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HomeMy WebLinkAbout0940 RIVER ROAD - Health rtgn 940 RIVER 6MC DMARSTONS MILL' S 4: i �I�1 k P, I,� I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner L5CYA14 GIL'Movaz' Tenant Address f D yOX I�Z . Address �y� pwo, Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities ? 4. Water Supply 1! „ .L 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities V/ 8. Ventilation 9. Installation and Maintenance of Facilities A)0 C �� 10. Curtailment of Service v 11. Space and Use / �� �—� 4-5 OF: 12. Exits �✓ �� 13. Installation and Maintenance of Structural / 11(3 '3AX-MV0 1 0li0 Elements V 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 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 3 Number of VehiclesAlo4ed max) Number of Persons Allowed (max) _ Person(s) Interviewed C,1I)A Inspe -or If Public Building such as Store or Hotel/Motel specify here FORM 30 C&W HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH CITY/TOWN b w � DEPARTMENT ADDRESS M sey`0 TELEPHONE Address 91/`® — Occupant ' Floor Apartment No. No. of Occupants__ No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units No.Stories Name and address w er V Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers.--- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: r Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: 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: ❑ 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 : . Livin g Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Sta, Qks, Flu s,Vpgs,Safeties: Kitchen Facilities in 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 R �RT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIE ER Y ` INSPECTOR TITLE DATE P,1 TIME M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. r s 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) FailureIto 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. '146 vec � �� ar i e TOWN OF BARNSTABLE LOCATION 0 f V e A SEVGE # VILLAGE ASSESSOR'S MAP & LOT Q/ INSTALLER'S NAME&PHONE NO. .-� M A C QA i3e>°- 50�/ SEPTIC TANK CAPACITY ,S-O LEACHING FACILITY: (type)l )C16 OCf>d'q,9C01?:5 (size) S v D NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE:- iolgqlqq Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 i • r - � o 0 j � I TOWN OF BARNSTABLE O SEWAGE # LOCATION / �4 It2 /� �� " y ASSESSOR'S MAP & LOT C r VILLAGE � ��r INSTALL ER'S NAME& PHONE NO. -r �� 5' SEPTIC TANK CAPACITY Z LEACHING FACILITY: (tYPe) (size) NO.OF BEDROOMS BUILDER OR OWNER cif �. COMPLIANCE DATE: PERMITDATE: 1 ,Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facilitywetlands exist. Edge of Wetland and Leaching Facility (If any Feet within 300 feet of leaching facility) Furnished by C3 �0 �► No. ( 7 l`� r. q Fee$ 50, 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: AZ ,1`0' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0(pplication for Mi5pool *potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade�X)Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 940 River Road Owner's Name,Address and Tel.No. Marstons Mills ,Mass. 02648 Ray Rogers Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J. P.Macomber & Son Inc . J.P.Macomber & Son Inc . Box 66 Centerville ,Mass . 02632 Box 66 Centerville ,Mass . 02632 Type of Building: Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(N0) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 110 gallons per day. Calculated daily flow 3 X 110=3 3 0 G P D gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 15 0 0 + b o x Type of S.A.S. 2—5 0 0 gallon Chambers — Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable) Installing 1-15 0 0 gallon septic tank, l—Distribution box and two 500 gallon chambers packed in of stone . 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 is ed by t ' Mard f Flea1 Signe �.� Date 2 16/9 9 Application Approved b Date 22 Application Disapprov for the following reasons Permit No. Date Issued No Y R Fee$ 50, 00 l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes � ,.•� , _PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application forMiCaar *pgtem Con.5tructton Perron Application for a Permit to Construct( )Repair( )Upgrade X X)Abandon( ) ❑a Complete Systeh' ❑Individual Components` Location Address or Lot No. 194 0 R i v e r R o a d Owner's Name,Address and Tel.No. Marstons Mills—mass. 02648 Ray Rogers Assessor's Map/Parcel 0 Installer's Name,Address,and Tell.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8-7 7 5—3 3 3 8 J.P.Macomber & Son Inc . J.P.Macomber & Son Inc . Box 66 Centerville ,Mass . 02632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling XX No.of Bedrooms 3 -Lot Size sq. ft. Garbage Grinder QQO) Other Type of Buildings No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 110 t gallons p r day. Calculated daily flow 3X 110=330 G P D gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 + box Type of S.A.S. 2-500 gallon Chambers Description of Soil Loamy sand to medium fine sand. Nature of Repairs or Alterations(Answer when applicable) I n s t a 11 i n g 1-15 0 0 g a 11 o n s e p t i c tank, l—Distribution box and two 500 gallon chambers packed in 4 of stone. 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 is ued by t 's Band f Healt Signe Date 2/16/9 9 Application Approved b Date 12 {/ Application Disapprov for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certiftrate of Compliance THIS IS TO CERTIFY, that the n-site Sewage Disposal System Constructed( )Repaired( )Upgraded(XX) Abandoned( )byJ.P.Macombef & Son Inc. 7 . .i at 9 4 0 River Road Marstons Mills ,Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. . dated InstallerJ.P.Macomber & Son Inc. Designer J.P.Macomber & /Son _/INC The issuance of this perm 11 got be onstrued as a guarantee that the system,will function`� ,as d'e igned� � r� i � Date Inspector ! ! !1` � -t tr `~-�1 7 V No. ( -------------------------Fee 50.00 i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS r Y Mi!6poot *p5tem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade{X )Abandon( } Syttemlocated'at 940 River Road Marstons Mills ,Mass. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this .e _ it. Date: -3/Z Z/// ;. Approved by lu - � r • ` 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) L J o s e p h P.Macomber Jr - , hereby certify that the application for disposal works construction permit signed b dated 3/10/9 9 P t� Y me . concerning the property located at 940 River Road Marstons Mills .Mass • meets all ofthe following criteria: •—The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. •vThe soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed •v There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] I • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the ma.Xdmum adjusted groundwater table elevation, Please complete the following: o A) Top of Ground Surface Elevation(using GIS information) 7 S l �1 B) G.W.Elevation +the MAX. High G.W. Adjustment. 7,Z _ 7 P Z DIFFERENCE BETWEEN A and B S SIGNED : < DATF3/10/9 9 [Sketc oposed plan of system on back]. q:health folder.cent �` i - ' ��. ).... � .. � `i e OFtHE T � Town of Barnstable Department of Health, Safety, and Environmental Services BAMSTABM 9� ' � Public Health Division A�FDPM�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 23, 1998 Raymond Rogers 85 Lewis Road Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.00 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM .REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND 105 CMR 410.00 STATE SANITARY CODE H - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 940 River Road, Marstons Mills, listed as Parcel 013-on Assessor's Map 045 was inspected on , 1998 by Jerome Dunning, Health Inspector for the Town of Barnstable, because of a complaint. The following violation of 310 CMR 15.00, the State Environmental Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and 105 CMR 410.00 State Sanitary Code II - Minimum Standards of Fitness for Human Habitation was observed: REGULATION 310 CMR 15.02 (207)AND 105 CMR 410.300: Overflowing sewage onto the ground. This violation is a serious public health hazard. 1) You are directed to hire a licensed septage hauler to pump the overflowing cesspool within twenty-four(24) hours of receipt of this letter. 2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary to keep from overflowing onto the ground. 3) You are further directed to contact and hire a licensed Disposal Works .Installer within seven (7) days of receipt of this letter in order to repair this system or connect to town sewer. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7)days after the date the order is served. Non-compliance could result in a fine of up to $500.00. .Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH �_ �M?ea!n Director of Public Health rogers/wp/q/Is FIMETpk, Town of Barnstable 0 * snxxsenai,e, Department of Health, Safety, and Environmental Services 'gyp MASS. A��� Public Health Division �F01A0� P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 24, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 A lead paint determination was made of the property owned by you at 940 River Road, Marstons Mills by Donna Miorandi of the Barnstable Health Department on November 20, 1998. This determination revealed the presence of lead paint in violation of Massachusetts General Laws, Chapter 111, section 197. Please contact Donna Miorandi at 862-4644 between 8:00 - 9:30 a.m. or 1:00 - 2:00 p.m. to discuss your responsibilities in this case, and the material enclosed. Massachusetts Lead Poisoning Prevention Regulations require that you provide to this office, within 60 six days of your receipt of this letter, a written contract with a licensed deleader to abate all lead violations existing in the dwelling unit, including interior and exterior common areas. You must provide the deleading contractor with a complete inspection report from a licensed lead paint inspector. The deleading contract must be signed by the contractor and by you; it must specify that all violations on the interior of the unit and the interior common areas will be deleaded within 90 (ninety) days of your receipt of this letter, and that all exterior violations and/or window replacement will be complete within 120 (one hundred and twenty) days. This Department is required by law to file a case against you in court if it has not received a copy of the deleading contract by the sixty-first day, or if the above timelines for interior and exterior deleading compliance are not adhered to as documented by a private lead paint inspector. In a criminal case, you may be fined by the court up to $500 for each day of non-compliance. J Only contractors licensed by the Department of Labor and Industries as deleading contractors may engage in the removal, covering, or replacement of lead hazards. Neither you nor anyone in your employ nor the occupants of this unit may remove or cover any lead paint unless that person is a licensed deleading contractor. The contractor must provide written notification to the Department of Labor and Industries, all residential occupants, the Board of Health, and the state Childhood Lead Poisoning Prevention Program (CLPPP) at least five days before any deleading work begins. It is your responsibility, as the owner of the premises, to make,sure that the contractor sends the completed forms to all parties. All occupants and pets must be out of the dwelling unit for the entire time that interior deleading work is in progress. They may not return until a licensed private inspector approves reoccupancy by conducting an on-site reinspection of the unit; this will be done after the final deleading clean-up. Deleaded windows and doors must have all panes of glass intact and must be weathertight. You are required to provide written notice of the presence of lead paint to all other occupants of the building. "Notice to Tenants.of Lead Paint Hazards" is enclosed for that purpose. You are required to send a copy of the inspection report and the closed order to all mortgagees and lienholders of record. Questions regarding Department of Labor and Industries regulations should be addressed to the DLI office (617-727-1932). Questions regarding the Department of Public Health regulations should be addressed to the CLPPP central office (800-532-9571) or this Department (508-790-6265). T omas A. Mckean Director of Public Health cc: Jane Crowley Barnstable County Health Dept. �OFIHETO Town of Barnstable BAMSTABM Department of Health, Safety, and Environmental Services ' ��� Public Health Division �fD'A0�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 24, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 DISCLAIMER CONCERNING LEAD DETERMINATION REPORT Attached is a copy of the lead determination report. The information contained in this report concerning the presence or absence of lead paint does not constitute a comprehensive lead paint inspection. The surfaces tested represent only a portion of those surfaces which would be tested to determine whether the premises are in compliance with the Massachusetts Lead Poisoning Prevention Law (Massachusetts General Laws, Chapter 773 Sections 190-199. If a child under six resides or will reside in this dwelling, the owner may face criminal or civil liabilities unless all lead paint violations have been corrected. This lead report cannot assure that the property owner has met his or her obligations under the law. It is unlawful for rental property owners to use the presence of lead as the basis for discrimination against tenants or potential tenants with young children. Serious lead poisoning hazards are created when materials containing lead paint are disturbed, unless proper safety guidelines are followed: Therefore, Massachusetts law requires that: Any deleading work done on the premises must be done by a certified or licensed deleader. Any renovating or rehabilitation of premises containing dangerous levels of lead paint must be done