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HomeMy WebLinkAbout0112 RIVER ROAD - Health 112 RIVER MARSTM LLS 5 r TOWN OF BARNSTABLE LOCATION Xt"Z Pl l/6+? e D SEWAGE VILLAGE to jQp, ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. _y p,.- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1600 tly+f I— o (size) 616 tv pl-a',.? mule NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: l Zge DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I 0 l 1 C I c c� c 33, 3� 1416 i V No......................... Frsa...,l,S ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD, F HEALTH, ... .- ................0F........ ... . . ............................... Appliration for Uhipa'al Works Tonstrndion Prrutit Application is hereby made for a Fermi{ to Construct (✓) or Repair ( } an Individual Sewage Disposal System at: 111.1...........PI LCI a-•-- t fie-STi lla................. __..._. - �� o do res . ................................. ........K Ow Address W � Insta er Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--_-------------_.....................Expansion Attic ( ) Garbage Grinder (Wo) `4 —T e of Building a Other_ r,, YP g ............................ No. of persons----------_-•----------.--- Showers ( I ) Cafetena ( ) oy Otherfixtures -----------•--- --------------------------------------------------------------------------------------------------------------------••. W Design Flow............. i-1;........................gallons per person per day. Total daily flow..........33!;P�...'__.`'._....._.Igallons. �. w WSeptic Tank—Liquid capacity lko.Q_.gallons Length................ Width................ Diameter............ D�eptli................. x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area.....................sq. ft. Seepage Pit. No..l................. Diameter..)..°4_4..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date--------------....-----------.......--- Test Pit No. I................minutes per inch Depth of Test Pit---------........... Depth to ground water......................... 1-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................. _ /O - _.L __ . ......� _.__..escr Description of Soil.__ . ----- I ..................................... ... W V .........--•---•-------•------------------•---------------------------------- --------------------------------------------------------------------------------------------------- ----------------------- W --------------------------------------- ----------------------------------------------•----------------------......................-------------------------------•-------------------------•-------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •---•---•--------------------------•----------------------•---•--•----------------.....-----.......----••------------------------------------------------------------------------------•-----....••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i tied by the boaard health. SignedM! •-- --------- -•.1.1._-.3..-7_.?....._ Date Application Approved BY f e�-&�- - 2 {1=. 7 ..._... Dale Application Disapproved for the following reasons:-------•------------•------------------------------------------------------------------------------------------- --•--•-••---...--•-------------------------••---....--------...--•--------••••.......................... - 6 W Date PermitNo......................................................... _ Date No................_....... Fxs...f ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH `r...........--...OF...:.... -- .. Applirtt#ion for Disposal Works Clgntrnrtinn Prrmit Application is hereby made for;a Permit to Construct ( ' ) or Repair ( ) an Individual Sewage Disposal System at: �p .........---�1Ste:>"::.:CS. !._...1 YLA a t"sa 11�►....................... ........................................... (7 oc_a_tii -Add ess r dot No. J f �+t4 - Owner Address W Installer Address S U Type of Building Size Lot--------------------------- q. eet ,, f Dwelling 'No. of Bedrooms................... .....................Expansion Attic ( ) Garbage Grinder (00) '4 Other—Type T e of Building No. of persons..............X......... Showers — a YP g ---------------•---------•-• P ( { ) Cafeteria ( ) dOther fixtures .----•--•------ --•--•----------•---------------------•---------------------------•-•-----------------•------...............