HomeMy WebLinkAbout0008 SANDY VALLEY ROAD - Health 8 Sandy Valley Road
Marstons Mills
A= 101 — 059—002
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Certified Mail#7006 0810 0000 3524 8059
,�jrowti Town of Barnstable
Regulatory Services
% M
BARNWAULE,
9 MASS. Thomas F. Geiler, Director
�p 039. �0
pr£°""A�a' Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January 23, 2007
John Leggiero
10 Dory Circle
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II— MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 8 Sandy Valley Road, Marstons Mills was
on inspected January 11, 2007 by Timothy O'Connell, Health Inspector for the Town
p rY
of Barnstable. This inspection was conducted on the basis of the rental registration in
accordance with Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.503 - Protective Railings and Walls (C)+(D) —Observed deck more
than 30" above grade without balusters.
You are directed to correct the violations listed above within thirty (30) days
of your receipt of this notice by pulling any building permits (if necessary) by
installing balusters around deck that are not more then 4 Y2" apart.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
QAOrder letters\Housing violations\Rental ordinance\8 Sandy Valley.doc
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF E BOARD OF HEALTH
T omas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Philip & Mary,Derrick, Tenants
Cc: Timothy O'Connell, Health Inspector
Q:\Order letters\Housing viclations\Rental ordinance\8 Sandy Valley.doc
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Sign r
item 4 if Restricted Delivery is desired. X ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by Vild Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
N 1. Article Addressed to: If YES,enter delivery address below: ❑No
p CS�Cp CAS ��lS I *i 3. Service Type
� ®Certified Mail O Express Mail
0-Registered ®Return Receipt for Merchandise
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4. Restricted Delivery?(Extra Fee) ❑Yes
2.,Article Number i�'- i ;, : :: — ` —-- - t
(a1�hmsendbe1 ' ' ' 7006 081;0 0000 3524 8059 I
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES I
B3AY RSFL
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• Sender: Please print yourname, address,and'ZIP+4.in this box �
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FOR DATE TIME P.M.
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P.MtINEO
OF
RETURNED
PHONE
YOUR CALF.`
AREA COPE NUMBER EXTENSION
RIEASE CALL
..... ...................... ... ..... ................ ... ..
...... .. ...... .. ... ..
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MESSAGE
Q WILL CALL
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SIGNED 8003�1V@�SaI'4Y
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FORM30 �LLl HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF E LTH
CITY/TOWN Ir" v
W l(
DEPARTMENT
G — -- jDnR�ESS C 504 9 pq
TELEPHONE
L
Address _. Occupant,4 r
Floor INIIt Apar ent No._ ___ No. of Occupants � A
No. of Habitable Rooms 5 No.Sleeping Rooms —3 ______
No.dwelling or rooming units_{_✓�p No.Stories _
Name and a dress of owner�yh {-- t
TO Remarks Reg. Vio.
YARD v i1but Bld s.: Fences:
Garbage and Rubbish
Containers.-
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: ( _�j0 C
Dual Egress:and Obst'n.: 3 0
❑ B ❑ F ❑ M Doors,Windows:
Roof Ll
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
0bst'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
—Living Room
Bedroom 1 3 l S
Bedroom 2 '5 11
Bedroom 3 Sf- 3 x
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: 1116
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
���' s
INSPECTOR TITLE
A.M.
DATE ` Q TIME e
A.M.
THE NEXT SCHEDULED REINSPECTION �J to 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 heaith, or safety and well-being of a person or perscns 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 aq 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.
—
FORM30 C&W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
l�Aft►.��'[AP�c.E
CITY/TOWN
= W 141EAc-1 N
_ a
DEPARTMENT
ADDR S
�,M ,e'• soE - 5f`yy
TELEPHONE
MktSto,v$ V.4 I f-L S
Address 6 54*4", V4"CyR.Q _ Occupant�ogp "2eA,!!r 69&C !L ?o T!