in compliance with the procedures set forth in the Regulations issued by the Department of Labor and Industries (454 CMR 22.11), including sealing off the work area from the adjacent areas, and using a HEPA vacuum and TSP for final cleanup. Any deleading work done on the basis of this report will not qualify the owner or occupant for a state tax credit, nor will the cost of such deleading be reimbursable under any state loan or grant programs. In order to qualify for such programs, the premises must first be subject to a comprehensive lead paint inspection. OFINE Tp Town of Barnstable STAB Department of Health, Safety, and Environmental Services BMW9� 3 9 r Public Health Division iOrFn �" P.O. Bo x ox 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 23, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 ORDER TO CORRECT VIOLATION The property owned by you located at 940 River Road, Marstons Mills was inspected for lead paint on November 20, 1998, by Donna Miorandi., Health Inspector for the Town of Barnstable, who has determined certain portions of the aforementioned residential property to be in violation of the State Sanitary Code Chapter II, "Minimum Standards of Fitness for Human Habitation," 105 CMR 410.750 (J). This violation also constitutes a violation of the Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, and Massachusetts General Laws, Chapter 111, section 197. Conditions exist in this residence which may endanger and/or materially impair the health of the occupants of these premises. DECLARATION OF EMERGENCY The Director of the Childhood Lead Poisoning Prevention Program and the Board of Health declare that the presence of the aforementioned violation presents an immediate danger of lead poisoning to one or more occupants of the premises and that this constitutes an emergency pursuant to Massachusetts General Laws (MGL), Chapter 1, Section 400.200(B). ABATEMENT OF LEAD VIOLATIONS M.G.L. Chapter 111, Sections 190-199A and the Department of Labor and Industries Deleading Regulations, 454 CMR 22.00, as well as the Regulations for Lead Poisoning Prevention and Control require that only licensed deleading contractors conduct residential lead abatement. This means that you cannot conduct lead abatement yourself or hire anyone other than a licensed deleading contractor. Violations of this requirement shall be punished by a fine of not less than five hundred nor more than 1500 dollars for each offense. r ORDER You are hereby ordered to remedy all violations of M.G.L. Chapter 111, Section 197 and 105 CMR 460.000 as identified by a licensed private lead inspector. You must contract in writing with a licensed deleader and a signed and dated copy of the contract must be received by this agency within 60 (sixty) days of your receipt of this Order. Said contract, must specify that all violations on the interior of the residential premises or dwelling unit and interior common areas will be abated within 90 (ninety) days of receipt of this Order. In addition, the contract must specify that all violations on the exterior of the residential premises and exterior common areas will be abated within 120 (one hundred and twenty) days of receipt of this Order. If windows are to be replaced and you can demonstrate that an order had been placed for the windows within 60 (sixty) days of receipt of this Order, you will have 120 (one hundred and twenty) days from receipt of this Order to install the new windows. You must comply with all applicable sections of 105 CMR 460.000. Compliance will be determined by this agency's receipt of the appropriate documentation within the specified deadline, including: a copy of a signed and dated deleading contract within 60 days of receipt of this Order; a Letter of Lead Paint Reoccupancy Reinspection Certification issued by a licensed private lead inspector within 90 days of receipt of this Order; and a Letter of Lead Abatement Compliance issued by a licensed private lead inspector within 120 days of receipt of this Order. In addition, a copy of the deleading notification must be received by this agency at least five days prior to any commencement of deleading. PENALTIES Failure to comply with this order will result in criminal prosecution. The law provides penalties of up to $500 for each day of non-compliance. In addition, you may become liable for civil punitive damages equal to three times any actual damages for failure to comply with this order of a child becomes poisoned. CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If the dangerous levels of lead are not abated within the time periods stipulated above, this agency may contract with a licensed deleader to correct the violation and bill the owner, or initiate court action to reimburse itself. Thomas A. McKean, Director of Public Health U,f NC.9- FORM 30 C_W HORBSS WARRENrM THE COMMONWEALTH OF MASSACHUSETTS / CITY/TO 4 w Nwl)y DEP t�k O ` ADDRESS -+ w O TELEPHO Eb Address --�- 9zlo�VG� /Z M44CccupanO /6 91665 f Floor Apartment No. No. of Occupants O No. of Habitable Rooms No.Sleeping Rooms o i No:dwelling or rooming unitllA No for /16 /f l9,Name and address of own L W k //Y� Remarks Reg. Via YARD Out Bld s.: Fences: 0 , .n o Garbage and RubbishM,91 Containers: KVD Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs,Porches: rKVIV I ([ ' Dual Egress:and Opst'n ❑ B ❑ F ❑ M Doors,Windows: ). j C:v, Roof Gutters, Drains: Walls: Foundation: if BASEMENT- Gen.Sanitation: 1 �..� (J"(J ��j-- Dampness: 6e _ /. Z7 ' /rVG- Stabs: Li htin STRUCTURE INT.. Hall,Stairway: Obst'n.: e.r r �n o M f 1 Hall,Floor,Wall,Ceilin / 1 Hall Lighting: Hall Windows: HEATING .Chimne s l A t f\r, i A Central ❑ Y ❑ N Equip. Re air _ / TYPE: Stacks, Flues,Vents: a PLUMBING: Sup ly Line: o X _ ( 'A r ❑ MS ❑ ST ❑ P Waste Line: / — � �- H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 012209 Fusing,Grnd.: AMP: Gen. Cond. Distrib.'Box: p Gen: Basement Wirin :> DWELLING UNIT ! Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room r, Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks., Flues,Vents,Safeties: Kitchen Facilities Sink Stove b Bathing,Toilet Facil. Vent., Plumb.,Sanit'n a � ;��„,rr� � v ,A� :'/yam Wash Basin, Shower or Tub-.4 C -�'G Infestation Rats, Mice, Roaches or Other: I1) )t:,— E ress Dual and Obst'n: General BuildingPosted • I I - t „�j <- jlV , f�� �_� l 11V 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� PECTION REP013T IS SIGNED AND CERTIFIED U DER THE PAI S AND PENA fTl F PERJURY." ob e '" INSPECT TITLE A.M. "k DATE TIME P.M. THE NEXT SCHEDULED REINSPECTION�Q ,56L_ A.M. 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 andt6ntrol, 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. cy 0 FORM30 H&W HOBdS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BTA R Q,0 F A :P PIS, 1fi-61,E j CITY" Y O� NWR D AST I.T. MAIIY/3' ` ADDRESS j�/� �jQ�l, J j� �� `✓ TELEPHONFs+� Address Occupan Floor Apartment No. No.of Occupants No. of Habitable Rooms No.Sleeping Rooms 0 No. dwelling or,rooming unit � /�/�/j�9►� //Y� /i1/�//�Name andjaddress of owne �.J C.�. (w J`) 1111"'V. Ono- 77/ Remarks Reg. Vio. YARD Out Bld s.: Fences: A^^ A a Garbage and Rubbish e °y Containers: Drainage Infestation Rats or other: A STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and O st'L ; ❑ B _❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: ` Chimney: ® _ BASEMENT—' Gen.Sanitation: ) 6 Dampness: ae Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: o mO Hall, Floor,Wall,Ceilin Hall Lighting: Hall Windows: HEATING Chimneys: A j j l Central ❑ Y ❑ N E ui . Re air E TYPE: Stacks, Flues,Vents: PLUMBING: Su I Line: ' D /]p ❑ 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 Wirin :p I DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks / Kitchen j t Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 f Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:,t74 Wash Basin,Shower,orTub: WT { ' Infestation. ._. Rats, Mice, Roaches or Other: '' K. Z i Egress Y : 1 " Dual and Obst n:; t -xa r p j , . � ,.T" ! General BuildingPosted /, � C / /iV� � 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 Y OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) ^. "THIS TION REP0.13T IS SIGNED AND CERTIFIED UNDER THE PAI S AND PENAItTI F PERJURY ' 4) INSPECT r >' TITLE • A.M. DATE TIME P.M. THE NEXT SCHEDULED REINSPECTION P.M. /.1r �` 4 Y 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 410-1.90 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 yin 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 for Lead Poisoning Prevention and Control 105 CMR 460.000. See M.G.L. c. 111 @@ 190 through 199. Health Regulations ( 9 ) g (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other or dangers impairment to health or safety. 9 P (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. ,ice /1 L aid 4P Ooal&z rb` rr ChOdhood Und �GO PIam Fr.o Paa«uno avld P.Fonberp ��� 7Prnghm S�P. ary Fws saf c foub�,f&w4 Kqoeon,.f'L Q2130-�5�7 DrM K Mudlpan 617-�S2P-S700, 9az 617-,W-673s Commltalonst LEAD DETERMIIPTIOYS REPORT FORM Date of Determina o : // /M/v Inspector: Zes License #: Method Used: Sodium Sulfide Expiration date: X-Ray Fluorescence Model: Serial : a Property Address: )�o 121 &6_9=IX Apt. , # Description of Proper y: Single family Multi-family units Garage Fence Other structures Age of Property: Pre-1978 d ost-197�8 occupant: 96 Occupants 4indei, s ' a s of age: DOB: DOB: DOB: DOB• occupant' s Telephon k Property owner(s) : ��izfnlzl n 2,a�s_ 4.. Owner's Address: Owner's Telephone: 'p An X-ray fluorescence reading greater than 1. 1 mg/cm2 or a gray or black reaction to sodium sulfide indicates an illegal level of lead and constitutes a positive determination. Any removal, replacement, or covering of lead paint as a result of 3 this report or subsequent inspection must be performed only by a ."L!, deleading contractor licensed by the Department of Labor and Industries. �k 175 _ ... _. Pb SOURCE LOCATION .. . Window parting 1. Child' s bedroom bead/exterior sill area bedroom Window sill 2, Child' s Window parting sill area 3. Living room bead/exterior Window parting Kitchen bead/exterior Sill area 4 . Flaking paint 5. Interior. . . Flaking paint 6. Exterior Cellar window units 7 . Exterior below 5 ' Window sills 8, Exterior Main entry door or door 9. Exterior casing Outside corner of baseboard 10. Interior Chair rail Kitchen or Bathroom 11. Window sill _ 12 . Bathroom Threshhold a 13 . Exterior Stair tread or stringer 14 , Interior hallway — (common area) 15. Interior hallway Balusters I (common area) I Door casing 16. Interior hallway I common area) r riser ( Stair tread o I 117 . I Porch cap I Railing I 18 . Porch Balusters 19. Porch I Support columns re) 20. Porch (<611 diameter or I Staircase stringer I 21. Porch Bulkhead 22. Exterior casing or jamb 23 . Ga_aae/I Outbuilding Door 176 4 24. Interior Closet door or baseboard (uncapped) 25. Interior Cabinet door, shelf, or wall --------------- hffn el:; 26. 27. v 28. fo 10 f: 30. as t• .R• 1� I 177 i r PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 013- - count No: 26974 Parent : Locatio RIVER RD Neighborhood: 12CC Fire Dist : CO Devel ot : Lot Size : . 50 Acres Current Own: ROGERS, RAYMOND R State Class : 101 IRENE M ROGERS No. Bldgs : 1 Area: 700 85 LEWIS RD Year Added: HYANNIS MA 2601 Deed Date : Referenc 1113/394 January 1st : ROGERS, OND R Deed MMDD: 0000 Deed Ref : 1113/394 Comments : Values : Land: 22500 Buildings : 21300 Extra Features : Road System: 940 Index: 1373 (RIVER ROAD ) Frntg: 125 Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TACS Update : Land Reviewed By: Date: 0000 Bldgs Reviewed By: Date: 0000 Tax Title : Account : Taken: Account Status : Hold Status : Cancel Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [045] (014] [ ] [ ] [ ] i s Id 9 (J C_ SENDER: Fj)X o wish to receive the■complete items 1 and/or 2 for additional services. v) ■Complete items 3,4a,and 4b. wing services(for anPrint you►name and address on the reverse of this form sothat we can return thia-fee): card to you.■pAttach this form to the front of the mallpiece,or on the back If space does not ❑ Addressee's an t. ■Wrl el'Retum Receipt Requested'on the mallplece below the article number. 2.❑ Restricted Delivery ■The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number 0 C E 4b.Service Type d ❑ Registered Certified C11)'' owl `�/ ,� > ❑ Express Mail ❑ Insured ' IX `�� ❑ Return Receipt for Merchandise ❑ WD 7.Date of Delivery 0 0 0 5.Received By:(Print Name) 8.Addressee's dress(Only' requested W and fee is paid) 6.Signatugr :(Addressee orrA,g�ent) PS Form 3811, Decemb"er 1994 102595-97-8-0179 Domestic Return Receipt UNITED STATES POSTAL SERVICE ja'�N, First-Class MailPostage&A es-P-aid uSPS Perkt No.G-10 © Print your name, a s, an C e in this box O Qom' v� Public Health Division ToWn of Bamstabie P.D.Box 534 J Q�1 • b �IAA�.G � ifa 1pl�l�l f II 1 . __ ?J.. .. 1 - - - �.uaw a ►uuUu.Jl l lti.lil 1 UL ILL I.l Al) I'AIN'I' INS 'I:C'I'IONy i ,.z BY MII�I) III�hiM1111.A hh� I.cad 11111KCIIII I.Ic.y I11J6 r,ll:c „1 / Ilhk Aucuol I.Ic.1111116 Mcdua 16 Quakcl Iluail. Eul Sa111wIL11 f,lA 01117 N",5 c.till 1111/'ll,l:llc1 1 IcicphumRAX(108)888-1118 � X-1111Y UU, c.ccncc hiLklcl Sc11;11 N •lull No 1-100.384.8118 Allllress _ A1H. 11• Clip I V I ICI � lt/ E RM-E�l� Chlld's Name (t_nsl, First, lull.) _ _ _ '' Illrlll/lnic (�l/U/1') Sex C1 I'ure11U Gunrdlull's Lust Millie ((�� 1'urcnl/Cuordlual'snrst Nnu1c «�I I I��� Siugle Family R9, ,vl►u s Numv. �Mp Mulli-family Q oWll«'s Aawlcs:: S Le7,Jf--;i epAO Nunlbcr of unils _ yAn/ N15 m 0 o KEPI ��� one a 10, rlamalks/Collbioll�op{n: (/ IP l 'Vll 9 nd �E�RNI €• / Il.h/g MC 1 ,e.p dHsA 1 a,..l.c�.t1 p IA 1wl.cct1t1L1. �� A „y.� Ea n.ptuw VUk tipp � ;:� NI A�Sr�S iL�S p 2� � IE uPLctlrtiM ' Lv.1 u d CA uulwd 1p D11n wDt4N. efa 1.1.0ue,Aulpl.t. oD - (VIOL 6AI -- BA-voSr'ftBlF Ac-wc.TI+ 1'l001 -L _I- -I- -1- -'- -1- JCA - I - 1 - L - L -L -L - -L -I- -'- -'- -'- -1- -jCa - •I - L _ L - L - L - 1 1 1 1 1 1 I 1 1 1 I 1 t 1 .