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HomeMy WebLinkAbout0118 THORNTON DRIVE - Health {! ,�THORNTON DRIVE, 971 E 1 . f t f Hazardous Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists ✓ Working Phone Number Actual Amounts -( ie. gas being used to fuel machines, thinner to` clean brushes all count as hazardous materials-no blanks) Storage Information - location of storage, how long is storage fort If none, note that.* Disposal Information -where and who?.If none, note that. Applicant Signature -understand what is listed and noted Staff Initial-any questions, know who to ask 1V114 Vehicle Washing/Rinsing? -give a vehicle washing policy and "` —explain it _Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they,are doing. Notes need to be Left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS", - .- For Your Information: Business certificates (cost$30.00 for years). A business ONLY REGISTERS You must do by M.G.L.- it does not give you permission to operate.) Business Certificates are available at the Town Clerk's.Office, 1" FL. 3 Main Street, Hyannis, MA 02601 (Town Hall) YOUR NAME in town (which 67 m DATE: APPLICANT'S 1�t+ a�J* YOUR NAME/S: i/C r J-�'4"�iC��' It in please: r` ,}ttaI � DU I GycJ�cu g YOUR HOME ADDRESS: r� IN'd TELEPHONE # Home Telephone c �as.,.�y p ne Number — NAME OF CORPORATION: NAME OF.NEW,BUSINESS 1S T;HIS A HOME OCCUPATION_ _YES NO TY P E OF BUSINESS ADDRESS 0�PUSINES9 . ii �l Y' a MAP/PARCEL:NUMBER :q: .� t�. (Assessing) When starting la new business there are several things you must do.in order to be in compliance with the rules and reg Barriste'ble. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Mainations of the Town of St. - (corner of Yarmouth Rd. & Main'Strpet) to make sure you have the appropriate permits and licenses required to legally operate your-business in this town. 1. BUILDING CO ISSIO ER'S OFFIC This.individ al e n info m of ny qermit requirements that pertain to this type of business. u prized Sign re* MMENTS: c( �/�, 2. BOARD OF HEALTH This individual has b n infor ed t ermiZ requirements that pertain to this type of business. uthgr' ad Signature** COMMENTS: Pkovl /-Q/—/H i! 5 C9 L—•SlV&- A-A)4 " Cv L-'ti�72st is�S r7�(2/I/2 DOVS. A: D l �ziL U!IZc2c7-1 EV S �o 5!`1!!-&-c. �U/t,�7� ,v !�v.=U�2,r�E6 �/ p -/*Z /--6 aus e�,q 7�j2✓!tc s H-t S F3 U5!.v E-5S C=JL Ct�� 7?tE u Tv72 ot-crE 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business.' COMMENTS: Authorized Signature** f - ........ , L }} + J C�+Or j a.m„ cx 11:oLo n a 7oZob5 Pre�,►s �0 cl of +Cl.c��oYr1c-0-►Ue -..re�JcA�Y' I6 �,S i, e :1 l aS C!am 4 . , OLn � I a Jr t OV­ ail- I ���rn'�ot� 7 r� v� avtni5,.Y,�14 a } .R d o b I�C I ce-l-Go e �octa�s 'Heart".71 , { l � VO . r E 3 TOWN OF BARNSTABLE Date:3 / j/ G'? "i TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY 'NAME OF BUSINESS: Atc7* BUSINESS LOCATION: / INVENTORY MAILING ADDRESS: 6 TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: — I.Pe La4,rj, 4 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: uwj a� Last shipment of hazardous waste: Name of Hauler: 4 / destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive /D KNEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants 7 Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants �C Motor Oils Pesticides ANE ❑ USED (insecticides, herbicides, rodenticides) �: G=asolinVietPhotochemicals (Fixers)fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil / 'NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood.preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, rnishes, stains, dyes / Q dl Other chlorinated hydrocarbons, l �a✓U �'Q�,v (including carbon tetrachloride) Lacquer thinners XNEW ❑ USED / 4 f Any other products with "poison" labels 0 (including chloroform, formaldehyde, Paint&varnish removers, deglossers 0 hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 1 C Windshield wash o" WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A icant's Sign at Staff's Initials _ Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health. This is to Certify that Tirrell Radiator 118 Thorton Drive, Hyannis,MA 02601 Is Hereby:Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. " ----------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI - THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I Hazardous Materials Inventory Sheet Checklist V Date ,/ Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) ✓ Storage Information - location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it Attach the Business Certificate with your sign off and comments "*The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. Town of Barnstable S*10&00 YtIC4 M-1 0 Regulatory Services ( � Thomas F. Geder, Director BARNASS.LE, ' Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE �I APPLICATION FOR PERMIT TO STORE AID/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATIERULS FULL NAME OF APPLICANT RO �E� CAW ce V5 NAME OF ESTABLISHMENT RA n►��G-- ADDRESS OF ESTABLISHMENT I`g l No�1`(�� �¢• "H AJ4j S 1 MA.04-6 01 TELEPHONE NUMBER O -?