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HomeMy WebLinkAbout0012 WILLIMANTIC DRIVE - Health 12_WILLAMANTIC '�{iVZ MARSTON MILLS A = 103051 j" w HOBBS&WARRENrn THE COMMONWEALTH OF MASSACHUSETTS FaRM30 �I BOARD OF HEALTH CITY/TOWN DEPARTMENT ADDRE Q� V L.t� 1 M&y'T\C- OIL- TELEPHONE Address�`�A�•S�yNS }�l1 LL S Occupant_ A A— - P. 1 Floor Apartment No. No. of Occupants a -7 ) q S7 "• 2 Z' 7 No of Habitable Rooms S NoSleeping Rooms 3 S e# f o- � N No. dwelling or rooming units_ No.Stories �+ 4t4o Sca cc.4 C4.�-v uu Name and address of owner_-Ma S i,jp_N E r���(s N L�N "Z�• A �'��'(1-� (,.f6aj"¢_ $QkIrk FL 124S I Remarks Reg. Vio. !� ARD Out Bld s.: Fences: fn Garbage and Rubbish Containers: Drainage Infestation Rats or other: x 4f(0 MSTRUCTURE EXT. Steps,Stairs, Porches: L l 9`5. to 4 M Dual Egress:and Obst'nL Qu't LeIS44 AV-6- 3rl ❑ B ❑ F ❑ M Doors,Windows: Pj0 cy w sc-C"N ¢o tm /0 0 Roof S't69, �S S 904Attj 4 b SSZ� Gutters, Drains: 1 S S: ,3 U%0 %4- ar.JLL..• Walls: Cam" S Foundation: AAA. (d Mo Chimney: X J!e vKJL BASEMENT Gen.Sanitation: QAr 4" 0 PROS Dampness: i,, IA p %k"4 S i o L 6jr- S1airs: T 4, wwux 04'Llt.c-u Lighting: Ivv'L `ti-o-e�C STRUCTURE INT. Hall,Stairway: C3 Obst'n.: a Hall, Floor,Wall,Ceilin ZQ F> F-M Hall Lighting: "S A h�C..6� -. Hall Windows: ti -}- V i tiz. HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair fu 4-dG &S fJ t "L-.+ �Ct7 TYPE: Stacks, Flues,Vents: Isevh CA,_ #.ya-t %AA%J-L PLUMBING: Supply Line: cL A A gob i^ s ❑MS ❑ ST ❑ P Waste Line: is Gv y c4pw I-•• 10 ( H.W.Tanks Safety and Vents vto w'I ELECTRICAL Panels, Meters,Cir.: F¢ lb P6 M Q°s'f i`C- 0110 ❑ 220 Fusing,Grnd.: L.►A-.11.4- d4yMKC9 AMP: Gen.Cond. Distrib. Box: �- Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors I FloorstLocksKitchen N Bathroom o,1 o .Pant ,r.1 /ODen C.'Ct iZ '� / 0 Living Room C, 'O rshta f£ Bedroom 1 2 Bedroom 2 1 Bedroom 3 2 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: 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 v CE41 Gs 'C IL 04 Locks on Doors: 9fl. 7A�. " •Sl( "1'0--1 1"10 Q 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 INSPEC ION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PERJU A ` INSPECTOR �`• S • TITLE A¢n►LZK DATE A A-0-0 TIME •• _Z S -�1< A.M. THE NEXT SCHEDULED REINSPECTION P.M. i 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) 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. TOWIy OF BARNSTABLE LOCATION / /VZ �L SEWAGE# Z ':VILLAGE ASSESSOR'S MAP&PARC�L d rj INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY {,t-)C�j LEACHING FACILITY: (type) �, D S (size) NO. OF BEDROOMS OWNER Ai i PERMIT DATE: TJ/ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 6r l� 3 SENDER: SECTION . DELIVERY ■ Complete items 1,2,and 3.AlsdcomplWt A. Signature Item 4 if Restricted Delivery Is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. g, R,41vetl by(Printed Nam C, ate o elivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is del rsssdifferent6ornftenii1 13Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No �c,SCP R � C Li Te- o� -Tc K►R-D ML pvp—j4C %I-l%cl �L , 3. Service Type - 0.Certified Mail ❑Express Mail 13 Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArticleNu..mber( ; 07118�I t 7�0� 081110�'0] t34!29 8172! (Transfer from service labeW -_ —. EPS Form 3811,February 2004 Domestic Return Receipt 102e95-02- -tsao UNITED STATES POSTAL SERVICE FF,-Yiir�rv,s�aytt- it f :sOW1:IwY:W�•,yry�k�r,." o,�� y.alxGl'.!�.y. •1M.a�baw', I •�,4�.w11\�j�� "MYZO ':G�T'�l il� iiyA4h`%. �•� SO I • Sender: Please print your name, address, d►id ZIP 4« AN ox' I I I ra s Town of Barnstable Health Division I 200 Main Street I I ' I Hyannis,MA 02601 j JG /Z ►ia mlistar►,„��,�,��,�,1 � �. j ru commao COBBS= . . f� c tr OFFICIAL __ nj ` Postage $ Certified Fee a 2 � eggtmark (n p Retum Receipt Fee ere p (Endorsement Required) p Restricted Delivery Fee p (Endorsement Required) ru pr3 Total Postage&Fees m v Sent To f p �freet,Apt.No.j r. or PO Box No. � City,State,ZI12+4 Certified Mail Provifts: . , e A mailing receipt + o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. n Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. n For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailplece with the endorsement"Restricted Delivery". e If a.postmark on the Certified Mail receipt Is desired,please present the arti- cle at the post office for postmarking. if a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-8047 Barnstable Town of Barnstable Regulatory Services Departmenti151 I3ARNSTAE34E, + ff r-1 h1ASS. too x� q �� Public. Health Division a `� 200 Main Street, Hyannis MA,02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7007 3020 0001 3429 8172 May 27, 2009 Joseph F. Coughlin, Trustees 404 Third Ave. Melbourne Beach Fl 32951 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 12 Willimantic Dr., Marstons Mills was inspected on May 7, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable,because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500-Owner's Responsibility to Maintain Structural Elements: Roofing shingles are damaged; siding is damaged (birds nesting in exterior wall of house), and chronic Dampness (dark stains on bathroom walls). Many holes observed in interior walls; door to bedroom has a damaged frame, and door knob and lock are damaged. 105 CMR 410.551-Screens for Windows: Window screens are damaged. 105CMR 410.552- Screens for Doors: Storm door is broken and missing lower panel and automatic closer. 105 CMR 410.351- Owner's installation and Maintenance responsibilities. Light over exterior doorway is broken; electrical outlets in bedrooms are damaged; kitchens sink leaks; water supply valve for clothes washer is damaged, and bathroom sink is discolored and unsanitary. 105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms Smoke detector in basement not working. The following violations of the Town of Barnstable Code were observed: 170-4—Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. You are directed to correct the violations listed above within twenty-four (24) hours r of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes and by making a good faith effort to correct all other violations within thirty (30) days of your receipt of this notice. 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. 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. 1=0ERIF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable P cc: Tennant f►��Gam? ru o co FICIAL USE ru _• Postage $ m SciP Certified Fee r'R � <�tmark O Return Receipt FeeCD Hlr*e t p (Endorsement Required) N 13 Restricted Delivery Fee 1' O (Endorsement Required) L v46' RJ a O Total Postage&Fees s S�IVNV m Sent To .Jo S. r-. C oc.4 NG-a 7 aLs-rcc a - - Ap-tW...-•--•....---•------- O orPOBoxNo. �OY VfIAV4 •-..� ;- f. ,P+4 f+. 