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Home My WebLink About0142 SALT ROCK ROAD - Health '!42 Salt Rock Road Barnstable A = 316 010 a i o � e d& _ i � FORM30 C&W HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H °L.TH CITY/TOWN e 4 W DEPARTMEI� ADDRESS Q,M SVey`eW TELEPHONE Address �� ° " �Occupanjuo Floor Apartment No. No.of Occupants No. of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_ No. ories Name and address of owner �' �''�- Q'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 AA Gutters, Drains: — Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: a Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin : Hall Lighting: "r Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 F Bedroom 2 C Bedroom 3 Bedroom 4 Hot Water Facil. Sup. en.,Gas, Oil, Elect.: S cks, Flues,Vents Safeties: Kitchen Facilities Sink e Bathing,Toilet Facil. Vent., Plumb.,Sanit'n. Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS GNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PER URY." g (I m INSPECTOR TITLEff ti 2y/1 A. DATE C TIME- 10 , 05 P.M. THE NEXT SCHEDULED REINSPECTION ` P.M. J' 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 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 CMRS410.600, 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). y J (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. �o -o c� . Tj I � G to c� U1 o r TOWN OF STABLE C LOCATION i V =11finummiligiamSEWAGE# 3` (� VILLAGE 2--an,-C, ASSESSOR'S MAP & LOT tssaT INSTALLER'S NAME&PHONE NO. �rQ- SEPTIC TANK CAPACITY-- 4SG �n� LEACHING FACILITY. (type) P, (size). � ►(� ti NO.-OF BEDROOMS —a BUILDER OR OWNER PERMPTDAT> : COMPLIANCE DATE: Separation Distance Betweea tie: Maximum Adjusted Groundwater able 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 �c'lev d�aS C O L TOWN O STABLE !1 LOCATION �■ — - � � SEWAGE # 3 66 VILLAGE 4 k'f- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. iS cQ SEPTIC TANK CAPACITY C-25& �p > «Q�,o LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: S� t' COMPLIANCE DATE: �I 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 Q c \Ae`uS� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ((Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mig0oga1 bp5tem Conotructiou 3permit Application for a Permit to Construct( )Repair)Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No.� y� /� ® Owner's Name,Address and Tel.No. Q(/"i(slew Assessor's Map/Parcel ? —n/0 n Installer's Name,Address,and Tel.No. (f 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 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) .7 u-- &be tz ®-1, Imlel le Odd/Pt 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 issue Sign a Date "5-- L(-�;Oqy Application Approved by Date 621, Application Disapproved for the following reasons Permit No. ` Date Issued --- ----- --- - --- ----- - ----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS To E F , t >he O - it Weis sal, m Co tr t )Re r Upgraded( ) Aband ned ) .aC has b oplrlf, — - —_ - - 11 " - , — A 0 _pgen constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N :�:-da dated Installer Designer The issuance of this perymt shall not be construed as a guarantee that the sy a will Pnc:tion as si ned. Date Inspector . s OFee '.t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: yes - PUBLIC HEALTH DIVISION ;-TOWN OF BARNSTABLES MASSACHUSETTS Zipprtcation for -MigPogar 6pacm tow5truction Permit a Application for a Permit to Construct( , )Repair,)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.�/� � E` /y�p��Y /� 0!/r pOwneerr's Name,Address and Tell.NAonoxh Assessor's Ma /Pazcel " ' a/ "�9NIA' 1W///a p J/6 —O/O Installer's Name,Address,and Tel.No. " Designer's Name,Address and Tel.No. Type of Building: 41 7- Dwelling < No.of Bedrooms ijLot Size sq.ft. Garbage Grinder( ) Other Type of Building (No.bf Persons Showers( )'Cafeteria( ) Other Fixtures I 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) O/' lNlCl E ."Ile l- ✓. L! fees Y 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 issuedrby�this Board 67f ITea1 SigneY� /7 l 6 n -1-, Date V Xe Application Approved by - i/K ! v Date `T Application Disapproved for the following reasons�� r Permit No. Date Issued / �. ,(t11 THE COMMONWEALTH OF MASSACHUSETTS � , � BARNSTABLE, MASSACHUSETTS Y 0� a Certificate of (Compliance THIS IS T �T�ly�C that t e O it/e Sewage,Di��rn Co�rstruete Re red( )Upgraded( ) Aba }d9ned ) i � Gto t/ -�f Y 0 has been constructed in accordance with the provisions of Title 5 and the for Disposal System ConstructionT6mut N .� dated <-A/ Installer Designer The issuance of this permit shall not be construed as a guarantee that the sy\e will nction as d esigned. Date. � C//O� Inspector �. Q No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mfi5pogal *pgtem Construction Permit Permission is hereby gr t dv- C st. c//t( ) j�ja ) Jpg/r de,()''`�Aban o System located at L�l� Ll/ �k/ / �C-� 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: ConstructAtW pleted within three years of the date of this�it:f' // /m Date: �. Approved b / %/Gj��! // PP Y L