-7 5—?6 0 0 SOLE OWNER: YES_)( NO F IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL44 PARTNERS: c c� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 STATE OF INCORPORATION /' /A SS FULL NAME AND HOME ADDRESS OF: PRESIDENT Vo Bt.XC Kt---cVA( V— �6 3''J TREASURER o6QLr- `Ct.4XrVAPK It << Ci CLERK C0U-V-V'J aysw i• SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 3io 33 60-4AM � ,rs ®it.nr11P 42, HOME TELEPHONE# Haz.doc/wp/q G� MAIL-IN REQUESTS Please mail the completed application form to the address below. In addition, please include the required fee amount. Make check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. For further assistance on any item above, call (508) 862-4644_ CONTINGENCY PLAN Emergency Coordinator, Name: Address: Daytime Phone: Evening Phone: Fire Department: DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: sy o�-L. Phone: Build ing diag ram gram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sewer system or the ground. EMERGENCY RESPONSE NUMBERS FIRE, POLICE, RESCUE 911 EMERGENCY MNGT. AGENCY 508-820-2040 EMERGENCY RESPONSE COMM. 617-727-7725' N. E. ENVIRONMENTAL SER. 1-800-442-5668 UNIVAR HADMAT REMOVAL 1-860-546-2172 - I 1� r�} = ` 1' ? ti 4 eghom7 ostntelephone(s) t Ii�t CASE Oi� G - Y � E11 -.,r 1- M- Bacg Goo or.............!�!!1.. .. . !� C Styg ) 7 . - n • . - 1�Tame: - F Y Local Fire De pa ne . ... .14�m� ._...�.. Q - t S# - 7 �O� d k - 'y�b h Y Sw'dStDH �r g�eageucY Section. ..... .... ( 508 946- 2850* I. •N••• E. . . ._ Statewide DEP -1�neageaicyRj I - . se .....................:............... .._-- 7= _... ( 61 556-1133 or m 33 II { 888 )x0�k11 - y L6�7jgZ,550�k, *IfRegtonalDEP offitce ss closd (BostonDEP) _ _ ch wide cuaent _ - itateQliceF#onenum�er . ;', _ x State PahcePh ez�nb�(9/99) .-�----�-:L�..,.,'---�--,%,-,�--.--,:-..;,-:1 __ .. ,► - (508) 82( 2121 .�. " _ - NA1`YONAL`RBSPOI�ISB CiTER- - (gp0) 424-8802 ..�.�'-2-'E:.-��-�--.�+-�_-.-.I--o r-r"..-.-.-L.-:?-.--:.:.--..t-��-..�--Z��i.-.-----.....���--.. J t �� ; uMyEPAIdentificationNumber=ls �: J r ,- �, - ; � - _ , - F EVACUATION tOTITI+: �� :. , -- Faityfloorplaa showing e�ergeacy emits aadliou(s).oi•fiheiefegtinuitshexts)and } cgntrol matenal(s);and-- ,rese_nt the fie alarms. x - - ,� ,,_ = - dot. $1 ry • w y r f z _ "- y r f �'-� a,,.s c-r-, .sue., '$p _ - _ -- ." s - p- )yrobiaf s = r -- SR'G c� . :ter . y �< � ,f 3 �j,� - - - - 54 -r� 0 er__ !cn}rt s t _ - r �iw F .. ., - - - - - . _ .... .1 - - _ - -._r.•_, ,-- . Tf - - - - - �aF 9 c6 ..Y�. 1 35 .. 0. 3 O _ 30.341 1 e and,30.5 2 SQG's see 31 OCMR ) v r _ . . - . - s ._Y -.-. - - - - - . - - f SPILL CONTINGENCY PLAN 1. Evacuate the entire area, if necessary. 2. Shut off valves, pumps, and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the material is flammable. 4. Cover or dike all existing sumps, and storm drains if not already covered. 5. Contain the spill by use of absorbent socks/booms,then apply appropriate absorbent material or additional socks/booms:Contact spill response firms if necessary for assitance. 6. Remove all absorbed material or contained liquid and package in. approved DOT container. Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and the start date of accumulation. 8. Notify the appropriate agencies. (Number listings to the right of this per) 9. Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and decontaminating equipment is in goodworking.condition. 10.Replace all used materials and ensure all response equipment is in good working condition 1 l.Dispose of collected absorbents and liquid in accordance with federal and state environmental regulations 12Xor any spill greater than the reportable quantity or 10 gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site. 13.Spill clean up equipment is located in the rear of the building. 14.Check MSDS for health hazards. 15.Report any and all spills to management. j Notes to the File Date: September 10, 2009 , Tirrell Radiator 118 Thornton Dr. o Hyannis, Ma Cynthia Martin, PHD A Hazardous Materials Inspection was prompted by the completion of a business application for the relocation of the radiator repair shop. The new shop.work areas consist of two garage bays, one paint spray bay and a radiator repair bay. The building is owned, by Hyannis Collision. A Stop Work Order issued by the Building Department was posted on the front of the. building. In conversation with Paul Rome, BBD, a new building layout/permit should be, provided to the Building Department prior to starting business. At this time equipment is still being brought in to the building, therefore only a partial inventory of hazardous materials could be conducted. Anticipated and actual hazardous material use and storage on site at the time*of the inspection was-as follows: ' • Two, plastic above ground storage tanks for anti-freeze, each with a one-hundred. and seventy-five gallon capacity(partially full). • One full radiator test tank with an estimated total capacity of three-hundred gallons (water and antifreeze). • One aqueous parts washer, presently non-functional. M • One radiator flush booth,presently non-functional. • A