3 Z qS- :14 8 . Certifiet Mail Provides: o A mailing receipt .1 e o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years ° d "- Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Phority Mail®. o Certified Mail is not available for any class of international mall. "L e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. m For an additional fee,a Return Receipt may be requested to provide proof of; delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for- a duplicate return receipt,.a USPSe postmark on your Certified Mail receipt is required. Ll m For an additional fee, delivery may be restricted to the addressee'or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restr/ctedellvery". ' o If a postmark on the Certified Mail receipt is desired,•pplease present the arti- cle at the post office,-for postmarking.Af a postmark on-the Certified Mail receipt is not needed,detach and affix label with postage and mail. ; IMPORTANT:Save this'recleipt and pr®sent it when making an Inquiry:" PS Form 3860,August 2006(Reverse)PSN 7530.02-000.9047. rind ficn l',IC SENMER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complike items 1,2,and 3.Also complete A. Si ature�� Item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B.hReceive _ rinted Name) C,Date of De rry ■ Attach this card to the back of the mailpiece, i or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No � Ja S epg ve, 3. Service Type 295•� $--.erti ied Mail ❑Express Mail 3 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail O,C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7007 3020 0001 3429 8042 (rrdnsfer from service,labeQ �_ PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1e40 UNITED STATES POSTAL SERVICE '°°° %�, FIJt _ �85�1 it 9. � : EPOS"F 'd Al- ° Sender: Please print your name, address, and ZIF5+4 i this box I I ,.° Town of Barnstable Health Division ! 200 Main Street i Hyannis,MA 02601 s Il11 It)11111 Ili 1 III 11114111111111 fit off 1$111JI,JJ JJ! .rw Town of Barnstable of. T ZHE Regulatory Services Barnstable P ti� s� City Thomas F. Geiler, Director ;�kmencacity ` BARNSY'ABLE, _ Public Health Division Iqq �o MASS. �g Thomas McKean,Director MAY a` 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 CERTIFIED MAIL 7007 3020 0001 3429 April 7, 2009 `rU `r—. ..Joseph f. Coughlin, Trustees 404 Third Ave. - ;:Melbourne Beach Fl 32951 As of October 1, 2006 a new rental registration ordinance was put into affect requiring ~ all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 12 Willimantic Drive, Marstons Mills. Enclosed is an application. Please use a separate application for each rental unit you Citizen Web Request Page 1 of 2 S i 6.17.E\37A513"„'11 .. .��' Citizen Request Management =-�= ur Request ID: 25013 Created: 3/23/2009 1:00:51 PM Status: Assigned To Staff Assigned To: Cabot, Jaime Health Office Anonymous: No Category: Title 5 : Section 353-7 Sewage E.C. Date: 4/6/2009 I Created By: Parvin, Lindsay Citations: Health Office Time Worked: 3.50 Response Time: 12.00 Request Location: 12 WILLIMANTIC DRIVE Marstons Mills, Ma 02648 Parcel Number: Map: 103 Block: 051 Lot: 000 -. . Request: Tenant reports a sewage-type smell throughout the property. This is an unregistered rental. Requestor reports that the owner had the leaching field repaired in 2007 and suspects it was done improperly. °�- - Request Work History: .. ' Entered on 3/26/2009 3:27:51 PM JAC inspected exterior of property and left a card to call the Health Department regarding a complaint. Trash bags were observed on the deck, no odors were noticed in the area of the Soil :; - Absorption system. Entered on 4/7/2009 8:44:12 AM No reply from card left at house. As no noticeable odors were observed at the dwelling on the site visit no additional investigation is indicated. Entered on 4/7/2009 8:46:42 AM Wrong number was given in the complaint. Will send letter to register property may be in w �.- foreclosure. Entered on 4/8/2009 1:21:08 PM - , JACreceived phone call from tenant Mary O'Brien Cell (774) 487-2287 she says that she was http://issgl2/IntemalWRS/WRequestPrintPub.aspx?ID=25013 5/8/2009 Citizen Web Request Page 2 of 2 r concerned about the Soil that back filled over the leaching area of the Septic System. JAC was tol that the property owner has passed away and that his daughter Alice Greer (508 776-4711 is nov in charge of the property . JAC spoke To Alice Greer and explained the situation if the property is not put on the market she will register as a rental. Entered on 4/28/2009 11:29:05 AM JAC received a phone call from Mary 0' Brien regarding a letter to vacate the property in thirt days. She asked if this was in retaliation for her contacting the Board of health. JAC stated that h had sent a letter to register rental property to the owner of record, and that it had been signed fc by Alice Greer. JAC requested that a housing inspection be done to document conditions at the property. Ms. O'Brien stated that she would call on 2/29/09 to schedule an appointment. http://issgl2/IntemalWRS/WRequestPrintPub.aspx?ID=25013 5/8/2009 .:, . ��� • x �.. �- �r.w� r.. y-ter`. � �'� � .. ," ... ". .ry_ - rY .- �� � • - .� � _. ♦. - r• r7-. No.. A02-1 Fee l GrI THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes rication for ig ogal gtenY��� � � �p Congtructtott permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. !zr�L Ownne�'s NN_,Address,and Tel.No. Assessor's Map/Parcel00C3 re— Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ) e"C J�Sq'aL�oa S' Type of uilding: � 7 Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) d gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil r Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Board of Hea Sign46 Date AZ2t. O Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued No. I -Ad . Fee 16VTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes _zIpplicatioYY for �Digponl 6pgtem Cougtructiou Permit. Application for a Permit to Construct O Repair(Y ) Upgrade O Abandon O ❑ Complete System ❑Individual Components ' 4 i - Location Address or Lot No. IV1111"I'loy'l !J 2 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �ifJ�'�y�,�l Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building:' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons . Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �> t� gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title X/, /�.r/� — -.__1� ! .�iJf1U',Type of S.A.S. Size of Septic Tank �--�=--- - - S Description of Soil z r I Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 1 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 Certificate of Compliance has been issued by this Board oWHeal't n Date 3/l7 0,;P Application Approved by Date Application Disapproved by: / Date v for the following reasons Permit No. -4- Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance y - THIS IS TO CERTIFY,/that the On-site Se/wage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at /2 ,s 1 �r;l i � has been con structed'n� cordance with the provisions of Title 5 and the for Disposal//System Construction Permit No. ated Installer 1� 'ew- S,, Designer #bedrooms _ Approve-d design,flloyw�" • gpd The issuance of this permit shall r)ot be construed as a guarantee that the system will..funcfsion as designed. Date -3✓c9 /7 Inspecto• r✓ -------------------------------------------- No jr �) f. / I Fee 1111J777 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ligpogar 6pgtem �tCou5tructiou Permit Permission is hereby granted to Construct ( ) Repair ( Y pgrade ( `) �—A-•bandon ( ) System located at / /�/i�r M�gat�T e 0 (2 . �. /J ��l M/Z, ' and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. _�� Provided: ConstnIccttion fist be completed within three years of the date of t �pernIt./ Date r �_ �1(// � Approved by , Town of Barnstable °F1HE rqy, Regulatory Services Thomas F. Geiler, Director * BARNSTABLE, 9�AMASS. �0� Public Health Division lF039p ' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 4/3/07 Designer: Shay Environmental Services, Inc. Installer: Rodney Fisher Address: P.O. Box 627 Address: 585 Kelley Street East Falmouth, MA 02536 Harwich, MA On 3/26/07 Rodney Fisher was issued a permit to install a (date) (installer) septic system at 12 Willimantic Drive, Marstons Mills, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 3/20/07 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. vq�cp, \A OF Mq s " go= CARMEN (Installer's Signature) 0 SHAY. No. 1181 � STER�O S a (Designer's Signature) (Affix Des p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form i' Town of B"rnstable P# 65 .. Department of.Regulatory Services ^ J l ' eresr8. Public Health Division Dare °r"�' $ 200 Main Street,Hyannis MA 02601 l j(f Date Scheduled !!" Time Fee Pd. Pwage_DisPosar 'oi uitab l' Assessment for �'_ Witnessed By:. Performed By: LOCATION&GERAL INFORMATION „, Location Address (j`r I1 Q MG� L Owner's Name —�� C0�5�1►� Address t 5 Engineer's Name NE Assessor's Map/P4rcel: I c NEW CONSTRU(TWN REPAIR I Telephone# Surface Stones Land Use gn. �'� slopes n' (a ft Drinking Water Wellft Distances from: Open Water Body v�(�_ ft Possible Wet;Area ^I© _ft Other Dn P ft Drainage ft Property long Way /v SKETCH:($meet name,dimensions of lot,exact locations of tot holes pert tests,locate wetlands in proximity to holes) I ' pry � t 'T.