Floor ' Apartmen No. No.of Occupants ,s
No.of Habitable Rooms_,S No.Sleeping Rooms-3
No.dwelling or rooming units No.Stories --
Name and address of owner 77T'r2 u t.j_L..r_4C 1 t go
Vj O e+19 CA- MA Z5.10 n, "I "A O Z y Remarks Reg. Vio.
YARD but Bld s.: Fe ces:
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 INT. Hall,Stairway:
Obst'n.:
V/ Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Su ply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusin ,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 , i'IU
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas LI Elect.:
Stacks, F s,Vents,Safe s:
Kitchen Facilities Sink D
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 --L O 6 G G SZ Ir'O
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 PERJURY."
INSPECTOR TITLE A11,4 L 7!7
DATE 7 17, TIME 10 'w6 G
��11
A.M.
THE NEXT SCHEDULED REINSPECTION A P.M.
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 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_his 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, 41-0.451 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 coverirg 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 fo-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 kitcben 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 416.150(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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FORM30 H&W HOBBSBWARRENrM THE COMMONWEALTH OF MASSACHUSETTS
�
" BOARD OF HEALTH
CITY/TOWN
W 1A E u_ I�
a DEPARTMENT
ADDRESS
GSM s°y`0 S05 `
TELEPHONE
Address ti Occupant 4 a 5 t o*-j:7 f D1 2 re K TO T t
Floor Apartment No. No. of Occupants .57
No. of Habitable Rooms ,5 No.Sleeping Rooms_,2_
No.dwelling or rooming units= No.Stories -- --
Name and address of owner S r_2 lu L.� G/ 90
(G Do 4-1 C- A c,4C It+t/J�s 7v KA I L &^A 0 Z 4Q 6 Remarks Reg. Vio.
YARD ut Bld s.: Fences: '
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: "
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M , Doors,Windows:
Roof h
Gutters, Drains:
Walls:
Foundation:
Chimney: i.
BASEMENT Gen.Sanitation: �yY1
Dam ness:,-, —t _
Stairs: '\
J Li htin • " \
STRUCTURE INT. Hall,Stairwa :
Obst'n.
Hall, Floor,Wall,Ceiling:
w
Hall Lighting:
Hall Windows: n
HEATING Chimneys:
Central ❑ Y N Equip. Repair IsI
TYPE: Stacks, Flues,Vents:
PLUMBING: Su ply Line:
❑ MS ❑ ST/El P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusin ,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 t-70
Bedroom 2 n Q '
Bedroom 3 4{
Bedroom 4 ;
Hot Water Facil. Sup.Ten.,Gas,-Oil Elect.:
Stacks, Flues,Vents,Safet Qs:
Kitchen Facilities. Sink / C "'
Stove `
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
- - - Wash Basin;Shower or Tub:
Infestation Rats, Mice, Roaches or Other: ti
Egress Dual and Obst'n:
General Building Posted —T O 13 Ir ° ICU S7 I£
Locks on Doors:
7
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
INSPECTOR�4TITLE A10,4 1- -Tly
A.M:.
DATE 7 /21 0 TIME v G P.M.
A.M. s;
THE NEXT SCHEDULED REINSPECTION P.M.
--
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within tnis 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.
ASSESSQW S MAP N0. PARCEL
I'I L 0 C A LI0N S ED :A G E PEE`RMaT N0
0-ICE
V11LAGE -
/�I�l� —rotYS
I N S T A LLER'S NAME A ADDRESS
i� UwyteS
57Fs J V r S i "v
B U I L D E R OR OWNER
G///,?gees
DATE PERMIT IS.'SUED
DAT E C0MPLIANC.T . ISSUED
�'�� a � �`
`� �� �.
l�v r�s�'
� ��
\ '� �
. �h 3 �
�-
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� � �
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c
r .
. .
ASSESSOR'S MAP N0. PARCEL _ 331
LO CAT ION ##' SEWAGE PERMIT N0.