Hazardous Waste Storage Area containing a two-hundred and'seventy-five gallon plastic above ground storage tank for waste_antifreeze and two empty fifty-five gallon drums for waste oil. • A single Flammables Cabinet currently containing eight and-a half gallons of Red Kote, a combustible material used to reline automobile gasoline tanks,'a'gallon of acetone, and one and a`half gallons of over coat material. • One acetylene kit • Approximately eight, one-gallon containers of antifreeze • Nine, thirty pound canisters of Freon 134A s • Five gallons of soldering flux • Six gallons of ester oil used.for lubricating air conditioner.compressors. , A caustic bath for cleaning/boiling radiators is not yet on site. The capacity of the caustic bath.at the previous location was approximately two-hundred gallons. It is anticipated that a new bath, currently of unknown capacity, will be installed. Additionally, approximately twelve cases of antifreeze containing one-gallon bottles are typically I .maintained on site for specific auto requirements as well as one case of motor oil. It is i anticipated that a small amount(three to five gallons) of paint will be stored on site, it is ' used on repaired radiators.. A covered rag bin was observed on site. The fire extinguishers that were left on site from the previous business required annual testing.,The fire extinguishers brought in by Tirrell were up to date. The contents of a spill kit(booms/pads)were available on 'site but needed to be placed in an easily;available container.: Also of note is the plan to-recycle the aluminum from old radiators and metal from automobile air conditioner compressors. ' Tirrell Radiator exceeds the one-hundred and eleven gallon licensing"requirement and is., required is to apply for a Hazardous Materials license and post a Contingency Plan once the business is legally operational. A license application and blank contingency plan were. left with Al, an employee,,at the-time of the inspection. Oct OIL W STE OIL OIL FILTERS ANTIFREEZE. WASTE ANTTFREEZE GASOLINE WASTE GAS DIESEL FUEL. W/W FLUID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) C „ FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS MANIFESTS Cou) �tl/�o6`f fl 6az d6C,,4'C C s 77e- 7A/ O�Cq fh/A-7-0 �CiA 5 7� n /)12u�cS krt s Au nFriz���usnc.u�k YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business.certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. „ . DATE: Fill in please: APPLICANT'S. YOUR NAME/S: Ku y�Xf KWc r V.SJ2 K 51, U NESS -YOUR HOME ADDRESS: 101 LAAAL IA Srl ISM G M 5 TELEPHONE # Home Telephone Number NAME OF:CORPORATION: NAME OF NEW BUSINESS 'T I`t.L ` A�IL- TYPE OF BUSINESS: IS THIS A HOME OCCUPATION?'' YES IVO. ADDRESS OF BUSINESS 1\ .ILr a-. A.0 2..o L MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C MISSI NER'S IC This indivi al h s en tnf d of ny permit req irements that pertain to this type of business. A thorized Signature** - COMMENTS. �7 2. BOARD OF HEALTH This individual ha be informed the r it requirements that pertain to this type of business. MUST COMPLY WITH ALL HAZARDOUS MATERIALS Rc:r+ Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHOR TY) - This individual h s an inf ed of the n n r i ements that pertain to this type of business. Authorized Signature** COMMENTS: Date: &/ 3 107 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: If R-II-ELL- (LAJJ►ATD(- BUSINESSLOCATION: IM -RAOLMN DA1&L A4Av"5, M4.DdL&of INVENTORY MAILING ADDRESS: 5 d®NC TOTAL AMOUNT- TELEPHONE NUMBER: S _ -271-7boO CONTACT PERSON: K-wc ryscl4 EMERGENCY CONTACT TELEPHONE NUMBER: a,( MSDS ON SITE? TYPE OF BUSINESS: Aureidnd YL I A A- Co", A,4-V INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: ` d Name of Hauler: uoly►% Destination: SX,&%O Waste Product: AAo®Ajun-Sj-,bGr' Licensed? Yes No !40 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum I eeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid I ee Disinfectants 16 RN\l Engine and radiator flushes a Road Salts (Halite) Hydraulic fluid (including brake fluid) Ion`t 3 Refrigerants '301b` d� Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) GAS ,Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED �0 Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine apt Battery acid (electrolyte)/Batteries S Ibb' As or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's 3 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW .,—.USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers ')'6ALLd,,j Aced L (including bleach) , �`1 GAL.ynr (L4 L21f4- Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �� Town of Barnstable XAM Regulatory Services1639. 