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Home My WebLink About1640 OLD STAGE ROAD - Health v-,,.:. o MAW J o e r f No. Fee ' BOARD OF HEALTH TOWN OF BARNSTABLE Application _for Yell ongtruction permit Application is hereby made for a permit to Construct Alter( ), or Repair( ) an individual well at: Location-Address -� Assessors Map and Parcel Owner Address Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private We ro tion Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Co ,1A een issued by the Board of Health. Sig t 1 Dat Application Approved By Date Application Disapproved for the following reasons: Z Date Permit No. —� 7 2 Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed' Altered( ), or Repaired( ) by X d 3±Ccc-, 611 ns alley I/ , at 1 lamd� has been installed in accordance with the provisionsof 14 Town of Barnstable Board of Health Private Well Prgtectiqn Regulation as described in the application for Well Construction Permit No.LA Q_0g7Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2ppficatiou jfor Veff Cou!5tructiou Permit Application is hereby made for a permit to Construct O�Alter( ), or Repair( an individual well at: 'Location-Address Assessors Map and Parcel r� Owner Address 1 u c— r K)U.�� 1�• C� ' mac) � _r, �,�.t�� S� C Installer-Driller Address 4 Type of Building- Dwelling Other-Type of Building No. of Persons I Type of Well 7?� .r, o_. , Capacity Purpose of Well I Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the j Town of Barnstable Board of Health Private Well,Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Com�li nce ha been issued by the Board of Health. .�-- r. Dated Application Approved By `,_ — `/Date iK Application Disapproved for the following reasons: I I Date Permit No. („ .!l --�" 2 Issued E V Date I to«.. ------------ ------ ------------------------------------ ------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ),.- 'Altered( ), ( or Repaired( W Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.R -) .nA Dated 1/r3 =�� J I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector -..- ---------------------®_- ------------------- ------_------------------------h_4--__._m.--o--->- -_ BOARD OF HEALTH TOWN OF BARNSTABLE Vern Cottgtructiou Permit No. �^' �� Fee q.5 Permission is hereby ranted to U ( /,q _)C-) (� � Installer to Construct(.,-) -""""Alter( ), or Repair O an individual well at: No. Street as shown on the application for a.Well Construction Permit No. Dated Date C. . Approved By, I hereby oerilty that Vre eltuehtres shown hemon ere lo®6ed ea they east on 8re ground. Donald T.Poole PLS K12882 Date �� M�'Qgao, Bou , set r63.00, Pipe and Stones, V ^'- •"-•- Corveps Bound,Found Found ^y� /Parcel 3 Pipe and Stones, ,Deed Book 28g74 � Found Page 224 Pipe and SWw, Found Pipe and Stones, Found end Slangs,Found Found i� 1r Pipe and Stones, ' Found / 30 Perth 1 62 �• Pipe and Stones, Deed Book 29974, �' Found �1 /� /— Found i Pape 2Z4 n NO hell Fop.and Stonae, d Found �J►aYy/��~' Pipe and Stories, Found / ?$40 Old Stage Roa� /lraa.280,T623 sc�" PIP.and Stones,Acr or 5.93 es/ Found Pipand Si ShedFou Found In Z:fi' rs'r Smne Bound, Found 4�y pipe and Slone., /Found Cononft Bound,Found cc Bound, Bet N G 1C SIM Bound, 1 �ti Found N o Found Bound. 4- vi" G�I t�_ �(rL` !�'"1°�. G•(J V v / Plot Plan of Land m #1640 Old Stage Road, w West Barnstable,MA p V 1 E R M p S r p prepared for wMen3bw &a Paul M. Fichter&Jeanny R.Alcantara Deed Book 29974, Page 224 ure2wan Scale 1"= 100' May 6,2019 ols#803001 �qN p S U R V OI \a 0 100 200 308 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication jor Vern Construction Permit Application is hereby made for a permit to ConstrucV4,""A/lter( ), or Repair( an individual well at: (/U6U Location-Address Assessors Map and Parcel Owner Address 4VAa I( o'..D Installer- er Address Type of Building � Dwelling y Other-Type of Building �D-,4 U--�, L No. of Persons Type of Well A;-,a ` z Capacity Purpose of Well �c<c ck Agreement: The undersigned agrees to install the afore de cribed individual well in accordance with the provisions of the Town of Barnstable Board of Health Private ell Pr, et on Regulation-The undersigned further agrees not to place the well in operation until a Certificate Ianc �' eeissue y the Board of Health. 7 Signed Date Application Approved By Date Application Disapproved for the following reasons: Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of EOM Yiance THIS IS TO CERTIFY,.that the individual well Constructe Altered( ), or Repaired( ) by Installer at /64-jo G's 1J— �'�a.