► 1 1 I 1 1 1 1 1 1 1 I 1 1 -r- -I- -1- -1- -1- -1- -1 -1 -1 T - r - r - r -r - -•r -,- -1- -1- -,- -�- -� - 1 - 1 - T - r - r -' '- -'- -'- '- J- J - •1 - 1 - I - L ; L - L -'- - �'- -'- -'- -'- -' '- J - I - L - - L -'- - 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 J I 1 1 1 1 1 - T -'- -I- -'- -'- -'- '- � - � - � - - ! L _ L -'- - I I 1 1 I 1 1 I 1 I 1 I 1 -1- -1- -1- - - - -1 - - - - - - 1- - h -1- -1- -1- -1- "1- -1- -1.- -1 - -1 - - t - 1• - ►• - ►• -1- - 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 -r_ -1- -I- 4 - f4d .c. -I- - -1- -1 - -1 - a - - I- - 1- _ 1- _1-D -f -'- -1- -1- -1- - � - 1 - - ► - L _ L - /' -1- - -1- -I- -1- -I- - - -1 - a _ -1 4 1 1• - 1- - 1- _1_ _ 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 I-I- -1- -,- -,- -,- - � - � - - T - r - 1• - I- -f, - -,- -,- .,- - - -1- �- � - i - 1 ' T - r " r - F -; - -L -I- -'- -1- -'- - L - L - L _ L -I- - -L -1- - - -'- -'- � - J - 1 _ ! _ 1 _ L _ L _ _L _ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 I IF 1 1-r -I- -I- -I- -1- -1- -1 - -1 1 - T - r - r - r -f -r - -,- �,- -,- -1- 1 - , - 1 - T - r - r - r -r - -I- -I- -I- -'- -'- J- J - - I - I - L - L -I -'- - - -'- -'- -'- -'- J - J - 1 - 1 - I - L - L - L _L _ 1 1 I I 1 1 1 1 1 1 1 1 I I I I 1 1 1 1 1 1 I 1 1 I 1 1 A(sireel slclo) A(slreel slde) l'll Oclul) rllurc Illall 1 .2 mg/cm] Wllll X-ray 11111•CScellce ll1• (IIISIlive Willi Noll IS I)lllll;ert-Als. 111SK ASSESS.DATE u,at„1l.to — _ 11.1.,,It1 Inlellm Conlrol Dalu (Ya111 lllsk Ass0ss01/111s110c1U1 —I—�_I—�- 111sk A9909901 INSP. PATE I � 3 � ()ecerlillcalloll pole s Ass0ss01 E I1lsileclor Rlsk A9909901 I.Y1 tMrYtKt nEINSP. DATE fiEINSP. TIO Compliance Date 1„xc,yuK� �„ocnq.tic, 1---1T Old you cumplcic i1 sul(ncc lilies 3111col(oT cllcnpsulallunl Y nNN '/ Inspoclor l� filsk nssoss0► EXPLANATION OF LEAD INSPECTIONISURFACE ASSESSMENT REPORT FORM COLUMNS D Refers to A B C or D side of dwellingunit.t Refer to diagram on cover sheet. A11D.Nf"': '` ' Refers to architectural elements being tested. If two.locations/surfaces are i ( ) 9 listed in this column, subsequent SUltl~/1C columns will be subdivided to provide specific information p p corresponding to each surface. EAp. The actual lead result. A numerical reading indicates that the surface was tested with an XRF analyzer and a readin g ave rage 9e reading)greater than 1.2 m I m 2.an d icates a dangerous e us I evel of le ad. A' Po s"or'ne9 "notatio n n indicat es tha t the surface was tested 'with sodium u s Ifide and a Po "notatio n in dica tes a dangerous erou s leve l of lead. Each location tested must have an individ ual re sultrecorded in th e'Lead, colu mn. Y The L (loose)column indicates the condition of the painted surface(s)tested. A check mark(✓)or yes notation 'n ' Y Y i this column means one or h of of th e e surface s te sted i s no int act.lac.t If th is col umn umni sl eft blank( ) or ha s sa no n no ati t o it me ans that the surfac e(s)in questio n is'm tac.Some I ea ded surfaces ces are in violation regardless ess ofi the ir condition; t n oth ers ers are m Y if only'I paint i the ai s not int act. • WR'ABT> The owr abt owner abatement column ( ) n denotes whether or not a surface in violation can be corrected by a trained homeowner/agent who is no a t deleader. er A es In this colum n means can s that thetrained owner/agent Ye nt may ele ct to d lea ". 9 Y de lead thi s s surf ace b performing on e of the specified edlow-risk del ead'n Y Pi activities.9 A n m 'Po thi sc I o umn m "can 9s that onlya lic ensed deleader is e i permitted to dele ad this surface.ce. P '::pLRRFpI The dlr srf prep (deleader surface preparation)column denotes whether or no P P ) t a deleader is required to prepare u a s rfac e in adva nce of it being del eaded by trained h omeow ner/a homeowner/agent cerfai n I w- 'Yo low-risk d eleadin 9 9 ac iviti t es. A' 'ei s n this colu mn means that a lic ensed deleader mu st be Yused to perform orm s urface rP on e r i ' P a at rf the lw-ri sk activity t Ysele selected is en capsulation n'on or covering n afri 'onr m P act sur face wit h lo ose le ad paint. The 'surface/subsurface condition column denotes .he condition of the paint layers with respect to potential . . eligibility forencapsulation. Surf acesl u s bsurf aces r sled a 2 a 're ineligible ibl for r encapsulation. 9 1t;CONp . The substrate condition column denotes the condition of the base substrate(i.e.wood,plaster,metal or masonry) with respect topotentialelf i il'i tyfor encapsulation. Subs r ales ra fed a 2 are'm elt i ble for encapsulation, unle ss ss th e e subs` uate is repaired. P a ed. ITIAL>TAP'E » The results of the initial to s re pe test( ) ui q red for encapsulation are recorded in this column. Surfaces receiving a 2 on the mit I i a tape test ' 9 are ineligible ble fo r encapsulation. ' T:TE51' 's The results of the optional x-cut tape test(s) performed by the inspector are recorded in this column. Surfaces receiving a 2on the x-cut is test r ineligible tae for encapsulation. Pe I CQrVI >:: :><:: M :,: The comments column is for other observations that may be relevant to the deleading of a particular surface "sulatio `St1.lYQR> NGAp > The'suitable for encap sulation"n column indicates whether a surface is potentially suitable for encapsulation based on the results of the ins pectors Pectors ev aluation i on an d an tape test ing 9 perfo rmed. A Yes in dicates tes that the su rface e can be further evalua ted b X- cu t toe te sting n and patch testing; an o indicates Y iha h Ptte u 9s rfac i 'Pe s ineligible ble f 9 9 or encaP sula i ton. '<DELEAD DATE«<><`:<>< The'delead a "d to column indicates the date that the surface was determined to be in full compliance with the Lead Law. '<`:.gLfAAq M `1 Hnq The'delead method"column indicates the method by which each surface was deleaded to full compliance with the Le ad Law. Rf Refer to the'key"on the r e page a9 e for metho d codes. O WPSOLEAD1 MORMSU SURM LL'.All 1'AYI`l t ilVJi'1•.l.l 1UIVJ BY FRED IIEA1h11LA l.ad liapecl« 1Je.1 12736 , Risk Assasot l.Ic.Y R2736 16 Quaky Road, Eul Sandwich MA 02537 LEAD INSPECTl0N1 Page z of Tcicphw►c/FAX(501)eee-8318 RISK ASSESSMEIIT FORM Tull Frce I-A00.2f16-8318 Address of Msk Assessment: 940 t2 I�lG-/?- pn ep Apt 0 C —' C4 f 1 ROOM SIDE LOCA10V LEAD L OWR DLFI SRF 25% SAFEGUARDS IC IC RECERI DELEAD OELEA0 SURFACE A0O PREP? OAMMGE DATE ME11100 DATE DATE MEIIW Lip a Allkoa will 00 . a�e�ard�cna�jai 00 oar Door asirylJamb Om 12- Door asi4janr6 0,0 OU Door Roo 3 —IF, `f Door Qsi4J" Q.0T— Rwi-xim x IYn asinglApm-. 00 Win headn/Skps o V 05 Gon Win Ia31mus B. • Eal s4rad beet j S Exn ikfe sail, o - wrr>d>,r 60 1 _ Wn asi 4APon QU p— _ wn heada/Slops�'� 10900 wn suhrldufan p) o _ Eel sd'Psit lead A/6 I f EAI site sash Nft- (� lyndrM s� Q _ IJ Win asiry/Apa� 0 Winheada/Sk93 0 �v Win sasnfdu6013 06 Fx1tAPulbead LDS CS _ �— Exl skis nun 000e-64vt oo _ G Dao,�--�tahCs r fsiA�� Si+'t1B� 0 ) _ D ( eo2 © — CC , a r) Cl askg/Ja" — Cl bascbo=wdufba ClUiH 3witsutwis Rollo _ fba/lhmshold CeiliyAU ael cdol Uo I— A Fd #12736 D R38 27 Date DEC. 3 1998 Slpl safe UY FRED IIENINULA 'LcaJ Im*toc Llc.M 12736 (k6k Macaw Llc.s R2716 16 Quakcr Roo East Suidwich MA 02537 LEAD IIISPECTIO111 Page 30l _ Tcicph xwfflAx(500888-Ills RISK ASSESSMENT FORM Tull free 1-I00-296-8178 p Ad(Aoss oI Risk AsseswnenC q YD Jl m k(p-o ApI N C4 1�frl'�5�46 ROOM SIDE LOCAIDY LEAD L OWR DLR SRF >25% SAFEGUARDS IC IC RECERT DREAD DELEAO SURFACE A017 PREP? DAMAGE DAIE ME1110O DAIE DAZE ME111OO Lip Milikw will _ alcbo rJsiCtui ll� p b � . Doe O Dow atnglia nb O C) (10 Loow �Dow catkogl.laa,b a D 0oa Dow ainglJamb Doe Door atiogliunb WirAm Ill NA— DT A4'c&.ssAj Kaati+glApon L2 p_ Win hudnlSw G 6 Win tAIMWAU eat Exl%Vad bee l Ext tik uth w .ti © _ Win asiyApon 00 00) wn hudoiskpt00 100 Wn I&IMAJon o C) 0 Ed Ihpad beAd TD S o5 Exl tkk uth C;�..I — wnJ� Wn asinglAp«, Win hee&ISlga Win 39161.1uQiaa 61 tarot bead Exl tkk sash Win atk4Apon — win head"Is1cpt Win tuNMulGeu _ H I Exl tfVPad bead Ext sloe ut G Ckrtelwalt 5,..1.L�L Cl Intake dJ« Qu Clatkgllamb dd Q� — CIbateb Cl tIx4UIVS b nMlda fl�allhrahold �✓ —_ CdingClbel ceting 06 1_ �f Icense#12736!R2736 pate DEC. 3 1998 Slot ule LEAD PAINT 1NSPEC IONS UY FRED 11EM ULA Lad Inspccloc Llc.11 12116 Risk Assessor LIc.8 R2136 16 Quakes Road, East Su►dwich MA 02537 LEAD INSPECTIONI Page of! TcicphwvTAX(508)e88-8118 RISK ASSESSMEIIT FORIA Tull Frm 1-900-286-8378 Addleu of Wsk Auewnent%b el d7� N c1l f'I+k5-1bA15 /7el`(,S' Room 3 SIDE LOCAIIOtU LEAD L. (MR DUO SRF s 25% SAFEGUARDS IC 10 RECERT DELEAOOELEAD SURFACE A01T PREPI DAMAGE DAIE ME1I100 DAIE DAZE ME111D0 lljl ralskow crab (� OateboardslCluir u1 Q _�— Dow LL.� Dowasi4l" Q() a(7 Does (, L( oes _ D cui4J" -0 ()L� Dow Dow asi 4bil,b Dow j7 T— Dw asi4l b n W'ndm ri D — u wa asiyApon 0 00 Win head"/Slops d Win 111mAulions —V — E,IrJlfadbcal /}- Esl site sash ► ixb.sillQ CI Wirtas6glApon p 0�-6 Win hcsdalSlapt 0 (1 U Win suMAulmra l) C) 0 La Exi sAf ad bead — E,I tides sash ►Ynd w t7 Wi►casinglNpat Win headerlSlops Win lallr}Aufia» 61 tANd bead E.1 sloe sash Winbr si Win aslr4 pon — Win headeslS4* — Win IsItAILlGoat Eat sA fail bead Ell Ikk lash Clnel will Cl Inlerla&ia 00 Cl allixyJamb QO Clbatcboardtrflooi IVA ccir Cl swusupporb C-Im co /1 nklalg F ball lrahoW CtingClxel ceZng D �� • Alt ense#127361 R2736 Date nFr. 19.98 U a� . LEAD t'Am i 1i451'LL l IUIVb BY FRED IIEMMILA Lad Impcclor Lic.112736 Rik Assessor LIc.M R2736 � 16 Quakes Rosy East Sassdwich AAA 02517 LEAD IIISPECTIONJ Page S of TcicptkXWRAX()0e)ee8-1311 RISK ASSESSMENT FOR14 Tull Fmc 1.100-2e6-8378 Address oI Rlsk Assessment q q6 Rjli K ��y-� ICI 9 �� Cily M KONJ5 HiLI 5 ROOM SIDE LOCAIiM LEAD L (MR DLII OF >25% SAFEGUARDS IC IC RECERT DREAD OELEAO SURFACE ADI1 PREPI DAMAGE DAZE ME11100 DAIE DAIE ME11100 LIp wdska4 welt aseboaidt�Ciuir ul QSZ ,� —_ oaa Doa asi4.1a4 p Q Dow Door asi4 m,b oaa lyfiAm 14 - Doan czsi4 nb Win asiVApon(T _ Win headn/SW ©Q IJ Winsastmurms (60 EA side rash 0- AJ wn at�ylApoa 0 0 00 _ Win huda/Slops .0-0 Win tashAdub (� an Est 4hd beat �— Eslskis sash _!YA ►Y'rn►�w s7 Wis casivApol Win hes&I/Slops Win saslxT-lufiau EsisANI bead E.1 skfe ush Orsdaw si Win alkvApon — Yfn Ixa&ISlops _ Win sashlhL&M Esl sNPul bead EAI skis sash /L Unel will ` — ll CI InIcAm&,a.10 0 CIcalk4janb 0 O_ Clbaseboadufba p( 00 CI twus.4pals C&M ' RwJtla — — FIsa/IlrtnholJ CeilingCbeel ceLng ti [U/v , • DEC. n /Aloense #12736IR2736 Date son-at .: I ®® I 1.. •gym..■....... .......... .. ram■■■ i■■■ ��� CC.. ..©tea■■■■■■■ ■■■�■■�i■i� v LEAD PAINT INSPECTIONS -11Y PRO IIEMMILA Lead Inspeclor LIc./12736 Risk Assessor Llc./R2736 LEAD INSPECTIONI Page of 16 Quaker Road, E-ml Sandwich MA 02337 RISK ASSESSMENT FORM TelephontRAX(508)888-8378 ToU Free 1-800-286-8378 Address of Risk Assessment Leo/?-p Apt H r —, Clty Rfi7 67PAJ3 n Ll5 DATI I11001.1 SIDE l0CAIKXg LEAD L I OWR DLR SRF >25% ..SAFEGUARDS IC iC RECERI DELEAD DELEAD SURFACE A017 PREP? DAMAGE DACE ME1110D DAZE DAIE ME1110O Up walskow wale Ao lot) 0aecboa&Chai jai ow 6 ,0 Da>r asisglJamb 6. g Dax Does casiViamb C Wirdiw ail (�� Win asi VApon d0 100 Win beaderlSleps 00 _ Win sasMAulans 6- L 1 — E�rl siM'atl bead 61side sasn a w'vvJaw Sig Wi,.SkqAV-I I / Win headeilSlaps Win sa3NMuf=3 bl,&Nd beef EA side suh Up ab iamaDaat 10 o lip abinels viah Up cab shlvs/SWp Lac cab kamerOoas 10 o_100 Las abi is vials 0 0 Loa cab slimSwpi 0 0 1 0.U Cbsel wds CI inlerior does CI asigJamb CI bascboardsrf ba CI shtlusuppa Shebes Diewen � Radala Fba(1lvcshold ��_ Cek9cimel ceding 2. Ivvi l_ ense#12736 J R2736 Date DEC. 131111 a . „I , nmiJ IICnIAIILA lad Impecla Wd.l 11136 11 Rut Auaux L.lc.l R1116 LEAD I1ISPECTIONI QuAct Rai Put 9mdwlch RA 01111 RISK A Page�0I T Icpho wTAX(701)111-1111 SSESS61EIII FORM Top From I•IOU•116-1111 Now— A41as&of fil,k Aumumed 977 d C7�- ocd "t Y) qpl N ��� CI 11A,S�,c/ h! SniLr C ' STAIRCASE Tb A5C-;h 6XJT d- (3kt,rM e7vT— SIDE locAflotY lFaO l Own an SnF 1-15% 6AFEGUAnD9 IC Ic OECERI OEIEAp pElEaO SI ACE A1A A011 PnEPI BA IIF DAIE GE IaEIIIOD DAZE DAZE blEl lJp wJ4low Mph _ IqD r'I C Boos 00 — Doaasiyll+mb ooa o,>a ali4junb F3 — Dom a,iyll+mt, Doa asiY,ll1 — ooa — �-'A� Ylin atiig►Jyron wn hewkrlSlop, �< win I"Wrou — EAI ilPulbexl _ ' PX 2 Ell li.1,lash w'r,dr..a AOA- — x win aiEll 1,41'rad wn s,sE,I _ Cl lnlaia T. — cl ,ivjunD —a a W i cbouduf bo, — �-� a lhd sggQ1l ft-k4 cap 61� o sa Pt "lien towel nk 11„r.l, Fwa�hiaholl — c,ss,�c►�ac dirt l54 — cense #12730 R2730 pale DEC. 3 1998 Slpnal a 1 � 1 1 I if' l. , , 1 1 � � 1 . .11 ® • •SURFACE , ��®� a •' •� � 1 1 1 •1 MEMO IPSM CAME 1=01=0 INS ... . . ...mommC e"'EC: • ■1�■■■■I■ � ,.. . . . . � , �■�i1�� des■ • ■.■.■ ■■■■■■■C.. 1+7C000101 =mmmmm I■■■K►1/N■O■1 ■■ ■■■■�i ©�■�■■�■� ■■ MINE©�■■■■ �■ ■■ ■■■■ /ice ►� ' �� � � ■■�� ��!■■ ��■©■■ON11110011 ���■� % �■■ ■� 11101■So , ►�. 11-25-1998.03:30PM CENT OST FIREDEPT 5087902385 P.01 l Fire Prime Qi V�� 9� o The Great Escape �A NFPA 1998 Fire Prevention Week Ibeme Centerville-Osterville-Marstons Mills Fire Department Office of Fire Prevention 1875 Route 28 Centerville, MA. 02632 508-790-2380/F ax#:508-790-2385 7o: Donna Miorandi From: F.P.O. Glen S. Wilcox Company: Town of Barnstable Health Dept. Fax: 508-790-6304 Date: 11/25/98 Pages: 3 Memo: Dear Donna, Here is a copy of my follow-up letter to Mr. Rogers. Thanks, Glen 11-25-1996 03:30PM CENT OST FIREDEPT 5087902385 P.02 Y'ST CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1926 1875 Route 28•Centerville, MA 02632-3117 508-790-2380.FAX:508-790-2385 John M.Farrington,Chief Glen S.Wilcox,Fire Prevention Officer Craig E.Whiteley.Deputy Chief Martin 01..MacNeely,Fire Prevention Officer November 25, 1998 Mr. Raymond Rogers 85 Lewis Road Hyannis,MA. 02601 Re: 940 River Road, Marston Mills Dear Mr. Rogers, Due to a complaint forwarded to this Department by the Town of Barnstable Health Department,I conducted an inspection on Monday, November 23, 1998 at the above address for potential violations that come under the fire department's jurisdiction. Below, please find the results of that inspection: 1. Smoke Detectors: One working smoke detector was found on the first floor of the dwelling. We have installed a temporary detector in the basement. Please install working smoke detectors on each level. ( The smoke detector manufacturer's have placed a ten ( 10 ) year life on all detectors, so this Department recommends new detectors be installed ). 