--••--•--.._.......---- W Design Flow............ 4C......................gallons per person per day. Total daily flow____.._._ --------- ._......__._..__gallons. WSeptic Tank—Liquid'capacityl4t:Q...gallons Length................ Width................ Diameter........-....... Depth................ x Disposal Trench—No..................... Widtlr................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._L___ __________ Diameter.l_0..�.l'.±__.._ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' r../� ... s Description of Soil_.. .r!` !'t.....' !` ' -----�+� { .........� x --------------------------------------------------------------------------------------------------•-----------------------------------•----•---......------:---------------•-•--------•-•---•-•••....-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ................................................................................. ....................... ..........___.. . Agreement The undersigned agrees to. install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has.been ' ued by the board,4 health. Signe v.. 4 5 ±� �6 C:I......... M7 Date Application Approved By------ ' "" ? ........... Date Application Disapproved for the following reasons:------•.......................-------•----------------------.......---------•----------•-•-. ---•-..........-- •--•..............................•----•----•-------------•..........._..•------ ---------------------------•------- Permit No......................................................... Issued_--- — - s �-�---..11. ......:-------_Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4x. ......... ...... OF........G'�•�'�, Pr&... .......................................... Trrtifiratr of T,omplianrr i. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed N" ) or Repaired ( ) by sta has.been installed a Vince with the provisions of T of The State Sanitary Code-as described m the application for Dis orks Construction Permit No. .� ____. ________________ dated.._. L~ ................................ THE,ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , .1 DATE--.`11%r......................................................................... Inspector....,................................... --- ------------------•----.--.--. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH d„ l .........OF..:..:. ...:�t, .........•. •.................. No._., .� .......... FsE..f. �.:........... Disposal Works T.> nstr ion Famit Permission is hereby granted------ ----------•----------------- to Cori ;uct�(, ) o epa�r•( an I iv rual S a D' osal Sys ,� �.4 / Street as shown on the application for Disposal Works Construction P it M._.____ Dated__�1"�...±y ............... .44 ......... .. 11 _ _ Board of = lth' DATE-----=" ----- u = 7�--- FORM 1255 HOBBS'& WARREN. INC.. 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LEGEND F :"E o3''& NO f':8POt ELEVATION Ox0 ° CERTIFIED PLOT PLANT 'ENI STIFF CQQNTOU 0 — 1 n 7 ra'. 7� - ssesz lF I•'�`R`EA SPOT ELEVATION `�� r. �� m < it= �81tED� COM:TOItR:. 4 s7'�. �,/.. '._ @ i 4 i t €t jr ' f ►PP QVEO : BOARD .,OF 'HEALTH k" M ;;. GENT SCALE' 60 DATE /a8 , F --- -_ N v 0 DGdE' ENG/NUR/NG CO IN CLIENT I CERTIFY. TNATd.THE ''PROP08E0 EQISTERE G1itER.Ea. J0,9 N0, . _ PUILDINO SHOWN ON ' THIS' PLAT , @ EVIL ry., LAND CONFORMS TO THE ZONING ' 6AfS°i . A. . 81NEE SURVEYOR DR:8Y _ ' 'OF 8ARMSTA L ON ��a. '+• 3a~rNO. MA11N`ST ' 712 MAIN ST. CH. 9Y: I •P.�: G /� -" J. YM'OWTH, MASS. HYANNIS,' MA SS. — - SHET�L Of DATE, EG. LAND SURIEYQfi - q .H.� .> fin. w .+ 1 n,* •1. -� " Y.i-,b" L 20 FT,' Nl/N.` 1107E /F_. E/Ti'/ER°TNES�F'T/C;-T,.��//C DR ¢ k .. .. / '.-ACf//iVG .:P/T-ARE a /YORE T_.HAJ`✓ "/2"BELOJV .CoiyCK-, TE Co ... i.. 4 ;• " SWALL E BRouGNT To 6/4�AaE. :•,i✓•.EXrRA •... ` " r M N P/TGN CO/VC,RETE / ! "Ai,EAJ%y_ A ST /20/1! CO i/E�R SfVf{L 4- L3E USE17 ®ram _ GDYERS ! "PFiQ FT.'-" 1F/N ,L7R/VEINAY Al i - GR pE CU`�ER C L EA/V .SA/V U �., X)/LL -�-� LIy�U/D-LE1/EL lid id i - a TTT •7.rr,r>z,-r �; _ - t- i �a - 2 YE.-LAR k ¢"CA57 -J a.-i. . - . :: ,�J MIIV. P/TC/Y --- - 'GAL: V i:.. ° 1 f •' . . . • . • • • n o - - (`,� D/ST. :� 4 WA5HF0 57r,/YYE /a PEis rrr, tPT/C TANK F v o , • • . • . • + Q S . _ • a-4 ' <- ` v c ' + • •EFFECT/V� r e • • p�•' _ - Ii�.ry, zr . , ry:. :..