• LID ��r✓ o tin Depth to Bedrock Parent material(gealogic) -- I Weeping from Pit Face Depth to Groundwater: Standing Water in Hole:' b Estimated Seasonal;High Groundwater DtTERMINATION FOR SEASONAL kIICR WATT TABLE Method Used: in. Depth to Soli mottles: Depth dboerved standing in obs.hole: In pyoundwater Adjustment Depth to weeping from side of obs.hole: Adj.factor Adj.Groundwater Level Index Well# Reading Date: Index Well.level Date T4W PERCOLATION TEST ; Observation . j Time at -�- Hole# Time at 6" r Depth of Perc (991-611) lime Start Pre-soak Time.@ _a End Pre-soak Rate MinJinch LAM Q i ��� Additional Testing Needed(YIN) Site Suitability Asse$sment: Site Passed Site Failed: original: Public Health Division Observation Hole Data To Be Completed on Back-------- * cola ion testis to be conducted within 100, of wetland,you must first notify the If per >� . prior to beginning, , Barnstable 64servation Division at least one(1)weok p \ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other + Surface(n.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ' i ( tend�v-.- Gravel) r o :DEEP OBSERVATION HOLE LOG.. Hole# k Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsisten Gravel) (0 a bW LS 0 VIR 5A. 2-13�- %C?c bm t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsistencZGravel) 'DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten Gravel) Flood Insuranje Rate Map: tl/ Above 500 year flood boundary No Within 900 year boundary No✓ Yes Within 100 year flout houndary No Yes Depth of Natutafly Occurrin Pervious Material Does at least fo4r feet of naturally occurring perviou material exist in all areas observed throughout the area proposed ter the soil absorption system? La If not,what is the depth of naturally occurring pervious material?„Y,,. r Certification I certify that on. 1 (date)I have passed the soil evaluator examination approved by the Department of environmental Protection and that the above analysis was performed by tie consistent with . "the required traininu pertise and exp ace d in 310 CMR 15.017.Signature � �"� Date �f Q.I$EMCU'ERC1ORM.DOC 4 �� 1 F 7Aa'i.t Zi �, aim Town of Barnstable Regulatory Services * BARNSfABLE, vQ MASS. Thomas F. Geiler, Director -vA i63q. �0 Te1639. ' Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Joseph F. Coughlin January 30, 2007 404 Third St. Melbourne Beach, FL 32951 NOTICE OF VIOLATIONS OF BARNSTABLE CODE CHAPTER 360 ARTICLE VII �360-16 P✓l u.�s��zm s`I ��C The property owned by you located at'12,W_..illimantic,_A ;was inspected on January 29, 2007 by Donald Desmarais, RS Health Inspector for the Town of Barnstable, because of a complaint. The following violations were observed. §360-16; Town of Barnstable Code: The septic system is in hydraulic failure. Raw sewage was observed at ground level 1) You are directed t o h ire a l icensed s eptage h auler t o p ump t he o verflowing s eptic system 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(daily if need be) to keep it from overflowing onto the ground. 3) You are further directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within twenty one (21) days of receipt of this letter in order to repair this system or connect to town sewer. 4) The newly installed septic system shall be completed on or before March 30, 2007. 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 may result in the issuance of a $100.00 non-criminal ticket citation. Each day's failure to comply with an order of the Board of Health shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH 1VIcKean Director of Public Health Health Complaints 19-Jan-01 Time: 11:05:00 AM Date: 1/12/01 Complaint Number: 2662 Referred To; GLEN HARRINGTON Taken By: DANIELLE ST. PETER Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 12 Street: WILLIMANTIC DRIVE Village: MARSTONS MILLS Assessors Map-Parcel: Complainant's Name: Address: ' Telephone Number: Complaint Description: WATER WAS SHUT OFF ABOUT THREE MONTHS AGO. LANDLORD HAS BEEN SENDING COMPLAINANT THE WATER BILLS. SHE REFUSES TO PAY THE WATER BILLS, HOWEVER SHE IS STILL PAYING THE MONTHLY RENT, Actions Taken/Results: Investigation Date: Investigation Time: 1 SENDER: COMPLETE THIS SECTION 1 COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also Complete A. Received by(Please Print Clearly) B. D to of elivery item 4 if Restricted Delivery is desired. ca�C CIL, �2 Cf} ■ Print your name and address on the reverse so that we can return the card to you. C. 'gnature ■ Attach this card to the back of the mailpiece, X ❑`gent or on the front if space permits. Addressee Is IfIelivA address diffe t from item 1? ❑Yes 1. Article Addressed to: ES,enter delivery address below: ❑No JOS�ph Cc7u�hli� ,Tr�S�-e N1e1 b6u�YlP each, 3. Service Type ��� 'Certified Mail ❑ Express Mail ❑Registered ❑ Return Receipt for Merchandise 32Q 1 ❑Insured Mail ❑C.O.D. 1 1 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) 1 i6cm 1 16 PS Form 3811,.luly 1999 Domestic Return Receipt 102595-00-M-0952 I UNITED STATES POSTAL SERVICE irst-Cla "Pm, os age 8 s_ id ;Permit No.G 10 • Sender: Please print you nabdress, and Z1P+4 in`fhis=box• I Board of Health Town of BanudsW0 P.O.Box 634 Hyannis,Massachusetts 02801 I 111►�,,,1,1�11„11! z, ,Ik1 111111111111111t,Ii11 i IT M - io mil, Postage $ rLI Certified Fee Postmark 0 Return Receipt Fee Here (Endorsement Required) C3 Restricted Delivery Fee M (Endorsement Required) M O Total Postage&Fees $ m Nam (please PnbtClearly)(to omplete{I by�mtailer C6P(Q' Street-I,P -N o nr PO Bo No.° - --- --1-- Ci . rr -C3 _ ------ - 3� ---------------------- a e, P+4 M Certified Mail Provides: a A mailing receipt o o A unique identifier for your mailpiece 0 A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders. o Certified Mail may ONLY be combined with First-Class Mail or PPority Mail. o Certified Mail is not available for any class of international mail. f o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811�to the article and add applicable postage to cover the fee.Endorse mailpiece to Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or. addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle,at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999(Reverse) 102595-99-M-2087 4 Y FUNWE o Town of Barnstable N � 4 Department of Health, Safety, and Environmental Services '""9. 