2. Oil Burning EquiMot A The oil storage tank was reportedly leaking. At the time of inspection, I viewed a pile of Speedi-Dri under the filter. No signs of a leak was seen, although the tenant stated the tank leaked every time a delivery is made. B. The fuel line from the tank to the furnace seems to have been upgraded since the original installation due to the presence of secondary containment with gray ridged plastic tubing. The fuel line must be secured in place along the basement wall, and must be buried under the concrete floor at the point where it leaves the wall and transverses the floor to the burner. This is to prevent any injury to the fuel lines, and it poses a trip hazard at this time. C. Your tenant also states the furnace does not seem to be heating the home properly,being very cold and very hot at times. This Department would strongly recommend the whole system be evaluated at the time that the above violations are corrected. "Commitment to Our Community" 11-25-1998 03:31PM CENT OST FIREDEPT 5087902385 P.03 'b Please be advised that the above violations must be corrected post-haste, or no later than December 14, 1998, taking the Thanksgiving holiday into consideration. At that time, a re-inspection will be conducted at the residence. Any questions regarding the above should be directed to the Fire Prevention Bureau at 790-2380. Thank you, Glen S. Wilcox 2�U Fire Prevention Officer,CFI/2 C.O.M.M. Fire District cc: Donna lviiorandi, Town Health Department Jackie Gibbs, Tenant TOTAL P.03 11-24-1998 11:48AM CENT OST FIREDEPT 5087902385 P.01 •i, D nre a. The Great Escape NFPA 1"S Fire Prevention Week'theme Centerville-Osterville-Marstons Mills Fire Department Office fice of Fire Prevention 1875 Route 28 Centerville, MA. 02632 508-790-2380/Fax#:508-790-2385 To: Donna Miorandi From: F.P.O. Glen S. Wilcox Company: Town of Barnstable Health Dept. Fax: 508-790-6304 Date: 11/24/98 Pages: 6 Memo: Dear Donna, Sony we keep playing phone tag. I will try to call between 1 & 2 PM. Here is a copy of my follow-up Thanks, Glen CENTtERVILLE-©STERVILLE-MARSTONS MILLS FIRE DEPARTMENT INCIDENT REPORT N m Type of Call: At ........_...Alarm No:_ _ S____ Brief Nsrrallve Required on all Calls a m J Nslne of Business: _ _ ___ _ _ _ Cr o_ Location: _ mod__ L iL_- ( ^`( J a r cu to _��-2 - RECEIVED PAX FROM TOWN HRALTH DEFT_QONCE_RHIMG o Called by;^� Tel.#: Time reed TroT THIS_ADpRESS.(SP,E � Q ��„_ QP�$p�y ~ Dispatcher, _ �_Comrnents;_ AX AFFRUIME Y 3z30 >P7K^gym ['r ECK old nRF Aro tan 0i ME CQ111CFRNS RWARM G. WARRIEC. SMOKE DP3 Rr TORS. m Call Received On: 911 PLT Radlo Walkin Other; RESIDBNTS WERE NOT HO So DOOR xAN�ER LU m - Apparatus response: Total Manpower; STATING TO CALL P8I8 DEIPARTT�A�S �QQg __ m On the Air: On location;t 2 Rot. In Service Weather:LnG 7ernp:_� L _Wind;_ �su-�At; LDS_ Aj_"g�gg 162Q_�yg_I?ATE,_S _ .rrrrw.ra.rraNar Naa.arrraNarrraNm.rarrraNaarr......raaNr....r. CALLED AND STATED SHE WQULD BE HOME FOR ABOUT Other Agencies Notified ANTMER15_ +' QT WOUL]L l Name/Agency Tate No. By �Q�_j�yp,�'y��T70N,; T FQUML MODERATE_MWT OF SPEEDI--DRY_UNDER TSEj��+ILTER AT __ Q � LVfl�LT��A$ _TAjas Tyr RUT OCCUPANT STATES THE TANKJ TYMR TANK r..awaL..as..rrr.Na.r..rwaarar.aar.Nrrra..aN raarv.or...wan.rwrrr IS FZLL®�_ S �S( $ I ��E_jtjj$�DK T K 7S Buildings - Type of Occupancy: Tole No; NOTBDx_BUT DOES NOT APPRAR_TO_HE A PRORLE AT Owner: —Address: —�� 'PHIS TIME.r__�___`___ Tenant:_--_�— ____--_^�_— —_—� __ DWELi�ING_ HAD A WORKING SMOKE DETECTOR OUTSIDE ra.f.a..ra..wrraa.rr.NN.arrr.rr.r.ar.awaa.r.a.rraNrr........r.aw. SLEEPING AREA ON FIRST FLOOR. AND A BROKEN Equipment/Type:_ _ Location: DETLCTOR Year: Make: Model: ^�— A LOANER DETECTOR WAS INSTALLED IN BASI3MENTL w _ __ W Serial No, — — �— r AND OCCUPANT WAS ADQISFJ) THAT_$ T Nora.........r.r.ra.r.a.r.r.a.r.r..rarrsaarN.aasw.r WILL CONTACT IH DEPT,=TO FIND OUT V=j �` Motor Vehlole Year: MakelModel: THE NOTED PROBLEK- STAB AS o Color: VIN: State_ z Owner — Address;--_—_�—_r_y_,—_ _ YJlLE_THIS_�EPoRT FAx'ATIQ_TOIeIDLBR i.TA nRPT. V Operator. —�� ----r-Address;�� �— —^— _ ^— r..a.r.rrrar..araraarrr....mamma"......ra......r.....rra.r.resrrr Brush Fire Class:—Area/size;Cr 00 Personnel: Cost: ...wa.araarmr.rra.a..a.o..�rmNr.r...rr.rrwr..aarrar.mrw.rrw..wr. _ __ _ Automatic Alarms - Classification/Code:co m List Items needing Follow t.1p: 4 Form #62 left at/With: ni _ Report by: Date: _ C-O-MM Form #19A Chief Rec'd: �• Date: f�+• S oFTHEtp Town of Barnstable BASTABM Department of Health, Safety, and Environmental Services 9� " •�� Public Health Division ArFO I�AA'I A 367 Main Street, Hyannis MA 02601 FAX Date: #/��O VqY Number of pages to follow: To: /II® From: �l O D J Phone: Phone: 508-790-6265 Fax phone: S Fax phone: 508-790-6304 CC: REMARKS: O Urgent ( For your review Reply ASAP ❑ Please comment P 0 v � voa�ro # rM THE COMMONWEALTH OF MASSACHUSETTS ` FoRM 30 &W, HOBBS B WARREN :* CITY/T �z W Z,' m B TELEPHO 6L V Address �:/:.O 0ccupanJe - Floors Apartment No. No of Occupants.-(O No. of Habitable Rooms No..Sleeping Rooms No dwelling or rooming uni for Name:and address of 6w1 n �y Remarks Reg. Vio. 3 YARDi Out Bid s Garba a and Ritbbis C.stainers'." ;' . 6raina e`. Infestation Rats or other: STRUCTURE EXT. ::Steps,-Stairs,Porches:: Dual E. ress.:and Olzst n - j B F. :� M; : Doors;Windows: Roof Gutters, Drains Walls F Foundation:, � Chimne BASEMENT Gen'Sanitation y� Dam Hess:` j Stairs >Li hUn STRUCTURE INT Hall,Stairwa Obst n •,, :o Hall;:Ffoor,Wall,C61in - O� Wall Li' htin HaII:Win.dows . HEATING Chimne s '': ' Central O Y E! N "E quip-Relbaie TYPE Stacks, Flues,Vents:. PLUMBING Su I Lie O..MS Waste Line 1 HW.Tank s Safef':and.Vent s ELECTRICAL Panels,Meters;Cir.'. Q 110 220 :Fusing,Grnd.. .wt AMP Gen:Cond. Distnb:,Box . Gen::Basement Wirfn q. s . DWELLING UNIT Ventil. L to .Outlets, ;Walls Ceilsr Wind: .Doors' Floors. Locks Kitchen Bathroom ..a Den Livin .Room'.'° "Bedroom Bedroom 2 - • Bedroom. 3 Bedroom 4 :.::.Hot Water Facil.:.; : Su" Ten ;:Gas,OiI :Elect :. Stacks; Flues,Vents.;Safeties Kitchenfacilities Slnk` yj Stove '_ /7 Bathing,.ToUet Facil Vent(; Plumb ,Sanit'n Wash Basin;1Shower r�TUbi w— Awl-, - I t;1v I I Infestation Rats;Mice,Roaches rOther { I E Tess „ Duaband:Obst n ::; ' _: ... p o 4 General > Buildhigi Posted."..: Locks on Doors ONE QR MORE. OF TH.E VIOLATIONS CHECKED .:ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH .OR SAFETY AND WELL-BEING:OF.THE OCCUPANT AS DETERMINED BY ;105CMR 410:75' OF THE CODE OR' THE AUTHORIZED INSPECTOR..(See Over) THIS EGTION.REP. IS.SIGNET) Nl) CERTIFIED U DER T PAI S AND PENA TI F PERJURY.' a '� INSPECT TITLE _.. DATE TIME.. P M. A.M. THE NEXT SCHEDULED REINSPECTION P.M: • Nor ^D,e-004-- v`� b Novi q P y C,c:ss �o o P v'0 �X ��V-► ¢,ACC, u Now We C�1 v- i u V�Lk-, C%- lr�o t i c e. +b _ — -vt w cg-ri-C +V � 1 u �[� tiju C(- ho VSC C00-I t TO N cll-� N- 1 1-b(:— S Y. v S OL-v, tv.Q- vo o R o ac 9 y� yy G f t i� 1�7 � 6 '4•`,h 4 OSTERVILLE, MASSACHUSETTS 02655 ����E0't F OFFICE OF BOARD OF WATER COMMISSIONERSWATER 3 DEPT. WATER SUPERINTENDENT 9q TEI—No. 508-428-6691 Stuns� FAX No. 508-428-3508 I February 13, 1998 Mr. Raymond R. Rogers 85 Lewis Road Hyannis, MA 02601-5632 Re: Account #9808 940 River Road Marstons Mills, MA Dear Mr, Rogers: On February 10, 1998 we removed and tested the meter at your property mentioned above. The test results show the meter is found to be accurate. Enclosed is a copy of the meter test report for your records. If you have any questions please call me at 428-6691. Very truly yours, Craig Crocker Superintendent RETAIN THIS PORTION FOR YOUR RECORDS SERVICE ADDRESS ACCOUNT NO. PREVIOUS 940 RIVER RD 90()! BALANCE WATER BILLS UNPAID AFTER(30)DAYS FROM DATE OF ISSUE ARE SUBJECT PAYMENTS TO INTEREST CHARGES,AND TERMINATION OF SERVICE FOR ACCOUNTS &CREDITS PAST DUE (120) DAYS. ALL IN ACCORDANCE WITH CENTERVILLE- OSTERVILLE-MARSTONS MILLS WATER DEPT.RULES AND REGULATIONS. INTEREST TELEPHONE:(508)428-6691. CHARGE PERIOD COVERED PREVIOUS METER CURRENT METER CONSUMPTION CURRENT FROM TO READING READING 1000's OF GAL. CHARGES i=:(+T1�:;?, PER '1'{-ft1Uf���I�#r� C�F1...LCIT#'3 EXCESS CHARGE 1.1 k:; , $15,. 00 I:TUAR'1*l:-.:ftl.-'Y MINIMUM PERIOD COVERED MINIMUM { 2.' 90 CJVf TO 20 K O 200 K �RJLY---Sl:.i=' 9 CHARGE if• RATE 14'Y, THE '• CITE:: TO F.'E".DUGE DATER RATES BY :I.0% WAS PF"13-• DATE OF ISSUE TOTAL C-INTUED,j TI-{E: I)l:C:f�Eit:iE:1) f 1`'•:!I: i`#i_;f:: 0'r,'{'}:I.,'9:3 AMOUNT DUE RETAIN THIS PORTION FOR YOUR RECORDS SERVICE ADDRESS ACCOUNT NO. PREVIOUS 1940 R:f:'JER RD 9808 BALANCE WATER BILLS UNPAID AFTER(30)DAYS FROM DATE OF ISSUE ARE SUBJECT PAYMENTS TO INTEREST CHARGES,AND TERMINATION OF SERVICE FOR ACCOUNTS &CREDITS PAST DUE (120) DAYS. ALL IN ACCORDANCE WITH CENTERVILLE- OSTERVILLE-MARSTONS MILLS WATER DEPT.RULES AND REGULATIONS. INTEREST TELEPHONE:(508)428-6691. CHARGE PERIOD COVERED PREVIOUS METER CURRENT METER CONSUMPTION CURRENT. FROM TO READING READING 1000's OF GAL. CHARGES.- . 01/97 06/97 34!5 39'2 5p i EXCESS CHARGE FATES PER THOU AND GAI...LON�i 92. 80 $1 1 CJG QUARTERLY MINIMUM PERIOD COVERED ,MINIMUM lip— 90 OVER 20 K TO 200 K 97 CHARGE � 1.5,. Q0 $,3,. 9`a OVER 200 K Pi_EA,,.')E LIMIT OUTSIDE WATERING Fk�M ft 00AM—s:.OGPm DATE OF ISSUE TOTAL ANNUAL I:NTEf EEBT FATE: 14% AMOUNT DUE LAN !21r27 RETAIN THIS PORTION FOR YOUR RECORDS SERVICE ADDRESS ACCOUNT NO. PREVIOUS t;Lpr� !'•' w'l:a�: RD 9608 BALANCE WATER BILLS UNPAID AFTER(30)DAYS FROM DATE OF ISSUE ARE SUBJECT PAYMENTS TO INTEREST CHARGES,AND TERMINATION OF SERVICE FOR ACCOUNTS &CREDITS PAST DUE (I20) DAYS. ALL IN ACCORDANCE WITH CENTERVILLE- OSTERVILLE-MARSTONS MILLS WATER DEPT.RULES AND REGULATIONS. INTEREST TELEPHONE:(508)428-6691. CHARGE PERIOD COVERED PREVIOUS METER CURRENT METER CONSUMPTION CURRENT FROM I TO READING READING 1000's OF GAL. CHARGES Imo:(-`sTE'S f-'F'R TI-tilkJ476'ND fa(`�L.I_.(�i�1;3 EXCESS CHARGE� 290y 00 $15„ 00 rTLJ(-'IFt•T'E:RI_.Y MI.N.I.ML)M PERIOD COVERED MINIMUM ` 2.. 90 OVER 20 K TO 200 K JAN-..MAR 96 CHARGE � .L75. 00 FAMILY TOILET L}EiES -136, ()00 GA DATE OF ISSUE TAMOUOTAL w 'Y'F-•:.. ANNUAL INTEREST L`:�'t.EST RATE 14-. 01 A)219t'� NT DUE � 305.. 00 N 211.•tea r LEAD PAINT INSPEC'I'ION3 IIY IMED IIE NIMILA y� I-cad 11131 111 I-Ic.111116 Pape Milk Assasul I-Ic.11121l6 hlcl64I5111. 16 QaAct Ilued, Bail Salulwlc4 MA 01117 N"IS c.Jill lullilt 11:1w 1•l l:, ccltcc u�l cr ra �l�l �t�dl�nnx(�ue)ae X-Iluy I-a�1e hll><I�I►�J s�ll;ll NJ—1 'full flco 1-I00.116•Im . Li A/lllrca — — nlll. Ii C fly Clllld's Name (l;nsl, first, hill.) — — — _ - Illrlhdulc IA avy) Sex Ci�f�l�l=^Cl-]= l �l I�I�I �i-1 0:1 EU Q PurcuU Gunrdluu's l.usl Name I'urcnl/.(:uurdluu's Firm Matte Sinple family ,vlla s nllle: QA%I'LIVAJ p hlulli-family Q Owt+cr's AJJIcss: S ( (� �0 NulllUcf of U11115 _ ` A-AJ N 5 Yl4 0 KEYI CAP c•pp.d namooks/callblellon: Q< CQV Cavilled IP Ilc .Ile.p ,r.1.1a T RN 1 /A Iw11cc...aL1. K IEO n.p.Uv. 1J IE UplacurwM ' I.v.l..dp 6f0 ..Icpua.Jlnpl.c. lfy OPC VrL17 AAJ CJA+fIN��BIF �IC�FCT/� "-k k ---- I'Ioo' r l•hll ll a � -L I- -I- -I- -1- - JC1 - 1 - 1 - L - L -L -L - L -I- -t- -'- -1- _I_ .J9J _ 1 _ 1 _ L._ L _ L _ _ 1 1 1 1 1 1 1 1 1 1 1 1 I 1 ► 1 1 I I 1 1 I I I 1 1 1 r -r -I- -1' -1- 'I- -1- l - l - I - T - r - r - r• -I- - -1- -I- -I- -1- -I- -1- -1 - 1 - 1 - r - r - r - -r - • -1- -1- -1- -I- 1 - L _ L - 1' -I- - -1- -I- -I- -I- -I- - -1 - •1 - J _ 1 - L - -1- -I- - 1 - _1 _ L _ ! _I_ _ _1 1 1 1 1 1_ I _ � _ 1 _ I. _ 1 -1- -1- -1- - �-1 - - - - - - t- - h -1- - -h -I- -1- -I- -I- -1- 1 - -1 - - t - P - h - h -h - - - - - 1 1- -1- - - - - - - - - - - _1- -1- -1- 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 ( 1 I 1 1 1 t 1 � - -I- ,- -,- -,- -,- - 1 - - - T - r - r - r - -�' -I- -I_ -I- -I- - -I -•a - - 1 - � - I- - ►- -►- - -t-- -I- -I- -I- - - -a- -+ - a - � - t - I• - 1- - L -L - 1 - L -I- -I- -I- -I- - 1 - L - L - L -L - -L -I- - - - 1 - L _ L - L -L - 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 ( I I 11 1 1 1 A(slreel side) A(slreel side) I'll Ocild) Illul-c Illtlll 1 .2 mg/cml Willi x-1-ay [I11ul-c5ccnce ur 17usilive Willi NnzS is D1111gerolls. IIISK ASSESS.DATE wp.lul..a — _ _ 11.1.1�I17 lulerlm Control Dale (Yall) n sk Assossol/1,13,1aclul —.�I ll _I—L— IlIS111199p9901 "INSP. L.au.,aa,7� Ira!r3A3 flecerlillcallon Dale sassof T � Inspaclol Rlsk Assassot L In.wnpY.rc. REINSP. DATE �alhpupu. I tnlaryi,lK. - REINSP. DATE , ,a,h, full Co111pllance Dale 7�•acupuK� I I.auq•or� —I Did you cuulplcic if snlfncc asse$snlcnl for c1lopstllnlluu'll y Ilu� Insltnclol 111sh Assossot - Y r EXPLANATION OF LEAD INSPECTION/SURFACE ASSESSMENT REPORT FORM COLUMNS Refers to A, B,C,or D side of dwelling unit. Refer to diagram on cover sheet. Refers to architectural element(s) being tested. If two locations/surfaces are listed in this column, subsequent $UItF1C '<»< ><> < columns will be subdivided to provide specific information corresponding to each surface. LAp; The actual lead result. A numerical reading indicates that the surface was tested with an XRF analyzer and a reading oraverage 2indicates Y Y reading) r eater h tanl.2mlc m in dica e t sadan emus level elofl lead. 9 A s or n notat ion 1 to n • 9 Po eg indicates d cal es that th e e surface wa s tested wit h dh sodium su lfide,Ifide and a o s notation'indicates d cal es a dangerous P le vel of lea d. Ea ch location t on teste d must have an individual result r m recorded'e the *Lead"colum n . . The L (loose)column indicates the condition of the painted surface(s)tested. A check mark(✓)or yes notation this'i s column mean on e eorbo th of the surf ace s tested 'to is n 'of intact . 