�, e. I r has been installed in accordance with the provisions of tN Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector ;s •-,�''� 'fit, ,w Nodl:�1)� Fee LI BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatton _jor Verr Construction Permit Application is hereby made for a permit to Construct(,,)Ater( ), or Repair( ) an individual well at: l C-4 r l (-) I ,4 � ��C, I 7_11 &AJ y y Location-Address //11 Assessors Map M.ap and Parcel Owner'' ^� Address _ X le'trxu t.� hrn� rytr7n.-� „n .rna "t'.n . �C)n! \ � C _\ Y. — a � 6k/ {�� 1� a � l Installer-Dril'ler / v �� Address Type of Building Dwelling Other-Type of Building V\ No. of Persons Type of Well Capacity Purpose of Well �- v Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate o rC°om 'liance'has been issued by the Board of Health. ` Signed / Date Application Approved By Date Application Disapproved for the following reasons: Date Permit No. Issued Date ------------------------------------------------------------------------------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Cote Nance THIS IS TO CERTIFY,that the individual well Constructed,(-), Altered( ), or Repaired( ) by I Installer at I� �JO � �fa� g T�_( W has-been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Yell Construction Permit - No. (/V 00 Fee ' Permission is hereby grante -to J r �Cy n l( lo lnstall`er I � to Construct,f,^ Alter( ), or Repair( an individual well at: No. �L"7 of /� <7_' Street as shown on the application for a Well Construction Permit No. � (� )�,� Dated Date �f n Approved By ki— wwl e--1-11 !�p r I hereby curtly that dre sbucWres Man hereon are br'ated as they exist on the ground. M Donald r.Pods PLS#32882 Doto R00 Qa Bou set .80. Pipe and stones. ^ —_ Cionoao.Bound,Found Found /Paroe13 ,Deed Book 29974 pipe end Stores, Page 224 Found Ipe and Stones, Found Pipe and Stones, Found Aldo and 6tonea, Fouts Pipe and Stones, Found � 1 Perdl162storm 30 Pipe and Storm, %'Deed Book 2074, k, Found Found j, Pape 224 NO ps and 6Eone, Pipe entl Stones, Found Found b2$40 Old Stage Road'� V� /Itea-280,2621 Sq f Pipe entl stone, or 5.98 Aores/' Fountl 11 / +1/ Pipe and Blanes, Shed Found orb,` 35.6' Y Stone Bound, Found Pipe and Stones, /Found ,Co Bound, Comets Bound,Found � �1� Set O a m a ¢ Stone Bourn, Found �y Found Bound, �-ry It,t1 i �A Plot Plan of Land m #1640 Old Stage Road, m m West Barnstable,MA OV 1 E R M ps r A prepared for "M& a Paul M. Fichter&Jeanny R.Alcantara B Deed Book 29974,Page 224 Scale 1"= 100' May 6,2019 CqH p SURVEY �aG o OIS#60302gog1 300 No. PO✓ C% ' Fee — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLICHEALTH _ Yes LTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS 4pliLAtion for BIStI aY *pstrm Cone CUCtion permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. f G,Y0 O I S t6SC i?, Owner's Name,Address,and Tel.No. Assessor's ap/Parcel " Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. e co�� Type of Building: Dwelling No.of Bedrooms 3 Lot Size (!4: .nt�o sq.ft. Garbage Grinder( ) Other Type of Building Ifnl()p N3E 1(j No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) C) gpd Design flow provided SqP), '] gpd Plan Date 9 1 11-1 J G Number of sheets '3 Revision Date Title Y Size of Septic Tank Type of S.A.S. ll�� (- koAj AeS tA)S}�jn,►�, Description of Soil Nature of Repairs or Alterations(Answer when applicable) �ti ,t 1 C& ti P L�_) �� ►UO n�^� `-1 I s�U,\) e 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 Health. Signe Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �Do�To_.— 3Z4 Date Issued No. c ' / (D Fee - '� Entered in computer: THE COMMOI�'INEAL;TH OF MASSACHUSETTS Yes — ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppliLatlon for Bisosal 6pstem Coneftuction Vermit Application for a Permit to)Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /G yp Q 1 S{-GS(7 V Owner's Name,Address,and Tel.No. tr C i rd Assessor's Map/Parcel / _ _cUo G Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �. �ti ViN C:7i�C Type of Building: Dwelling No.of Bedrooms Lot Size �`� �_sq.ft. Garbage Grinder( ) Other Type of Building C�NF No.of Persons T Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ). 