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Home My WebLink About0055 J.B. DRIVE - Health 4 55 J . -B. Drive Marstons Mills 'I 1-04f� 1 ` TOWN OF BARNSTABLE BOARD OF HEALTH // ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date AA Time: In Out Owner r Lt-©A�StaJ�LT f3�Id R C�� Tenant Address,?51) .AG16 100 L y PL4-(,1 Address Ll r✓ot.�1 � � � 1 � Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities Al t t 1D NS 0Q 6. Heating Facilities a� r0A) 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements ✓ 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal A A � 0 ��bR 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms 4 Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed 61k)p Q�$ l�� SLIMS Inspector If Public Building such as Store or Hotel/Motel specify here Date (� To Whom It May Concern: I, "��`� "��'� , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at 5-5" T R N vQ (ifil M)((S in accordance (House#, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on I hereby authorize and name (Date of inspection) GZ 0 4 e Cl to be my tenant representative for the (Occup nt representative) purpose of this inspection. DOGLCAS C w, bQ �� is an adult person (Oc upant represeei tative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.) Occupants Signature \ Date �11ev 061(/ \ Occupants Re presentative Signature \ l5ate Q:\Rental Ordinance\inspection permission 2.doc r— Date Lo It( To Whom It May Concern: I, PR- ` e-?9 , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at e P/Z` C Waps 'i.Y 1 I ,v in accordance (House#, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on . I hereby authorize and name (Date of inspection) P4 (as G LU,4 e �, to be my tenant representative for the (Occupa t representative COurpose of this inspection. VO-Uj/&� C M114 e is an adult person (O(kcupant representative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.) Occupants Signature \ Date \ C b0 // Occupants Repres ntative Signature \ hate Q:\Rental Ordinance\inspection permission 2.doc i Date1(6 To Whom It May Concern: I, C- V'e(4 //� , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at ESQ j)n-,Vt PY041S��.t �/��' s in accordance (House#, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on I hereby authorize and name (Date of inspection) &,-c (5t) GUI e V to be my tenant representative for the (Occu ant representative) of this inspection.purpose p � (,r V C&Pt-Pt-A4 P l is an adult person (OJcupant representative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.) Occupants Signature \ Date Occupants Representative Signature \ Date Q:\Rental Ordinance\inspection permission 2.doc Date 0It( To Whom It May Concern: I, ®V e l� w , voluntarily grant permission to the Town (Occup is name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at L � n pr y- )6j k0lS in accordance (House#, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on I hereby authorize and name (Date of inspection) n tt Cu5 to be my tenant representative for the (Occupant representati e) purpose of this inspection. 6 E. CAI CC is an adult person ( ccupant representative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.) Occupant S ature 6ate �) raltlillj� 61(0 Occupants Representative Signature bate Q:\Rental Ordinance\inspection permission 2.doc I Date To Whom It May Concern: I, To � ! i CA eO Al � " , voluntarily grant permission to the Town. (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit located at FF J:R l)o�` 1/�( f k�6 in accordance (House#, [Apt\Unit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 410.000) on . I hereby authorize and name }� (Date of inspection) to be my tenant representative for the (Occupant representati purpose of this inspection. &4 (,?j 4,c"o 4e U is an adult person (0 cupant represent tive) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified above, and must be renewed for any future inspection(s.) Occupants Signature \ rxte \ �- Occupants Representative