'f this colu mn is le ft I ft blank or has sa no i notat on it mea ns that the u rfa ce(s)in questi on is intact.Som e lead ed surfaces ces are in violation on regardless ardles s of their e condition; ton ot hers ers are in violation onl i f the 'p aint is not int act. Y • The owr abt (owner abasement)column denotes whether or not a surface in violation can be corrected by a trained h omen wneda en t who i 'yes'o s not a deleader. er A es in th is column s o umn means that the trained 9 ain ed owner/agent Y ma I Y ele ct to d I e ead this surf ace b performing one f o the specified d e low-ris k I de eadin activities.Y P A 9n n 'o i chi Ps colum n meari s 9 that only a lice nsed deleader i s permi tted to dele ad thi s s surface.ace. P The dlr sd prep (deleader surface preparation)column denotes whether or not a deleader is required to prepare 'a surface rfac in v ad an ce of it being en d I e eaded b i a trained homeowner/agent erfo 'rmm ce '9rtai n low-risk Yd I P 9 de leading n 9 activities. A Yes in this co lumn means that ali lic ensed deleade r mus tused to perform rm su rfaceP' rP aton e ar i ' th e h o low-risk nsk activity selected is encapsulation or cov n'n a f' i oofi m P act surfa ce wit h loos e lea d paint. <<SLlRlSU85 The surface/subsurface condition column denotes the condition of the Paint lay ersers with h respect to pot ential, eligibility forencapsulation.iion. Surface /subsurfacesrateda.2.are ineligible for encapsulation. U5Y>CONa`> The 6substrate condition column denotes the condition t on of the base substrate(i.e.wood,plaster,metal or masonry) wit h respect topotential . " li i '`e bih for encapsulation. Substr P� ates ra ted a 2 are i 'Hell ibl 9e for tyencapsulation,unl ess h 9 . t e subs trace is repaired. ITIALTAPE The results of the initial tape test( )required p for encapsulation are recorded in this column. Surfaces receiving a. 2. on theinitial to Peineligible test are for encapsulation. u ' s latio n. The results of the optional x-cut tape test(s)performed by the inspector are recorded in this column. Surfaces ivi r ce e n9 a2 on the x-cutPe to tes t are ineligible Ii9 'bl e for enca psulation. sul on. ' ....... NY < < ?'` The comments column is for other observations that may be relevant to the d y eleading of a particular surface The suitable for encapsulation column indicates whether a surface is potentially suitable for encapsulation based on the re re sults is of h 'the in s tor's evaluation s d n an a t testing rfo P� performed. A es indi cates es that the u Y Pe s rfac e can b 9 Pe Y be further rfe evaluated b X- cu t tap e testing and patch testing; a no indi cates Cates th at at h P tes surface '9 P ce is ineligible f 9or enca encapsulation. P ton LEAb.;DAT .::::::;;; The delead date column indicates the date that the surface was determined to be in lull compliance with the Lead Law. pLEAI?`M 1'Htq> The delead method"colum n indicates the method by which each surface was deleaded to full compliance with the Lead Law. Ref er r to the kY e on cover P9 the v e page for metho d co des. CAWPSKEAD1995VORMSIV SORM FQuaket ED HENIMILA Tpatot l lc.11 12116 ssasm l.lc.0 R2716 LEAD INSPECTIONI y [at Swidwich h1A 02517 Page 2 01 wRAX(501)888-8178 RUSK ASSESSMENT FORM Toll Five 1-800-186-8178 Address of fOsk Amesament q4o IQ I qoL Zo A p ApI 0 C- Clh f1 R �b S MIL S ROOM SIDE LOCAl"m LEAD L OWR DLR SnF ►25% SAFEGUARDS IC IC RECERI DELEAD DELEAD SURFACE ADI1 PREP1 DAMAGE DALE MEII100 DAIE OAIE ME11100 Up walikow will 00 aseboa�duCl�i ial 00 ooa Ooos as.y+.lmt,�— �� AIC Dwi Cat, — Dow cukgllame 0 c1 C D—I&MI 2 d-o Dm asiVJamb ()'0 0U ow P000 3 11.q Door asi4J" 0 c) d v �-- R MAN IA x Win asiry�Apan� win hcadwsk- s Q 0 t7 ' Win usMMul'nns B. ( Eel*Apad lead y S EA Wo sash p w'a.1re sI 60 _ Win cmi VApoo Ot) �00 WnheedalSkps Cfl 00 Wn sasMdu(�aa Q Q Eni4failbead Nf of _ EAl side sash AIA— (� IY'rnbw d Q _ IJ Wit asinvApan 0 WinheedalStc" lo c7 6 ) wn aab�ta�,o�» 66 00 _ Eat sarwt be 0 S GS �— E.t awe sash — e. 10poe—elfflt 0 _ 0.0 Do _ 0 t o02 ©- C _ Cl asbxylamb CI baseboudvfim — Cl shwSgpats nwala — Fr>ant�naa —� Ceilirbosel ceiLrq '�—' "r Icons#127361 R2738 Date DEC. 31998 still ule BY FRED IIEINh11LA Load Ieupccloe L1c.1112736 Rbk Assaaae Lie.#R2136 LEASPECTIO 16 Quaka Road, East Sandwich M D III III A 01517 Page Sol TeleplkmKRAx(508)e88-8318 RISK ASSESSMEIIT FORM Tull From 1.800-28&3178 Addles of Rlsk Assessment q Jl (✓M le,p A-0 IpI N Cily MAX —j b A6 �- ROOM SIDE LOCAlum LEAD L OWR DLR SRF >25% SAFEGUARDS IC 11 RECERI DELEAD ELEAD SURFACE A011 PREPI DAMAGE DAZE ME11100 DAZE 0AIE MEIIIbD Up walekow wale ' _ _f Dateboard►�Cha�ni Q(7 ._� _ Dooe d l� Dom cam ,!" 0Q_ 10 Doo, Dom eaek4Juob Dom Dom.caeingllamb Door — Door airg►Ja�nb Y011m 1i1 JA at na�ss, Win casiVApwn O IQ'-► T Win htb&6kpe G 6 Win a uNMurene E,I t�Pe+l beat N/r' EA Ikk ml. �1 W'rxb.►l bo I — J Winalk4Apon DD _ win headalSbpe Q C) win aeMduru p () 0 _ Ell sh'I'si1bead 6-5 OS E.I aloe lash �.• V&"m el _ wn asinyApan Win headeilSlap� — Win Ie11WtIL40113 E,1 I&Pul bead E.Iekk ea►b 9"Jow el _ Wi►a►kw�Apion Win headnf5kps — Win I&SWt ura _ bi eiNPad bead bi ekfa ea _ G Clmel will Icxm Cl Inlnla dma QV Claek4jamb DC> Q�_ CI eIxI14 h n"alm fbmfllre:►hoW �j✓ — Ceak9cboelcek, 106 10:71�dg,&- — �j Icense#12738 I R2738 pale DEC. 31998 Slpl ute LEAH BY FREQ IIENWILA LaJ Uupcclm Llc.11 12116 Risk Assasw Llc.11 R2116 G] 16 Quaka Rost, East Sandwich MA 01517 LEAD RISPECTIONI Page 01 I TcicphoncAAX(5011)88e-8118 RISK ASSESSMENT FORM Toll fro=1-100.286-8119 Ab9s3 of Risk Assesunenl:q(/d lei Apt N CIIy F'1�1 GeS�AJS /7eL(..,5' ROOM SIDE 1OCAIK111 LEAD L OWR DLR SRF >25% SAFEGUARDS IC IC RECERI DREAD OELEAD SUnFACE ADO PREP1 DAMAGE DALE ME1110D DAIE DAIE MEII100 Up%ahkow malt atebosiJsiCha�ial p --- — Dow Oow ashglJainl, 6 D 0 D ooa — Dow caA4.1 mb 0.3 o L) _T Dow Doa ati 4Jamb Daa . Door catiVl mb u NfnasbyApm 06 00 WnAeadn15k�ps (� (7 (�t7 Wirt utbMufioas ¢p _ E,1 sJlParl beatA Ext tide rash 0 Ci win a:Wpmn p 0 3 — Pfn ne.JalSlops 0 a b- wn utMdufam 06 00 Eat dUPal bead Eat tide Lath 1Yiix1>w t6 Wn air�g�Apon Win beadulSWps — Win 86361dufW3 Eat tJlQul bead — E.1 Ala mb wndow t� — Win aslrVApon — Win beadevUps Win 86341ulGons E,l Wall bead EMI tkle sash CWsel Malt � — CI Inletia dam 00 Cl as4ItyJamb Q� ClbatcbmdufWa CI swusgW13 _ sJ Id N ACLIrt 1 BLr RaJalw f lomill ahold _ CdngClxel ceZng 6 v ense#12736!R2738 Date nFr. a IIY FRED 11ENINULA I_aJ Inapcclos LIc.M 12136 Rbk Auasot l_Ic.Y 112136 S 16 Quakcs Rost, East Saidwich MA 02537 LEAD INSPECTION! Palgo of TcicplxxwAAX(Soe)e88.8378 RISK ASSESSMENT FORM Tull Froo 1-800.286-8378 Addies3off8stAmassment qqb A(11N ��� Clly M K51D�5 ROOM -� SIDE 1.0CA110,11 LEAD L OWn OLR SRF 05% SAFEGUARDS IC IC RECERT DREAD OEIEAD SURFACE A011 PREPI DAMAGE DALE ME11100 DAIS DAIE ME11100 Up walskw wall Oaseb"&Chak Ida 160 _ ooa Door casvVJamb Q p _ Q�2 ooa Doa aak4j" O p Q L� 0oa Door casiVJaoib ooa Door casi qJ" C wnfa.to 1Yn asinglApai (�V WinheadnlSw 00 L Win IS MMu(nMs E,i siPad bexl l7S 0 _ EA tide sash . Win a36VApon 0 V 0 Win headv/sIc a .D-0 Win asMMurats EAs&f Ali bead �— EAI site Lash 1VnJ�w�� Win alkvApw Wn heedalSlaps Win 86114du"ll EA1 sdlPul bad E.i skle sash Wir>dac si _ Wn aslryMpran Win beadeiIS4a Win Illwjaa Exl Wait bead Ell sale sash /Z Cknel will C ll CI Mlulm dm 00 Cl eslwjamb Cc) Clboscbom&fW Cl shdUBulporls nedala Fbalitmhold .-r Ceik4cwti ceiling y nse#127361 R2736 Date lEC. S Anal I PAINTLEAD INSPECTIONS • , 1 1: TcicPlwaclFAX I ToU 11 • • 1 / /� .1 1 1 1 1 ®®� 1 •1 1 1 •1 1.. � �■®Cii �■o■ 1 1.. �Cio■� . r�� �■�� eii■ia��� 1 ... �.�■.ego.... ...■®.. C LEAD PAINT INSPECTIONS BY FRED IIEMMILA Lead Itupeclot Lid 12736 Rbk Assasot LIc.4 R2736 tip(PISPECTIONI Page of 16 Quaka RoaJ, Gast Sandwich hiA 02537 RISK ASSESSMENT FORM TclephmmmJTAX(508)888-8378 Toll Fina 1-800-286-8378 Address of Risk Assessment �y0 /t 1 Jm X"10�w City 1lif7!$7DA)3 IV L/ S 13ATI I11001,1 SIDE LOCAMN LEM L OWR OLR OF >25% .'SAFEGUARDS IC IC RECERi IDELEADI DREAD SURFACE A017 PREP? DAMAGE DAZE ME111W DALE OA1E ME11100 up walskow wale im 100 BascboasdslChai ul Doa azi4Jamb 6 Dw _ om asi VJamb C Wusdar sit 00 Win aiiVApm JO 00 WinbeadeslSlop, 00 00 win suMAufans 6-2, Q•2 _ EiI,iMulbead 7-2 vr Eat ida sash 1Yiodow,i Win ainyApon Win headedSIC0 Winsalwmurml Eat siArPad bead Eal ida suh Up cab ksm*Dm O bUp ",Is wale Up cab shMlSupp Low cab kamei0oos QQ Low abiiwls vials 00 Las ad,hbslSupp 00 0.U Cb,el wds CI inleria doa CI airgllamb CI baseboa�ds�fba CI shalswpoii Sheba v Dnwcn '� Radala r1=11lreshold L Cei'usgclosel ceiing ,Z, l_ erase#12736 I R2736 Date DEC: 31998 - a 1064 hup"lof Llo.l(11)6 Rbt Ai�plat Llc.l R1116 If Qwkct Rokk Bui sondwlch MA O1111 LEAD IIISPECjI01U PapeI), TdcphOr-u:AX(101)111-Jill RISK ASSESSMENT FORM ToU fma 1-100.116-Jill Adless oI(Usk AueumenC ogV6 IV lea /t 0 Apo 1 ��� City 1�'I STjj N STAIRCASE Tb 6t5"60T `d- OA'b r-M e7 T- SIDE IocAlau LEAD l Own Din Snf ►15% SAFEGUARDS IC IC RECERI DREAD DEIEAD SU WACE AQIl PREPI DAMAGE DAIS M WOO DAIE DAIS MEIIW. LO■c11Ava will r ©rV , Dom w1iglJc,nb O D i U Q Baal — oval Dow 684k4jaA Do�I • Door cati4jwk �/ 1'yfltj.N 1, �''�1� YlnwlirglApan — •' win hcuj"ISIV2 f < Will II"tAotu _ t J Ei11i1f ul ba,J Z E,I skk ouh C x WinwtiylApoo Off— WnMwkdSkq t��— • NA- wa u1M.i.6m • E,I IiI1 ulh Cb/d■14' . CI hlaiol d30, CI Mi4imb gblcGouds¢loo, CI Ihd vpodl �Iladpotl brj, �_ fl ki Qp 0clutlon 24— . Ivaco Ilk , anal 1• D C6L 00_ - fMoo,nrvmr a- cl>i,l�ci>a/l d Fl 154 • cease #127381 R2738 Dale: DEC, 31998 LEAD PAINT INSPEMONS i 16 Quakef Ro4 Cast Sandwich MA 025171 1: Toll I'me 11 � 1 LOCATKH SURFACE SIMON v�c��r►����a 10111111 MIN 111111011 REMMERS MOPM • MOM ® rr MORMUM® •M AINOMMU00011 ®e0� tMO®McN 1111 �s®���■ i UN aMMIMMOMNOMIMPLAIMM PON PA L►Ao 0001 1100000011MON 1001111140001 M0 111=000� -�DMWTIMN Fly►���n,� 1 i asp • ®®nM � � � � Wig ONME N I��1 ����a�� ®seoss■i .I FORM30 �xW HORBS&WARREN T" THE COMMONWEALTH OF MASSACHUSETTS C" I 01 �. BOARD OF HEALTH l�pyN� fir® „ VV CITY/TOWN @ [, d ,9 z W G DEPARTMENT ZV"/ ADDRESS TELEPHONE // Address �'l 0 -• ��_ Occupant J a�,4.� e- 61,74 6 S 4 I S%v Floor r Apartment No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_[ No.Stories Name and address of owner •f_Cc"u-col- �- Remarks Reg. Vio. YARD Out Bld s.: Fences: Ct Garbage and Rubbish a.cl- - Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 1 i+ mj- ( ,o1c.u., 4fS Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 10x14 l Roof. L1,j(dt 40 KL r-oge6l( 3S Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: OK Dampness: t'1�►-owe t. � (Ra/,�J Stairs: ... leur ✓aJ i Li htin : STRUCTURE INT. Hall,Stairway: 04- ra aw fLO eea Obst'n.: b S a Hall, Floor,Wall,Ceiling.- Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ N Equip. Repair TYPE: ff Stacks, Flues,Vents: r PLUMBING: Supply Line: jjj, w W ❑ MS ❑ ST , ❑ P Waste Line: G�LJ pve- ew,i _ reaftnvd' SPv,-e 60 H.W.Tanks Safety and Vents) PtAe.,s aleef is, kue4,,,S 4*- s- ELECTRICAL Panels,Meters,Cir.: a 10 K220 Fusin ,Grnd.: L .(N ) J (,c am Ca" �7y AMP: buo Gen. Cond. Distrib. Bo 0,r CIO 1a0 &,c-,,- Gen. Basement Wiring: WELLING UNIT f G�to Ventil. L to . Outlets alls ails. Nind. Doors Floors Locks 4. Kitchen (9 Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, ec . / 'a r:� f Stacks lues,Vents,Safeties: Kitchen Facilities Sink `=- rt J lam 4- o, S Stove d b rb ka Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: 9"q,k - fv i1 10 r,o 14X41 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 " INSPECTO -/ TITLE DATE / 2 � / TIME (` P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. IL i ��� '' '• !��}'"�"*r 'y��+rri.,.vsrKY�^�1f•F-�,y '`tip"'' ^v.M''�ii,.t��*,�vrv^�.' *•+r,' � '��'�'� �� :,,..,`��; 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 deerned'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. Pg I of � Post-Compliance Assessment Determination Report RISK ASSESSOR'S/INSPECTOR'S NAME/ FULL ADDRESS OF PROPERTY NGENCY/ADDRESS/LICENSE NUMBER (include unit #- if applicable) 14 q-4 0 K,yE-; b '3 P Rrq crA h'Il� Ov Pb,w,4:,qr, iU4 .�hide �Lr�nu'� 'i..i� , I_l�ic.r�►Li..,c= RISK ASSESSOR'S/INSPECTOR'S SIGNATURE: CURRENT OWNER'S NAME AND ADDRESS CURRENT TENANT' S NAME AND ADDRESS 13 Lewis . . NyMtYaS miP qyo Zlv'c_ 0 Z&O 1 T_� A Letter of Interim Control/Letter of Full Compliance was previously issued for this property by risk assessor/inspector rP-t' C> H ELL M 1 LA license # Z X7 6, HAS THIS PROPERTY BEEN .GRANTED GRANDFATHERED STATUS BY CLPPP? (Circle). YES NO. DID THE POST COMPLIANCE ASSESSMENT REVEAL LEAD HAZARDS? (Circle) YES NO . IF INITIAL TESTING METHOD S USED: NAZS expiration date 7 27 Zcfq XRF Model Serial _# PLEASE NOTE: Rooms and common areas are numbered and surfaces and their locations are labelled in accordance with the initial inspection report dated issued by risk assessor/inspector Fite) 1 e,-i" ,Lh license # -c;�73f DATE OF POST COMPLIANCE ASSESSMENT: 7b.1191 IF APPLICABLE: DATE REOCCUPANCY APPROVED: by risk assessor/inspector license # signature DATE DETERMINED THAT INTERIM CONTROL/FULL COMPLIANCE RESTORED: by risk assessor/inspector license # signature Pg of Post-Compliance Assessment Determination Report FULL ADDRESS OF PROPERTY (include unit # if applicable) Surface and Location Description of Hazard/ Comp Comp Method (include room Initial Test Result (if tested Date name/#) as part of assessment) C. bm _ !r s n�►� CU k. 1Nrc-X,Cn_s ►WTACr Zorn 3 D �-- ��c � scz1�PrD, �RJC/YaC-r�T SiArKS. /�1 D(Tt S Scxwot-7N Co R v en 60f 4 J S (Wr6 C y" UPPCIL 72iM oK. cr cv R . 8 d ke S"I i C.C. G v r xcb - B C A-sloe vJ,(l&1w woo, Pry L pkc Sc S iLLS Ryv, S"qc S a, r=�v� FFFT C�LC, NoA-rr 0o_-44A-4Lt S V O_ �N77'rC T Comments (include 1) key if codes or abbreviations used 2) indication of any rooms or statement containing no violations) : jZCAiL OL6 � rNl)U►nl S�SHf-S �f'�= SOS . S L oUS CU D Vj 0 Ltj Tan! DATE OF POST-COMPLIANCE ASSESSMENT: 7112-Zg y RISK ASSESSOR'S/INSPECTOR' S SIGNATURE: The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 109 Rhode Island Road ARGE GOVERNOR LUCCI Lakeville, MA 02347 JANE M.SWIFT (508) 947-1231/ FAX(617) 727-9296 LIEUTENANT GOVERNOR WILLIAM D.O'LEARY SECRETARY HOWARD K.KOH MD,MPH COMMISSIONER CERTIFICATION OF MAINTAINED COMPLIANCE Addendum to Letter of Full Compliance Ki\y M0NL 'R'0GCRS <;?S lam-w h H yANN,s MA- 0:-1.16c, I Dear M This letter is to certify that I assessed your property, located at GI510 IZty � �� apartment no. , and relevant common areas, in the City or Town of 1i38CASTA 6t for lead paint violations on �,,iy o , I`�ti"i On that date, I found all surfaces documented as being in full comp fiance with the Lead Law per the inspection report dated L Ick by R--1> HE-Mr-IiLfk , License ## 'TZ73-, , were still in full compliance with Massachusetts General Laws, Chapter 111, Section 197 and 105 CMR 460 . 