7 gpd ,t Plan Date G 15 ► G ., Number of sheets Revision Date Title Size of Septic Tank e yj Type of S.A.S. a '�"CO Ge-_WcU,3 r L1CvLt`QlWS W S+or, Description of Soil j Nature of Repairs or Alterations(Answer when applicable) { Cry /V t'L J r `Qt�X C, u 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 Health. Signed Date Application Approved by + Date Application Disapproved by Date for the following reasons Permit No.. �] Date Issued -- - --- -------------------------------------=-------------------------------------------------'------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by 1 ) , ,J - A-K at ,f C,,Y 0 r)I oo �2C)L Ct(rJ S k G�J�� has been constructed in accordance f with the provisions of Title 5 and the for Disposal System Construction Permit No.p)J'b "3,r3 1 dated ' b h b Installer jc r �I'�c w 1r,,� ,. f Designer #bedrooms Approved design floW,, ?, r2 gpd The issuance of this Moi shall not be construed as a guarantee that the system wivi '7�,,\Tf as design d. Date Inspector - --------------------------------------------------------------------------------------------------------------------------- ------------- No. tG ^'-,�� Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBaf 6pstem onstrnctlon permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at (0 W r) C?I C) L_a t C, C'f' Rc) Uj P,,k- I �D and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Cby Provided:Construction mus 't a com leted within three years of the date of t t. 1Date 'J ! Approve _____.--- Town of Barnstable Regulatory Services Richard V. Scali,Interim Director anaxsrA33M 4 �� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 0260.1 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form 157--613-1140e Date: I)1-1 k t(A Sewage Permit#A Assessor's MaplParcel r5 Z - o t 3 Designer: y.��:�, .�. ticr tns 1,. c` Installer: '� ,�1 R rd.,.s�. I C Address: t Z iv, Cam.,c4j .� i"l'�c<y Address: P 0. 314,c 14 r" Lk M rA el Ce,%.I -f I I l.e M a O Z6 `3 2 On Ce p•►A ' ��'a"'�" I L was issued a permit to install a I (installer) septic system at `10 D i SiAoj-e ad based on a design drawn by I (address) L Co t-e-C J C dated (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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than l U' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but tin accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in co liance with the terms of the BA approval letters(if applicable) o PETER nstaller's Signature} o MCENTEE o CIVIL LA No. 35109 f AErrStE °��C`� F � (Designer's Signature) (Affix Desi 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:1Septic\DesicncrCertificationForm Rev 8-14-13.doe No. o�V16 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01 ppricatiou _for lVell Cougtructiou Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( an individual well at: (J) 41m 5a n/3 k 2 Location-Ad4tss Assessors Map and Parcel wner A dress Installer-Driller Addre s Type of Building Dwelling Other-Type of Building No. of Persons Type of Well �� Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Co apliance has been issued by the Board of Health. Signed dvll�e . Application Approved B ate A PP PP Y Dat Application Disapproved for the following reasons: Date Permit No.w`� D t ' Issued - t Date ---------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(`-j/ Altered( ), or Repaired( ) by jjl�4,,r Installer at _ ?�O 4)w has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector uI �i No. W �U O µ Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pprication for Yell Con5tructiou Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at: Location-AdVss Assessors Map and Parcel Owner / A dress I+,ns�taalller-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Co .pliance has been issued by the Board of Health. Signedey i ate Application Approved By Dat Application Disapproved for the following reasons: , II Date Permit No.w`� 0 1 01 Issued t— Date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate of (Compliance THIS IS TO CERTIFY,that the individual well Constructed(-�/, Altered( ), or Repaired( ) by l�N.�� Gu�P Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. s- Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Vern Construction Permit No. -o tU �t�( Fee -- Permission is hereby granted to Installer to l-Construct( Alter( ), or Repair( an individual well at: No. (�y��lI? f� LU r4Dl!4 Street c i as shown on the application for a Well Construction Permit No. Dated D Date �y / Approved By >� , easS n rky-t1Ae s. 152- W 00 Certified Mail#7006 2150 0002 1042 0767 Town of Barnstable -Regulatory Services BMARtVs cAOL1E. \ MASS. Thomas F. Geiler, Director 039, 1� j- M `a Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 16, 2008 Theresa A. Carddozo 1504 Leland Drive Sun City Center, FL 33573 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 1640 Old Stage Road West Barnstable, MA, was inspected on September 12, 2008 