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No. H163BH r.co
HASTINGS,MN
TOWN OF BARNSTABLE
LOCATION �'�� `Lt•'e- SEWAGE#
VILLAGE �S�tiSc.�Ie_ ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
OWNER G er•� L,U,��Si-a�.
PERMIT DATE: 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 ��-r •G��• k
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130 Pine Lane
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UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
:Permit No.G-10
• Sender. Please print your name, address, and ZIP+4 in this box •
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Town of Barnstable
010'
Health Division
200 Main Street
Nvanni s._MA026ffl
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY;
■ Complete items 1,2,and 3.Also complete A. Signature
Item 4 if Restricted Delivery is desired. J rod Agent
■ Print your riame.and address on the reverse X , C`. 1 v �' ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
I or on the front if space permits. R-
D. Is delivery address different from Item 1? ❑Yes
1. Article Addressed to: -
If YES,enter delivery address bel w:"°�.;0 No
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3. Service Typed e�
Certified Mail Mail
❑Registered m V erchandise
O Insured Mail 0 C.O. . p'-
4. Restricted Delivery?(Extra Fee) p Yes
M 2, Article Number 4 ''7 p'p 7''p 71 p S 5 8 21 2 4 90
(Transfer from service Iabeo �1
PS Form 3811,February 2004 Domestic Return Receipt 02595-02-M-1540
Y Certified Mail#7007 0710 0005 5821 2490
�OpSHE ra Town of Barnstable
f Regulatory Services
R RARNS-TABLE. "
�A�• m Thomas F. Geiler, Director
i6
Alf°MAC°, Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
November 8, 2007
Robert Livingston
3415 Raymond Street
Chevy Chase, MD 20815
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 130 Pine Lane Barnstable, was inspected
on November 6, 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 Town of Barnstable Code were observed:
070-10—Smoke Detectors and Carbon Monoxide Alarms. No CO alarms provided.
You are directed to correct the violations listed above within three (3) days of your
receipt of this notice by providing CO alarms for dwelling.
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.
PER ORDER OF THE BOARD OF HEALTH
QAOrder letterMousing violations\Rental ordinance\130 Pine Lane.doc
I'17omas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Health Inspector
QAOrder letters\Housing violations\Rental ordinance\130 Pine Lane.doc
FORM30 C&W HOBBS&WARREN TM
THE COMMONWEALTH.OF MASSACHUSETTS
BOARD OF HE H
CITYQY
DEPARTMEN
ADDRESS
4�M 59 y`0�
TELEPHONE
Address f^'"t' _ Occupanjmm"
Floor Apartment No. No..of Occupants_—�__
No.of Habitable Rooms 3 No.Sleeping Rooms__
No.dwelling or rooming units_ No.Stories
Name and address
of owner _
o� Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting: d
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 di I}
Bedroom 3
Bedroom 4 i
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
S s, Flues,V nts,Safeties:
Kitchen Facilities i
rove _
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 INSPECTO (See Over)
"THIS INSPECTION OR IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF P R ."
INSPECTOR V \ TITLE
J4
A.
DATE 11 — 6' 0 � TIME �`�
I•�
THE NEXT SCHEDULED REINSPECTION A.M.P.M.
;y'���,�-�/
410.750: Conditions Deemed to Endanger or Impair Health or Safety
�
� The following oonditiono when pmm�oa oh�ibe deemed oond�onuwhich 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 CIVIR 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 CIVIR 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 CIVIR 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
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CIVIR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CIVIR 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
(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 CIVIR 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 CIVIR 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 CIVIR 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
(N) Failure to provide a smoke detector required by 105 CIVIR 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
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CIVIR 410.000 not enumerated in 105 CIVIR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
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Town of Barnstable
Regulatory Services
I Thomas F. Geiler, Director
BARNS fA BLE,
a�pT 039; $ Public Health Division
ED M{►
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
November 7, 2007
Attn: Barnstable
On November 6, 2007 Health Inspector Timothy B.-O'Connell conducted a housing
investigation. The State Department of Public Health has not promulgated regulations
for CO detectors into 105 CMR 410.000 the State Housing Code to date. It is the policy
of the Town of Barnstable Health Division to take similar actions for CO detector
violations as is currently required for smoke detector violations (under 105 CMR
410.482), which is to notify the Fire Department if there is a violation, or possible
violation observed.
The following property had possible CO detector violations:
130 Pine Street Barnstable, Assessors Map-Parcel: (278-006-002):
-No CO detectors present.
Timothy . O'Connell Health Inspector
Q:\Order letters\Housing violations\Rental ordinance\\Fire Violations\CO TEMPLATE.doc
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Plumbing Division customer#
• Service Date
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ENTERPRISES LLC Cash CC Bill Check#
J.P. MACOMBER & SON •Since 1928 Credit Card #:
NEW HOMES • ADDITIONS • REMODELING
.TnTLE V SEPTIC • CONTAINER SERVICE Exp.Date: Security Code
Billing Address:
CapewideEnter
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Job Description/Work Completed Materials Cost
Tech Time In Time Out Total Hrs
Labor: $
Materials: $
Permit Costs: $
T)ravel/Fuel: $
Total Cost: $
Customer Signature:-