01 o + Thomas F. Geiler,Director Public Health Division Thomas McKean,Director A 367 Main Street, Hyannis, MA 02601 Nod \\off Office: 508-862-4644 Fax: 508-790-6304 C"" 0 May 09, 2003 Mr. Bruce D. Amster lo, 119 Thornton Drive Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00 STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE LI The property owned by you located at 118 Thornton Drive, Apartment C (first floor rear left unit), Hyannis, was inspected on May 7, 2003 by David Stanton, 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: REGULATION 105 CMR 410.201: No heat provided in rental unit REGULATION 105 CMR 410.500: Failure to maintain structural elements. Water is coming into the rental unit through a gap in the wall causing the formation of mold. You are directed to restore heat within twenty-four (24) hours of receipt of this notice. You are directed to correct the other violation within thirty (30) days of receipt of this notice. Listed below are those violations that have not been corrected to date since August of 2002. Enclosed are tickets for the violations listed below: REGULATION 105 CMR 410.280: No ventilation provided at bathroom. REGULATION 105 CMR 410.280: No ventilation provided at bedroom. REGULATION 105 CMR 410.552: No screens provided at both entrance door-ways. REGULATION 105 CMR 410.602: Stained carpeting observed within living room. Q:Health/Order letters/Housing violations/Amster4 REGULATION 105 CMR 410.481 and SECTION 4-4 of the RENTAL ORDINANCE, ARTICLE LI: Failure to post a notice outside the main entrance of the building bearing the name, address, and telephone number of the owner, manager, or agent of the owner. 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 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, R.S. Director of Public Health Town of Barnstable t _ a Q:Health/Order letters/Honsing violations/Amster4 FROM FAX NO. Aug. 26 2002 :09PM P1 DRucF. D. AmsffR 120 THORNTON DRM HYANNIs, MAsSACHusmS 02601 August 26, 2002 Town of Barnstable Board of Health RE: 102 Thornton Drive Apartments B+C Gentlemen: l have just received your paperwork concerning B+C apartments We are addressing the problems. I would also like to make it known that these tenants have paid no rent in over three months, and have been asked to leave_ They have deliberately disconnected the smoke detectors and broken into the areas when they have lost their keys. The other upgrades are being corrected. Sincerely, Bruce D. Amster Property Manager j NAME jF FFENOER BAR ' TOWN OF ADDRES `OFF NOER" r BARNSTABLE CITY,STATE,ZIP CODE }pf fME a� MVIMB REGISTRATION NUMBER OFFENSE • IIAN SS7ANI.E. ' d f1ASS tfO MAC� -J > TIME AND-DATE OF VIOLATION LOCATION OF VIOLATION Z NOTICE OF F (A.M. oN ,2001.. ,_ ., 6A ' VIOLATION SIG URE OF ENFORCING PERSON ENFACING DEPT.� BADGE NO: w . OF TOWN I HF iEBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE unable to obtain signature of offender. J III THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ Date mailed w w y;•.OR„ ,. YOU HAVE THE FOLLOWIN ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER,EITHER OPTION(1),OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. ly REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before.The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, w Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a g2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS ABLE,MA 02630,Attn:210 Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER•. DAD 6 5 3 0 1t^ -e D„n 4p14 oV1`a=/ . TOWN OF ADDRESSOWPFENDER"- + > .. . BARNSTABLE CITY,STATE,IZIP CODE pf ENE Ip� COA C2 I MV/MB REGISTRATION NUMBER • OFFENSE - RAN1 lAH'h)� Uj 9IASS 1 Q Ti CL RFD MPS J CD TIME AND DATE OF VIOLATION LOCATION OF VIOLATION - Z NOTICE OF , (A.M.i .':) rN 20 t r, "T� r�►fon J .. SIG AT ° ORCING PERSON EN FOR NG DEPT. * BADGE N0. w VIOLATION I1'!�1 ,r c 44c.a I 0 OF TOWN I H�E,,,,�,Rr.rEB**Y ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE O'Unable to obtain signature of offender. 17- THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ Date mailed' _n.a� ^u.-a/ w fG. Lu . OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE'AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w a REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or,postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appea•for the hearing or to pay any fine determined at the hearing ~` to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER DAD 3-9 TOWN OF ADDRESS OFO PENDER " D„n BARNSTABLE CITY,STATE,ZI OD Nt►y- MVIMB REGISTRATION NUMBER �. OFFENSE IIAN\#TARIE, t LJ 11AR9. p LX C LU rED M1�s _ J 7 > TIME AND DATE'OF VIOLATION OGATION OF IOLATIO W NOTICE OF (A.M.i ..M: oN � 2oc�-l- wmi VIOLATION SIGNATURE OF ENF DING PERSON ENfO ING DEPT., BADGE NO. y 0 OF TOWN I Hsv ACKNOWLEDGE RECEIPT OF CITATION X LIJ ORDINANCE U Unable to obtain signature of offender. � THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ .1 y Date mailed 2- w OR YOU HAVE THE FOLLOWING LTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)'Ydu may elect to pa the above fine,either by appearingg in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppled, w before:The Barnstable Clerk,230 South Street;Hyannis,MA.02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box n30, —� Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a 12))If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal com faint may be issued against you. ❑ I HFREBY ELECT the first option above,confess'to the offense charged,and enclose payment in the amount of$ Signature NAME OF ENDE DAD 6 y,wt 391 _ TOWN OF AQDRES9ZrUFFENDER BARNSTABLE . CITY,SSA E,zTP co.. b +kJaunab!S NA 'fe MV/MB REGISTRATION NUMBER Pe � OFFENSE , HARNSI'ARI.F..p I,JJ 9 MASS. O ,� 1 i639- �0 O .afEO MP'�.d, _J TIME AND DATE OF'r/f0L - L'OCATION OF-VIOLATION �- Z Uj .NOTICE OF i :n (A.M.i ?'t0N 2v,2002 , rt,f�'. J SIGN U,9E. RCING PERSON ENFO NG DEPT. .