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.450—Means of Egress. Room observed being used as bedroom within basement without proper second means of egress as required by 780 CMR 3603.10.4.1 of the Mass State Building Code. You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice by removing all beds from basement and ceasing and desisting from using any part of basement as sleeping quarters. Due to the fact this room in the basement does not have the proper second means of egress it is not considered a bedroom by Health Division. Although it may not be used as a bedroom due to septic restrictions and egress issues. If you choose to install an egress window in said bedroom you must apply for building permits and will have to upgrade septic system. 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. Q:\Order letters\Housing violations\Rental ordinance\1640 old stage road.doc 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. E ORDER OF THE OARD OF HEALTH .McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector Cc: Caesar Pina Cardozo Q:\Order letters\Housing violations\Rental ordinancell l40 old stage road.doc FORM30 C&w HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA CITY/TOWN W PARTMENT DY'f�g�V 'N�►1 `f�`?� ADDRESS GSM Sver �,(.�( TELEPH E AddressI F� 0 Occupant Floor—Apartment o. No.of Occupants No.of Habitable Rooms — No.Sleeping Rooms_ No. dwelling or rooming units No.Stqries_ Name and address of owner _ _ S70 ITI Remarks Reg. Vio. YARD Out Bld s.: ences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation.- Chimney: BASEMENT Gen. Sanitation: Dampness: ^^ Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den 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.: - 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 REPOAMSIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY " INSPECTOR TITLE Q A.M. DATE I �' TIME � P.M. VA.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(8)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. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign r Item 4 if Restricted Delivery is desired. X �— Iggant ■ Print your name and address on the reverse ddresses so that we can return the card to you. B. y(PHn?te e) C. Dat of D livery ■ Attach this card to the back of the mailpiece, �� -7 or on the front if space permits. 07 D. Is delivery address d'Ri from item I? rl Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No C,co.P o u.t Z 5-01 Q4 . d 3. Service Type A Certified Mail O Express Mail O Registered ■Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. - .4._ResMcted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from.servlce tabeq' �i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE. First-Class Mail Postage&Fees,Paid LISPS Permit No.G-10 • Sender: Please print your name, address,and ZIP+4;in this-box-* i Town of Barnstable CHealth Division 200 Main Street Hyannis,MA 02601 I I Certified Mail#7003 1680 0004 5458 4753 �oFs rw,ti Town of Barnstable ' Regulatory Services BARNS-TABLE. NAM Thomas F.� Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 28, 2007 Caesar Pina Cardozo e , 0 59 Virginia Road Quincy, MA 02169 7 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 4640 Old Stage Road W. Barnstable, was inspected on June 10, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted .on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.503(C)—Protective Railings and Walls. Porch lacking balusters. You are directed to correct the violations listed above within thirty(30) days of your receipt of this notice by pulling building permit and installing balusters that are no more then 4 %" apart. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\1640 Old Stage Road.doc Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF TH BOARD OF HEALTH omas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector Q:\Order letters\Housing violations\Rental ordinance\1640 Old Stage Road.doc FORM30 CH W HOBBS&WARRENnn THE COMMONWEALTH OF MASSACHUSETTS s BOAR OF H H CITY TOWN W PA MEN �— a ) r� ADORES (509 L SO Sye� TELE HONE Address Occupant_ Floor Apartment.4 o. No.of Occupant No. of Habitable Rooms - No.Sleeping Rooms No. dwelling or roomin gu nits " Stories Name and address of owne 50-9 7jyt,�� arks Reg. Vio. YARD Out Bld s.: Fenc s: Garbage and Rubbish Containers: Drainage Infestation Rats or other: 3�c STRUCTURE EXT. Steps Stairs, Porches: CD Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 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.: 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 CH CKED 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 Rypoyl S SIGNED AND CERTIFIED NDER AINS AND PENALTIES OF PERJ INSPECTOR -E 0 [V a A.M. DATE-6— TIME P.M. �— 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 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.) i (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, Y:za An: TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS L �� ASSESSORS MAP NO. PARCEL NO. ADDRESS e VILLAGE' �' f NAMEft.A0 CONTACT PERSON ,(� , i? r,,�r� PHONE NUMBER %cA 'j LOCATION OF TANKS: CAPACITY: .TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL,9 — - -DETECTION ��,,?l� �i•F�F�d/� <.ir,.