Signature date Q:\Rental Ordinance\inspection permission 2.doc Citizen Web Request Page 1 of 2 •t - y' 11`" Citizen Request Management - Internal Use Request ID: 23749 Created: 11/14/2008 11:22:10 AM Status: Assigned To Staff Assigned To: Cabot, Jaime Health Office Anonymous: No Category: Chapter II : Housing Substandard E.C. Date: 12/1/2008 Created By: Parvin, Lindsay Citations: Health Office Time Worked: 2.25 Response Time: 4.50 Requestor Details: Email: Request Location: 55 J.B. DRIVE Marstons Mills, Ma 02648 Parcel Number: Map: 101 Block: 040 Lot: 000 Request: called on behalf of his patient who lives at the above address (unregistered rental). The patient has severe respiratory issues and thinks mold in the home might be the issue. Request Work History: Entered on 11/14/2008 4:11:43 PM by Cabot, Jaime JAC spoke to Mark. He will have Program director Betty Janek call on Monday to set up a complaint inspection. Entered on 11/26/2008 8:41:30 AM by Cabot, Jaime Last modified on 11/26/2008 9:08:17 AM JAC called Regarding patient stated that no microbial activity wa! http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=23749 11/26/2008 Citizen Web Request Page 2 of 2 observed in the dwelling that would indicate a cause for further investigation. expresses concern that The patient needs to receive follow up care and that he had fulfilled his responsibilit by referring tie case to the health Department and that the house had been "cleared". Internal Note History: Entered on 11/14/2008 11:22:10 AM by Parvin, Lindsay System entry on 11/14/2008 11:22:10 AM: Assigned to Cabot, Jaime System entry on 11/14/2008 4:11:43 PM: Estimated completion changed from 12/01/2008 to 12/1/2008 System entry an 11/26/2008 8:41:30 AM: Estimated completion changed from 12/01/2008 to 12/1/2008 System entry on 11/26/2008 8:41:44 AM: Request Closed by cabol System entry on 11/26/2008 8:56:54 AM: Request Reopened by cabol Entered on 11/26/2008 9:08:06 AM by Cabot, Jaime. Fellowship Realty Corp. owns this property therefore does not consider it to be a rental. http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=23749 11/26/2008 Parcel Detail Page 1 of 1 Parcel ID 101-040 _ — Developeer ILOT 20B Location 55 J.B. DRIVE Pri Frontage 1340 Sec Sec Road ) Frontage+-- --.-- Village MARSTONS MILLS I Fire District�C-O-MM Sewer Acct Road Index [0784 Interactive Map Owner Info owner FELLOWSHIP REALTY CORP OF MA INC Co-owner Streets 25 BLACKSTONE VALLEY PL Street2(SUITE 300 City.LINCOLN State� zip 1,02865 Country I— Land Info Acres 0.55 Use[Single Fam MDL-01 zoning RF j Nghbd 0105 Topography Above Street Road Paved Utilities Septic,Gas,Public Water it Location - Construction Info Building 1 of 1 YearExt Built Struct p 1977 Roof Gable/Hi Wall all Vinyl Siding � Effect 2712 - -- � Cower;ASph/F GIs/Cmp �� Type None � � As U$ 511 Area ____ MT Style Colonial I Int D jI Bed '4 Bedrooms JI ----- — - - Wall wall—ry all --------' � -- — i - - Model Residential it Int` Bath 2 Full Floor ___ ... I� Rooms� _ - _ cU c 15 0(l Minus Heat—, I Total Grade Average7 ru0 -- — --� Type -Hot Water �I Rooms�8 Rooms �5 Fuel stories 2 Stories Heat Oil Found `Typical - - ation - - - Permit History Issue Date Purpose Permit# Amount Insp Date Comms 08/04/2006 Wood Deck 20062254 $127,000 02/15/2007 00:00:00 05/01/1973 B 16249 http://issgl2/Intranet/Propdata/ParcelDetail.aspx?ID=5604 11/14/2008 FORM30 C&w HOBBS&WARRENrm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN o DEPARTMENT ADDRESS Cob) z- Ll TELEPHONE Address_ o %y�L. �-�'lytih Occupant__` Floor - Apartment No. No.of Occupants No.of Habitable Rooms /y No.Sleeping Rooms No.dwelling or rooming units I No.Stories 2— Name and address of owner 1-V_LL yl--; S IA_ %0 L--lPA y!z.G Xf S 2-5 LA 1.'A—Sjq!'-jV— AL-L.V_ L©,Cf_ 'Z 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 : f �•� STRUCTURE INT. Hall,Stairway: Obst'n.: .s L = ✓u P Hall, Floor,Wall, Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Su ply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRIC Panels, Meters,Cir.: ❑ 110 IK220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: D WFdCLING UNIT Ventil. j L to . 