_LD t 3o coi-tF_R SANo y' yweZe75?L 4 FLIn7 VILLAGE
NtAf,SioN M1US
M A
I N S T A LLER'S NAME A ADDRESS
►�- 7-r.0 r.,eS
SF� �ad,- 5 &Olyr: WF f,r �40Mo L,#V AJ O 02173
B U I L D E R OR OWNER
DATE PERMIT ISSUED
y 17-fib
DATE COMPLIANCE ISSUED
q
.C�
No.........��� '... S��` F $............._............._
g}�`�•• THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD . /F�, yHHEAL�T�H
...............IQuon.......0F......... . �?..i.n,Jalb\X .............................
Appliratiun for Bispusal Works Tonstrnrtiun Frrutit
Application is hereby made for a Permit to Construct ('�) or Repair ( ) an Individual Sewage Disposal
Sys .t_.....# 1�.. ...............•-----_--...lit� --•-.-----............_------•---------...
- Loca io -Adz s or Lot No.
.......`�a�...l. ....................................... .........•-----•---•-•---•-••••--•-........_.•--.......
Over Address
...................... r. ..---- •--•• •--.......--•---.........
..
Installer Address
Type of Building Size Lot..Q ).029--Sq. feet
U Dwelling—No. of Bedrooms........... Expansion Attic ( ) Garbage Grinder ( )
------...--------------•••-
`k Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ------•-----•---•.....................•----...............---•----......--••-----------..•-•--..._..........
W Design Flow-------------E.5.....................gallons per person e; day. Total daily flow.............`- y��_......_....._._ Ions.
WSeptic Tank—Liquid capacity_ gallons Length_...-_..... Width..... ........ Diameter__._--------- Depth... .......
x Disposal Trench—. o. .................... Width^^................... Total Length.............`...._ Total leaching area .._..... ....sq. ft.
Seepage Pit No...... :........... Diameter.....-t�-�_.__..... Depth below inlet......_...._._. Total leaching area.�ya�-sE1--€tom
Z Other Distribution box Dosin ank ( )
'-' n�Percolation Test Results Performed - ............. Date...1V-_�.5�_ ...............
Test Pit No. 1...._____.a..minutes per inch Depth of Test Pit................... Depth to ground water._ . - -.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ------•-••-•----•---••••••-•-••---------------------•----...---.....-------•--...._.._....--•-------........................................................
0 Description of Soil.......... ................
U .........................•-----........ �.:__ � -........ .._.......... - - - - - _...-
w ...-•--------••••------------••-----••-•-----••-----•--•--••••--••-•----• --••--•-•-••--•••.........---•-•-----•----••......-•••---••-•----••..........................................................
VNature of Repairs or Alterations—Answer when applicable................................................................................................
---•--....-•-----------------------------•-•----------...._••------•----•--•-------•.....•--....-•----•---------••••-•-----••---•--•-•-•--•--•--•••-•••-•-•--••-•-----.......•--•-•--•--••--•-••••.-----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'J ITI1: 5 of the State Sanitary Co e The undersigned furtl: agr es not to place the system in
operation until a Certificate of Co pliance has b is b • of i+ealt .
Signed .. ! ... ,_.�
pplication Approved By......................................................... 5 .... ... a
Date
Application Disapproved for the following reasons:............•.-•--------....••---•---•-••----••-••••--•••----•----•-•-....---•.........................•--•••.
.......---•---•.......................•----••--------•-••---•-...-••--•---•----•-•---..........._..........----•-•.....•--••-•-----•--•-•-•--•---•-•-•-•-------••--•--.....__...._..--
Date
Permit-No......................................................... Issued.......................................................
Date
O
No.- -•-�'5... ?_. >�� _ Fim...........................
y THE COMMONWEALTH OF MASSACHUSETTS "f
BOARD OF HEALTH
............ .......OF.......
...e j' I,l U_✓\ :_........