000 : Regulations for Lead Poisoning Prevention and Control . Massachusetts law does not require the abatement and/or containment of all residential lead paint . This residential premises or dwelling unit and relevant common areas shall remain in full compliance only as long as there continues to be no peeling, chipping or flaking lead paint, all reversed woodwork remains reversed, and all coverings, including encapsulants, forming an effective barrier over lead paint or other leaded materials remain in place . Sincerely, A 55-744 5/ s;v DPH License Number cc. CLP C:\WP50\LEAD1995UC.FOR\COMFC.WPD Lead: Paint Inspectionsif _4 By Fred Hemmila. f Lead Pajnt inspector#I2736 Risk Assessor#R2736' 16 Quaker Road,East Sandwich, MA 02537 Telephone/Eak 308488-8378 E ail:.ftedlead@capecod.net r , ., .. . LettQr,of Ed Ddodin.Comalianc Date Tear This letter is to certify that I inspected your property located at gC2` Apt. # ti , and relevant common areas, in th Ci r Town of B"WS,� �e —HMSMA-5 g4 fgr,fpll deleadinq compliance or4 Z 9 And on that date those surfaces cited`in'the initial inspection report of were found to be in full compliance will}Massachusetts General Laws, Chapter 1 j, Section. 197, and 105 CMR"460.000: Regulations for Lead Poisoning Prevention and Control This letter is printed on watermark and will have a raised imprinted at the bottom to indicate that it is an official letters Massachusetts law does not require the abatement or containment of all residential lead paint: The residential premises or dwelling unit and relevant commQn"areas shall relrlajr}m compliance only as long as there continues to be no peeling, chipping or flaking lead paint or other accessible leaded materials And as.long as coverjnps and/pr erlcapsulants forming and effective barrier-over such paint apd materials-remain in place, and as long as surfaces reversed to correct lead hazards remain reversed and securely in place.. See the reverse side of this letter for the location(s)'of surfaces which were covered,encapsulated lor reversed as an abatement., method to achieve compliance, if applicable. A complete reinspection report is attached to this letter. To the best of my knowledge,the cost of this legally required deleading is $Owl Sincerely i �C' 414t Fred Hem'm' a,Lic:# W36 Should you have any q:;�stion abo�a this letter, call the Department of Public Health's.Childhood Lead Poisoning Prevention Pr*e m at 617-753-8400. 1/3/99 INSPECTION AND ABATEMENT HISTORY F�CQ 14EN I Name&License Number of Inspector Who Performed Initial Inspection A- Date of Reoccupancy Reinspection Name and License Number of Inspector Who (If applicable) Performed Reoccupancy Reinspection Name(s) and License Number(s) of Department of Labor and Industries Authorized Deleading Contractor(s) Who Performed Abatement and/or ontainment: sTt�pd r Name(s) and Address(es) of Unlicensed Homeowner or Agent(s) Who Performed Low-Risk Abatement and/or Containment: / h AREAS WHERE LEAD PAINT OR OTHER LEADED MATERIAL HAS BEEN COVERED, ENCAPSULATED OR REVERSED AS A LEAD ABATEMENT METHOD. INTERIOR Room# Side. Surfac fixture Type of COV/REV/ENC a Cll(r EXTERIOR Side SurfacelF,ixNW Type of COV/REV ri } _ Q—� ENVIRONMENTAL HAZARDS SERVICES, L.L.C. 7469 WHITE PINE ROAD -RIC MOND,VA 23237 804-275-4788 FAX 804-2754907 WIPE LEAD ANALYSIS SUMMARY CLIENT: Lead Paint Inspections DATE OF RECEIPT: 04 FEB 1999 Attn: Fred Hemmila DATE OF ANALYSIS: 04 FEB 1999 16 Quaker Road DATE OF REPORT: 04 FEB 1999 East Sandwich, MA 02537-1029 CLIENT NUMBER:. 22-2428 . EHS PROJECT M 02-99-0569 PROJECT: 940 River Road; Marstons Mills MA EHS CLIENT TOTAL CONCENTRATION SAMPLE# SAMPLE# LEAD (ug) (ug/ft2) 01 1 <50.0 <50.0 02 2 <50.0 <76.3 03 3 <50.0 <105 04 4 <50.0 <50.0 05 5 <50.0 <76.3 06 6 <50.0 <105 07 7 <50.0 ------ QUALITY CONTROL DATA BATCHM 020499W-5 INCLUSIVE EHS SAMPLE NUMBERS: 01-07 Laboratory Control Standard (IO.Oppm Pb) 104% Recovery Continuing Calibration Verification 10 (10.Oppm Pb) 104% Recovery Continuing Calibration Verification 5(5.00ppm Pb) 107% Recovery Matrix Spike 99.7% Recovery Reporting Limit 50 Oug METHOD: NIOSH 7082M ANALYST: Aubrey Simonds Reviewed By Authorized Signatory: 2"''"r"��1J- Howard Darner,Laboratory Director Irma Fanewski, Quality Assurance Coordinator David Xu,MS, Senior Chemist Feng Jiang,MS, Senior Geologist --PAGE 01.of 02-- Fact Slice( on Maintaining lull Contpliartce Compliance in this document refers to full Initial or Deleading Compliance. Massachusetts law does not require the deleading of all paint, plaster or putty containing dangerous levels of lead. Alter a Leiter of full Compliance has been issued, there may still be paint or other material containing dangerous levels of lead present. for example, walls, exterior siding and surfaces above five feet may still have intact lead paint remaining on them. The owner.of any residential property is not strictly liable for damages associated with a case of childhood lead poisoning as long as the dwelling unit and any associated comhion areas has a valid Letter of Full Compliance. The owner remains under a duly of reasonable care to avoid liability. The Childhood Lead Poisoning Prevention Program (CLPI111) recommends that the property owner` or a representative visually assess the property for compliance on a routine basis and whenever the occupants report loose paint, plaster or putty, and/or detached coverings. if a property owner or his or her agent conducts the assessment, lie or she may correct the lead hazards him/herself. Directions for performing tite post-compliance assessment and for correcting hazards are contained in lite' "Maintaining Full Compliance" document, Policy CLP-10c, which is available from CLPPP upon request at(800) 532-9571 or at (617) 983-6900. For the safety of the person performing the work mid the occupants of the unit, and in order to maintain a standard of reasonable care, the directions in the"Maintaining Full Compliance" document should be strictly followed. The property owner may also [tire a private licensed lead inspector to perform lite assessment. Ira lead inspector identifies a lead hazard during the post-compliance assessment, the corrective work must be done in accordance with CLPPP requirements. This means that a licensed deleader may need to become involved to perform high-risk activities, such as making loose lead paint intact. In the case of low-risk deleading, the property owner, or an agent, will be required to review training materials available from CLPPP and submit a self-corrected exam before performing the work him/herself. If you need updated documentation that your property is still in compliance with the Massachusetts Lead Law, you must hire a licensed lead inspector. Ile or site will discuss (lie post-compliance assessment and updating process with you and .can provide the appropriate documents after the process is complete. Policy CLP-loll (Revised) 1 LlAII PAINT INSPECTIONS • IIY Iflll�ll III�MhIILA • • I.coll IuslKdlll He 11116 Illsk Asssuul 1-Ic.101116 Llscd: 16 Qupkcl Ituml. l:asl Soullwlch MA 01511 P(No's cxpllud,�n,l,�lu��� f •Ickillluuc/fAH(M)9911-6118 t, X-ItIlly cncciicc Mcot 0 ,_solid 11 Toll fico 1•1100-296-8119 Address Ali'l. it C111. Blyl � _l>l IE_ L1� Child's Naulc (Last, First. lull.) Sex f Pure111/Gunrdiurl's Lusl Name Ir�urc�( ul/nGuurdlou's hlrlsl'(Mime wl IF I �--�—L—f l L O:F—= Sin�lc f ltulily lu s nulc: �!M U � OG� $. ej MuUi-faulily q Owtict s Addlcss: V5 LEO(.) 640 Nuulbcf of UnUs _ yA-A! N I-5 M D 2 0 KEYI cov topped Romniksl Cullblelloon:: IP al .nd M0 ",Il1ullk "', r R ! Jr y IC/ 11 � 0,4 p - tpo I.nwv p mygjj d n 111-S Q 2641t iEV Lp1.um.M Lvvled CA ato pad 1p beta suDo4.le /, 6FU ..I.puudlnpl.t. — 017C VIOL 6AI &qNsr'RBIF 1'l00lll -I- -I- -'- -'- -'- -I- IC1 - 1 - 1 - L - 1 ( 1 1 1 1 1 1 1 1 � -r -1- -,- -1 T - r - r - r -,- - - -r• -,- -1'.-,". -1_ 7_ -1 _ .1 _ y Y._ r - r'- -r:_ -'- -'- -'- -'- - -1- I - - 1 - 1 -'- - 1 1 1 1 1 1 1 1 1 ( 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 -r -i--r - r-1— - 1- - r -1- - -r -1- -1- -1- -1- -1- 7 - •1 - y - T - - r -r -r - -1•- -1- -1- - �1 - - - - Y - M -1- - -H -1- -1- -1- -1- -1- -1 - •1 - - t - P - F - h -1- - 1 Q 1- - 1 - a D f 4 1 1 1 1 1 ( 1 1 1 1 1 1 1 1 1 1 1 1 ( 1 1 1 1 I l 1 1 -� -I- -1- -1- -1- = -� - � - - T - L " I- - i- -f- - -� -1- .1- - - -1-.-�- � _ �- 1 - T - � - r - f- -,� - -'- -'- -1- -'- -'- - t - � - � - L -1- - L -1- - - -'- -'- -I- J - J - -r -,- -1- -,- -,- -1- 1 - 1 - 1 - T - r - f - 1 -t - -r - -,- ,- -,- -,- 1 - - - 1 - r _ F _ � -I- -'- -'- -'- - -1- a L - 1 - 1- -'- - - -'- -'- -'- -' _l. _ A(slfeei side) A(street sid©) I'll Oclld) IIW1-C (llilll 1 .2 111g/cml Willi x-ply 1•luul'escclice Of posilive Willi MIS is D1111germs. PISKASSESS.DATE u-poogtoad — — _ lr.l.tilli (ileum Control Dale IYalll I • (i19k A98Q9901/1119110C1111 '1-I—)—I•—`-- Illsk Assam# . INSP. DATE toedlluudll Y a 11 flecellillcallon Dale 03 9 Asse9901 (119110CI01 I � Risk Asslissot REINSP. DATE Lr,...,�.n. _ �.►al h p.pul In curyyuK. mac'upmq REINSP.DATE0,' .alh full Cot ppllance Dale +184.4 1 64ocuggic, az ]I — Did you con►picic it suf(ncc nsscssnlcnl (of cllcnpsulllllun'I y of� Insl clot Risk Assossot EXPLANATION OF LEAD INSPECTION/SURFACE ASSESSMENT REPORT FORM COLUMNS SIDE.:< Refers to A, B, C,or D side of dwelling unit. Refer to diagram on cover sheet. L OCAT!�Nl.;.<; Refers to architectural element(s) being tested. If two locations/surfaces are listed in this column, subsequent SURFACE :' :`. ; ; columns will be subdivided to provide specific information corresponding to each surface. LEAD The actual lead result. A numerical reading indicates that the surface was tested with an XRF analyzer and a reading(or average reading)greater than 1.2 mg/cm'indicates a dangerous level of lead. A'pos"or'neg'notation indicates that the surface was tested with sodium sulfide,and a'pos'notation indicates a dangerous level of lead. Each location tested must have an individual result recorded in the'Lead"column. The (loose)column indicates the condition of the aimed surface s tested. P A check mark(✓)or yes notation in this column means one or both of the surface(s)tested is not intact. If this column is left blank or has a'no' notation,it means that the surface(s)in question is intact.Some leaded surfaces are in violation regardless of their condition;others are in violation only if the paint is not intact. s OWR AST. :. The'owr abl'(owner abatement)column denotes whether or not a surface in violation can be corrected by a trained homeowner/agent who is not a deleader. Ayes in this column means that the trained ownerlagenl may elect to delead this surface by performing one of the specified low-risk deleading activities. A'no"in this column means that only a licensed deleader is permitted to delead this surface. DLR S R F PREP The'dlr sd prep'(deleader surface preparation)column denotes whether or not a deleader is required to prepare a surface in advance of it being deleaded by a trained homeowner/ gent.performing certain low-nsk deleading activities. Ayes'in this column means that a licensed deleader must be used to perform surface preparation if the low-risk activity selected is encapsulation or covering a irictior impact surface with loose lead paint. SURISUBSUR ;The 'surface/subsurface' condition column denotes the condition of the paint layers with respect to potential eligibilily for encapsulation..Surfaces/subsurfaces rated a'2'are ineligible for encapsulation. SUBST COND: :, The'substrale condition'column denotes the condition of the base substrate(i.e.wood,pUster,metal or masonr y) with respect to potential eligibility for encapsulation. Substrates ' '>;< 9 tY P . tales rated a 2 are ineligible for encapsulation, the substrate is repaired. 9 P INITIAL TAPE The results of the initial tape test(s)required for encapsulation are recorded in this column. Surfaces receiving a '2'on the initial tape lest are ineligible for encapsulation. X-CUT Terh esults of the optional x-cut tape lest(s)performed by the inspector are recorded in this column. .Surfaces7 receiving a'2'on the x-cut tape test are ineligible for encapsulation. COMMENTS;;:`;;::;;;::;:< The'comments'column is for other observations that may be relevant to the deleading of a particular surface < SUIT FOR ENC. ... The"suitable for encapsulation'column indicates whether a surface Is-potentially suitable for encapsulation based on the results of the inspectors evaluation and any tape testing performed.'A'yes'indicates that the surface can be further evaluated b X-cut toe testing ' ' Y P and patch testing; a no indicates 9 P s that the surface '9 rfa e is ineligible for enca su ' P IaUon. DELEAn DATE The'delead dale'column indicates the date that the surface was determined to be in iull compliance with the Lead Law. >'pI;LEAD MEtHQq'` The'delead method'column indicates the method by which each surface was deleaded to full compliance mpbance with the Lead Law. Refer to the'key' � key on the cover page for method codes. C1WPSKEMI"SVORMAI sAFRU BY FRED 1lEhINU A W4Itulw1ot .