0 tlets ails Aeils. And. I 0oors) Floors L,6cks Kitchen Bathroom . Pantry Den Living Room BedroomM_122(2 Bedroom 2 2,-yj -Litt E Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: 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 INSPECTI N REPORT IS SI NED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF RJURY." ;, INSPECTOR ' TITLEZDR- 1 N . `�S DATE i 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 II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (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. r ADD 1/2"PLYWOOD RISERS,VINYL TREADS&RISERS ALIGN WALL TO EDGE OF EXIST.STAIR WING WALL TO FINISH SOFFIT GWB SOFFIT ENCLOSURE FOR WASTE PIPE a NEW OIL TANK ______ �-PROVIDE NEW CASED OPENINGS ALIGN UP AT 6'-8"HIGH I OFFICE DEN MECH.ROOM I Dta ' a NEW BASEBOARD WALL HEAT I I A 3'-0"4 GOT-- _ EiaSnNc i I I PR VIDE EW O ALIGN 4 CASED OPENINGS U) I I AT 6'-8"HIGH — — I II � I 4 5 OFFICE AIR UP I I I a NEW BASEBOARD ;o WALL HEAT 10"SONOTUBE SUITABLE TO BE A L RING,4'-0"DEEP,MIN. — D�t 8'-1" 8'-10" 3'_2" V-2" MOSTUE & ASSOCIATES Job Name /�A �y bNo. Sheet No. Lj z 240A Elm street RENOVATIONS TO 55-JB DRIVE 26024.00 Somerville, MA 021AA Title S K 1 U /A100) www.mostue.com BASEMENT REVIS - Tel: 617.628.5700 Scale Dwg File Date fox: 617-6281717 1/8"=1'-0" SK-1-2 08.07-06 (PR#1) Q E-mail: info@mostue.com ©Copyright 2004 Mostue&Associates Architects,Inc. _ 1 TOWIll 01 B,'IrIISj:jj.).Je 1(c.,111.1forN. Services I lit-alth Dkision 'I "M Main Sig.t.4.4, MA 112601 I "O'N PI I.I.qr I Stetson Hall Itkmallcr; Will E Robinson Sr Septic Rocid PO Uox 1089 Osterville Con I-.(,!rvi.11(7! 01, Wm E Robinson Sr .%CI)1IC .swACIual55_...J B Drive, Marstom; MJ. l h; IMS01 011 ;1 tICNIP dal(A 07-31 -05 I co.filv 111,11 1111: scl)liw 111C (ICST'll, wlit"di Ilia%, MrImIt! IIIItI0j* .1 lite, CCr(if*y that 11w "iyMell I 11),Nt;lllL:kl W1111 Illil' 1,,i,Catcr thaii 10' lafel.al I-ell1r;iholi (i,flht: SA'm- ,,mv %,o*ii z waI It-loc,111(m (It fall Y COMP01100 ()I'(lie wrlit' N hill jIjjCI,_(1I-kjjIIk C %%'1111 1131V & I likill 10TJI-It M' -00 X A. .tt JL Al .1,116`14".Slawl) I I'll FAS E RETURNTO BARNSTABLE PUBLIC jHVINION. CE RTJ Iq OF CONIPLIANCE, WILL Nar 111,: 116.15 .1.1 1 I's lit'I I.T CAM) ARF V111)BN MEB\ 11' MVISIQN, I'l 1A N K N'O 11. .� .. _ TOWN OF BA.RNSTABLE t SEWAGE # S VmL;AGE. ASSESSOR'S MAP & LOT& INSTALLER'S NAME&PHONE NO.. ,L . I ►� SEPTIC TANK CAPACITY /fL� LEACHING FACILITY: NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 0 05 COMPLIANCE DATE: / 7—O 6e Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching 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 „1 No. &r2Il(JJ r a_ Fa100. 0V THE CONko'kWENLTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Thgpo l lbp aem COn.5truction Permit Application for a Permit to Construct( ) Repair fK) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 4 2 8—0 4 2 7 55 J B Dr, Marstons Mills Martin & Patricia Hannon Assessor'sMap/parcel 1 01 040 55 J B Dr, . Ma..rstons Mills 775-8776 428-6367 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic Stetson Hall PO Box 1089 Centerville 28 Rambler Rd, Osterville Type of Building: Dwelling No.of Bedrooms 4. Lot Size sq.ft. Garbage Grinder Po) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided �-7 gpd 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 a new Title 5 leach system to plans of Stetson Hall dated 07-31 -05. Date last inspected: Agreement: The undersigned agrees to ensure the cons ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Ti le S of t e vironmental Code and not to place the system in operation until a Certificate of Compliance has been issued b t . Signe Date Application Approved by Date Application Disapproved by: - Date for the following reasons e dry Permit No. Date Issued