1639• Public Health Division �0 �ED1iA0�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 January 17, 2001 Joseph Coughlin, Trustee 404 Third Street Melbourne Beach, FL 32951 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 12 Willimantic Drive, Marstons Mills, was inspected on January 17, 2001 by Glen Harrington, R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 410.100 The stove was not provided by the owner after the fire. The stove was paid for by tenant. 410.180/750 Potable water was not provided by owner. This condition is considered to endanger or impair the health, or safety and well-being of the occupants. 410.190/750 Hot water was not provided as gas and water are not provided. This condition is considered to endanger or impair the health, or safety and well-being of the occupants. 410.620 Potable water was shut-off due to non-payment. 410.200/750: The gas heat was not provided (tenant's responsibility). This condition is considered to endanger or impair the health, or safety and well-being of the occupants. 410.351: Refridgerator was not present or provided by owner after the fire. dolimpi/wp/q/ls 410.481: Dwelling was not posted with owner's name, address or telephone number. 410.482 Smoke detectors were not observed on first floor. Smoke detector in basement was inoperable. 410.501: The rear storm door was observed to be broken. 410.501: The rear entrance doorwas observed not to be weather-tight(missing dead bolt). 410.500: The walls in rear bedrooms were observed to be soot-stained. You are directed to correct violations 105 CMR 410.180 and 410.482 within twenty- four (24) hours of receipt of this notice. You are directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. R ORDER OF HE BOARD OF HEALTH Thomas A. McKean Director of Public Health dolimpi/wp/q/Is FCRM30 CAW HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 17cL �S �l� CITY/TOWN F o EPARTMENT --- ADDRESS GSM lS TELEPHONE �Q Address /Z P' M Occupant Floor Apartment No. No.of Occupants 3 No.of Habitable Rooms "- No.Sleeping Rooms 3 No.dwelling or rooming units No.Stories / Name and address of owner J k�_��CAvC�-(mod.. 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.:SAT, c,n. dv-v✓ LovT(4� ❑ B ❑ F ❑ M Doors,Windows: u— i "O't o- 4,,�-JA Ij b j /v s Roof -ol <, - , dj Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: kJ v, (.T S Vdf 4 1 b gR i{/U Hall Lighting: Hall Windows: HEATING Chimneys: to W\ i vIA Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: I .VO- ­� - ",_R apt p ?0 6r0/70 ❑ 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 StJ Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks ►/P Kitchen Bathroom Pantry Den Living Room Bedroom(1). Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Ga , Oil, Elect.: f /U / c/ 5� Stacks, Flues Vents,S feties: 09 Kitchen Facilities Sink V7P i u.-ft_y- yj 0 1p Stove by eC. �� 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 9vd A E t.. 03 4ely Pj Owl IMPkIC. y? L f(I Toy 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 F PERJURY." INSPECTO ' TITLE Aowv' _ DATE 1117 v TIME 16"'OV A.M. THE NEXT SCHEDULED REINSPECTION,Lo P.M. T .E ,,, .: ,..;„T;:vtC'k ,+i1�,`jy*wruCl4':i+r,..�fia i' t�s+,: "h!a. t+?^••u'L':.#irR'Vi7t;n!"�f M1hu''n' �`�w"'�"7G�''� '�Y', `yx'.'F- 'Apt' A 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'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. U (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 CUR 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 k kbr°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. C� (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) Jailure 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 sa`ety 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. MRVP # 411 Assessor's Office (1st Floor) Assessor's Map and Parcel # Building Department (4th F1004 Zoning 7A, - INSPEC E ._00 RE-INSPECTION FEE .0 Request For A Housing Inspection For Certification Unde7' 44 MA Rental Voucher Program Your Name c e.2�A\Q0 eA Lh•e.0 o Affiliation (Circle One) Owners Real Estate Agent Tenant Your Addresses?,\\ �arr►� `�L \,C� �cz,�,�aiJ t`��� `f�'f� Telephone Number (Day) (Night) LA;)LO-­)lco 1 Address of Property Where Inspection is Requested Unit/Apt.#tj�WM\�r+•� `�- ��t_ �cy�ae � `c'��\\� t`c�p Name of Owner k n y pUG�hEy Address L Mailing Address (if different) SrcN9— Telephone Number (Day)1.32 I- 23StNight) S' a l- Will there be any children under the age of six (6) wh be occupying the rental unit? (circle one) Yes o Was the dwelling constructed prior to 1979? Yes No ------------------------------------------------------------- FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at r 1G was inspected on by L�i��GQ R-e-f- Health Inspect for the Town of Barnstable and was found to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Program, a separate lead paint inspection must be conducted. Inspector's Si nature P g Date - -� ' TOWN OF BARNSTABLE ,r BOARD OF HEALTH �3 �r l�G,:P-'o ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner TenantCW 4.E3 Address SO �pZ�Jd sad ss /.1 .� �IP7.1. �Z - Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities L, f ,. f 44�r e� 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities v 7. Lighting and Electrical Facilities 8. Ventilation Y 9. Installation and Maintenance of Facilities 10. Curtailment of Service v 11. Space and Use v 12. Exits 13. Installation and Maintenance of Structural �-► Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal " 17. Temporary Housing PART 11 37. Placdrding of Condemned Dwelling; Removal of Occupants; Demolition Gam- Person(s) Interviewe ,v Inspecttrr/_ 41.- If Public Building such as Store or Hotel/Motel specify here HOBBS$WARREN,INC. I J f I c ,� (i✓�Sz e�Q".,,.�f-`f�,x,�.,� Lvpa ^�^� f�•T'� , ! kX Q(vGl�"�/�... l d /t/t N Cry z z G- k—e� t( Owv S r e f d7 G SG(�`�Gt�-�,2 � v `��O�` Vic L✓l�t�t,G`k'S an.�dlf.1-� i S, , (for r i L.2 � 4+-Q Q► GLc — w I, w, °C'-'t2CU4 wl!c-t10&4� FORM3o HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , R i6 CITY//TO„WN y DEPARTMENT 0 3117 -IfAA;�, s '00r;,65&—V PV%o Nth ADDRESS c TELEPHONE Address d Z' GV ate/' P"A—O17 z �� ,dj/d� Occupant U th d r'"WbflO� floor _ Apartment No. No.of Occupants � 3 No.of Habitable Rooms -No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and address of owner Remarks . Reg. Vlo. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: wt Lvvvd 04o, rw 'W Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Sb Roof Gutters,Drains: Walls: Foundation: " Chimney BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall,Floor,Wall,Ceiling: • " Hall Li htin Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑CMS ❑ ST- ❑ P Waste Line: A!QAAj H.W.Tanks Safety and ent s f ELECTRICAL Panels, Meters,Cir.: ySe S olo ko-f k wr4 f0ck Aivrrwti P110 k220 Fusin ,Grnd.: ? S do ulal.e, 1 - frown a vfi AMP: / Gen.Cond. Distrib. Box: G/h ,r J - `Yjlu t' S/ Gen. BasementWirin `{rl j, k4% k.e c,-& . DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. - Doors Floors Locks s Kitchen 4 Bathroom Pantry Den Living Room ' Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: 7Stacks,Flues,Vents,Safeties: Kitchen Facilities Sink Stove ' Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.' a 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 F " PERJURY. Y INSPECTO TITLE v "' f A.rCV . DATE TIME � M• A.M. THE NEXT SCHEDULED REINSPECTION P.M. IL C 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 these 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 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do,so 'in every-case and therefore canno£• be.included-in-.th'is "listing. '. Failure to include shall in no way be construed as.a determination that other violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall -it affect the legal obligation of'the peison 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-'piovide 'heat as required' by '105 O'IR-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.; , .0 (C) Shut-off and/or failure to restore electricity or gas. (D). Failuie' to supply the electrical facilities required by 105 CMR 410.250(B); `410.251(A), '410.253(A), 410.253(B) and the lighting in common area required t. 