-+"> �%� �%f'�S - �%Yr-�h, � -'��L.j /_i _(�. . Z3 it .1 �,�r.��'S, .,Sf SYSTEM: DATE' OF PURCHASE OF. EACH: 1. 1 , ,J a 2. 3. 4. 5. _ DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. i err. _ �-�N k. P I I Town of Barnstable �p'' •� Department of Regulatory Services a szeste. Public Health Division Date _ e S. 039.. 200 Main Street,Hyannis MA 02601 rFo r,t�'t" M1a Date Scheduled Time Fee Pd. *k a a —W Soil Suitability Assessmentfor Sewage zsposal Performed By: Witnessed By: FLocation AddressLOCATION & GENERAL INFORMATION�� Q1Q( S (� Owners Name �-h�- eSq &,O(a'oAddress n•4YZC/ ssessor's Map/Parcel: / S Z —Q) 3—OU O O Engineer's Name NEW CONSTRUCTION REPAIR •-4 Telephone# SQ�—77j 7��7(o -----�D-- d _ Land Use i�..P S� I'b rl cr I 30 slop', 2" -� P ( ) Surface Stones E__ Distances from: Open Water Body,, 117 71W ft Possible Wet Area?3.00 ft Drinking Water Well� L O0 ft Drainage Way N/A ft Property Line "�-/— ft Other _ ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) a Vq az 4 Parent material(geologic) la's. Depth to Bedrock A)6�� _ Depth to Groundwater. Standing Water in Hole: X�,,s/LI Weeping from Pit Face A � Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed stc-nding ir.•^,b .hole: in, iuepth to soil Mottles:..,,�,�,_ in. Depth to weeping from side of obs.hole: _�.�,.,,,.,_,e,in, Groundwater Adjustment _•_o,�,_„e a_„m �,_ft. Index Well# Reading Date: Index Well level �.•. Adj,factor— Adj,Groundwater Level PERCOLATION TEST Date Thne..�� Observation �� 7 Hole# �I " ' 2'— Time at 9" ,�-�^ Depth of Perc `�'� ll Time at 6" it: Start Pre-soak Time @ l 21H Time(9"•6") t 2 End Pre-soak Rate Min./Inch. Site Suitability Assessment: Site Passed All Site Failed: Additional Testing Needed(Y/N)_ Original: Public Health Division Observtition Hole Data To Be Completed on Back--- ------- ***If percolation test is to be conducted within 100' of wetland,you must first:notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM-DOC i . DEEP.OBSERVATION.HOLE:LOG Hole# i Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in!.) (USDA) (Munsell) Mottling (Structure,Stones-Boulders. on istenjcy.%Gravel) kfi :DEEP OBSERVATION HOLE LOG Hole# O Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(im) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistency,%Gravel) ]DEEP OBSERVATION HOLE:LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other 'Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) e :DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 5011 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,016 Gravel) Flood InsuranceRate Maya- Above 500 year flood boundary No_ Yes Within 500 year boundary No�c Yes Within 100 year flood boundary No 4 Yes ,. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? — If not,what is the depth of naturally occurring pervious material? ..� Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 10 CMR 15.017. Date Signature_ Q:\SEMCTERCNORM.DOC flat . �la� y 1 Find M.... cel 152013w00 00, Town of Barnstable 3 Health Department Health Systemi� w �� MA BUM Nap(��arcei 152013W00 Tank Nb 01 3 aNbr 00334 In ailed 01/01/1973f LocationIB ; tru est No ficat o.. .. W Status z Date Re oval Notification Rat�� 'Lest 1 �� 10/31/1989 � v �, € Removal' 03/01/1998 el Stored FO Duel StorageReason 'H� �� x y $ z Capacity Construction Leak Detection Cathodic Detection f Skorag 7�ank Info 000500 SS kAdditional De ails Nr cAdd �s z F w Change ' may ` .,, I&zk 411dJMqeU. /v k Y Parker, Alisha From: Crocker, Sharon Sent: Thursday, January 19, 2006 12:16 PM To: Parker,Alisha Subject: Hazardous Mat-Tank Removal Letter Just received a call re: letter mailed. Theresa Cardozo currently in Florida for winter 813-633-5172 1640 Old Stage Rd West Barnstable, MA 500 Gal tank, Tag#00334 was removed March of 1998. Last time she received letter, she had Jim Jenkins of Fire Dept, W.Barnstable call here to straighten. Two companies were involved in removal: Envio Safe Corp Then, ENSR was brought in to determine if tank had leaked and was decided- No. She will mail letter and notes back to you. Parcel Detail Page 1 of 2 / rq 7 r3� Pit !OC}yC:d In t'1>; Parcel Detail ParW'e': Lookup Parcel Info Parcel ID?152-013-W00 Developer Lot Location i 1640 OLD STAGE ROAD Pri Frontage i 75 Sec Road Sec Frontage i Village VEST BARNSTABLE Fire District'W BARNS TABLE .................. __..._ _.... Sewer Acct Road Index 1 174 Owner Info owner ICARDOZO, THERESA A Co-owner Streets 1504 LELAND DR Street2 City'SUN CITY CENTER State FL__. Z€p 33573 Country,US Land Info ......... ...... 