> ', ,k p r • • OEPTN • • • •y a '.•'' �.WA5,AiA D STQNE - v O o r'v. 4 • • •{ • o `f • • • •f p,p•p — PREG45 T.SEEPAGE \a ► v r • s • •e • o • • + a o P/7 OR EQu/V lNVeIpT ELE✓AT/o/vs /MYERT A r BU/LD//VG 9-7- J FT - G FT M1 ` ® FT. D/A M C SEE /NLET SEPT/C TQNK • 9�• FT � Y - .r OUTLET SEPTIC 7,41VK _ -- - _.-..__ . /NLET D/STR/BLIJ/D_N B0X" 9!° / -,T: _ _ -:'" GROuNo Hlf1TER 7i4BLE _ ' - T1ETD/STR/Bl1T%UN BOX ��FT. - /NLErSEEDAO, ` P/T 9 4 FT. SELVAGE ®/Sf� .4 L .SYSTEM LEACf�/NG /T :7A8414ATlON 4 DES/v-Nb SCALE �4 Y = /`- 0 V/M4FIVS/ON A CR/TER/A DIa1,EIv5/o" " el��—FT. of - A GAROAGED/SPOSAL UN/T ` SOIL-.. TOTAL E.3T/Mr4TEG FLU V Gr4LIDAY -SO/4 TEST rdt/. $O/L TESTpOf2 AIUM•BER OF SEEAi4GE P/T.S_ ' 47 _ _ %O L Fcv r �, — ;- � , SO/L TES7c --� S/D.6 LEACH/NG PER P/T _:_ZB SQ, .FT. y-`AA 7-E �F' �g 8 � L.�JAM - • r � LESULTS'I�//TNESSED BY j 4007OMLE�AGH/NG;PEIr,PlT P4 1fCO,4AT/CAN RATE At 'U,S M/N�INCN $ 'TOTAL"LEACH/NG RREA '.$(, FT. , PfRCOL:AT/O�% Pr4TE '° RESERYE,LEAC'NlNG a^�A~-b 6 SQ. FT. /fl SdBso L 11"A OF ROBERT t. :. GO�►/? S E - _ c\ /G ; I` N1,�4-/�-S � v( BUNIKIS h ', Na 22162 r•p �_-` "v�FG,s'tEP�O(`� . _ .r o.•S Z'- r - r{ _ ELDR�G4•E/VCr/NEJ�P/NG CO.,/MG. O „' ;,_ S,,.. EN��? ,.: .• «.. _ •„ _ a !r'7i�A/./y s T � EL •ANAL. #' :: ` i, - -- NOVAS Y3 Rt lV2TG pti ,- _ /�7t4s� Via: r 1� �Q'GIN ✓ti EOv�rE� ra!2 A 4 27 T E[ F N /1• 7'- _ C3 -t �-.- - -.. _S . _. ..h •. _.:y-' .. 1'- - n.. -.emu. s s\ .ti.. ... ... � 4 '� _ r —. No---ofK:�..Y THE COMMONWEALTH OF MASSACHUSETTS 2 BOARD OF HEALTH TOWN OF BARNSTABL'E , pptiratiun for Ui"uuttl Works Tonstrudion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (individual Sewage Disposal System at: , .. ..... �.......R.D................................... .......................................... �Locpatinon-Address................................... V C �r Lot No. ........................---------- ----.....� L . ......---•----•---------.............•.........-. ---- Owner `Address e%►.I..., t� _ ;�.� w._(��-'.t:.€:�.t - Installer Address � Type of Building Size Lot...........................S q. feet V Dwelling—No. of Bedrooms...........�............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building _______________ No.. of ersons....._......_._.._._._..._._ Showers — Cafeteria P� yP g ------------- P ( ) ( ) Lt, Other fixtures -------------------------------- . W Design Flow.........ll.6........................gallons per person per day. Total daffy flow....... ........................gallons. WSeptic Tank—Liquid*capacity ZAQvgallons Length...... ...... Width..... _....... Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area......--_-.___{,� sq. ft. Seepage Pit No....___=L-------- Diameter.......-------- Depth below inlet.._...?.......... Total leaching area,l0_�-P-_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ ri, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a . ------------------------------------------------------------`-------------...,_... ----t---------------------------t.-------- ........................... O Description of Soil...l ------- -P.�' -�v..�.�_.. .[.:1 .......... ---- 9I.0 2!!�...... ---------- x W U Nature of Repairs or Alterations—Answer when applicable_-d.5wv...67-11.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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 .... ... --------- ------- .--------- 7 9.-...... g ed Application Approved By -------- .---t4�1 - -------... --- --- --------------------------------------- ------7.^ Dace Application Disapproved for the following reasons- -------------------------------------------------------........................................................................------ --------------------------------------- ----- ---------.. Date PermitNo. ....... ------------- ------ Issued ............ ------------..........-------- ....... Dare Ac No.. Fics...... GU µ— S�- THE COMMONWEALTH OF MASSACHUSETTS �VCCJJ BOARD' OF HEALTH TOWN OF BARNSTABLE ApplirFatinn for Dhipaii al Workii Towitrnr#inn thrmit Application is hereby made for a Permit to Construct ( ) or Repair (Individual Sewage Disposal System at: ..�./.1jj ...._...��.!LF2---az)----------------------------------- - r1�-s2,l�y---"''-' �-S' --------------------------------------- Location-Address, or Lot No. owner Address C_1--i ice -------.