HomeMy WebLinkAbout0064 TOWER HILL ROAD - Health 64 Tower Dill Road
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— HOBBS&WARREN�M THE COMMONWEALTH OF MASSACHUSETTS
FORM 30 C
BOARD OF HE TH
CITY/TOWN A
W
o p DE ARTMENT , „/4
ADDRESS
4�M SVey`ew
TELEPHONE
Address I Occupant
Floor Apartment N . No.of Occupants__ J
No. of Habitable Rooms No.Sleeping Rooms �--
P 9
No.dwelling or rooming units o.Stories
Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE-EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n..-
0 B ❑ F ❑ M Doors,Windows: A _
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney: I T_
s
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 E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Sup ly Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2 (
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
S s, Flues,Vents,Safeties:
Kitchen Facilities ink
S ove G
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
INSPECTOR TITLE
A.
DATE�� TIME _
A.M.
THE NEXT SCHEDULED REINSPECTION 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.
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Parcel Detail Page 1 of 3
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Pa rce I Detaii
Parcel info _
Parcel ID Developer LOT 1
Loti
.w ...,.........,
Location 164 TOWER HILL ROAD Pri Frontage i
Sec Road? Sec=
Frontage i
__-------- __.... ___........ ......._.�...._��...��
Village OSTERVILLE Fire District'C-O-MM
......... ......... ..__.._---- .__-----_--._.-.--_ ............_ _..._.._--- .........
Sewer Acct Road Index 1729
Interactive r# 3 �i
Map [ -4
00
Owner Info
Owner'HOSTETTER VINCENT M & Co-Owner.HOSTETTER PRISCILLA M
.....__....._ ......... ... ........ ......... __.....__.. ....... ............................... ..._
Streetl 770A MAIN ST Street2
...... ...... _ _.. _.. .............................
City;OSTERVILLE State MA Zi 02655 Country us
Land Info
..._.. .. .. __ .. ........
Acres 0 41 use Single Fam MDL-01 Zoning BA Nghbd 10110
............. � _ ...................
Topography jAbove Street Road:Paved
Utilities I Septic,Gas,Public Water Location
Construction Info
Building I of I
Year€1990 -- Roof Gable/Hip wall Vlnyl Siding
Built Struct
Effect F Roof AC
Area 1083 Cover Asph/F GIs/Cmp Type None
Int Style'Ranch wan Drywall Roome 2 Bedrooms
Model Residential Floor Rooms 1 FuII �
Heat•..__�... ....... ._...., ... Total!" .. . . ._
Grade?Average Type Hot Water Rooms 4 Rooms
_.. ..
http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=9088 2/22/2007
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Parcel Detail Page 2 of 3
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Stories=1 Story Heat Gas Found ,Poured Conc. ,
Fuel ation
Permit History
..... . ....... ...... .. _. _.__ _.. _....._. ............ _. ........
Issue Date Purpose 'e"mit# Amount Insp Date Coma
4/1/1990 B33664 $40,000 2/15/1991 12:00:00 AM OS 1
Visit History
Date Who Purpose
12/29/1998 12:00:00 AM Donna Dacey Meas/Listed
1/15/1991 12:00:00 AM ML "
Sales History ..._._ _...._.._..... .. _. ........_..__. _ ._..
Line Sale Date Owner Book/Page Sale P
1 3/15/1990 HOSTETTER,VINCENT M & C120064
- Assessment History
... ......................... _ ...... ...
Save Year Building value XF Value OB Value Land Value Total Parc€
1 2007 $120,000 $0 $0 $285,500
2 2006 $105,400 $0 $0 $265,700
3 2005 $102,000 $0 $0 $192,700
4 2004 $82,700 $0 $0 $192,700
5 2003 $74,800 $0 $0 $124,900
6 2002 $74,800 $0 $0 $124,900 ;
7 2001 $74,800 $0 $0 $124,900
8 2000 $60,500 $0 $0 $53,200
9 1999 $60,500 $0 $0 $53,200
10 1998 $60,500 $0 $0 $53,200
11 1997 $58,000 $0 $0 $46,100
12 1996 $58,000 $0 $0 $46,100
13 1995 $58,000 $0 $0 $46,100
14 1994 $58,300 $0 $0 $41,500
15 1993 $58,300 $0 $0 $41,500
16 1992 $66,200 $0 $0 $46,100
http://issgl/intranet/propdata/ParcelDetail.aspx?ID=9Q88 2/22/2007
Parcel Detail Page 3 of 3
Photos .r
http://lssgl/lntranet/propdata/ParcelDetail.aspx?ID=9088 2/22/2007
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No.------••- -.....
-- � C�� ..-_-_..a---••.
701 ,59 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..._..1 0r%w. ..............OF....... L .-...
Apptiratiun for Disposal Works,Tonstrurtiun rumit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at: _
Location-Ad Tess or Lot No
7i ......�1 S -C 5 �J r L'�•........----•----
Owner Address
W
Installer Address
d Type of Buildiin Size Lot.....
(.�,.��...Sq. feet
U Dwelling X No. of Bedrooms.............. .........................Expansion Attic Garbage Grinder (Iq
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures -------------------------------- . ---------- -----------------
W
Design Flow____._... ..........................gallons per person per day. Total daily flow-___..__...... .3'.v...._______.___._gallons.