No. 1 O O.O Q Entered in computer: T s•- - � TH��CO�M�IONWE'7�TH OF MASS CHUSETTS - PUBLIC HEALTH DIVISION - TOWN-OF B°ARNSTABLE, MASSACHUSETTS Yes ZIpplication for -Migponl 6pmgm Cow5truciti 0- if Permit 6 Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Nod Owner's Name,Address,and Tel.No. 4 2 8—O 4 2 7 55 JB Dr, Marstons Mills Martin & Patricia Hannon Assessor's Ma 0 01 /040 55 J B Dr, Marstons Mills ` 7�75-8776 4;28-6367 Installer's Name,Address,and Tel.No. Designer's Name,Add s and Tel.No. Wm E Robinson Sr Septic Stetson Ha PO Box 1089, Centerville 28 Rambler Rd, Osterville Type of Building: 07; r Dwelling No.of Bedrooms 4 Lot Size sq.ft. GarbagefiGrin e, , Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flow.(niin.required) "7�7� gpd Design flow provided W'T �J f� gpd Plan Date Number of sheets Revision Date Title - Size of Septic Tank Type of S.A.S. Description of Soil f r` Nature of Repairs�OrAlterations Answerwhena hcable Install a new Title` 5 leach. system ( PP ) to plans of Stetson hall dated 07-31-05. Date last inspecjted: Agreement: ' The undersigned agrees to ensure the cons 46ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Ti e 5 of t,'e nvironmental Code and not to place the system in operation until a Certificate of =y Compliance has been issued by t i o t . Signe /1 Date U Application Approved by � rf/ ( , Date Application Disapproved by: 1 / y Date v r for the following reasons Permit No. Date Issued P THE COMMONWEALTH OF MASSACHUSETTS Hannon BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X ) Upgraded ( ) Abandoney� Sby Wm E Robinson Sr Septic Service ix—Mrs ons Mills ` at Drive, has been constructe i a ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �;)L /� J Installer Qobn sc,Y1 Designer GL #bedrooms Approved design flow �Y O gpd The issuance of this permit shall no be con rued as a guarantee that the system will.- nction ^d si ed. Date 1 / Jy �1l Inspector --- ----� —------------------------ ------- $100.00 No. THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS Hannon Mllltq;ponl�6p!5tem Cou5truction permit Permission is hereby granted to Construct ( ) Repair ( X) Upgrade ( ) Abandon ( ) System located at 55 J B Drive, Marstons Mills and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Con t uctiori must be completed within three years of the date of this aerm•f. �)} Date Approved by . t Barnstable Assessing Search Results Page 1 of 2 or ry.£a➢6 r Home: Departments:Assessors Division: Property Assessment Search Results a Owner: HANNON, MARTIN E& PATRICIA Property Sketch L egend Map/Parcel/Parcel Extension 101 /040/ Mailing Address HANNON, MARTIN E&PATRICIA 3 ] 5 r / 333 55 J B DRIVE ' ' MARSTONS MILLS, MA. 02648 3 2005 Assessed Values: Appraised Value Assessed Value ` Building Value: $211,200 $211,200 Extra Features: $2,600 $2,600 Outbuildings: $ 1,100 $ 1,100 Land Value: $ 126,200 $ 126,200 Interactive Property Map: ap requires Plug in: > Totals:$341,100 $341,100 1 have visited the maps before , Show Me The Map _ April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: HANNON, MARTIN E&PATRICIA 9/15/1989 6882/200 $ 157,500 SCHOONMAKER,JONATHAN W& 4/15/1987 5685/070 $ 1 SCHOONMAKER, KATHLEEN F 6/15/1986 5126/061 $ 1 WHITMAN, CHRISTOPHER ETAL 2688/66 $0. 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $61.91 Town Fire District Rates Other 1 $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $344.51 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,063.66 Hyannis- Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 http://www.town.bamstable.ma.us/Assessing/AssessO5/displayparce103.asp?mappar=1010... 2/13/2006 Barnstable Assessing Search Results Page 2 of 2 Total: $2,470.08 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.55 Year Built 1977 Appraised Value $ 126,200 Living Area 2560 Assessed Value $ 126,200 Replacement Cost$242,787 Depreciation 13 Building Value 211,200 Construction Details Style Colonial Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Plus Heat Fuel Oil Stories 2 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 140 $ 1,100 $ 1,100 FPL3 Fireplace 1 $2,600 $2,600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=1010... 