenditures. The department shall promulgate such rules and regulations as are necessary to administer the credit afforded by this subsection, including, but not limited to, a notification system by the commonwealth to recipients of said interest subsidy or grant of the amount of the total subsidy provided by the commonwealth. it l http://www.mhoa.com/mhoa/t5.htm 2/25/2002 IL Ir 481 MW VP Y4 "144 .. :1 T', � � .' 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