1........................ _ .......................................... Acres 14.43 Use Single Fam MD�I zoning RF Nghbd 10105 Topography?Level Road i Paved Utilities Public Water,Gas,Septic Location;,,Rear Location Construction Info Building .._.... . near 1974m Roof Gable/Hip. ac'None Built= Struct! Type Effect .. sph/F GIs Roof Bed 2218 A /CmK 3 Bedrooms o Area > Cover Rooms _.. ,.. ,..... LI Style?Ranch Int j Dr Wall Bath _ Wall Y Rooms _.....__. _... ..._........_... ........._. ..........._.... a .... ........... .............. Total;... Model z Residential Rooms 7 Rooms ._ Int r... .,:, Bath Grade Average •. Floor! Style= � � Kitchen Stories,1 Story Style a Ext µ Heat _...,. Bath ;Wood Shingle Wall Fuel Split , Found __... __... Heat .. _. Type!Hot Water ation,Oil http://lssgl/lntranct/propdata/ParcelDetail.aspx?ID=l0265 2/15/2006 Parcel Detail Page 2 of 2 Permit History ..................... .......... ................. ....-............................................ Issue Date Purpose Permit Amount Insp Date Corer 12/17/1996 Remodel 20032 $3,500 8/27/1997 12:00:00 AM Alumi ! 9/1/1984 B27007 $0 1/15/1986 12:00:00 AM WB X - Visit History 11111,..........- ............ ............ ................ ............ ........... ................ Date Who Purpose 2/17/2000 12:00:00 AM Paul Talbot Meas/Listed 6/4/1998 12:00:00 AM Lloyd Kurtz 18/27/1997 12:00:00 AM Lloyd Kurtz ---Sales--History ------ Line Sale Date Owner BookiPage Sale P 1 CARDOZO, THERESA A 1525/531 - Assessment History .............. Save# Year Building Value XF Value LAB Value Land Value Total Pare( 1 2006 $184,900 $9,500 $0 $239,600 2 2005 $168,300 $9,400 $0 $185,200 3 2004 $136,800 $9,400 $0 $185,200 4 2003 $124,200 $9,400 $0 $92,900 5 2002 $124,200 $9,400 $0 $92,900 6 2001 $124,200 $9,400 $0 $92,900 7 2000 $84,000 $5,400 $0 $81,600 8 1999 $84,000 $5,400 $0 $81,600 9 1998 $84,000 $6,200 $0 $81,600 10 1997 $100,900 $0 $0 $72,500 11 1996 $100,900 $0 $0 $72,500 12 1995 $100,900 $0 $0 $72,500 13 1994 $89,900 $0 $0 $50,700 14 1993 $89,900 $0 $0 $52,900 , 15 1992 $102,500 $0 $0 $56,400 16 1991 $111,300 $0 $0 $112,700 17 1990 $111,300 $0 $0 $112,700 18 1989 $111,300 $0 $0 $112,700 19 1988 $78,800 $0 $0 $48,300 20 1987 $78,800 $0 $0 $48,300 21 1986 $78,800 $0 $0 $48,300 � Photos http://issql/intranet/Propdata/ParcelDetail.aspx?ID=l 0265 2/15/2006 �� v3� /mac urn n i mrL,A61 KEEPING YOU ORGANIZED No.lom 2453L MADE W USA GET ORGAM ED AT SMEAD.COM e N PROP. S.A.S. I � _ u tee. ''� DEker o¢ SHED I rocus APPALOOSA WAY HOLDER y1LE� JOE THOAfPSp DECK W" PAVED �: I LNOT TOOCUS SMAP `DRIVEWAY HOUSE #1640 (LOCUS) cn c I �O #1614 I I #1650 i -H I EXIST. WELL In 4`1 HOUSE #1650 EXIST. WELL coo HOUSE #1640 — SEE SHEET 2OF3 _ 20 SCALE WINDOW Aso, 197,000±SF 4.52 ±AC PARCEL ID'S: 152-013—W00 & 152—013—T00 EXIST. SHARED WELL FOR HOUSES #1610 & #1614 #1610 ��P��a OF M,�ss9�yG o PETER T. g McENTEE CIVIL No. 35109 Ago �FPSI E�`�°�� PROPOSED SEPTIC SYSTEM UPGRADE PLAN s 1640 OLD STAGE ROAD, BARNSTABLE, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. 4 CARDOZO, THERESA A Engineering Works, Inc. 1"-40' P.T.M. 187-16 59 VIRGINIA ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. QUINCY, MA 02169 (508) 477-5313 9/15/16 P.T.M. 1 Of 3 I r � EXISTING CONTOUR --g8-- EXISTING SEPTIC TANK x 100.98 EXISTING SPOT GRADE TOP OF TANK, EL.=97.97t 44 PROPOSED CONTOUR IN V.=96.64f(VERIFY) �--------�--�' A EXISTING WELL EXISTING LEACH PIT OVERHEAD WIRES-$.H.iN.-- ES 9 4.41 x TO BE PU/ABANDONED. MPED, FILLED WITH TH r TEST PIT VENT SAND & 95.9� _ BENCHMARK 55' 97.10 LEGEND / 96.50 x o / 97.84 SHED I ��.TTT •SH S 9 . �.61 / //V 98.16 Ln + 99-84- + 100.38 / x /J 97.82 99.47 : . 98.30 R T WALL ECK 1 Q r WALL 1 105,5 f' PAVED.' 104.92 p 'DRIVEWAY .` O 103. 7\ �r �(0 x 105.02 98.09 /EXISTING # HOUSE(,f 640) 104'3 T.O.F.=106.5f UP 104,45 P .PK.:SET' / �...987 7 /STF,oS CZ.> x 105.55 02.58 x 105.79i + 104,9 110 64 40,57 98.16 1 ( x O 00 02.51 _- ' 7 �06.0 x 105.. x x 105.36 O .34 105.07 i - wg O Z 00 102 _ BENCHMARK p / 98,30 •':' MAG. N,4IL SET / Lv 4r:' -EL. 98.177 Z 98.30 + 05.83 n- } 0 x 102,90 + 10419 /� �O w o Q.'