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HomeMy WebLinkAbout0170 SCHOOL STREET - Health 170 School Street Marstons Mills J A= 046— 003 — 004 y ti f TOWN OF BARNSTABLE Approved; BOARD OF HEALTH MAD.Cent — ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Z 1`'fib l Z-oo I Time: In /0 D 6 Out 10,"3o A, Owner i CAAA,1r t- l.LA 4,Er- sc,., ,�� Tenant M© N`c no MU t,L A L�j Address Z4 16oU 7-0. Address 1 -7® Sc, S T Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply --T10 61/nJ 5. Hot Water Facilities ✓ 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation AlD 9. Installation and Maintenance of Facilities yX o L7 10. Curtailment of Service (/ V J^v1-4-r jUtiS 11. Space and Use S 2 z43 12. Exits 2A,& 13. Installation and Maintenance of Structural Elements ✓ 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing AIA 18. Driveway Width 19. Number of Tenants Observed 2 PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition 0S rco iso _ Number of Bedrooms 3 g� Number of Vehicles Allowed (max) /ZS � Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here ' 'M THE COMMONWEALTH OF MASSACHUSETTS FORM 30 ��W HOBBS&WARREN BOARD OF HEALTH CITY/TOWN W �-1 EA L—f }'1 DEPARTMENT Zoo k j to Sk, �A A N iS MA ADDRESS / ` G z M 'Vey`0 l J TELEPHONE Address 0 SC VAooL S T. MA(LS2oNS M ILOccupant_ N t`'� Cie LSo w Floor -- Apartment No. — No.of Occupants 2 No.of Habitable Rooms No.Sleeping Rooms_ No.dwelling or rooming units_ No.StQries Name and address of owner " t .�t� 3 G � o V o T U I 1 A Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof ' / Gutters, Drains: V Walls: Foundation: Chimney: U BASEMENT Gen.Sanitation: J Dampness: Stairs: Li htin : 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 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 / Bedroom 2 / Iz Bedroom 3 / q Bedroom 4 Hot Water Facil. Oil, Elect.: Stacks, Flues, ,Safeties: Kitchen Facilitie Sink o Stove Bathing,Toilet V Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted b Sic O S1 E 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 REPOR I SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF ERJURY INSPECTOR TITLE / / �AL7y �'"S Q A.M. DATE — U 2-v O Gc TIME , /� A.M. THE NEXT SCHEDULED REINSPECTION �7 P.M. I r 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found Jo 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 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. Q '(1 y G�G $,�,�- � L' f � i FORM 30 C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD 9:M_A� � CITY/TOWN F a DEP MENT r °ty Sv 0 y`0W v`III l,/ LEPHONE Address — Occupant _ Floor Apartment N No. of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units N .Stori Name and address of owner 3 emar s Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish W VILI,I f V1 — ;, "q 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: Chimne : BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : e STRUCTURE INT. Hall,Stairway: Obst'n.: V ` Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . 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 Bedroom 2 6tJ Bedroom 3 C/ Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: c , Flu ,V ties: Kitchen Facilities AinV Move 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 REPOR SIGNED AND CERTIFIED UNDER T E PAINS AN PENALTIESs1F.EERJURY." INSPECTOR TITLE AM). DA TIME •M A.M. THE NEXT SCHEDULED REINSPECTION P.M. _ -CA 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 and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. r �___ - _ _ _ -- _, __ ��� '- y� � �� o s���1 �-�. w���-�i e��, � j TOWN OF BARNSTABLE LOCATION/"70 L SEWAGE # VILLAGE AI418V&S ASSESSOR'S MAP & LOTOWo-603-w'/ INSTALLER'S NAME & PHONE NOa,4610 ' (pQnS'1�C SEPTIC TANK CAPACITY LEACHING FACILITY:(typell;. �-Z&D�/'S (size) NO. OF BEDROOMS PRIVATE WELL <P:UB�LIC WAT BUILDER di OWNER S60ee- 7&L,,e 913 DATE PERMIT ISSUED: //z4z TT DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,� J-7b S c4k!50--- t>-rF? . 71 ..&IO Fas.././ APPROVED THE COMMONWEALTH OF MASSACHUSETTS � Barnstable Conservation Dopa+rt MS O A R D OF HEALTH �-- - 1ZNkY9 TOWN OF BARNSTABLE Sig pplira#ionorour Ui►ipwial Workii Tomitrurtitun Permit Application is hereby made for a Permit to Construct ( ) or Repair P4-) an Individual Sewage Disposal System at: ------------------------------------•---••---.._..- .......................................................... Lortti \ddress or Lot No. ........................................................................ ............................................... ...... Owner ess a wee>�.......... :v cSJ t1c....7v.6 '7G�(�✓ � 1 � �1.1.1 ....... Ltstalter Addre f Type of Building �„� Size Lot............................S q. feet U ,., Dwelling—No. of Bedrooms_______________________________-------------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures . ._-__-_- W Design Flow................ -.-.--.---_gallons per person per day. Total daily flow_.._._._.._._._. ®..............gallons. WSeptic Tank—Liquid capacity/__.gallons Length________________ Width................ Diameter---............. Depth................ x Disposal Trench--No. ........f. ....... Width-----7.'....... Total Length__��!Z5S" otal leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R. ............................ ............ ODescription of Soil........................................................................................................................................................................ x U .......-....................................................................-••......................................................................................................................... W •--•-----•-•----------------••-------•----------•---._...