2/13/2006 a, Fro � — Date._. To � d—� i� A /- i�.J AddressS —��— YF — Terms .--- Order No. —_ c)(f) I j I �� r9�1 � �� 1'✓�i �LJ O D i/aL l .tc / /O0,O U I � ' I mow/,L/ �✓ .,;t- -41 Cam` l D Notice: This Form Is To Be Used For the Repair Of Failed. Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM �'I-- �,hereby certify that the engineered plan signed by me dated concerning the property located at meets all of the following criteria: • Two soil evaluations excavated for detailed examination(no hand augering)and two percolation tests shall be conducted. • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) �'�r B) G.W.Elevation _+adjustment for high G.W. _ DIFFERENCE B NAdB SI D DATE:an S� NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. "1 Q: P P� mp. 4Se tic\ xe doc i 47 Old Church Street BRADFORD L. HALL Yarmouthport, MA 02675 Environmental Consultant Tel. (508)362-3397 July 5, 2005 Stetson Hall, R S. 28 Rambler Road Osterville. MA 02655 Re: 55 J.B. Drive Marstons Mills MA Dear Stetson, On July 2, 2005, I examined the above referenced parcel in order to delineate any wetland areas subject to the Mass. Wetland Protection Act and the Town of Barnstable Wetland By-Law. The parcel exhibits significant topographic variation and displays an isolated"kettle" hole. The kettle hole receives storm water from two separate catch basins. Storm water flows to the lower depths of the kettle and accumulates in a very small area for relatively short periods of time. The short occurrences of standing water bolster the vegetative and soil analyses. The vegetation is 99%upland and soils are bright and well drained without hydric indicators. (Please refer to enclosed DEP Data Form). I would not consider this area a wetland due to the above observations and analyses. Please contact me if you have any questions or comments. Very truly yours Bradford L. Hall, Environmental Consultant I (U9 recycled paper Environmental Permitting Q Wetland Delineations © Indigeneous Botanical Inventories DEP Bordering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form Applicant: Prepared by: Y�rc 14cg l ( Project location: .1 r ) r^r Vt'_ DEP File #: Check all that apply:' ❑ Vegetation alone presumed adequate to delineate BVW boundary: fill out Section I only Pk. Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Sections I and II ❑ Method other than dominance test used (attach additional information) Section 1. Vegetation Observation Plot Number: f Transact Number: Date of Delineation: A. Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area) Dominance (yes or no) Indicator a Category* P. r-,&-,1 (0 a.k -"> .a • vs c " Use an asterisk to mark wetland Indicator plants: plant species listed in the Wetlands Protection Act(MGL c.131, s.40); plants In the genus Sphagnum; plants listed as $ FAC, FAC+, FACW-, FACW, FACW+, or OBL; or plants with physiological or morphological adaptations. If any plants are identified as wetland Indicator plants due to `o physiological or morphological adaptations, describe the adaptation next to the asterisk. m o" c Vegetation conclusion: Number of dominant wetland indicator plants: p �j Number of dominant non-wetland Indicator plants: �� 5 Is the number of dominant wetland plants equal to or greater than the number of dominant non-wetiand plants? yes no if vegetation alone is presumed adequate to delineate the BVW boundary,submit this form with the Request for Determination of Applicability or Notice of Intent. MA DEP;3/95 Section II. Indicators of Hydrology Other Indicators of Hydrology: (check all that apply and describe) Hydric Soil Interpretation ❑ Site Inundated: y ❑ Depth to free water in observation hole: 1. Soil Survey ❑ Depth to soil saturation in observation