. 1 Q_ I :...� 103, + 164153 98,57 x 918 1 197,000±SF 52 t AC 0 98.59 I ��' PARCEL ID IS.• 152--J013-W00 I & 152=-013-T00 99.97 I / + 102.50 / 101.21 1 I WELL00\ CB I� -:99,40 99.32 t y� 112.22 Q) UP OF MASS \ o� PETER T. q M CIVIL N PROPOSED SEPTIC SYSTEM UPGRADE PLAN No. 35109 REC/5- 1640 OLD STAGE ROAD, BARNSTABLE, MA O F N \ Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. 1'.=20' P.T.M. 187-16 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 9/15/16 P.T.M. 2 Of 3 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=93.5 SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F.=106.5t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=105.0%P F.G. EL.=100.0f F.G. EL.=97.2t F.G. EL.=97.0t MAINTAIN 2% SLOPE OVER S.A.S. ` L = 36' 5' ® S=1% (MIN.) (MIN.) 4'SCH40 PVC PVC 2" LAYER OF 1/8" TO 1/2"6" ni /I I DOUBLE WASHED STONE 10•I n E]74"�SCH40 as $ 13 as (OR APPROVED FILTER FABRIC) 1q^ BBB aa690aEXISTING 48` LIQUID aaaaaaa -3/4^ To 1-1/2' DoueLE LEVEL WASHED STONE ADD INV.=94.17 PROPOSE 4' 5.2' 4'GAS BAFFLE -BOX .= 4.00 INV.=96.64t EFFECTIVE WIDTH = 12.8' (VERIFY) 3 OUTLETS INV.=93.00 . EXISITNG SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=94.1 t BREAKOUT ELEV.=93.50 INV. ELEV.=93.00 aaBa NOTES: aaaaaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=91.00 aaaaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 2 x 8.5' = 17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=85.4 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL DATE: AUGUST 4, 2016 (REF#15,120) BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL EVALUATOR: PETER McENTEE PE(SE#1542) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS WITNESS: DAVID STANTON R.S. HEALTH AGENT OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 11 -310 CMR 15.405(1)(b): 97.0 FILL 0 96.9 FILL 0 1) A 2' variance to the maximum cover regirement of 3' for 95.5 A 18" 95.6 A 16" up to 5' of cover. SAS shall !be H-20 and vented. SANDY LOAM SANDY LOAM 3. THE SEWAGE DISPOSAL SYSTEM S-',ALL NOT BE BACKFILLED PRIOR 10YR 4/2 10YR 4/2 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 95.0 B 24" 95.2 B 20" DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SANDY LOAM SANDY LOAM FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10YR 5/6 10YR 5/6 ENGINEER BEFORE CONSTRUCTION CONTINUES. 93.0 48" 93.1 46" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. C C 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PERC THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 46"/64' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. MED. SAND MED. SAND 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. 2.5Y 6/6 2.5Y 6/6 8. THERE ARE NO WELLS WITHIN 150 OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 85.5 138" 85.4 138" DIRECTED BY THE APPROVING AUTHORITIES. PERC RATE <2 MIN/IN. "C" HORIZON 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NO GROUNDWATER ENCOUNTERED THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). PROP. S.A.S• 'N 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE $ aD INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. �O c01 1 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND J NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 2� 6 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLANun �D c0 C� DESIGN CRITERIA sHEO w co, NUMBER OF BEDROOMS: 3 BEDROOMS SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 'MIN/IN DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF DECK .74 GPD/SF SEPTIC LAYOUT EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN(MUM), H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 1640 OLD STAGE ROAD, BARNSTABLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 187-16 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 9/15/16 P.T.M. 3 of 3 N V I � i PROP. I ✓ B"E° p��ERpN LOCUS SHED APPALOOSA war HOLDER u �. PREWHESs OE WA — DECK I LOCUS SMAP NoT ToCALE PAVED DRIVEWAY HOUSE #1640 (LOCUS) I c / I 4 q16 q #1650 I o ro -H EXIST. WELL `n o HOUSE #1650 EXIST. WELL 00 cfl HOUSE #1640 SEE SHEET 2 OF 3 -` 20 SCALE WINDOW 197,000±SF 4.52 tAC PARCEL ID'S: 152-013—W00 & 152-013—T00 EXIST. SHARED WELL FOR HOUSES #1610 & #1614 #1610 \ '$ pF Moss o PETER T. McENTEE o CIVIL " No. 35109 PROPOSED SEPTIC SYSTEM UPGRADE PLAN �fclsjER�° �� 1640 OLD STAGE ROAD, BARNSTABLE, MA s Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 Engineering by: SCALE � DRAWN JOB. NO. pl /( OWNER OF RECORD 40 P.T.M. 187-16 l p CARDOZO, THERESA A Engineering Woks, Inc. DATE CHECKED SHEET N0. 