'by 105 CMR 410.254. ". F .'(B)- Failure to provide a safe supply of water.- •.(F) Failure to provide a .toilet and -maintain a sewage 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 of common area caused by an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and .410.451. (M) -Failure to comply with the security requirements of 105 CMR 4110.480(D). (I).. Failure to comply with any .provisions of 105 CMR 410.600.through 410.602 . results in any accumulation of garbage, rubbish, filth or ,.other causes ! 'of' sickness which, may•provide, a-food+ source or harborage for• rodents, insects Mr other pests or otherwise contribute to accidents or to the creation or Va :spread of disease.`,, =1 ' (J) The presence of •lead ,based�paint on a dwelling or dwelling unit in • ":.violation of the'MAssachusetts Department of Public Health Regualtions for Lead Poisohiitg Pieventibn and Control' 105•CMR 460.000. (S)-400f,-foundation, or other structural defects that may._expose the y _occupant-or anyone else .to fire, burns, shock, accident or .other dangers or • pditftent to health -or dafety. (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 facilities 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.(IQ _ 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: (t) '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 defecttithit renders either operable. (2) failure to''provide a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,, gae-fitting, or electrical wiring standards i that do not create an immediate hazard. (r) ;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. (N) Amy other violation of Chapter II not,enumerated in 105 CMR 410.750(A) through. (M),shall be deemed to be a condition which may endanger or materially �+ir 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. f FORM30 HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH CITY/TOWN DEPARTMENT ` �'o�M SVOy`eW ADDRESS TELEPHONE Address �Z kl4liv+v e, /1e4l Occupant 0vidtrW0,006 floor Apartment No. No.of Occupants 3 No.of Habitable Rooms No.Sleeping Rooms �Cc) No.dwelling or rooming units No.Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: ✓ov, Sdr•-wl w&od ho g-60 , Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: R c�, N. ,�tJ�, 4 1,►0 S2� ( �C 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: _,SupplyLine: ❑ MS ❑ ST ❑ P Waste Line: NZw 4, H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: v So S ao t w- X110 �1`220 Fusin ,Grnd.: L 19 A s 01;im wre el r-tA"-L4'/ 4v41t1 - J3rQ,,,,,,o 0 AMP: / Gen.Cond. Distrib. Box: C47+ 4, 'o7-7f - j,071v dgpwi", 3S/ Gen. Basement Wiring: k'¢c" Jt' k4 i h o" µ-o�{ o r k DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks,Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: -o 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 F PERJURY." .� INSPECTO `` ' TITLE �' C1�1/► A. . DATE Vol TIME �l •M• A.M. THE NEXT SCHEDULED REINSPECTION -,,a • ,w„.,z- 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 these 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 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination that other violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it 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) Shut-off and/or failure to restore electricity or gas. (D). Failure to supply the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253(A), 410.253(B) and the lighting in common 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 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 an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and .410.451. (H) Failure to comply with the security requirements of 105 CMR 4110.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 -..which results in any accumulation of garbage, 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. W The presence of lead-based paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. =(S) Roof, foundation, or other structural defects that may expose the !Occupant or anyone else to fire, burns, shock, accident or other dangers or *Afris3nt to health -or dafety. CW 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 facilities 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 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 operable. (2) failure to provide a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,. gas-fitting, 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. (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through- (M) shall be deemed to be a condition which may endanger or materially Im"$r 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. �_ �� J` �(Y ��� // �� �� / x �az�z„ ,. �( v'�10�1. � C�CG�cc, ( C�..r're w��� a i ��� �� �I' - �� ---� �� - ---- ��� ---- ,, ��� �� _� ; f If i�, f d �c�ee� �O Sim m Ct\,A� G 1�✓t k f, .Nd a u- co-wd dc�� �i i elpe �11 i � I!f i� i 1,! k �FI iC 1!. III ill i .1 1-� it �11 1 +� I It� 1 f 1�1 �I T - Z 20.3 499 03.7 US Postal Service Receipt for Lertified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sen p Um ice, ,mod ice, IP C e Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees $ 17 C! Postmark or Date 0 LL C0 a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). In i 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m cc return address of the article,date,detach,and retain the receipt,and mail the article. uO 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse.front of a4cle a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. co 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. io 6. Save this receipt and present it if you make an inquiry. 102595-97-8-0145 d d SENDER: v ■Complete items 1 and/or 2 for additional services. I also wish to receive the m ■Complete items 3,4a,and 4b. following services(for an UQ ■Print your name,and address on the reverse of.this form so that we can return this extra fee): card to you. t of ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit: m ■Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery y ■The Return Receipt will show to whom the article was delivered and the date C delivered. Consult postmaster for fee. a 3.Article Addressed t : 4a.Article Number d z a r�� �l/� 4b.Service Type .' E y / ❑ Registered [V Certified of NV ❑ Express Mail ❑ Insured 5 W W ❑ Return Receipt for Merchandise ❑ COD 2 c k� 7.Date of Delivery z U S� 0 IJ p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested c Q and fee is paid) t f� g 6.Sign ur : (Addressee or e ) ~ I ' X m PS Folf 3811 VDecember 1996 102595-97-B-0179 Domestic Return Receipt i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box• pa9b"o Healfh Divtslan Town of Barnstable P0. Box 534 fiyannis, MassachuSeas 02601 oFVE�►,ti Town of Barnstable Department of Health, Safety, and Environmental Services SARNSTABUF, 1639: � Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health March 17, 1.999 Joseph F. Coughlin, Trustee 404 Third Avenue Melbourne Beach, FL 32951 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE ARTICLE 51 The property owned by you located at 12 Willimantic Drive, Marstons Mills, was inspected on March 5, 1999 by Glen Harrrington, R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 410.300: Septic system has failed as evidenced by sewage backup into cellar. 