� BADGE VIOLATION , 0 OF TOWN_. ,.... -I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE © Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE ISI S. LU Date mailed !� a �2, w OR YOU HAVE THE FOLLOWING ATTERNATIVE WITH REGARD TO DISPOSITION OF THIS MATTER,EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (t)You may elect to pay the above fine;either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing 1 , to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ . i� Signature NAME OF OFFENDER - .. B A R 5Y uie !1' s4te Y/� 44677 S TOWN 0'F ADDRESS OF OFFEND R Iq Tkor,Ov)i D,,;vu BARNSTABLE CITY.STATE,ZIP CODE j )t1+ MA O z( 01 VIE � MV/MB REGISTRATION NUMBER NAX\til'API.E. ` © M p { C.� �'`/ yl.,.. �j,�, � �/]• If, W MASS /p OFFENSE 5 C 1 1 R '"444 f 10, 5J 1 JlGt I'111 I'v"'/ 4. 0'4 � IL l( lEo►An+6 E VLI • .it 1fi'U�11 L .ttA LU > i TIME AND DATE OF VIOLATION LO A OF VIO CATION Z NOTICE OF {`2:aU A. P. . ON q` 0s2b( 1 "i" orv,4or, ?IttVt, J SIGNATURE CI G 60 ENFOR ING DEPT. { ` BADGE NO. 1 N VIOLATION 0 OF. TOWN JI [EREBY ACKNOWLEDGE RECEIPT OF CITATION X a'ORDINANCE nable to obtain signature 0 7-ender THE NONCRIMINAL FINE FOR THIS OFFENSE IS Date mailed "1 LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (I)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O:Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(2criminal p1)DAYS OF THEDATE OF THIS yy NOTICE. FIRST It BARNSTABLEDIu desire to VSION,COURTCOMPOUNtest this matter in a O MAINSTREET,BARNSTABLE,MAO2630 do so bAtt:2'DNa criminalen Hea ingsan DISTRICT dencl se a copy of this citation for a hearing. (31 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose paynent in the amount of$ Signature NAME OF OFFENDER c e Prri�5 B A R4 4 6 7 6 TOWN OF ADDRESS OFOFFENDERj11, T �� '_V rV �i � nV BARNSTABLE CITY,STATE,ZIP CODE, ;A iIrtA",S m A 0� IKETpyY� - MVIMB REGISTRATION NUMBER OFFENSE t�y - f� (� [^� t� ��l ItANNAssei.e L V �, I' 1� �'��W . 7 �. .J t't %.t '1' 4,. CL :. l t659•Fro •. 't LLJ J Ec" S t Y tri r G V L 1 Gwtc. TIME AND DATE OF VIOLATION LOCATIO OF VIOL TION W ,NOTICE OF r2 '0 (A.M. P.M ON - u ZGf�2 t V :ry rtee i SIGNATURE OF C -EAr; EN ORCING DIRT. BADGE N0. ca VIOLATION �r 11r✓, o OF TOWN I F tREBY ACKNOWLEDGE RECEIPT OF CITATION X a a ORDINANCE Unable to obtai Sig ture of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �$, - a_a Date mailed w OR^� YOU HAVE4HE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION < Il)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4!]0 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis, MA 02601,Or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 12)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Aft:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ \.Signature 44T9 NAME OF OFFENDER ., c l J BAR TOWN,OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,21P CODE 1?f r J A- o W V �I"E I MV/MB REGISTRATION NUMBER - -� OFFENSE BARNSTABLE 1 {( ^yf" �J/'� f �f\�`�r/•� /�'`•�'/y {(J�./� ♦ ,ASS �+..� I�� �1 • 5� .I 1^ .. './+'" '�'�•`i ♦,. t.•'V CL 1639. fG MPS - LU y l�S 7 W'I Y. $/""'r�"' �P� �r Y O i c+!' > .. TIME AND DATE OF VIOLATION pp OCATION OF VIO ATION { a;� /t w NOTICE OF i2' o (A,,R�, P. . ON !' Zd 14 ��� � fl+ #Ny6n fk✓''r. TC1T SIGN U lfFO OIN R'$ON N OR I G:DEPT. _f BADGE NO. LU VIOLATION _ tA�J�( ttt o OF TO fREBY ACKNOWLEDGE RECEIPT-OF CITATION X a WN I . ORDINANCE Unable to obtai igf �re of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S > ~ Date mailed ' o 7 t W W 0� YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W ` REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(2u desire to contest this matter.in a p1)DAYS OF THEDATE OF THIS do so NOTICE.NOTICE. CL FIRST If BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREETeBAIRNSTABLE lLI MA02630,Att21DmakiNo criminal en Hearings auest to nd encl se a copy of T COURT this citation for a hearing. 13)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ft 1 I HEREBY t ❑ Y ELECT the first option above,confess to the offense charged,and enclose paymenkEin the amount of$ Signature *' NAME Of OFFENDER f 5 i tl 4e,," D D A D 4 R 6 8 0 TOWN OF ADDRESS OF OFFENDER t(9 „n j� lIQ— BARNSTABLE CITY,STATE,ZIP CODE f-T I MA 6 U 1 �TXE tp MVIMB REGISTRATION NUMBER f1 ��[�r j� .may C ��.y� c ,, OFFENSE 15001 J fi1T'c• .. +'i'I1 �.L'y 6. � CL HAN\�'7 AF•F. it w '639. �0g ( ,/� �rJ j t O rEO MP+� f!�tY 11'T k�yjt. /v'}V� !' '.