hole: Is there a published soil survey for this site? yes no ❑ Water marks: title/date: ! map number: ❑ Drift lines: soil type mapped: ❑ Sediment deposits: hydric soil inclusions: ❑ Drainage patterns in BVW: I - Are field observations consistent with soil survey? yes no ❑ Oxidized rhizospheres: Remarks: ❑ Water-stained leaves: ❑ Recorded data (stream, lake, or tidal gauge; aerial photo; other) 2. Soil Description Horizon Depth Matrix Color Mottles Color ❑ other: _ Vegetation and Hydrology Conclusion yes no Number of wetland Indicator plants > number of non-wetland indicator plants i✓Cl �. j C k n,;" Wetland hydrology present: a Remarks: hydric soil present ❑ �( x m 3. Other: yl p c v CL e w C u✓ I p other indicators of hydrology a present ❑ ❑ Q Sample location Is in a BVW ❑ Conclusion: Is soil hydric? yes no f ^` Submit this form with the Request for Determination of Applicability or Notice of Intent. ti i Stetson Hall 5084286367 T01VIk 01 B,'IY11Sjd'jj)je� 1(tt-111afory Services 0 PA It N%IA I klY. 1, Ni AtIN. , ran ,gypI'll Wit, I It'a 1111 Dkisiml 2111)ftt I mll S(l-VIA I IN all Ili-, IN 1.-'% 0 101)1 Ujv "Ils P#I)-f't(Il Dc%i1!11V1-: Stetson Hall Installer: Will E Robinson Sr Soptic Addi-cs.': 28 Rambler Road AIIIII.C.w pu uox 1089 Osterville con Korwi.1lc, Oil Wm E Robinson Sr 5ep-tic.1;4 - .%Cp1lc .'wS(cju ;jt55 j B Drive, Marstort-3 Mi. I In lia) I (Ldol 07-31 -05 dic tlCtilltl, willdl liciv lift-11141c 11111101- :1111)1-u k'k:d klm-A disilihiltioll hox mld!tm !4cpllt.- umk. Certify that the :;y:;1cll) I'L1CI-clict-d akwc inAAlul XN' III imijol. chillwc., (Ix. 0i*C;i(cr thmi W' 1;11c1';l1 1-t'111v;1li(m SAS'tii-'ImN- X-colt-A It-lot-.111(m u1,111C willic `')*.SWIIII hill UI 'icl.-ol-I.L111kc wilh & Lol.-:11 0 4ALL "o 0 Ix PLFASF- RETURN TO BARNSTARLE PUBLIC 11I4:-ALT111 DIVINION. CIAZT11FI('ATF, OF COMPLIANCE. WILL NOT III,' ISSCCA) IINTIL 1110 '1111'I'll * S' j ()I-' NI � ,S- t A-- IW-A . ............... 111U11111' CARD ARE I(F.CFAVI-A) UN, TIIF It .-F 11FALT111 D1\ ISION, T11ANK YOU. CrItIll"'01.41 IM111 L0 19 N SEW "A PERMIT NO. r7 99 o V I L L GE 'XIIR.d5 ids - INSTA LLER'S NAME & ADDRESS Gc B U I*L D OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 'o��-'`7 �. IbL' jc� , 6j3 t AC- it o PrC ' � �(�,J �•V�r i_ tit 5.� 27 18 fir N IS _ 4��V. StP sus. c�-_;�•�� T 1-{A T T t-1 �t :• t�l t S 1-lo^�t!►.1 Cat-A►�1 �E 2 �I C C—. �-1 EtZ l=�t-.� Cc�VI PL4�5 �l/('�'t-:; T►a� �"j(U.0 LI�� ' j �T � j � vitzEAA rs BQ.xTSQ- REGtS tL-Tc�a-t> LA.Wo 5U�Vc Yott.S 05-TEV-V%i. LG, o iwsr-�vx��WT �,vczvc_Y �: <<tc- _��t•✓cg�T'r, SEtvwl.� A.Pt'�t_.t u/�.t-.,t"T' t mot' eSC u�,�q TG acrcetilsWt"w LOT LtN THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A , I �C(�J L DATA f-tL�l T-=I r-.k/ IICZ •: - 44o =FTIG t 1�t.1L; Ad* L t 7r *5 ' fa�i0 C}.r•I�. USA• ��() e`r/`L: - 1 C>(nC (ate—C. . ir•c� SF34 OL TcTAL .42.S XZ. $CAC? elt'G' —r >TA t_ V::7LASA V = dtia 1 1. t�►. ,�cat.�Tt��.1 �ra-r� : i„t�.2kt1 c.r'•oQ 1.�.�.' t OPF I d lhocyE iw1 ' D.p I Y r�-fir:It %37�` :6r7gCx 4y fit_. Et ,rrr�•�r •�.,,,�`� , Lash a �-g9 I��PPfa I7ST. iLY lra Z 14v iPIT A, tt"E' •,\f./1 TLC WASWEn SToWE~ its\� /b .0. �� ----- C-U-ZT t r-S a No eav c i - ►4.-'t7 t CMIZTt t=-( T9A,`i T1-tC. 5ua� w p{- At -i ZZ T= >~c t-1ti�t=�t„1 Gran.-tRL��S .�,�1 I'�'i-e .TI-ice.: •51t3�'Li�� SAC 17GQ01Q AAE- C) Tt'1C-- w Q O : l Vic. t Y-- 2 go �C--e BAYTr— tom, ti,tOTA�',C.T C)�.1 X1mJ L��`TE, V1l.t,G. a" ItrKAS�, ,�.- -;�;.%f.�t-�c.tr �,c�s:,irx T►t.c n��'S ,C'f, �;idaww � ��+_►G,�.ti� T' r +- r �'.t�: v'•�c.ca rt, cat=:.1►`:c_Mtit�L 1_v.'Y' t_It�`f� _ �" �"!i��:af'I� c..�t'��`''� r, No......................... Flzic............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'Y;4 Yti..- ----...OF... ... . .... ...... ............................................. Appliratiun -fur 13iupuud Works Towitrnrtiun Vanift Application is herebymade for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at: Location-Address — or Lq t No. _�_N_r�r�.