410.351 (A): Paper clips observed in the fusebox acting as by-passes to fuses. 410.351 (A): Bathtub/shower plumbing leaked water onto the floor causing rotting of the wood flooring. 410.351 (A): Exposed wiring observed in the rear entry. 410.481: Owner's name, address and telephone number was not posted as required. The posting shall be conspicuously located on durable material greater than 20 square inches in size. 410.501 A : Windows and storm windows lacked caulking around the panes of glass. 410.501 No window pane provided at the front storm door. 410.501 (A): Basement windows are rotted with broken glass. You are directed to correct violations of 410.300 and 410.351 within twenty-four (24) hours of receipt of this notice. You are also directed to correct the remaining outlined violations within thirty (30) days of receipt of this notice. coughlin/wp/q/order You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health coughlin/wp/q/order oFIMEA Town of Barnstable w snsxsrnHM Department of Health, Safety, and Environmental Services MASS. �� Public Health Division �rEa"A°�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 March 16, 1999 Joseph Coughlin, Trustee 404 Third Avenue Melbourne Beach,FL 32951 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 12 Willimantic Drive,Marstons Mills, listed as Parcel 051 on Assessor's Map 1.03 was inspected on March 5, 1.999 by Donna .Miorandi, 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 U - 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 Thomas A. McKean Director of Public Health o� Town of Barnstable Department of Health, Safety, and Environmental Services enxxsrasi,E. MASS. Public Health Division i63q. 9� ,0� 0-59 P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS.CHO FAX: 508-790-6304 Director of Public Health March 16, 1999 Joseph Coughlin,Trustee 404 Third Avenue Melbourne Beach, FL 32951 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.00 THE STATE ENVIRONMENTAL CODE TITLE V• iV NIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND 105 CMR 410.00 STATE SANITARY CODE II - MINIMUM STANDARDS OF FTTNESS FOR HUMAN HABITATION. The property owned by you located at 1.2 Willimantic Drive, Marstons Mills, listed as Parcel 051 on Assessor's Map 103 was inspected on March 5, 1999 by Donna Miorandi, 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 H - 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 S500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health f a a l You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health couhlin/wp/q/order / J 1/01/ . 1 . NOTICE TO ABATE VIOLATIONS OF 310 CMRs 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 II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. by The property owned by . you located at j 2 ow,viz 1) t t-e v�l listed as Parcel®�/ on As of , was inspected on '�s �r/Io S- , 1991, by , Health Inspector for the Town of Barnsta a bec a complaint. The following violations of 310 CUR 15.00, the State Environmental Code, Minimum Re:Fjd�, ements for the Subsurface Disposal of Sanitary Sewage 5 0. I d II - in Sti es f �r�an e REGULATION 310 CMR 15.02 (207) AND - 105 CMR 410.3001 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 the system. 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 Sd Y Thomas-A. McKean Director of Public Health Jyo,rN�l,,e The Town of Barnstable Health Department } 'l MYl out 367 Main Street, Hyannis, MA 02601 Y� Office 508-790-6265 Thomas A. McKean FAX 50b-JVP344M,�,"C4 p� Director of Public Health GY Y-t-j_d NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at /2 was inspected on , 1997 by, �6 � pr , 'r, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standgirds of Fitness for � ;j Human Habitation were observed: q,`,/ o�c CIti�-�- �10,I��, . /�-� L✓ --r L- �. R�L W_-4�c., -f sae. �V 4,r�Uvj&L 66V-,A— /o�C•k�2 y/d.30o dam• ka a� -evczvL 6y /v�c4 / (.c aj [,C e w /"ct Y___y�s. 14""114 1 �Li 1 GG. �J l�L_ OZsIKZ�—J y eJ�o►i.r���r�i'4y, C : ado) 4 10 6 b z � You are directed to correct tbm violations within twenty- four (24) hours of receipt of this notice. You are also directed to correcV-e- w;V-1 41��� V I_Z, `0V7 within 30 ays/IpNos of receipt of this notice.. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health -0'7^sF;`�. TOWN OF BARNSTABLE BAR-W M12 3799 Ordinance or Regulation WARNING NOTICE Name of Offender/Mana er\ , #/l fil' egdob f Address of Offender ' _ MV/MB Reg.# Village/State/Zip ( LoPn 1 AeMM rFIA :., / l Y am/pm, o"n., j'7 20 r Business Name r I Business Address A -,r.A,��/ ., f +� Si' nature of�'Enforcin Officer g g Village/State/Zip .,, j Location of Offense lglalffiko �` 14'�Enforcing 'Dept/Division Offense Facts A A)X 1 l r ! u lr-" 1/ I l 1>-51 P, rWt..-+1 I r_� ram'* r we -Y� l S,_ �' 1 ���r r i s �� � `QnrA A ' This will servefonly'as a- warning. At-this ti e no lfegal action 'has `been 'taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules 'and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance.- Subsequent violations will result in appropriate legal action by the Town. WHITE'-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. . _. —eryr�,x':'��1._r ..^'.�':.r'�'I'SY+S'-._..... fin. 1lYF.w.^— .�:1�K� _ ;yy. - i'f +x^ya. 3+G^',-y'�F.C. -•ET.'. .. _ ._ .._ TOWN OF BARNSTABLE BAR-WQ T Ordinance or Regulation WARNING NOTICE r � Name of Off.ender/Manager ' ,, ,, f' / ., � 7 ' = Address -of Offender r 4 1 MV/MB Reg.# Village/Stat/Zip ma / «� �Ac' _N RA, TYJ / ` _. p. ,A Business Name T„yam/ m on.67 2Q f i r , Business Address ,�,. t ,� _ , ,/ / El -. Si°gnature o nforci ig Off TrO Village/State/Zip x� Location of, Of .� `i° a / $ `°"' Enforcing 'Dept/Division ,Offense fFacts M AA1V -f,& 1 oy-J) C.1�0 / 1 r s$ Pl{�jr ?' , 'J j{" Auj efAQ'P' t nrA t. f This will servef only`-as a warning. At-this time no legal action hays been -taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE LOCATION SEWAGE # N 1 1 �: ASSESSORS MAP & LOT pO�� `fI1.LAGE ' INSTALLER'S NAME&PHONE NO. � 1 `C SEPTIC TANK CAPACITY LEACHING FACILITY: (type)a VC--Nk (size) NO.-OFBEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the; �- Maximum Adjusted Groundwater Table to the 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) U _ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Furnished by � � 2 1l �� � p ;� al 1 e �� � � � �' (� � t � � � � V_ � �� � �� � � �,. �.d ' � j '� ` �_ r -., `'��' No, L Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISIO1N( , OWN OF BARNSTABLE., MASSACHUSETTS Application for �DfWaA1l e�p$tem Con.5truction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or_Itot No. `� ��� A+`nfl �' O er's Naaddress and el.No. Assessor's Map/Parcel 0Z t`---j Installer' Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms ' Lot Size sq.ft. Garbage Grinder(`UQ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 5_0QC1PrL*"R)& 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 i ue his Bo h. S `f n Signed Date ,7 `[ Application Approved by Date — — Application Disapproved for the 91lowingAeasons Permit No. 02 Date Issued No. - tr .