•------------........-..-•-•-------------------------•---------....._..--------------------•-•------ --------- U Nature of Repairs or Alterations—Answer when applicable.____.__!. ` ' --_-- -__ �G�® .......... ...............-S --------------- Agreement-- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant aeenssue by board of health. ..... /.Dace Signed ...... .'..... .. . .....-............:.........--- -......... DateApplication Approved By ................ - .................. j.E..-Date Application Disapproved for the following reasons: .............. . . ....................... .......-.................-..................................-................. ....... ............. .............................................--- .-............................................... ............................- ...........................-........- ........................................ Date Permit No: ... :J. ��- ------------ ------------- Issued Date c� - Q a - Ua THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 ., T F lN� 93WN O O BARNSTABLE Appliratiittt for Ubjpw ul World Tomitrur#ion ramif Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: /�c5 .SG�..o L .�_ 7 -L:C , ............................................... //1/1/ eel on Locati -Address or Lot No_ J'A w F± =` ..._ r� �d,�� : .............................................••• •......----••-----•• •--•-••-- --•--•--••--•-•-•--•--•--•--•..._.._.. • Owner � ss W YL%6l()T J C�i�V�SirJrG��1 76� G.✓�J1 .�`� ...--••............ Installer - �//Z •-===�....��.��•.•_..__. Address UType of Building Size Lot............................Sq. feet �-. Dwelling—No. of Bedrooms................................._-----------Expansion Attic ( ) Garbage Grinder ( ) �`4 Other—Type T e of Building . ..... No. of persons............................ Showers YP g --------------------• P ( ) — Cafeteria ( ) dOther fixtures ....----•---•-• -------------•--------------•---•---.---------•----------------------- ----------•--••--•.........-•-.....----•--•--•-.....--_--•... W Design Flow..................i? i .............gallons per person per day. Total daily flow................3_;�P.__...........gallons. WSeptic Tank—Liquid capacityA .-gallons Length________________ Width---------------- Diameter................ Depth................ x Disposal Trench—No. ........./_....... Width....... ..!....... Total Length..�:.7T'Total leaching area....................sq. ft. Seepage Pit No--------.--_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ....••--•.................................•-•-•-•••-•--•---•--••---••-•.._..........---••-•--•-•-•••......................................................... 0 Description of Soil........................................................................................................................................................................ x U ........•-•-•-•.................••......-••--••••-•.....•--••---•-••-•••--•••••••--•----•._...----•-••••-••••-----•••-.......--•••--------••------•••---••-•••-••--•----•-••-•••--•--••------•--•-_..... w .--••-•--------------------•-----------------•-------••---•---•-•--•-------------. -•...---••--•-------•------------.........-------•-------•-•---•••••--••----•••••••-•...........----•----•------•--• U _ _ Nature of Repairs or Alterations—Answer when applicable_...... ^�sT ._..__�_.__._.�6VIP ('� .SCf�r7 c:. i/1.�!I- -•�-._.. .�5� .:..�� ............7....1_^!ri L_Ti' - 1� ........l v�c�t f�-i-`75?tnrf..._... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance, as been Issued by the-board of health. Signed ......:%�.......... ... i/,21,s2. ....... Date Application Approved By ...................�-c .... ...� - ...-E -....-..... </ Date Application Disapproved for the following reasons: . ..................................................................... .................................................... . .......... ....... ... . ................................ --- . ........ ........................... . ................................ .................. ... .................................. Date Permit No. z.) Z./ Issued --............ .....................:............... ...... . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fCrtIftratr of V-omplianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( +G_) by ....._... - - ........_.. �'`�%l Lli r'7.............6'-'w.S /LUc /a-ti1..........-----..................- Ina:J�et at ............... �. ............. ...l�T v - - 2. .7Y........ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .........ram ..-��.. ._----- dated ........................_.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... -- .....'- ........ Inspector -------------- ;;1- ............................................................... ----__.----- ----------- _--,__--_-------------- -- .-------- - _- -- ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Gyp' ODD Omy - TOWN OF BARNSTABLE No..... ,...V;.----•--•--•- FEE.�6._U............ �i��,a�ttl .�rla� �utt�tr�r#i�n ��ermi� Permission is hereby granted............:�..�!._.._.l-�. .............._.._................-.............................................................. G� to Construct ( ) or Repair (_) an Individual Sewage Disposal System at No.... -/2/), - _,5 r1-rZA' T/J<< r =11N--!✓1/1/_ ........................... Street / as shown on the application for Disposal Works Construction Permit No._.,;_--+...,.___ Dated............................... ........... ••-•---•---•-•----•-------•-- ------------------••----•••--•••••--.........._--.--••- '�� Board of Health DATE...................;� =.�1 .............................. FORM 36508 H088S a}WARREN,INC..PUBLISHERS