-,y w.. .w.r _c- l ................................................. Installer Address Q : Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms.......................•_.•____--__-__------Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers Other—Type g --------------------•---•--- P -( --->--- Cafeteria ( ) QOther fixtures ..................----------------------------•-. -•.•------------------•••-•-------------••----•-•--••-- . ---------- W Design Flow..........11.6.........................gallons per person per day. Total daisy flow------q_-11........................gallons. WSeptic Tank—Liquid capacity T0Ugallons Length......c�..__-_-- Width-----7_------- Diameter________________ Depth................ x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area............ ___sq. ft. Seepage Pit No........'�.-------- Diameter........(-------- Depth below inlet......(2.......... Totalrleaching area.ii� q. ft. Z Other Distribution box ( ) Dosing tank - a Percolation Test Results Performed by.. Date -------------------- •------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------ ,•••- -----,------•---------•-----------:---------••-•--------------•---..---- Description of Soil---! ��-----7Q--ram••= ---�-ttt,_b----�..- ......••�� r �O --n--....................................................... W U --- •----- •------------- •---------------------------- •--------------------------------------------------- •----------------------------------------------- •----------------------------------------------- W U Nature of Repairs or Alterations—Answer when applicable.__l_.5v___C1' _�__.. f ._._.. .� t�z.-i_ -� ! r r� �'s ' ' e. �, �r w-1-2 s. r > 5 %-?'------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal S�stem in accordance with the provisions of TITLE'S of the State Environmental 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 ..-- � 1.. ------- ..71.91------v------ Application Approved By ------- J t-�'��„'�"� �1 _----------------------------------------------.______-____-___--______ Date Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------.............................. ----------------------------------------- - - ------------------------------------------- ------- - G Date Permit No. - G .. Issued --------- Date t THE COMMONWEALTH OF MASSACHUSETTS C BOARD OF HEALTH TOWN OF BARNSTABLE &rtifira#e of TIImlatiance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repailed ( ) --------R k:�t--- — -------------------------------------------------------------------------------------------------------- by ) // p Installer at ---------- 1 f /C ----------- ---�`-�-,--------------d�'� ,�... has been installed in accordance with the provisions of TITLE 5 The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..._...yf�-__-_---_-J?P—__-X_._.. dated __ ____________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR E` ' AS A G GRANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.--------�---� ..jf�--------------------------------------------------------------- Inspector -- ---....... ---------------........................---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....��.�..-.. �� _ FEE..���..v... Disposal Marko _�nnntrudinn Trani# Permission is hereby granted-------_-- ...................................................................................................... to Construct ( ) or Repair an In i ldual Sewage Disposal System atNo..........�......1�..�-•------ l �.i...._? .a.11A-.. Street................................................................................ as shown on the application for Disposal Works Construction Permit No. Y_ ___ Dated.......................................... •-----------------------•------••• s-- — ---------------------------------------------- Board of Health DATE.••-•-•-•--------•-•---••-----•---•------•-----•............................... