HomeMy WebLinkAbout0390 ROUTE 149 - Health (2) -19®
Marstons Mills
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�, fCATION SEWAGE PERMIT NO.
LLAG. E
INSTA LLER'S NAME i ADDRESS
JOHN A. AALTO BACKHOE SERVICE
150 walnut Sree
Test Barnstable, Mass. 026.68
BUILDER OR OWNER
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DATE PERMIT ISSUED y� 23 - 71?
DATE COMPLIANCE ISSUED
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TOWN OF BARNSTABLE
BOARD OF HEALTH
r ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION
Date ® Time: In Out
lever J tv
Owner 10KI IID A oZ to✓ Tenant MDC40t
Address J� ��P 1�5 14`f Address -390 mA
Y+9R 05 , i-vs 01A MftsIons tVILLs , W
Compliance Remarks or
Regulation# Yes NO Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities d C- „0 S 6
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal
17.Temporary Housing NA i f" I)0 ( 0 f 1 O
18. Driveway Width
,17
19. Number of Tenants Observed ,
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Number of Bedrooms q Number of Vehicle d (max)
Number of Persons Allowed (max)
Person(s) Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
'
&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
FORM 30 C
BOARD OF HEALTH
CITY/TOWN
W N1FAL�M
DEPARTMENT
ADDRESS rsQ�
GSM 5 0yW
T EPHON
Address 01u �1 _ Occupant— AV— 0411l1`s U
Floor .,-' Apartment No. ' No. of Occupant
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units___No.Stories
Name and address of owner / ONG Lo gut-
3 3 ,�iA /� /Z U C L✓A r�, TG�t/S /(� G mark Reg. Vio.
YARD Out Bld s.: Fe s:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT- Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE I . Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central O ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
El MS ❑ ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 22 Fusing, Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1 . C�
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Te lect.:
Sta94 s, Flues,Vents,. a ies:
Kitchen Facilities Si k
St e
Bathing,Toilet Facil. Vent., Plum .,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted > ►�
Locks on Doors:
w 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 INSP TION REPORT-IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIE F PERJURY."
INSPECTOR TITLE "7
DATE C{� TIME �° P.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
is S rt wy. . .,. •-;!' ,�•.Me. Ate: :�#j+Y.. A'^�r <, :�"`•. . . R .� � 'Yi" .�t� '�?""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 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 Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable. ,
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
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Date
To Whom It May Concern:
voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit
located at in accordance
(House#, [Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code(Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on I hereby authorize and name
(Date of inspection)
to be my tenant representative for the
(Occupant representative)
purpose of this inspection. is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
}
(including bedrooms, bathrooms,closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
1
Occupants.Signature \ Date
r
Occupants Representative Signature 1 Date
Q:aenW Ordinance\inspection permission 2.doc
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TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
ADDRESS: / ( �o 7w 1 r !'. MAP NO. PARCEL NO.
2
OWNER NAME: .�9 � �f ��. ! E J\ VILLAGE: MA12S� VCifllLIZ
INSTALLATION DATE: BY:
ADDRESS:pjE ,, (f CERT. NO.
7 , 9 f - U f� TANK INFORMATION
(J
LOCATION OF TANK: 11s
%/
CAPACITY ` / TYPE , �'� P.!/ AGE P)UEL/CHEMICAL S--
{
TESTING CERTIFICATION CX�PASS C I FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C I YES C NO DATE TO BE REMOVEDrQ
FIRE DEPT. PERMIT ISSUED C ] YES C I NO DATE
CONSERVATION 43 CHECK IF N/A DATE_
BOARD OF HEALTH TAG NO. C ]C ]C ' ]C ] DATE . I �.
.PLEASE PROVIDE A_ SKETCH;.•SHOWING THE TANK ,LOCATION ON THE BACK OF THIS CARD
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A BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
BARNSTABLE, MASSACHUSETTS 09630
V PHONE:352.2511
u EXT.330
MA55 LAS 337
May 201 198 8 CLINIC 340
Dear Sir or. Madam,
writing as a follow up to earlier letters which informed med you
to
I am w 9 , which. is 9
of .our. departments assistance program
address the isen of underground fuel• ]gtorage as it relates to
agyifer protection.
• As you' • may be aware, a major part of the program has been
' ,. encouraging the, adoption d. ta ainoaof allauridergroundtifuel which
oil '
requires registration an 99 9
�.
tanks. . Oil . distributors are required to note'OU.on their invoices
the .number on tags fastened to the fill
pes Board ofgHealthdofanks any
and are also required to notify the
unregistered tanks which are filled.
This tagging requireinent been .in effect-in - the towns of Dennis,
Brewster Harwich and *orleans ther,efo.re, all residentia tan s
in t We" townns�ou�now avetags.
The regulation will. soon be going .into e.ffect ' several other
in,
towns; • I have listed the date by which the tanks are to ,be tagged
and registered with the local Board of Health:
Barnstable May 31, 198R
Chatham, Falmouth and Mashpee July. '1., 1988
• Augus:t •151 1988
_._. .
Bourne
All tanks serviced by any oil company must be _tagged. You the owner
are responsible for obtaining and afixing. -the tag to the •fill pipe.
Upon delivery the tag number will be recorded for company records .
Any tank not tagged will. be filled by this company once.
Sincerely
FOURNIER PETROLEUM
BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
SUPERIOR COURT HOUSE
�-, BARNSTABLE, MASSACHUSETTS 0.2630
V
PHONE:382.2611
0 o EXT.330
1►?A55 LAB 337
May 201 19 8 8 . CLINIC 340
Dear Sir or Madam,
r I am writing as a follow up to earlier letters which informed designed you
to
our de artmentIs' assistance program whic
of p.
address the isbue of underground fuel storage as it relates o.
ag4ifer protection.
As you' may be aware, a major part of the- !. program has been.
ich
i. engouraging the- adoption of a, model. ahealth. regulatlnd fuelwhOil
requires registration and tagg g
tanks. Oil distributors are required to note .on their invoices
the .number on tags fastened- to the fill pipes of registered tanks
and are also required to notify the local Board of Health of any
unregistered tanks which are filled.
This tagging requirement been .in effect. .in the towns of Dennis,
Brewster Harwich andOrleans - theref.ore, all residential tanks
n these towns sToull-now ave tags.
The regulation will soon be going ..into effect in. several other,
towns; ' I have listed the date by which the tanks are to ,be tagged
and registered with the local Board of Healthy
•Barnstable May 31, 1988
Chatham, Falmouth and Mashpee July ' l.,' '1988
August 15, 1988
Bourne ---..._. _..
All tanks serviced by any oil company must be _tagged. You the owner
are responsible for obtaining and afixing the tag to the fill pipe.
Upon delivery the tag number will be recorded for company records .
Any tank not tagged will be filled by this company once.
Sincerely
FOURNIER PETROLEUM
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