�....1:�c•A L..._ D 15 fix.---�-�.... .Y!��.1!v_►:�.._..-�---1.�:_...��I W Own r Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.-__._.4�............................Expansion Attic ( ) Garbage Grinder V aOther—Type of Building ___________________________ No. of persons.._-____________-_-____-_-_- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ W Design Flow.......5.S.............................gallons per person er day. Total daily flow___-___.-_----4. ---------------- al)Ons. n WSeptic Tank—Liquid capacitvlZ5Qgallons Length__O�___. Width._5........ Diameter________________ Deptll._ __79. x Disposal Trench—No_ ___________________ Width.. _ -------------- Total Length.-__._______....r.. Total leaching area.. ......sq. ft. Seepage Pit No-------R-------- ameter....... ........ Depth belowo�let....... ...T .Total leaching area -sq. ft. Z Other Distribution box ( Dosing to k ( ) ' mil" � 7 - d '7/ Percolation Test Result . Performed by.____._.Al U".- Y�T'i 'IT�±P f�� Date_____________________________��--____.. Test Pit No. L/�-� ,....minutes per inch Depth of Test Pit...... p"Z.�_. Depth to ground water....to FdC N/✓ (i Test Pit No. 2...... --7..nimutes per inch Depth of Test Pit-------1.'L...... Depth to ground water__.__---`__.____.---- ;�,. O Description of Soil------ ��fY/v .. � � -`-----------------------------------•----------------- - --- -------------- x U = W --------------------------------------------- ------------------------------------ ---------------------------------------------------------------------------------------------------------------•---- V Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ..............................................................-------------------------------------------------------------- -----------------------•--•-•••••------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the afore ibed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Coe he dersigned further agrees not to place the system in operation until a Certificate of Compliance has b iss by bo d f hea Sig d--- -- - --- ----------------- ---- --- - - - ------------------------- Date Application Approved By------- � - .a 77- .......................... Date Application Disapproved for the following reasons:.........-................-..................................................................................... ------------------------------------------------------------------------ Date PermitNo......................................................... Issued........................................................ Date No........X 1 1 Fmc............................ --------------- THE COMMONWEALTH OF MASSACHUSETTS I E,& L BOARD OF HE TH ............OF... ........ .............................................. Appliration -for 43Wpoiial 10orko Towitrurtion Prruift Application, is hereby made"'for a Permit to Construct or Repair an Individual Sewage Disposal System at: .......LQ.r....At.. ..r,,..5.1......Driv. .........MAJ M.I.L.Lt-------------------------------------:7------------- tion Address r.oss ,. 0 .13., . L t N o. . ...... ............ Own LI Address ,', r D ...... .. ........j_, ... .... ----- ---------------------------------------------------------------------------------------- installer Address Type of.Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms... 04 .............................Expansion Attic Garbfe Grinder Other—Type of ffifilding -,,,......................... No. of persons----___.-___.-_-.----.--- Showers Cafeteria- Other fixtures ----------------------------------------------------------- ------------------------------------------- ............................................... Design Flow..-. -_5-1:!5----------------------------gallons per personday. Total daily per .....................galloig,ti.jj 04 Septic Tank—Liquid capacity.U.50gallon-bo Length.-M.1.... Widtli-.--5......... Diameter--:.:----------- Del)tli..