-1c.012116 R6*k Assaux �:Ic.1 R2136 16 Quaka Road, Cut Sa�dwict► h1A 02337 LEAD IFISPECTIONI f age 2 of Tcicptwnc/FAX(so8)888-8118 RISK ASSESSMENT FORIA Toll Fmc 1.800.286-8118 Adieu of Rlsk Assessment: yq0 JQ t 1 -pc- Z�10 Apt N CIq 11 41zS?b Ars MiL t Roots SIDE LOCAIOV LEAD L OWR DLA OF >25% SAFEGUARDS IC IC RECEnI DELEAD DELEAD SURFACE A011 PREP1 DAMAGE DAIE MEIIIOD DAIS DAIE ME11100 Up'hIIAuw rn11 00 atebomdXhA til 0(9 coot Door caiiVUnb L7 AlDm C oats b _ C Dm(&►I 2 6.0 Door atiyian>V C),'U OU Ooat R00 3 11.4 3 IN=catin4larnb Q Z) 0 U T- Mfn ati gApon �- (�U win hc,dn15bpt O 00 L Win sIIwurrtnt 0. - 1 _ EA sAP&l EAtkk,atl1 O (1�. VYoSow t>f 6o _ Wit ati yApon ad 00 _ Wn he,dalSlcpt�'.b �— Win I,tbeaJan 0 Q — ElltdP,dbeat /lJ EA1 tilt 39511 /� tYiix►rw ti Q _ IJ Wn a,64A . O Wnbe,dalSlola D o O(� Win 1826TAubon3 66 EAI SA1,611 be�1 CS EA.tkle tab _ C. 00,De-0,YT1 f 0 0 _ D I 0 oft 0 - Cl asWyjamb — Cl batebowdvfba Cl tbd11SgWI3 R"aloi — CcIkVCbttl ccLi C71D 't-- "r " Icense 12736 R2736 Date DEC. 3 '1998 Slpl ule BY FRED 11ENINULA t Lead hupcslor Llc.111116 . Risk Asmux Llc.M R2136 IIISPECTION1 3 16 Quaky Rood; Lint Smidwich MA 02311 LEAD Page_of TcicpliwxNAX(508)888-8378 RISK ASSESSMENT FORM Tull From 1-800-286-8118 Address of Risk Auesslnenl: qqD l� l f�'iZ �d Apt N r----' City ROOM SIDE IOCAl"m LEAD L OWR DLR W 05% SAFEGUARDS Ic IC RECERI DELEAD DREAD SURFACE ADI1 PREP1 DAMAGE DAZE ME11100 DAIE. DAZE ME111DO llp rclLioa wall p v_ OalebudXhak ul Q b Doa 0 r��—� Dow a1in�lJaTI 0_(7 0 V Ooa Dooi ask4Junb Q D Ooa Doa aieiglJan�6 Doa Dar atirgj" Wirdn 1i MA— aT RCcrss, Win aiigApon �� Q �i Win beadaIS4n G 6 Ll p win u1hA.luGonlNA • E,I IiPa+l beat � 3 �L /! k*EA Ikk mh (Y� W'arbr al b J Winasi4Apron D� Wn headalSlopl 3 L Win lasmAura is 00 0 _ EAa11'Padbc&J fD5 05 Eal Iida fuh 91"I — �Yrx1�w 17 — ' win alirg�Apon — Win headvisio 1 Win Iaahldu W3 bl 1aPu1 bead E.I IL%881h — wrdrnr 1i — Win alkwApon Win hea&61op1 Wn u1hJMuIGaa Eal shPu1 bead ExI skle sal Cbul wall Cl Inlala d. QO CIa144,14mb — Clbolcboerds,fba Q V Cl swusq pals _ RaJala Fba/IMandd fl CeingClxel cc7u�g 0 �— Icense 012736 I R2736 Dale DEC. 31998 Slplifule LEAD PAINT INSPECTIONS . UYIFRE.D IIEMMILA Lead lnspcclot LIc.Y 12716 Risk Assasot Llc-M R1116 16 QuAct Road, East.Ssutdwich MA 02S17 1 F-AD UISPEcT10111 Page of TcicplumwRAX(308)e8e-8178 RUSK ASSES`SMEIIT FOAM Tull Fmc 1-500-286-6118 Adieu of Risk Assesslnentq�o Il([J lepj� nil a r-= clry F'I�4.4es�AJS neLLS' Room 3 SIDE IOCAI011 LEAD l 'OWR OLR SQF 25%': SAFEGUAf10S,, IC' IC flECEl1l OELEAb OEIEAp SUnFACE ADI1 POEM IZAM.AGE DAIS MEIIIOD QAIE OAIE MEI1100 Up nslam will (� Datebov&Chai tall Doan 1� Doa cating►"11 Ooa , Dowatbg1lamb .v 00 D= Dar asi4bmb Ooa Door asinglJ" Wixi�w si D — WiaasivApon 00 00 Wit hesdnlSkpt d o Q d — Win saltmullions F IZ— _ 2 �(— E,1 of�1 beaJ (1��} EA skis sashiL ^ W'sxlow is — /V Win asi4Apm C!7 O Win hesdats1cps V 1 Q"T — Win suMdu(aia 1C Q u EA ull¢'tul bead FL'7'C EAI side sash 1V'rxdrw si ' Wit aiiVApon Win heedalslaps Win sssibi.luf+ont 61 sA sal bead ZZ E.1 skls sash — NCndaw si Win ashvApon Win hesdalslapt Win satalumom Eal sA?ad bead _ 61 sklo sash Cknel Mall W Cl hleda dw 00 Clatk4jamb OD 0-0 Clbascboeidyfba )V (�p'V r _ 3 Lp6`I Cl shelUSypalt LJ� yJ t 1 eF� 1 lg/.r Z�C C�YLt Qsdsla r' FW/llrahoW Cw CeingCbsel Cling I O LIE ense#127361 R2736 Date nu 0a LEAD PAINT INSPEC-11ONS UYAED REMMILA L44Itupccio'f E1c.11.2136 Risk Asmux LIc.Y R2136 5 16 Quakct Road,.East Sandwich MA 0153.7 LEAD ITISPECTIONI Page'—01 Tcicphonc/FAX(509)e99•e376 RISK ASSESS61EIII FORM 'roll From 1-800-286-8379 Address of Nsk Assessment quD 1�1 Qo/�� 1pl II �'�—� C14 H Ky 1D43 f100M SIN LOCAIKH LEAD L oWR DLR SRF >25% SAFEGUARDS IC IC RECERT DELEAO DREAD SUIFACE AOI1 PREPI DAMAGE OAIE ME11100 DAIE DAZE ME11100 Up osiskow will aleboarduCluirrat 60 oow Dow asivi" Q-D DDm c 4J&a 6 0 U Dow Door air4Jamb Dow Door asingj" 14 CWixw Wn airngrApon wn h<.an�s 0 0 y win sasNMuGons E111if'arl bead l,.S 0 _ Ex1 Ikk 13511 �1- _ IF') winaliyApon 0 TO _ Win hesda/Ups -0 �O` win ussMAu(ou Onp Eli larid bead Eirl skin sail] ►ynJlw 1i Win asingUpa� . 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DAMAGE DATE METHOD DATE DATE METHOD Up walsA ow wads100 0aseboaids.Chak rail Ooor .• ^� Door casingl.lain Ooa Doa casinglJamb Door Door casinglJamb Oow Door casinglJamb Window sit Win asi VApon Q(' Winheadedstops 0O u Win mMwlu"s Q (� 3 4 Exl si Wad bead Y Exl side sash d� Window sit �, win asnglApron Q v Win hea&iSl q Ob �1 00 Win sasNMulions Q V 4 V Exl%&Pad bead 0-, �r fig y'C Exl side sash 5 �F-Sruc K Window sill Win ai4VApron Win headerlslops Win sasNMul'ions Ext siWPad bead Exl side sas i Up ab bamerl M 410 0 U (� Up Cowell walk 00 Up cab shhrslSupp 00 Q (j low cab kame/Dow 00 6 ) U low cabinets wall Q 0 Low cab 3h6s/Supp 00 Closet wads Cl inleriw doe Cl asi 4hmb Cl baseboaids¢ba Cl shclusupports Shelves 6 Oiawers Qv Radalor floalltweshoW v CeilivC el ceiling en se #127361 R2736 Date DEC. 31998 LEAD WNT I SPECI'I0N3 BY FRED IIEMMILA bead;lfupecI4 Lie./12736 Rbk Assessor LIc.8 R2736 LEAD INSPECTIONI Page of 16 Quaker Rost, Gssl Sandwich MA 02537 RISK ASSESSMENT FORM TelepholKSAX(508)888-8378 Toll Free 1-800-286-8378 Address of Risk Assessment /Cl Jm 16 4-0 Apt N - City hm!67Pwj n!L/ OATI IROOM SIDE LOCA1 0111 LEAD L MR DLR SRF >25% .'SAFEGUARDS '410 IC RECERT JDILEADJ DELEAD. SURFACE A017 PREP1 DAMAGE bAle ME1110D DAZE OAIE METHOD Up walsA_ow will An Q BaseboardslChak ia1 _ � Does u Does airglJamb d. 0 Ooa _ Dar asiviamb riindnM si 00 C Win asinplAponr-2- Q Winhead--Slops00 _ Win sasm-u rmu Q. L. Esl sA f1mI bead EAI aide sash Window si Wn airgiApm � . Wn headedSk�ps Win sesWuli m Eslsil±I'ulbead � . Ealfids sash Up cab kam*Dm bUp abi"Is wall Up cab sW%,SLff Low cab kameADom 00 Low abimis wall 00 low cab slia/So Usm Cbsel wale CI Wee"does CI cs%kVJamb CI baseboai&f im CI she111swiml Sheties v Onwen -� Radalof f imfi lweshoki Ce7ry�Cbse1 ceTirg ,L, •. L efTse#l2 36 R2736 Date DEC. 3199E a Rbk Aaasoi l.lc.l R11I6 � . IEAQ IIISPECTIO11 �`If Qu►ka R6.y Eal9mdwlch htA 01111 page of T4lcphw*4AX(f01)111.1111 RISK ASSESSMEIIT FORM Tou ftoo 1-100.116-fill A ess of fUsk Assossmenl I v4k ota � � l a' API N ON 114f Wb Al � Q STAIRCASE; I Tb 6t5 �r 4- rM eyv r SIDE IC+CA(iOFY lEAO l own aln Snf >25% SAFEGUANS IC 1C PECEn( DElEAO SMACE A0I1 PnEPI OAMAGE ' DREAD ��� DAIE 1*111M DAIS DAZE MIE11100 P&Jskow willDow Gasigj" 7T. FI —-�— Dow al6yimb 00 60 Does Q Door at6jV-71 — D ow D cmby — oow oow �•'�1L Ylgg�itylApon — . WnMwial'Wo I Win aI"".. — I E,I i 3 Pwlbc,d EP px Z ——- - fl E.1 i►s,,.,n �� Cy WirtaiiyApon O�L WnM�3ulSkpaOADMA Win uiMUom EdstPulWad EA sill mh Cbad■d�' — , Clhlaiw bja CI atirr�ll�m6 gb�cLaid�bw — CI swats ppod,zt Nut- - Iln�lpml "lien tan W. luck — nna, Do �• D C Ou�2 sit — F�nhpnoa c� cu„I �jF1 tsllp 'sl DEC, 3.1998 cettsa>�12139 l R2738 Date QIIaI A PAwTIN' SPECIIQNS I 1h4AsLHo—&& W- sancd,wich MA023371 1: Toll Frte 11 ■�■ ■■■ a ■■■■■■■wmums PA 11000 MINIM A �■■ ®C■■■■■mi �■ ®■■ itylAMPAW MISSION! 111010 mIffA;z 1�i�■■�mI � �� ■ ... _ , ■■■C ■■■■■■.. ■ ■■■.■. ■■ mm mom • 001099MIZI ■■■ ■■■■WA��■ Ism 111110 • i�■■■■s�■■■ ■■®■■■i■■ � ■■�►"■■■■ ■■®■■ wM." I WE OEM III.Tim P-MMIIMEM z mmm� humisin Om MONEEMM .. fimm..lim ■■ C..®.. i File mmunA m MMM■■ +J r mil► ►JIB ®�■■Win LR�INION■ ►SINION EvejuninmrWA r.SIMIlm■■■ ■■■r■■■■■■ MA1■■■ Mom r•�■■■i■■■■■ ■■m■■mmomm ■�i ©■■■■■.■� ...... ®■■■■■ ■■■■■■�■ O l0 lop/9�� 1 - ------------------ I I 1 I ' I I I -----, ------ ---- I I 1 I ' I � I , I — — I _ , 1 wmim— I I I I I � I 1 e I 1 I j I I g I I I i I � I ®IiW111 I L--_------J ono I I I a ' — r-'—, -------;---,, O L__J 1 a _ _______- w lNBlo lmul � °�� OG°Hr I a mr �l I x�oa m ® 4 onwalmu+ 4 a PROPOSED FLOOR PLAN 8 FLOOR PLANS EMSTING FLOOR PLAN GREYWING DESIGN M GUAXER MEEnNMGHOUSE ROAD.EAST SMIDWIQt.MA vwv (�S)BBSOBBS mnow+°,���,owm ra G1S09?B ao-arJl'f� CL r-------------------- 1 I I � I I 1 I 1 I I 1 I I I i 1 ; m.vvld I � 1 1 o.�swumv mvwr 1 � .o.mw. I I I N +:wmvvo I I 1 I C� � mnmseJnleIDH�l01 I i i •� I 1 _ I \' 1 I �� m omrt.rwr v.rlcwlnwW I L_--___J I m1..d.wo¢mowLL � BE7)A�1 I1 I .dmd ev.l.o I � 1 I .od I I 1 vY1 m�mamw.rac rmn svc I I I I I emmmaawu r-'-i .dw.w.� �...<..w. 1 f__--------- I llenswarm , ______________ 20'EXISTING LIVING ROOM SECTION B l V ADDITION SECTION C � [ 4 .m�.,dwwm — WORM. 1 I 1 I N_ I 1 � N — nr eu Im.rf60 ®o® NEW BIITIB1lmM I1 - N I�e� uuro>li�s v -sl ! mm — Ii I. • � wa'e�eGAwL� nI.CENnm➢e) erm I 1 I I 1 rocdum I 1 I I I �,a� 1w,wlsw„cE e�Rih,11 I I I � I 1 I I 201(28')EXISTING HOUSE SECTION A ► --------- NIB FOUNDATION PLAN ^ . FOUNDAMON PLAN aSECTIONS GREYWING DESIGN 131 pLYFR wEnNWOUSE ROAD.EAST SAN W101,MA ww..peywbgiomn(80 Ima' m mlow+e..b�aesm re(i1=0 -.A2.• lei •�xrw way I ro �I EXISTING FLOOR PLAN PROPOSED FLOOR PLAN M FLOOR PLANS GREYWING DESIGN 131 QUAKER MEEnNGNOUSE ROAD,EAST SANDWICH.MA OZW arxE: w.ra rw.awwu'mme (WS)88840M m.+a o.M owm --GIMM -.A3.. RIGHT ELEVATION FRONT ELEVATION 21 ell + LEFT ELEVATION REAR ELEVATION j=T ' NOTES t.t5E TYVIX'QI E®MM�RW1 HOaF M0 BIOEWMI& 30unFne/val00Nt®POuIaiOB¢Nrouml9aW0£1EVI0®. 7lPRWmE RAIDIMOABOVEALL WIN]elY9Nela0aR4 ' �.pDeBIEAAeIe BEIPW ALL PAeI11iW NVLLB a7Nxr Arne enAce ro.tffr eras cme neaa�xta awn�AtmawLmActtn eww.Aseua:AunE�oesmam wNcamrwLctroaAr® CR61SaVIl�a'Irn ALL erAlE Atm LefK Ie1L®MD ISIiUUTIOIa ELEVATIONS GREYWING DESIGN ur-ra •wrwA 797 OUAMEN NffflNt340lSE ROAD,E119f 8AP8AVIC11,NA Lu 0700929 pttr: 12-09-1998 10:40AM CENT OST FIREDEPT 5087902385 P.02 *192r6 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centervifle,MA 02632-3117 508-790-2380•FAX:508-790-2385 John M.Farrington,Chief Glen S.Wilcox,Fire Prevention officer Craig E.Whiteley,Deputy Chief Martin 01.MacNeely,Fire Prevention officer T4 ' Building Department December 9,1998 Town of Barnstable 367 Main Street Hyannis,MA. 02601 In acco*dance with M.G.L.148,Section 28A,the Centerville--Ossterville-Marstons Mills Fire Department brings to your attention the following potential violations of 780 CMIL Massachusetts State Building Code,asking your viewing and/or interpretation of same. Please advise this Department as to the results of your assessment in writing as soon as possible. NAME/BUSINESS: Gibbs Residence ADDRESS: 940 River Road,Marstons Mills OBSERVANCE;_ While investigating a complaint forwarded to this Department by the Town Health Department,I viewed the following items that I forward to your departmenL 1. Two support columns located in the basement seem to be soft in some places,and there is evidence of possible termite or carpenter ant damage. 2. The tenant showed me a spot in the bathroom floor that seems very soft, and seems to be saturated with water under the linoleum. Please note that there four small children living at this address,and feel there may be a potential problem at this dwelling. Thank You, Glen S. Wilcox ,IS/A JJ� Fire Prevention Officer,CFI/2 C.O.M.M.Fire District cc Jackie Gibbs,tenant Mr. Raymond Rogers,property owner Donna Miorandi,Town Health Dept. "Commitment to Our Community" TOTAL P.02 oFVEr Town of Barnstable BAMMSTna[e, Department of Health, Safety, and Environmental Services 9� "9. ,.� Public Health Division p'FD1A0�� P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health `L November 24, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 A lead paint determination was made of the property owned by you at 940 River Road, Marstons Mills by Donna Miorandi of the Barnstable Health Department on November 20, 1998. This determination revealed the presence of lead paint in violation of Massachusetts General Laws, Chapter 111, section 197. Please contact Donna Miorandi at 862-4644 between 8:00 - 9:30 a.m. or 1:00 - 2:00 p.m. to discuss your responsibilities in this case, and the material enclosed. Massachusetts Lead Poisoning Prevention Regulations require that you provide to this office, within 60 six days of your receipt of this letter, a written contract with a licensed deleader to abate all lead violations existing in the dwelling unit, including interior and exterior common areas. You must provide the deleading contractor with a complete inspection report from a licensed lead paint inspector. The deleading contract must be signed by the contractor and by you; it must specify that all violations on the interior of the unit and the interior common areas will be deleaded within 90 (ninety) days of your receipt of this letter, and that all exterior violations and/or window replacement will be complete within 120 (one hundred and twenty) days. This Department is required by law to file a case against you in court if it has not received a copy of the deleading contract by the sixty-first day, or if the above timelines for interior and exterior deleading compliance are not adhered to as documented by a private lead paint inspector. In a criminal case, you may be fined by the court up to $500 for each day of non-compliance. Only contractors licensed by the Department of Labor and Industries as deleading contractors may engage in the removal covering, or replacement of lead hazards. Neither p you nor anyone in your employ nor the occupants of this unit may remove or cover any lead paint unless that person is a licensed deleading contractor. The contractor must provide written notification to the Department of Labor and Industries, all residential occupants, the Board of Health, and the state Childhood Lead Poisoning Prevention Program (CLPPP) at least five days before any deleading work begins. It is your responsibility, as the owner of the premises, to makes sure that the contractor sends the completed forms to all parties. All occupants and pets must be out of the dwelling unit for the entire time that interior deleading work is in progress. They may not return until a licensed private inspector approves reoccupancy by conducting an on-site reinspection of the unit; this will be done after the final deleading clean-up. Deleaded windows and doors must have all panes of glass intact and must be weathertight. You are required to provide written notice of the presence of lead paint to all other occupants of the building. "Notice to Tenants of Lead Paint Hazards" is enclosed for that purpose. You are required to send a copy of the inspection report and the closed order to all mortgagees and lienholders of record. Questions regarding Department of Labor and Industries regulations should be addressed to