� �''�Q�4{t' g 1'1� _ .?T -t' p Uj J Vf Yam't WY Z .:. TIME ND DATE-OF VIOLATION - LOC ION 0 VIOLATION Ty f� NOTICE OF l' o AAN P. ON n1' �� +�9��}Z i Ig j��= �Y. IMK Q SIGN fU F -NFL, I G ERSON ENfgRC1V DEPT. J/ r�, BADGE 0. �W VIOLATION //,�44J#IC A t1N++ p OF TOWN I y REBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain sig aburebf (fender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S DaWinailed ` � w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL - DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION III)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, . w before: The Barnstable Town Clerk,367 Main Street,.Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA.02601,WITHIN TWENTY-ONE(2criminal p1)DAYS OFyyTHE DATE OF THIS do so yy NOTICE.. FIRSTIf BARNSTABLE DIVISION,COURT COMPOUNDu desire to contest this matter in a nMAIN STREET,BARNSTABLE,ou MA02630,Att:21DNo crimnalen Hearingsanuest to ldencl se a copy of thisciICT COURT ati DEPARTMENT, for a hearing. 131 If you fail to pay the above offense or to request a hearing Within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature a R R .,.. NAME OF OFFENDER It 6441V - .. - " BAR 4 4.6 8 5 . . TOWN OF ADDRESSDF OFFENDER, et tj BARNSTABLE CITY,STATE,ZIP CODE '1 i !#4IGi,�yrtfl Nt } G 1�N� `dG�ME Tp�� - MV/MB REGISTRATION NUMBER NAN�.TAfl1.F:,/: OFFENSEt I� {��/�� •'L� �j y�/(]/���: �}'w R. " �' /.,F'` '.w'1 yc f U,// Ailt . ul •� lIASS (♦� tie .. n^�'_. R 4'• V CI t� b714� � t4 _ toM►+ I'',�p 05'i'te�; �� f3Vs�t•��,y;�. .�.t ;��# .{�f?''K�"r,3 �'lti �� '�� w . (�, qq dd�S, z "• NOTICE OF TIME AND DA EOFVIDLA(gN -LOG TNOFyIOTI Q Ck SIGN F: ,0 I G FO CI G EPT "" BADGE N0.'' rW VIOLATION , ' , e � 1 . iv. Q OF TOWN I IAREBY ACKNOWLEDGE RECEIPT OF CITATION X a Unable to obtain Si lure of offender. ~ ORDINANCE ® g� R T F N THE NONCRIMINAL.FINE FOR OFFENSE IS S . w Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION Ill You may elect to a the above fine,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q Y pay Y PP 9 P Y 9 y ff Y P before: The Barnstable Town Clerk,367 Main Street, w 'Hyannis,MA 02601,or by mailing a'check,money order or postal note to Barnstable Clerk, ii P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE;, (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at-the hearing to be due,criminal complaint may be issued against you. .y ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature .. "'"�'.. GA/Y•..IrR.��. �IG't$ /'� BA �� v 8 1 NAME OF OFFENDER TOWN OF ADDflESS OF OFFENDER_ -.,71, y� �*Ve ' BARNSTABLE CITY,STATE,ZIP COD _. - D¢T I - - - MV/MB REGISTRATION NUMBER . % OFFENSE S � . . � Z— dunx uJ ^ _ I{V• 3 { �639• Vie$ !r �[ ��.��yp 8 QED NU��' L"" �.y-4 1 e,t 1, C !Ct Vv- �G i „ t w TIME AND DATE OF VIOLATION I OCATION OF,VIOLATION Q W ,NOTICE OF 1 Z'. (A.M„��i�)ON �- 2rJ�f�Z ,� � �l� ��1-�� ,+&" �'. W Q; SIGNATU E OF°h CI r SON N R ING;DEPT: BADGE N0. W VIOLATION c „1 )k'l �. eb v. o C> OF TOWN I EBY ACKNOWLEDGE RECEIPT OF CITATION X Q ORDINANCE Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS w Date mailed OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL n- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LU REGULATION il)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS u desire to contest this matter in a noncriminal OOFyTHE DATE OF THIS NOTICE.NOTICE. FIRSTIf BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREETroc,BARNSTABLE MA02630u If so bAtt 21DmakiNo criminal Hearings auest to nd encl se a copy of STRICT COURT thiscitation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER a,p ` `^ it �' �[a ✓ TOWN OF ADDRESS OF OFFENDER CITY,STATE,ZIP CORE BARNSTABLE I}: � �«►t s M A- C�2'(�C�� tNE Tp� - MV/MB REGISTRATION NUMBER 11AX\SIAR1. OFFENSE 4f .' 1'* 1.1i;/a (l✓1' wl t' �. ;-c:.. �.J14JN P �v'.s. ..b 41ASS. /$ d r fp 5?1 c�� �� ,1� �;v lei 9` �1�t,�—��31�► TIME AND DATE Of VIOLATION A ON OF VIOLATION ,,i Z NOTICE:OF 1 Ott (A.M. )oN 9-zv- U Z I ,vcnt?�Tarr r.,� »} J SIGNATU 0 F G R N. - NFU,R,C N DEPT. BADGE N0. rn V10LATION ,e OF TOWN I EBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain signtVe-o0off��entii r: THE NONCRIMINAL FINE FOR THIS OFFENSE IS S W Dati mailed �f� ,,, ` OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER:EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION III You may elect to pay the above fine,either by appearing in person between 6:30 A.M.and 4a70 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Streets Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(2ntest this matter in a noncriminalpp1)DAYS OOF yyTHE DATE OF THIS NOTICE, FIRST If you desire DIVISION,COURT COMPOUND,MAIN STREET BARNS7ABLEou aMAo2630, tt21DDNo criminal en Hearingsanuest to lSTRICT COURT dencl se a copy of thisctation for a hearing. 