-$- Disposal Trench—No. .................... Width,j-------------- Total Length..----..........i--- Total leaching arc- sq. ft. Seepage Pit No.--_...a. ..... �17 . . iameter.......X--------- Depth below let...... Total leaching area ----sq. tt. Z Other Distribution box Dosing tank -OfA cf.T�"� 7 Af j6b_�., Date- .....Percolation Test Results Performed by.......�ewr, el X �4 ;1------------------ Test Pit No. 1 __-7—-----.minutes per inch Depth of Test Pit...._..._'_. ..... Depth to ground water.- Test Pit No. 2... --minutes per inch Depth of Test Depth to ground water...4i---------- Y ._minutes .. .. . -- -------------- ........ ------- .............----------------4------------------------------------ --------------------------------------------------------------------------------------- 0 Description of Soil-----::��q �4 --------------------------------------------------------------------------------/...................................................................................................................... U ............. --------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------- U Nature of Repairs or Alterations—Answer when applicable........... ....... --------------------- ................................ ---------------- --------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the afored 'bed Individual Sewage,Disposal System in accordance with the provisions of Article XI of the State Sanitary o he u ersigned further agrees not to place the system in y operation until a Certificate of Compliance has be 1�'issu y t bo hea Sig ----- ............................. it/*? a �77 ------------------------ -------------------------------- D te 7 7- Application Approved By----- ... ..... ....... ...... -------------------------------- ........ ------------------------------ Date Application Disapproved for the following reasons:................................................................................................................ ..................................................................z...................................................................................................................................... Date PermitNo. ---•-••-•••-•-•--..... Issued...................................7•...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... .........OF......... . .................................................. - -r. e. (STrfifiratr.of Tonfolialta TXS I T(WkRTIFY, hat ....d al S Disposal System constructed S Ivi ua Swjage cted or Repaired by-.- ....y..... .................................................................................... alter ---- -------------------- ..................................... ....................................................... has been installed accordance with the provisions of Ar I of The State Saiiitary Code,as described in the -application for Disposal Works Construction Permit No. ...7-17... ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM.WILL.FUNCTION SATISFACTORY. DATE........................................ ....................................... Inspector----------------------------------------------- ......................I....... THE COMMONWEALTH OF MASSACHUSETTS BZ 6ARD' OF HEALTH ...........OF....... 4$4-1.7 .................................... N .................7.. FEE.... ............ -i�sion s ereby gra :.�-,.....? ----y......Perm ranted &_ t_ --------- 77 to Construcy or Re I d R n 1ijdi;,, ua.. e Dfs'po. yst at N --- o..41 W.... • 74ZZ----------------------------------- Street a --- ------- as shown on the application' for Disposal Works Construction P mnit DDa t e d../ e 0 ----------- IFV�------------------ Board of DATE. /..... .......................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS, ----.---,----L-----.--- -I I __ -11�-------.------------------,�--�-----__________1__- ----__----- I - I I � - - I I I � I I I . � 1, I _%, , . 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