the DLI office (617-727-1932). Questions regarding the Department of Public Health regulations should be addressed to the CLPPP central office (800-532-9571) or this Department (508-790-6265). T omas A. Mckean Director of Public Health cc: Jane Crowley Barnstable County Health Dept. �OF1ME A Town of Barnstable Department of Health, Safety, and Environmental Services 9� ' 1er Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 24, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 DISCLAIMER CONCERNING LEAD DETERMINATION REPORT Attached is a copy of the lead determination report. The information contained in this report concerning the presence or absence of lead paint does not constitute a comprehensive lead paint inspection. The surfaces tested represent only a portion of those surfaces which would be tested to determine whether the premises are in compliance with the Massachusetts Lead Poisoning Prevention Law (Massachusetts General Laws, Chapter 773 Sections 190-199. If a child under six resides or will reside in this dwelling, the owner may face criminal or civil liabilities unless all lead paint violations have been corrected. This lead report cannot assure that the property owner has met his or her obligations under the law. It is unlawful for rental property owners to use the presence of lead as the basis for discrimination against tenants or potential tenants with young children. Serious lead poisoning hazards are created when materials containing lead paint are disturbed, unless proper safety guidelines are followed: Therefore, Massachusetts law requires that: Any deleading work done on the premises must be done by a certified or licensed deleader. Any renovating or rehabilitation of premises containing dangerous levels of lead paint must be done in compliance with the procedures set forth in the Regulations issued by the Department of Labor and Industries (454 CMR 22.11), including sealing off the work area from the adjacent areas, and using a HEPA vacuum and TSP for final cleanup. Any deleading work done on the basis of this report will not qualify the owner or occupant for a state tax credit, nor will the cost of such deleading be reimbursable under any state loan or grant programs. In order to qualify for such programs, the premises must first be subject to a comprehensive lead paint inspection. oFElti Town of Barnstable Department of Health, Safety, and Environmental Services • BAMSfABU, MASMS. Public Health Division p'FDN10�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 23, 1998 Raymond Rogers 85 Lewis Road Hyannis, MA 02601 ORDER TO CORRECT VIOLATION The property owned by you located at 940 River Road, Marstons Mills was inspected for lead paint on November 20, 1998, by Donna Miorandi., Health Inspector for the Town of Barnstable, who has determined certain portions of the aforementioned residential property to be in violation of the State Sanitary Code Chapter II, "Minimum Standards of Fitness for Human Habitation," 105 CMR 410.750 (J). This violation also constitutes a violation of the Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, and Massachusetts General Laws, Chapter 111, section 197. Conditions exist in this residence which may endanger and/or materially impair the health of the occupants of these premises. DECLARATION OF EMERGENCY The Director of the Childhood Lead Poisoning Prevention Program and the Board of Health declare that the presence of the aforementioned violation presents an immediate danger of lead poisoning to one or more occupants of the premises and that this constitutes an emergency pursuant to Massachusetts General Laws (MGL), Chapter 1, Section 400.200(B). ABATEMENT OF LEAD VIOLATIONS M.G.L. Chapter 111, Sections 190-199A and the Department of Labor and Industries Deleading Regulations, 454 CMR 22.00, as well as the Regulations for Lead Poisoning Prevention and Control require that only licensed deleading contractors conduct residential lead abatement. This means that you cannot conduct lead abatement yourself or hire anyone other than a licensed deleading contractor. Violations of this requirement shall be punished by a fine of not less than five hundred nor more than 1500 dollars for each offense. I ORDER You are aereby ordered to remedy all violations of M.G.L. Chapter 111, Section 197 and 105 CMR 460.000 as identified by a licensed private lead inspector. You must contract in writing with a licensed deleader and a signed and dated copy of the contract must be received by this agency within 60 (sixty) days of your receipt of this Order. Said contract, must specify that all violations on the interior of the residential premises or dwellingunit and interior common areas will be abated within 90 nine days of receipt (ninety) Y P of this Order. In addition, the contract must specify that all violations on the exterior of the residential premises and exterior common areas will be abated within 120 (one hundred and twenty) days of receipt of this Order. If windows are to be replaced and you can demonstrate that an order had been placed for the windows within 60 (sixty) days of receipt of this Order, you will have 120 (one hundred and twenty) days from receipt of this Order to install the new windows. You must comply with all applicable sections of 105 CMR 460.000. Compliance will be determined by this agency's receipt of the appropriate documentation within the specified deadline, including: a copy of a signed and dated deleading contract within 60 days of receipt o this Order; a Letter of Lead Paint Reoccupancy Reinspection Certification issued by a licensed private lead inspector within 90 days of receipt of this Order; and a Letter of Lead Abatement Compliance issued by a licensed private lead inspector within 120 days of receipt of this Order. In addition, a copy of the deleading notification must be received by this agency at least five days prior to any commencement of deleading. PENALTIES Failure to, comply with this order will result in criminal prosecution. The law provides penalties :)f up to $500 for each day of non-compliance. In addition, you may become liable for civil punitive damages equal to three times any actual damages for failure to comply with this order of a child becomes poisoned. CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If the dangerous levels of lead are not abated within the time periods stipulated above, this agency may contract with a licensed deleader to correct the violation and bill the owner, or initiate court action to reimburse itself. Thomas A. McKean, Director of Public Health 7+rITN R F It j )VY / ' �• .. ,M THE COMMONWEALTH OF MASSACHUSETTS ` FORM 30 C&W Ho s WARREN CITY/Iq T D T •[ /! �/ ` I o fADDRESS TELEPHO 8b �2 e /E i Address / Occupan '. i Floor Apartment No No.of Occuoants o' No of Habitable Rooms No Sleeping Rooms ;o No dwelling ocroorr ing unit J,Vjo for I Name and address of own Remarks: Reg vio: } I' YARD Out Bld s.: Fences. �. "Garbs e and RabbisGn I ;C.ntainers: �. Drains e. 1nfestafion Rats:or other: STRUCTURE EXT. Ste s;Stairs, Porches: ` Dual1 ress:.and0 B ❑ F ❑ M Doors .Windows: Roof• Gutters, Drains: I N; Walls Fo6n dationIdChimne :.: „ i 'BASEMENT Gen.Sanitation I (Dampness: C9' ' Stairs Li htin ' STRUCTURE INT Hall Stairwa Obst n • o /1 Hall,Floor;WaII,Cellln tJ Hall Lighting Hall Windows HEATING Chimneys: Central: ❑Y : ON E ui . Re air 1 TYPE: Stack's Flues;'Vents:.._ PLUMBING: Supply Line sDIV le p MS`,. 0 ST . ❑ P :Waste Line: H:W.Tank s Safet :and.Vent s ELECTRICAL ) Panels Meters Cir •;0 110'" 0,220. Fusrn ,Grnd.. ai. AMP Gen Cond; Distrib; Box: i Gen:Basement DWELLING UNIT: Ventil:. L to .:'.Outlets: ;_Walls .Cells. Wind: Doors Floors. Locks i i Kitchen , Bathroom i Pantry Dena. f : Living'Room r • i Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Fad Sup.Ten.,Gas,Oil, Elect:: Stacks, Flues,Vents Safeties Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent„Plumb.,.Sanit n. Wash Basin;Shower iTub. Infestation Rats, Mice.;:Roaches r.Other -111 E grass; 17 D General . Building'136stiidta 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 I OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE . AUTHORIZED INSPECTOR.(See Over) `f "THIS ECTION REPO IS SIGNED' ND CERTIFIED U .DER T PAI S AND I PENA TI FPERJURY.' ' : C INSPECT TITLE DATE TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION �, .� `a>., .� �, S ,' ..� r J �� ��$ � ,� '��i'�'a;`a���� �, q'���� .�� ��,�� 4 i � 1"bti ? 3 J Health Complaints 15-Mar-01 Time: 11:25:00 AM Date: 3/15/2001 Complaint Number: 2739 Referred To: DONNA MIORANDI Taken By: L. Williams Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH _...._. . Article X Detail: j - Business Name: Number: 940 Street: River Rd. Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: The people who lived next door moved, but they left 3 or 4 bags of garbage outside. The complainant is afraid of rats entering the garbage. The landlord has not picked up the garbage. She tried calling the landlord, but the telephone number was not listed. The Landlords are Raymond & Irene Rogers, 85 Lewis Rd., Hyannis. Actions Taken/Results: Investigation Date: Investigation Time: C 1 I Lead paint abatement-painting-carpentry-vinyl windows&siding-aluminum trim-decks-roofs-additions-repairs MA Builder045448 STEVE BARNATT Deleading Contractor DC000616 P.O. BOX 1228 DENNISPORT, MA 02639 (508)394-5495 8 (508)394-2298tax RFCEIVE�1 December 17, 1998 =r DEC 211998 a Mr. Ray Rogers 85 Lewis Road 42 Hyannis, MA 02601 , k Re: Agreement, lead paint abatement at 940 River Road, Marstons Mills, MA. I hereby agree to provide the labor and materials necessary for the completion of deleading at 940 River Road to include: -Remove 14 pair of affected double hung window sash and replace with white vinyl insulated units. Replacement windows are manufactured by Atrium Door and Window Co. All units will be installed and perimeters insulated per manufacturer's specifications. All windows have 1/1 (no grid work) tilt-in insulated sash, double lacks, night/ventilation locks, and half screens. -Replace four cellar window sash with white vinyl insulated units with same specifications as noted above. -Scrape and finish sand two interior doors as required. -Remove and replace and cover (as is best determined by contractor) affected cellar stair case hand rails and support posts. -Replace front door unit entirely with metal insulated 2-lite door unit. Existing interior trim and lock set will be reused. -Replace rotten corner boards with new primed pine of same dimensions. -Replace rotten exterior window sills with 1 x 4 primed pine to match other previously repaired windows. Exterior window trim in extreme disrepair will be replaced with primed pine. -Scrape all exterior affected loose and flaking paint to a point where paint is intact. These areas will be primed with exterior primer. -Scrape exterior accessible/mouthable surfaces to bare wood as needed. -Perform required TSP wash and HEPA vacuuming. -Remove all generated debris from property. All work is guaranteed to pass a compliance inspection and lead dust wipe sampling as performed by lead inspector Fred Hemmila. All work is guaranteed to be completed in a timely and workmanlike manner in accordance with current industry standards for the sum of $6,800- with payments as follows: $2,600- deposit to order windows. $3,000- on day work begins. $1;800- upon completion: Work is scheduled to begin on Monday February 1, 1999 with completion on Friday February 5, 1999. Extreme weather conditions may alter completion date. The property may NOT be occupied at any time during these dates or until the lead paint inspector has granted reoccupancy. Reinspection and lead dust wipes are at owner's expense. It is tenants responsibility to move furniture away from windows and drapes and blinds. This includes cellar windows. All windows should be free and clear of tenant belongings. All areas of cellar stair way should be void of tenant belongings. All tenant belongings at exterior should be moved a minimum of 30 feet from foundation. Any wall hangings/decor should be taken down. The contractor will NOT be responsible for damages incurred to tenant belongings that must be moved by the contractor. It is the owner's responsibility to ensure that tenant's are NOT occupying the building during deleading and until the lead inspector grants reoccupancy. Please sign and return one copy of this agreement with deposit by December 23, 1998. Windows will be ordered upon receipt of deposit, Due to holiday manufacturing window schedules MUST e s US be ordered on Dec. 23, 1998 to ensure delivery date of Feb. 1, 1999. It is understood that time is of the essence. Every effort will be made to meet completion date and minimize tenant inconvenience. Please sign and return one copy of this agreement by Wednesday, December 23. Respectfully submitted, ie. Steve Barnatt Ray Rogers Deleading Contractor Owner Option: Add 6/6 or 6/1 grids to 14 pair of double hung windows at$26.25 per window ($367.50). f�-/W/�� ��vJJ� gal 6M I� RETAIN THIS PORTION FOR YOUR RECORDS SERVICE ADDRESS' ACCOUNT NO. PREVIOUS 96-0 -RIVER R RD BALANCE WATER BILLS UNPAID AFTER(30)DAYS FROM DATE OF ISSUE ARE SUBJECT PAYMENTS TO INTEREST CHARGES,AND TERMINATION OF SERVICE FOR ACCOUNTS &CREDITS PAST DUE (120) DAYS. ALL IN ACCORDANCE WITH CENTERVILLE- OSTERVILLE-MARSTONS MILLS WATER DEPM RULES AND REGULATIONS. INTEREST TELEPHONE:(508)428-6691. CHARGE PERIOD COVERED PREVIOUS METER CURRENT METER CONSUMPTION CURRENT FROM I TO READING READING 1000's OF GAL. CHARGES it S 2 9r-} 5 7.1 ar r THOUSAND, t EXCESS CHARGE RATES PER -T'(-I,.Ii.J•:;raP�D C�,�,�._I..iais._; $15.. 00 QUARTERLY MINIMUM PERIOD COVERED MINIMUM $2—. car; OVEF; Z?lo K TO (Ji1 lil. 99 1 CHARGE � :1.5.. 0l,' ry ?+: OVER 200 ! *****HAPPY NEW YEAR***** VISIT US AT 11lI,tT1.4„ C:('cPE OD.+ t•+1.ET/f:t.JP71'SWATEF'. DATE OF ISSUE TOTAL ANNUAL 4 RATE e� ,r• N-i r-. "Y i 1•it`C�`i._I?'lL INTEREST ftiA t E 1.4 n. �:'):i.:�.J fi•i: � AMOUNT DUE ,:,PS.. �: 0 BN i-051. t 4 5 /,-x 0 tru s .�.