1311f you fail to pay the above offense or request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined of the hearing to be due,criminal complaint may be issued against you. I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature I NAME OF OFFENDER BAR 4 4 6 8 4 u C' r+ kr ✓ TOWN OF ADDRESS OF OFFENDER1 1 TABLE CITY,STATE,21P CODE- BARNS 11 E► MV/MB REGISTRATION NUMBER OFFENSE / 1 y OJ 6 � `V (f SS, '��A, / C�t i►tk,' low Z Jl 6�J �✓�..1+' TIME ANDoATE OF VIOLATION LOCATION OF VIOLATION NOTICE OF 12*uu (A.M.1&.)ON q� U-bl M4 }I- `�'i1_Vy,i' �. a SIONATUR lOF N R ING�R 0 E FO CI G DEPT. BADGE 0. rW VIOLATION `G .MLA I 4ev Of, iv 0 OF TOWN 06 ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtal Si nature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ~ Date mailed 'To UZ W (, OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. y REGULATION pI You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:0o P.M.,Monday through Friday,legal holidays excepted, „at before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 121 If you desire to contest this matter in a noncriminal pproceeding,you mayy do so byy makingg,written request to DISTRICT COURT DEPARTMENT, f, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Att.2l D Noncrlmmal Hearings and enclose a copy of this citation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the s hearing to be due,criminal complaint may be Issued against you. I' '+ ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ I; Signature a... ,r NAME OF OFFENDER U.�. t YIl l V TOWN OF ADDRESS OF OFFENDER Tj{ /) BARNSTABLE CITY,STATE,ZIP CODE �f'nn(s MA o zl,o t �TNE tq, - MV/MB REGISTRATION NUMBER OFFENSE fAN HLF. ` .r MASS C' ie i LLi�V / "./{ `i F S..VV'." .� . 0_ a9I 4 '1V '✓l� Ge� ©T r�+"'J4` .fti a Q '� � ( f lE n1 i Cs LU T ME AND DATE OF VIOLATION LOCATION Of VIOLATION' j y'� 1., w NOTICE OF 1 'cX3 (A.W/ P.M)ON �'?.per UZ- , i i 'Tt� -Y t t�'(7y� 1/. j f r 1 Q SIGNATUti'E"OF RCIN N e - CI G OEPT. 1 BADGE NO. LU VIOLATION ,, ��� ��� �+V. o CD OF.TOWN II HfAEBY ACKNOWLEDGE RECEIPT OF�CITATION X a ORDINANCE u Unable to obtain sign ture o offender. ►— c _ . 6I THE NONCRIMINAL FINE FOR THIS OFFENSE IS S _7U. W Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION )1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis;MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. Ili If you desire to contest this matter in a noncriminal proceeding,you may do so by mating written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. ( (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ' ' " ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature 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 • Public Beam Divlslep Town of Bamstable I Hyannis,,Massachusetts 02601 pOMPLETE THIS SECTION • • ON DELIVER ■,Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B.Tt/ f ivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee D. Is el ery a ress different from item 1? ❑Yes 1, Article Addressed to: If YES,enter delivery address below: ❑ No Pjruce. ASfe r I �d(i1 �� �•r a 2�or 3. Seice Type OQ Certified Mail ,❑/Express Mail ❑ Registered ep Return Receipt for Merchandise ❑ Insured Mail . ❑C.O.D. 7001 0320 0003 6655 5991 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 atr L tLn Postage $ .37 //�% q 0 6)) Certified Fee P �� O Postmark try 1 Return Receipt Fee ! ( AU"rc� �002 (Endorsement Required) J ` C3 Restricted Delivery Fee Q (Endorsement Required) 1=1 Total Postage&Fees $ 1.12 USnS fU fYl Sent To C.7 p 1--- ---�v Street,Apt.No.; /r_ _�— 0 or PO Box No. I /"Z7Y -----------�- --� --•--r----------------------------- O City State,ZIP+4 c'- i�rtS /L-t l :E �� - I h. Certified Mail Provides: • A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delvery kept by the Postal Service for two years ' Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.` IS 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. I 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,January 2001 (Reverse) 102595-01-M-1049 i "+Y ` Town of Barnstable M, ql Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 16, 2002 Mr. Bruce D. Amster 119 Thornton Drive Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS,OF 105 CMR 410.00 STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND TOWN OF BARNSTABLE RENTAL ORDINANCE ARTICLE LI The property owned by you located at 118 Thornton Drive (first floor right rear unit, not numbered), Hyannis, was inspected on August 15, 2002 by Samuel White, Health Inspector, Thomas McKean, RS, CHO, Health Agent for the Town of Barnstable and Deputy Chief Seigel of the Barnstable Fire Department, 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: REGULATION 105 CMR 410.482: The smoke detector was inoperable at the time of inspection. REGULATION 105 CMR 410.551: No screens provided at windows in living room. REGULATION 105 CMR 410.552: No screen provided at entrance door-way. REGULATION 105 CMR 410.500: Broken glass window pane at living room. REGULATION 105 CMR 410.500: Ceiling in loft area has peeling paint and a brown rust colored stained area. REGULATION 105 CMR 410.351: Exposed electrical and telephone wiring observed. REGULATION 105 CMR 410.400: There is 122 square feet of floor space within the first floor of this unit. However only seventy (70) square feet of this space is considered "habitable" due to the fact that this area has a floor-to-ceiling height of seven feet or greater. This is insufficient space for the one occupant living there. REGULATION 105 CMR 410.401: The floor-to-ceiling height is six feet six inches within approximately one-half of the living room/bedroom. According to the State Sanitary Code, no room shall be considered habitable if more than 3/4 of its floor