� _ Fees/J/ y Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION TO��OF BARNSTABLES MASSACHUSETTS Zlp `Yication for Rio ogaf �p!5tem Construction Permit ' don ❑Complete System ❑Individual Components . Application for a Pernut to Construct( )Repatr( )Upgrade(, )Abandon( ) p y p Location Address or I�ot No. 1)1 LL, O er.'s Na iAddress and+el.No. Assessor's Map/Parcel Installer's Name Address and-Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder(b Other Type of Building J w (M No. of Persons Showers( ) Cafeteria( ) Other Fixtures - - Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. " rf Description of Soil Nature of Repairs orAlierations(Answer when applicable) Date Jast 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 ue is Boa��f H Signed Date i Application Approved by Date — — Application Disapproved for the lowing easons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (tompriance THIS IS TO that the On-site Sewage Disposal System Constructed( )Repaired ( Upgraded( ) ! Abandoned( )by at 6 k}A l 1 (V\ Q INI M I( t_S,` _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. " a y Y dated Installer CSC t t': CAM ) Designer 1 / ( � d The issuance of this permiLsha I no be construed as a guarantee that the syste ill,function as desig f ed. tVA �Date I ( �� Inspector �J���� 1 %Y�` �� I/' --------------------------------------- No. ZY- L q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Miopogar *potem (Construction Permit Permission is hereby granted to Construct( )Repair(1r')Upgrade( )Abandon( ) System located at LU k t—Li S(Y1 ! 1 _ VA 5 1M(�..�, AN ' 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 permit. Date: — / Approved by l .y 1/6199 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) I, hereby certify that the application for disposal works construction permit signed by me dated "l concerning the property located at a W k LJ--(YY1 P le Il u M A(I ets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is clzssified 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 irivate wells within 150 feet of the proposed septic system • There is no ir_crease in flow and/or change in use proposed • 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] • 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 maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +the MAX.High G.W. Adjustment. DIFFERENCE BETWEEN A and B 33- SIGNE DATE: 57/9 [Sketch proposed plan of system on back]. q:health folder.cert 4 e V 7� t FORM 30 Hn W HOBRSB WARRENT. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT 7 /'( ltc�� f cur loco 0 I4 �1i't� d Z 6 �. ` ADDRESS 7( Z - Wyv TELEPHONE Address l Z Ltl i 16A4 om'�4( rt ej //occupant. ) L-4 d 4rWOVd Floor__Apartment No. No. of Occupants__ No.of Habitable Rooms 57 No.Sleeping Rooms 3 No.dwelling or rooming units //No.Stories �� p / 329�'� Name and address of owner CO y5 1, l � f �ti_�/�'c.e ����.,c ,3�C� //-L • Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish o_64 4 L,,s U dv(ai ps�-d ed La it 44".ow, rt Containers: Drainage (0 SS,ovv is ,/ / ,c gj4 6 It- Infestation Rats or other: ' r STRUCTURE EXT. Steps,Stairs, Porches: D. ress:and Obst'n.: ❑ B ❑ F ❑ M (Doors indows: Lj 4,krV,j d r %/at i -c104- _ t, tr, S-0/ ,o© L rc. -Siox-w t o r 0h Gutters, Drains: 440t Walls: 't Foundation: �,, �,.� p�, ��lLPG` u., W�(yer ri Chimne : BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING 6-A(-5 Chimneys: Central XY ❑ N Equip. Repair TYPE: FWA Stacks, Flues,Vents: PLUMBING: Su ply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W..Tank s Safety and Vent(s) b.,4a,,, ,, 0IL-c od etv* /QQ ELECTRICAL Panels, Meters,Cir.: Pa.4e& r ;, v<L to t 3S/ Al 110 220 Fusin ',Grnd.: .P: ! Gen.Cond. Distrib. Box: _G_en_I aaeFner,Axi-A:: `_ 4 0 S�f[f (III r' 0cw.1 191A 4-yS DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry �1c �H Den. Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove oc r 1,&j ed lol - 35-1 K Bathing,Toilet Facil. Vent.,Plumb.,Sanit'n.: Q.,,/4,rr 4r,(4osA ra?; 40 4, A�f. 3a@7 )G Wash Basin,Shower or Tubs: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n.- General Building Posted `�►— Locks on Doors: C� -yi Jvr� ��n�o►��CP 1j ,/�ov ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH Irsc�,:✓� MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE �N S� v 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 r PENALTIES OF PERJU/YY.' INSPECT013 TITLE -- DATE ` TIME ( M A.M.. 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 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. /T.. ' ^r ` TM`� THE COMMONWEALTH OF MASSACHUSETTS CH&' ~- ORM 30 W koBBS&WARREN 3. ` ~= BOARD OF HEALTH r 'c all'v, �< 1 le CITY/TOWN DEPARTMENT ADDRESS y4j -?—Lw TELEPHONE Address -.1, t" &"4f[ OKL4'/, X/00ccupant b w CAP W6V C( Floor_/Apartment No. No. of Occupants No.of Habitable Rooms 9" No.Sleeping Rooms 79 No. dwelling or rooming units / No.Stories _ `� g Name and address of owner C(i s A It'"� y0!�f � 'elow t t, #-kA, '3e c- /cL • 3 9.� Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish e, ;¢ � � 41 Alai diapoo-#d&I kq 44.0.ea,. ©L Containers: Drainage 5 ry f c ,, '1 4 b-~ , cf" 300 Infestation Rats or other: .-;* S-TRUCTURE EXT. Steps,Stairs, Porches: D. .J E ress:and Obst'n.: r:,_❑ B ❑ F ❑ M (Doors Windows: ©f X srv • Gutters, Drains: - rr hR Walls 011"• p Foundation: f l Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: - .-, Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING 6,oq-j Chimneys.- Central WY ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply I Line: ❑ MS LIST ❑ P Waste Line: H.W.Tanks Safety and Vents 1" t Air o wd,4'Y &V, 196 'SC ELECTRICAL Panels, Meters,Cir.: �110 220 Fusing,Grnd.: AMP: / Gen.Cond. Distrib. Box: r Gee-Baserm,e�t„Val ri ( �G '!� ��i r t K3 i t' &AA 4 Y 5 DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroomj/ ,�f Pant Den Liliving Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove !J c. �r.S Q�J' # *,/� 357 X Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Q.,e4r Lrt4;,f1er rsj 4,0 �� ,f, � Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: t ' Egress Dual and Obst'n: General Building Posted -7 (- Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH e mac;,, icl t�F`''� MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE f � ��� o��. 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 &_ L i TITLE /06 A.M. DATE' 3� l'? h'TIME P.M i 3 A.M. THE NEXT SCHEDULED REINSPECTION P.M. h j, x c 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. Health Complaints 04-Mar-99 Time: 10:00:00 AM Date: 3/4/99 Complaint Number: 1740 Referred To: GLEN HARRINGTON Taken By: EDWARD BARRY Complaint Type: CHAPTER II HOUSING Article X Detail: Business Name: ) � l & Number: 1 Street: WILLAMANTIC DRIVE -t�✓Sx ` Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: NO STORM WINDOWS, BATHROOM FLOOR ROTTEN AND OTHER VIOLATIONS, THE HOUSE IS OCCUPIED BY TENANTS,JUDY UNDERWOOD MOTHER, (_V ELYSSA UNDERWOOD AND GRANDDAUGHTER, THEY HAVE NO CAR OR NO PHONE, THEY ARE ON HOUSIN ASSISTENCE. CALL CHARLIE TO SE P (� AN APPOINTMENTI c2eVt ' Actions Taken/Results: l(l au�� Investigation Date: Investigation Time: vS 1 �f -�— i>t;.�GW� ( J�i�i�,Ctis� ��-�'�(®J`�✓4�J � /„� 7w��.�� � /l/d T� ljt�.,; « �CUr_ _� s�`ea�y-r f i, }k� ll' li III ii f 'j i� I I! 1, i I. � � ;. ; � � � r i . � � � � � � � I i � 1 i ( � I � � i I i I � � , � � I l ( I 1 � � � � _ � r � ' + � ��� � _ � i � � I j � I ! � I { { i � � � f.. � ! � i � , � � � � ' f � � ; i i � ! ! 