Appliration for Disposal Works Tonstrurtion rrrntit
Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal
System at:
0.. ........................... ..........
Location-Address ) J or Lot No.
........:� 1 �...�.C'2!.'(_I C'.�.. ...----........... ...............................................
OHcngr ��r Address
aIc. h Armor--'�'SE777Z 1\ 11 i S 1
Installer Address ____^ ��G�
Type of Building Size Lot___ _____________ ______Sq. feet
Dwelling—No. of Bedrooms...•.......3...........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ----- --- --- --• ---
d --------------•-•---•---•-_..
W Design Flow..............�-�_......._...._..••..gallons per person per day. Total daily flow___.._._..._.......:J . .......•.......gallons.
1:4 Septic Tank ' ength----�'�-_....... Width._...--...._ Diameter.---_ ........ Depth..... i.-......
W
Disposal Trench
capa......�Width
L Total Length..............c_.._. Total.leaching area _...____...sq. ft.
x ,
Seepage Pit No........ ........... Diameter......w_._..... Depth below inlet......t_.f.......... Total leaching area.��_ q-ft:&
Z Other Distribution box ('-), Dosing,-tank ( ) ` C�
aPercolation Test Results Performed by.._t'SClxter. ..1 4� .._.:. .+til ............. Date...y �_.,_ •_�%�...._...
a Test Pit No. I.....----. .minutes per inch Depth of Test Pit)... Depth to ground water._'AW��.
Is. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth ground water........................
a = ------------------------------------•------••-------------------•------.............••••-••-•-•••----......................----•-....................•.-•----
Descriptionof Soil....... , = •-------•-•....................................................................................•----------•----.......------......-------------------".........--•-----------------------...-•-------••-•----------•----- �t
x --------------------- -------------- --- --------------
'�lc '1-------------------------------...... ------ --------------------------------........---------------------
w
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
._....,..�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLi 5 of the State Sanitary Code—,The undersigned further ga rees not to place the system in
operation until a Certificate of Co h ce has been iss-ued by-1he,board of-health
i v ,�f"- f �n
Signed e. -----••---•------------- ---- ate
ApplicationApproved-By......................................................... •-6- -------_------ --_---------�
Date
Application Disapproved for the following reasons-------------• .........._......................................................................................
••••.............••-......••••-•--•--..............•------•--•-•--••------------•---•••......-••-•---- •--•---•••-••-•--•-----•-•------
Date
PermitNo......................................................... Issued------................................................
r Date
THE COMMONWEALTH OF MASSACHUSETTS ,
BOARD 4�*]
OF HEALTH
/;
,.............................OF...... .....I...............: :.........................
Trrtifiratr of Tomplinnrr
THIS IS TO CF TIFY-, That the I 'ividual Sewager{ ispora/S-scm cpnstructed ( or Repaired ( )
by �L..P...!f. CG...•: 1 I y- .. s� ..
` _)T
' 'Ins alle`r V 1�Gi "'} L f" !..... �S'Tr:
...
has been installed in accordance with the provisions-of TI L 5 of The State,Sanitary Codes �lesc i�}} in 'the
application for Disposal Works Construction Permit No._......._.-4-6-• •�37 'dated.............. 7 .6.�.............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. 1 .A
• DATE............................... . Inspector--------� ..............................
-------------------------
THE COMMONWEALTH OF MASSACHUSETTS
-------BOARD OF HEALTH
...: ....._.....y OF --�'..'..' :.N—<_..........................................
No...... .�3�? FEE..
Disposal Marks Tonstnution gryntit
Permission is hereby granted ..`.........................................
to Construct ( or Repair ( ) an Individual Sewage Disposal Syst ` l .+� c ,
at No......................--•-----46�_..:3.0.......-•-CN Q----.... 1 :1 .. ----... .------- •J w
street
as shown ongtheplica ion for Disposal Works Construction Permit No...�6_:�7 Dated_.____:_. ._!- _��_ 1 .....
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