WSeptic Tank—Liquid capacity.k��%allons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.................... Diameter.._..V1 ......... Depth below inlet..._._ :5..... Total leaching area.._�.....
Seepage ft.
Z Other Distribution box ( l ) Dosing tank ( )
'-' %A& -7`........vY�.._ .... Date..... 1_�.�. �__.____.. .
Percolation Test Results Performed by
�.a Test. Pit No. L A.?n....minutes per inch Depth of Test Pit....Zt......... Depth to ground water 0�q. 1-2'
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ......a-----------------------------�..-----..........-•--------........._____----•-----_--•- ----••---------•----•--•-------
%
_tz
Description of Soil b. ._...w �.___._:__._.sal S�t_..------------... ...............
V .---------------•---.......................---------•---------------•-----------------•-----•----.
W
UNature of Repairs or Alterations—Answer when applicable.......................................:.......................................................
...................................................-..............................................................................................-........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
S1 ed.
.. ...... G.....
Dat
Application Approved By......................... (a. e �{t/
D e
Application Disapproved for the f ollowin reasons:-----•------------------------------•--------------------------••-------------------------------------____----•-
.............................•••---------.....•-•---••---•--•----•---•-------•---•----........------•--•--------------------------------------------•-------------------------------------•-------------
Date
PermitNo........... .................... Issued........................................................
Date
A s SL 14t
No......................... PKc�L`Z �1� _ Fmc..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH_
.............tit ------..............OF........Z�... .N:S--.1 L-
App iration for Dispati al Works Tonstrnrtion Famit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at: _
........- �Z. C�F t- ��l�h t k--L-L-- i;.0 1. .............. - ._.......
•-- •........................................ - .........
• •--•-
V A ,�` ,L2 Location-A dress n or S t No
__ - -
Owner Address
W
Installer Address
d Type of Buildings Size Lot....-� 1-SU--•Sq. feet
Dwelling—No. of Bedrooms.............. .........................Expansion Attic (N) Garbage Grinder (�"f
Other—Type of Building ............................ No. of persons.........I------------------- Showers ( ) — Cafeteria ( )
a Other fixtures --------•------- -------•-------
----------••••••---------
W Design Flow..........5`a._.........................gallons per person per day. Total daily flow............._.._u........._..•..__gallons.
WSeptic Tank—Liquid capacity_I°vo.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...... .............. Diameter.....1.4.......... Depth below inlet......3: ...._. Total leaching area.... "8.___sq. ft.
Z Other Distribution box ( I ) Dosing tank ( )Percolation Test Results Performed by......5Ax.l_."_ -__`}.__..N Y i..... .... Date.....•' {.� �E'
Test Pit No. LA_.Z__-_-minutes per inch Depth of Test Pit-__.)_.Z........ Depth to ground water_ `._..�-...�1..
G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------------------------
P4 •--•••.••-•--•---------------•-••-•••�•••---••-•••-•-••........-•-•-•••-•.....• ---....- ..... --•-•--••••--•--••••••....
O Description of SoiL0..-3-----.... ........_...... l" J........... .............------- .
x
V ....•••-•••••••-•---•._....•-•••---•-••--••---•...•-•-•-•-••.............••-•---•-•-•••••-•-•-•----•••-••-•••••••-•••------••-•-••••••••--•-•..........-•••••--•••••••-•-••----......-••-•-......--•-•-.
W
UNature of Repairs or Alterations—Answer when applicable................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIYE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed_ ....Z:...... ........................•----------------...---•--
Dat
Application Approved By---•-----••------------•-- - ... .----•---------- ..........
D to
Application Disapproved for the following reasons:................•--••-•--------•----------------------••------------------------•-----------------•••.....------
................••••-••••-•••-•--..._.....-•----...••--•••-••----•••••••••--••--•-•-•--..._.........-•--•---•••••••••---••-••---•------ --•------•---•--••••-••••••--- ...............................
Date
PermitNo........... -•' 3-£ .............•--•-. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
'
OF......... . :.i 13. =......................•....
..........................................
TrdifirFatr of TontpliFattu
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( )
by ..........................................
/ Installer
.......................... `..e- ... ( Cf
_ % r.1
has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as jescribed in the
application for Disposal Works Construction Permit No.- C?.---S_ S•••-_--••.. dated....... (� V_
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GU RA TEE THAT THE
SYSTEM WIL FUNCTION SATISFACTORY.
70
DATE. ' `jd ..../.. .................. Inspecto ��4'i "[
...........•............ ,..
A � �" `�� THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No. ...s.. s .................OF. j ......---........-•- FE
.... .__�. ........
�i��ro��1 ork� �on��rion rrnti�
j Permission is hereby granted.............................................................................................................................................
3 to Constjuc�t ( or(Repair ( ) an Individual Sewage;Disposal System
... •` - Street ...............
77
as shown on the application for Disposal Works Construction Permit No.?G__ S S ated_._..___..�__ ? e
-•--••_..�....
DATE............... . ...&.................................. Board o ealth
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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