44 � � I + ( +f i I + � � � { � fil ! ! ICi +� � � � I i ! � I � i i � i ; I I � i ' � � � � I t ; j I � I i � � � � � I � , � r � ! I � � � � I I � j I � j � I � � I � � + I � ! � � I � � ii � � t { � � � � � j t �G MamsS SECTION A -A 2-16' DIAM. ACCESS MANHOLES / • +e:eip! < ��' r• *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PING Least 24 Inches tall) Schedule PVC w/Charcoal Odor Fllter �' + ,.,irport � � 10' Tin. from j.,T .�I.i 6u!•f, t 4� x yrvi; �vilobr PROFILE VIEW OF LEA CHINO SYSTEM Existing Foundation I hou6e to septic tank •'�' -� - TOP OF FOUNDATION ELEV..100.00 (Assumed) SepYk tank town must be D-BOX cover must Ds within 6 In. of finished grade within to GRADE w/Steel Cover Not to Scale t b + „F rb 1"eN► rour�nl4 lies. Grade over septic Tank- 96.OD grade over D-Box - 98.00 de over SAS - 96.00 3 HOLE H-10 3" of 118" - 1112" Washed Peastone � j DIST. BOXf INLET 12aWttllrrs nt 314 to �/z ' Washed Crushed Stone \ ' ou T f �'y5. ev :+Z►r�.:� ,c " S - 0.02 EXIST. Top OF system- Elov. -94.73 4" PVC CAPPED INSPECTIONPORT TO BE ;� v �`• - "`: O 12 S-0.01 or Creator ( THE ACCESS COVERS FOR THE SEPTIC TANK, A--� t EXIST. PIPE IA 1,500 GAL. S- 0.01 INSTALLED AND TO BE WITHIN 6" OF GRADE +� DISTRIBUTION Box AND LEACHING COMPONENT _ - set ;_ ; FROM EXIST. FOUNDATION �' SEPTIC TANK g per toot `�('�•, ,..� •� ,,. ,+ „• Fi. - O f *". "� -*�;:'�•F- (rr-'^^e r �::�� SET DEEPER THAN 6 INCHES BELOW NISHED �> �'J GRADE SHALL BE RAISED TO VATHIN 5 OF II Oa e.s.1e, IliGRADE. , % a , r CONCRETE FULL FOUNDA II H-10 II t 2' EFF DEPTH o S' STEEL REINFORCED PRECAST CONCRETE FINISHED Air 4' !S i ` PLAN VIEW INSTALL TUF-TITE GAS BAFFLES OR EQUALS x i , SYSTEM PROFILE ekioi3/4'-' '/2• 8 t� o -� �r. i compacted stone i o o rn 3� 3' atVj OOTI,ia o-Ip UaOM.T+Lx1.eM/>grttl .q c n 3-24•REMOVABLE COVERS -�.. _ 94 Effective , Not to State - ° II i 10. n _�Sidewall c Effective Vldth - •• .. +'. 4' 3 Units a 7' 2V 3' min. dsorona GENERAL NOTES 6 In.of 3/4•-1 1/2' p 1, INLET'- e• mLmin. kliet to outlet �.mti• OUTLET 'r 1. Contractor is responsible for Digsafe notification, Verification of Utilities compacted stone Q p NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6' BELOW GRADE m to•min. ion-1e. 2 and protection Of all underground utilities and pipes. o Effective Length s' -7• *. s' _�- 2. The septic"tank aft$ distri¢4ion box shall be set �i Bottom of Test Hole 2 Elev.- 87.00 4'-0' min. 1CVCI On 6 Of 3 4 -1 1 2 stone. •••s• Liquid depth 3. Backfill should"be clean sand or gravel with no stones over 3 in size. Groundwater Observed - NONE OBSERVED 4. This system is subject to inspection during installation SOIL ABSORPTION SYSTEM (SAS) J •.,, , ,4 •v.+,.,,,, "r� 5 4 by Carmen E. Shay - Environmental Services, Inc. (OR EQUIVALENT) a-o• 4' -10• 5. The contractor shall install this system in accordance Note: Remove wtl dawn to mod sand layer al replace with " �� CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan Note: Certification of Fill Material Required. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30 /EFFECTIVE HEIGHT IS 24 and Local Regulations. (elev. 92.00) do replace with clean coarse sand w/pert. Before and After Placement by Solve Analyses 6. If, during installation the contractor encounters any rate less than or equal to 2 min./in. before el after placement TYPICAL 1000 GALLON SEPTIC TANK sail conditions or site conditions that are different from those shown on the soil log or in our design NOT TO SCALE installation must halt & immediate notification be I made to Carmen E. Shay - Environmental Services, Inc. PERCOLATION aTEST P 1 1655 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. / Date of Percolation Test: 3/14/07 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. / Test Performed By. CARMEN! E. SHAY, R.S., C.S.E. 9. All Distribution Lines shall be 4 diameter Sch. 40 NSF PVC pipes. Results Witnessed By. David !Stanton (Barnstable BOH) 10. All solid piping, tees & fittings shall be 4" diameter / EXCAVATOR: Shay Environmental Services, Inc. Schedule 40 NSF PVC pipes with water tight joints. / Percolation Rate: <2 MPI 0 72" p p g 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding i Test Hole Test Hole Properties. f No. 1 No. 2 / DEPTH SOILS ELEV. DEPTH SOILS ELEV. p 98.00 0 98.00 ' Loamy Sand loamy Sand COMPILED FROM THE PLAN BY ED KELLOGG, PE THE PROPERTY LINES ARE APPROXIMATE AND / 10 YR 3/2 10 YR 3/2 ENTITLED " SUBDIVISION PLAN OF CONNECTICUT VILLAGE, M.MILLS. MA 0•- 6' A. 98.50 0 6- As 98.50 PLAN BOOK 157. PAGE 97 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Loamy sandy IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. 10 YR 5/5 _ 10 YR 5/6 / 6'- 24" Be 96.00 6"-_24' Be 96.00 Sandy Loam Sandy Loa j Silt Pocket Silt Pocket NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE / 2s Y 6/6 26 Y e/6 FROM THE EXISTING SAS TO BE DISPOSED i 24'- 72 c, 24'- 72 C, OF AS PER BOARD OF HEALTH SPECIFICATIONS. Medium Medium / Sand Sand EXISTING SAS TO BE PUMPED DRY & 13 Y 7/4 2.6 Y 7/4 FILLED IN PLACE / 2'- 132 Ce 7.00 2'- 132 / ASSESSORS MAP - 103, PACEL 051 j ZONING - RESIDENTIAL i NIF WILLIS V. NELSON Pert #1 / Depth to Perc: 72-90" -` Pert Rate= 2 MPI 072" Groundwater Observed - NONE OBSERVED 0 132" co No Observed ESHWT WETLANDS ARE NOT LOCATED WITHIN A 200' RADIUS OF THE PROPERTY AS SHOWN / I I ALL OUTLET PIPES FROM THE + " DISTRIBUTION BOX SHALL BE 57.99 SET LEVEL FOR AT LEAST 2 FT. 12• CONCRETE coven , LEGEND , - �� KNOCKOUTS •:} a -1a6• 0 m--T4 L"O . ..3 2- 'r N`� 8X0 DENOTES PROPOSED - - SPOT GRADE TEST HOLE 1 \t+, Note: Remove soil down to el. 92.00 & replace with ,�,• M1' 2 � I X r # ` clean coarse sand w/pert. rate less than or 4• - scH. 4o T ,.76• X 104.46 DENOTES EXISTING l ELEV.= 98.00 � PLAN SECTION CROSS-SECTION SPOT GRADE or equal to 2 min./in. before & after placement i l l I (5 FOOT STRIPOUT ALL AROUND AS SHOWN) PL ----- i 3 HOLE H-10 DISTRIBUTION BOX PROPERTY LINE / - I Z I r - 2 --,TEST HOLE #2 1 PROPOSED CONTOUR 1 I ELEV.= 98.00 f O' i i i i�;` : >'1 97- - - - - -97 EXIST OUR EXISTING CONTOUR Design Calculations f'�'� r •i l DEEP TEST HOLE & LOT #1 I J I I a� ''' ';::'�'1 ► i PERCOLATION TEST LOCATION 49,600 Square Feet I I 1•' ,'''' »rl I f PROJECT BENCH MARK l e�' , Number of Bedrooms: 3 Bedroom EXISTING 4'�^, I I Garbage Grinder: No 0 -0 FENCE TOP OF FOUNDATION- I ,^ I i Leaching Capacity Required: 330 Gol./Day (MIN. PER TITLE V) ELEV. = 100.00 (Assumed) Septic Tank : - 2 x 330 Gal./Day - 660 USE EXIST. 1,000 GAL. Septic Tank. L_-- L--__ _ -J , SOIL ABSORPTION AREA: Using percolation rate of <2 min./Inch - PRIVATE DRINKING WATER WELL CO D-Box I Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. - 222.00 gallons i I Sidewall Area: 0.74 gal./sq. ft. x 148 sq. ft. = 109.50 gallons REVISIONS Providing: = 331.50 gallons EXIST. g , Use: (3) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, NO. DATE: DEFINITION Sept Talnk ' (4' W x 7' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND 2.0' OF WASHED STONE ON THE ENDS.' LOT #2 i j i O i 1 EXISTING 1 3 BEDROOM Ito HOUSE L PREPARED FO R : PROPOSED i SUBSURFACE SEWAGE DISPOSAL SYSTEM ______ r MR. JOSEPH F. COUGHLIN of i I # 12 WILLIMANTIC DRIVE ° f MARSTONS MILLS, MA DRIVEWAY; 404 THIRD AV E N U E IF MELBOURNE BEACH 1FL 32951 `�\\ •t'co, 1 i I I , ,n A, PREPARED BY: \ 138.68' r \�T I`lRHEY PL E. SffA Y \\ \ --------------------------------�1------------------------------ ,-------------'/ 1 --------------------------------- 0 20 40 50I�'t1, I; NVIRONM�'NTAL SL'RPICES, INC. \ .�! 7 i t T 1, P.O. BOX 627 E ��17A� a EAST FALMOUTH, MA 02536 9� T�YILL00 IM�NTIC DRIVE SCALE: 1 =20 TEL/FAX 508-539-7966 (40 FOOT RIGHT OF WAY) SCALE: 1"=20' DRAWN BY: CES DATE: MARCH2O, 2007 PROJECT#SD-1021 ILENAME: SD1017PP.DWG SHEET 1 OF 1