59 VIRGINIA ROAD 12 West Crossfield Road, Forestdole, MA 02644 QUINCY, MA 02169 (508) 477-5313 1 9/15/16 1 P.T.M. 1 Of 3 4 - Irp bo ba Iva N Ni C + � � - PR gHEn o ENTER op RF,q y � - ~---___ 0�--+- TO '48LE I` $ , '►- ro wE WELL Irg,pf + 0 94 f f 634 SE- i1 `.'• '' T7M PROFILE TEST HOLE LOG ; rot to scot=_ r y COVERS TO WITHIN 6" DATE: 9/4/20 r OF FINISHED GRADE TEST BY: MIKE 0 LOUGHLIN I NTNESS: DAVE STANTON 99.4 F.G. P'ERC RATE: < 2 MIN n c- 'r22" , n PIPE TO B E LEVEL F.G. 96.0 MINIMUM 2" PEASTONE OR TEST HOLE 1 TEST H e I cD FOR 2' OUT OF D-BOX GEOTEXTILE FABRIC 0" 95.57 EL 0" 97.5 EL p 0 95.32 EL 97.08 EL 10' INLET TEE TOP ® 94.83 A LOAMY SAND A LOAMY SAND -7o 0 0 0 0 0 0 0 0 0 0 5" 10Y 5/4 95.15 EL 5" 10Y 5/4 98.7 EL 14" OUTLET o0000000000 !- g4,g o0000000000 TEE WITH 94.25 0 0 0 0 0 0 0 0 0 0 o BOTTOM 0 92.0 B W LOAMY SAND LOAMY SAND v� 0 o c o 0 0 0 0 0 0 0 0000000000o 10Y 5/6 BW 10Y 5/6 �Q FILTER 94.42 0 0 0 0 0 0 0 0 0 0 28" 93.24 EL 28" 95.17 EL 20 e oLE 94 0 (3) 500 GAL DRYWELL H-10 O C FINE - MEDIUM C FINE - MEDIUM OQ sF� _... .::..Y o-eox 10' x 30' x 2' z SAND SAND / 1500 GALLON H-10 2.5Y 7/2 2.5Y 7/2 MONO SEPTIC TANK 6" COMPACTED STONE 8.72' Q O OR COMPACTED B ASE NO WATER NO WATER NO WATER BOTTOM OF T. H. 1 83.28 # ENCOUNTERED ENCOUNTERED ENCOUNTERED � O. 148" 82.21 EL 14 " 85.21 EL �00 : BOTTOM OF PERK 38" 93 7e k� ilp TOWN OF BARNSTABLE ZONING PRESOAK 13 MINUTES < 12" + ` O E I \\ BY-LAW 9� ZONE RC o SETBACKS FRONT 20' . BIDE 10' I UUOq REAR • 93 9 PROPERTY LINES SHOWN HEREON ! WERE COMPILED FROM AVAILABLE / G� Q_ f :' I ` PLANS OF RECORD AND VERIFIED� • / i ^•. ,_.� ON THE GROUND. • .y •has 9g THE DWELLING DEPICTED ON THIS . ` a� PLAN WAS LOCATED ON THE GROUND BY SURVEY ON OCT, 19, 2020 AND EXISTS AS SHOWN AS OF THE DATE / *t ! OF LOCATION. / 91 + tjb i 0 '1 9� EO pR\ Q�OP' O PAR g6 g " PRpPO' gd�$E�-00AN ;�w: 6 liJ* / i O ► �4 9S ✓ . s 93 F / / g 0 9� 0 GENERAL NOTES ,'.. 9�00 / / / 0 °Q C3 9 1. �ONTRAC TOR TO B E,RESPONSIE LE FOR THE LOCATION OF ALL #•a. UTILITIES, ABOVE & UNDERGROQND, PRIOR TO ANY EXCAVATION 4/ / / / • • " .IE.P P N AT 9 OR CONSTRUCTION. t ; / RESpF+�O 2. SEPTIC SYSTEM IS TO BE INSTALLED IN COMPLIANCE WITH 310 j 8 97g �, CMR 15.00:TITLE V. k " 8 6 �- 3. THIS 'PLAN IS NOT.TO BE USED FOR PROPERTY LIME ncTERMINA701N ,.41 �-y4 93 _ 6 4• DESIGNER TO INSPECT CERTIFY C & CE OVER-DIG, WHEN REQUIRED F+�a BA /6 B`1 PLAN, AND FINAL INSPECTION BEFORE B AC KFILL. ` ORS 3Q 3t '�S 5. CONTRACTOR TO PROVIDE 48 HOUR NOTICE FOR ANY REQUIRED INSPEC TIONS. 6. THIS SYSTEM IS NOT DESIGNED FOR ,THE USE OF. A GARBAGE I t r1 ti6�� f► ��" DISPOSAL. $4 °�' g3d'/ 7. THE TOP OF ALL SYSTEM COMPONENTS SHALL BE MARKED WITH Ij 3 MAGNETIC MARKING TAPE OR A COMPARABLE MEANS IN ORDERI ioo TO LOCATE THEM ONCE BURIED.` ¢. 8. IF SOILS ARE FOUND UNSUITABLE OR DIFFERING FROM THOSE ; s P`IE HEALTH. ER AND THE BOARD OF FOUND IN SOIL LOG CONTACT DESIGN P D I 9. 1F AN OVERDIG IS REQUIRED, OR IF UNSUITABLE SOIL IS FOUND r 1N A-B LAYERS, CLEAN GRANULAR SAND MEETING 3101aMR "` '"��"" «rd�4►, ' 15.255(3) SHALL BE USED AS FILL MATER+AL° 5'--AROUND-AND n UNDER S.A.S. �3 10. ALL 4 PIPE CONNECTIONS AT SEPTIC TANK AND D-BOX SHALL BE MORTARED IN PLACE. IF USING 18" PLASTIC RISER PIPES, Az THESE TOO SHALL BE MORTARED IN PLACE. I b o � w DESIGN DATA "L 610 DAILY FLOW: GARAGE WITH BATHROOM = 330 GPD .74 = 445.95 SQ./FT. �,STti /oo SEPTIC TANK: 330 GPD X 2 = 660 GPD i c -4 u 1 -USE: 500 GALLON H 1 MONO 8 DISTRIBUTION BOX: 0 0 0 SEPTIC TANK • ��9y\ USE: DB-6 H-20 I ` i SOIL,AB SORPTION SYSTEM: ` WASHED STONE USE: (3) 500 GAL DRYWELLS H-10 WITH DOUBLE r •A� R SIDEWALL AREA:. 80' X 2' �X 0.74 a= 160 SQ./FT. g BOTTOM AREA-- 30' X 10 X 0.74 = 300 SO./FT. TOTAL AREA: ' = 460 SQ./FT. • O �� ,�? r + NOTES c 1. NO SEPTIC SYSTEMS WITHIN 150' RADIUS OF PRPOSED WELL, 2. DOUBLE WASH STONE IN LEACHING. I3. O S/$ a, I I V N , AAA a STREET ADDRESS: 1640 OLD STACzE ROAD ASSESSORS MAP 152 PARCEL 13 I OWNER: PAUL M. FIGHTER t JEANNY R. ALCANTARA I O/� DEED REP.: BK. 29914 PG. 24 HEALTH AGENT APPROVAL DATE�./ TE �O SURVEYOR: , SEWAGE PLAN ENGINEER: ✓ TERRY WARNS{ STEPHEN HAAS Q�. LocATION: 1640 OLD STAGE RD. 4 WEST B ARNSTAB LE, MA. ` m PREPARED FOR: O '" ..^.�s PAUL M. FICHTER & ,,JEANNY R. ALCANTARA " i QV P, `NlE + SCALE: 1rr _ 20' r a. DATE: NOV. 1 2020 t�' O��ci JOB NUMBER: REVISION: ° I SHEET NUMBER: 1 Of 2 sr" scale: 1"-20' / �`�`�?N� ,�` � MAP: 152 PARCEL: i , ri l J. O'LOUGHLIN INC .;oo 110 0 20 40 60 ` V 714 MAIN STREET, YARMOUTH PORT, MA 02675 (508) 362-4942 - --- - r -- - 7