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: Cl&O&S � Lc BUSINESS LOCATION:/Z 12l(JkJz - MAILINGADDRESS: /fZ- V Mail To: TELEPHONE NUMBER: GI8- zf2O-- 3'IV Board of Health Town of Barnstable CONTACT PERSON: 51�t P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 5`o s #' 6 ray y7 Hyannis, MA 02601 TYPE OF BUSINESS: /`%45 o rF fie Does your firm store any of the toxic or hazardous materials Iisted below, either for sale or for you own use? YES X NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners _ Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants 7 Motor oils Pesticides _ NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) C Diesel fu kerosene #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar K z Ids Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor&.furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) g a Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r EXECUTIVE z DISTRIBUTION/DATE OFFICE OF \ V LHA32tw-lah—u- EOCD COMMUNITIES & , Boarrd o.f-Healthy. DEVELOPMENT - Fire Department Building Department Other Owner William F. Weld, Gc•vernor Tenant Argeo Paul Cellucci, Lt. Governor Mary L. Padula, Catinet Secretary CODE ENFORCEMENT REFERRAL EOCD has contracted with the following firm to inspect residential units subsidized under the Massachusetts Rental Voucher Program. These inspections are conducted in accordance with EOCD' s Housing Inspection Manual which specifies inspection standards drawn from the State Sanitary Code, Building Code, Fire Prevention Regulations and other laws and regulations . No inspection requirements are unique to MRVP or arbitrarily applied; all items cited by our contractors apply to all residential properties in the state. The inspection contractor has notified owners of all repairs needed to maintain compliance with those standards . Depending upon the seriousness of the item, the owner is asked to repair items within one to 30 days and, in some cases, up to 60 days . Items noted on the enclosed inspection report have remained uncorrected beyond an acceptable time frame . Therefore, the inspection contractor has been instructed to refer the case to you for enforcement according to your normal procedures . Please keep the inspection contractor informed of your action. If you have any questions, please call the inspection contractor as noted or EOCD (Stan Kruszewski) at (617) 727-7130 . Thank you for your help in assuring decent, safe and sanitary I ousing for our participants. and .for your help in preserving the Commonwealth' s affordable housing stock. inspection contractor: 112 &P& & HOUSIASSISTANCE COR NG WEST MAIN STTREETATION ,///�HYANNIS,MA 02601.3698 /v � Sincerely, encl . EOCD Inspection Bureau 100 Cambridge Street Bosom, Massachusetts 02202-0044 mousinu RsslsTRnvE uu pit (55008)4 2-6983 477-031 :'£w,if&��;-:.7fd^�%'- n.A• ' aT:-C:�`•��,ViY?�?> :Sti� `O •5:.:i.S�91lQ6Zw �;..r'•�'�.'^.Yv:�'..�:.`�_:. [7:Y"k'•• .. 460 West Main Street,Hyannis,MA 02601-3698 FAX(508) 775-7434 y =x r v s :. ... .:,: i s•• ..�.. O• DATE: / FROM: MRVP HO SING INSPECTOR RE: REPORT OF INSPECTION AT /'/MS_�k ILimn ON D b6 TENANT � !�l� &)A)5&L, .. REVEALED/THE OLLOWING: •I. These conditions are considered violations of Chapter II of the State Sanitary Code and EOCD MRVP Inspection Requi ements -and-must be satisfactorily corrected by �d UPA)q1J4t-e_ b vRjj C OK T 0R u)c�e, rOO M e- 5774 9_tJ o wee,, levd 1s sh I AIC, e�') II. These conditions should be corrected for improved maintenance of the unit: The conditions listed in Section I are considered violations of Chapter II of the State Sanitary Code. If not corrected by the stipulated reinspection date as noted above, HAC IS REQUIRED TO NOTIFY THE LOCAL HOUSING AUTHORITY AND/OR THE LOCAL BOARD OF HEALTH. Failure to comply may result in termination of your MRVP contract. Please cooperate by observance of the repair deadlines. CALL ME UPON COMPLETION SO I CAN REINSPECT. Thank you. Ronnie Hall Ext 28 A locafhousing partnership organization XtvP Housing Inspector Inspect\Forms\Inspmrvp.rh (5/2/95) ° . f - TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date '0 0 2. Time: In Out Owner �M G O/J ID 1 N H O Tenant VA CA N Address ® 6o)� ' A Address 1 12- Lwg— 2:N) Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities '� Z 4. Water Supply 5. Hot Water Facilities 0 VIOL_Arf►oj� $CWCD 6. Heating Facilities 9,fimc or 1006c,,-50� 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service V 11. Space and Use V , - 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal I D -3oq Cyj3R 17. Temporary Housing UV� 18. Driveway Width 1 13 80 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms I Number of Vehicles Allowed (max) A Number of Persons Allowed (max) Person(s) Interviewed 19LONE Inspector I If Public Building such as Store or Hotel/Motel specify here i