area has a floor-to-ceiling height of less than seven feet. Q:Health/WP/Amster v REGULATION 105 CMR 410.401: The floor-to-ceiling height is only five feet within the second floor loft area. According to the State Sanitary Code, no room shall be considered habitable if more than % of its floor area has a floor-to-ceiling height of less than seven feet. REGULATION 105 CMR 410.481 and SECTION 4-4 of the RENTAL ORDINANCE, ARTICLE LI: Failure to post a notice outside the main entrance of the building bearing the name, address, and telephone number of the owner, manager, or agent of the owner. *Also, the tenant stated there are extra copies of the entrance door keys kept in the front garage area for use by other persons. You are directed to correct the violation of 410.482 within 24 hours of your receipt of this notice, by providing operable smoke detector(s). You are also directed to correct all of the remaining above listed violations on or before August 30,2002. 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 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 E BOARD OF HEALTH o as A. McKean, R.S. Director of Public Health Town of Barnstable Cc: Barnstable Fire Department i Q:Health/WP/Amster NAME OF OF.1 . (1 _ D A,nnD Y - D TOWN OF ADDRESS OF OFFENDER . BARNSTABLE CITY,STATE,ZIP CODE ,(� �� U 21r:U 1 TME 1p� MVIMB REGISTRATION NUMBER OFFENSE ^/�^. [/'} (}� I //'/y «ram♦•�-y wry/ /\�'ir Q NAN IASSNI.E. �y 1 J V. i� ~ �.V J./i" V T^'-.. 1, � �.y,f�+r LJ CL fED MKS .^ 1L 1 Set lr�e, rfr' ICU .[ai� z r f E 4✓t'r I /'l.f/Cf�Y � llN W TIMamND CA OFIOL 0N 5 LO W NOTICE OF (A.M. P. . ON e SIGN PON RCI G pEPT. `� I,f' BADGE NO. L' I' VIOLATION, � [(c u 0 OF TOWN XI ,EREBY ACKNOWLEDGE RECEIPT OF CITATION X cORDINANCEUnable to obtain sig'at re of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS Date mailed i. L" LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to'Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. _I (2)If you desire to contest this matter in a noncriminal proceeding,you may d0 so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630, tt21ONoncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$' Signature z 4 S jNRME OFFEND s off i4ev. BAR 44687 TOWN OF ADDRESS OF OFFENDER BAR&ABLE CITY,STATE:ZIP CODE i rD11760 �.IKE I°h• MVIMB REGISTRATION NUMBER �O ItANVtiI'API.F. f/ �^' A,� /� Tty / �,..,.�/g //+� LJ reSss. $ OFFENSE Ll i`\,J• J'-•�F +.J l^ D'1_t! ".r•�l` �`-'U �' CL ' rou 1 , 1 1, V f, 'tie m"' Z TIME ND D9 E OF VIOLATION q ,r�� OC dON`OF•VO ATION �r ``*�� LU NOTICE OF ' (A. P.M lw�Jb)ON ! 2. �( ATI�?'t - Q VIOLATIONSIGNAT fl IN ON rf�o CINGDePT. i � '� ✓, BADGE NO. WO H OF TOWN YH EBY ACKNOWL DG RECEIPT OF CITATION X QORDINANCEnoble to obtai� at re of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed Q w OR YOU HAVE THE FOLLOWING ALTE NATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w < REGULATION (II You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable.Clerk, a P.O..Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(2criminal p1)DAYS OOFyTHE DATE OF THIS yy NOTICE.. FIRST If BARNSTABLEDu desire to VSION,COURTCOMPOUNtest this matter in a D MAIN STREET,ARNSTABLE MA02630,do so IXtt:210maki n riminalen Hearingsan DISTRICT dencl enclose pyofthiscit citation for a hearing. 131 It you tail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay"any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged;,and enclose payment in the amount of$ Signature ,. NAMEOF OFFENDER ,� � ,:- BAR TOWN QF 65398 ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE E`�. t A'�rt 13 tME ip� MV/MB REGISTRATION NUMBER 11/ �^ y�) 1�i lux"iApl.r.g' .OFFENSE �'] �! f O . �-y •..lQ ,.� r .l l t�. !!t![ w :11ASS /LCJ.. d( d �p 1639.. RFD MP�A• ,(,.t ." _ ,j1,�_. LU Rl�'�`�eSJr Z TIME ANOt DATE OF VIOLkT40N LOCATION OF VIO TION ,q NOTICE OF 'Z'. 7 `(A -i PV. ON - S0 20 &2- / ,- SIGNAT•R rill R N RCING EPT. (� / BADGE NO. w VIOLATIONS w -�Ilf`C E7 �t ,►// � Off" OF TOWN' °. I.HJREBY ACKNOWLEDGE-RECEIPT OF CITATION X a ORDINANCE to obtainsi'nat re of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ ' "' ~ Date mailed t© 1 �- w LU OR YOU HAVE THE FOLLOWI G ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a. DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LU, REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. y (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST i BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET, BARNSTABLE,MA 02630,Attn:210 Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first optionlabove,confess to the offense charged;.and enclose payment in the amount of$ Signature NAME OF OFFENDE I.Aro BAR TOWN-OF ADDRESS OF OFFENDEf1� �y'� STAB BARN LE CITY,STATE ,ZIP CODE 1 ti nn � { H2r r1 t5 Wei" Oslaj �TME►D� MV/MB REGISTRATION NUMBER OFFENSE /Y( (/ /. / ��j(/y_ (/y/! /�Jjn' ��/j�^�_HAxMA AXI.F..D! i .• ( f o. 6✓V J�'l ii t.rod! _`• CL. .6 9. 4 UJI ►ED M►'1 V` ..;r'/t lCf 9.3, �,6E/W WI/�Yt6[. +Y'l f l 1�i w'1..A. TR�J`©'7A1_ - TIME AND DATE OF VIOLATION /- L CAT ON OF VIOL TION W NOTICE OF 2: 2ao (A.M./1'.M. ON �- 0 20 L. t i�1 Cn►� Y. pie A J SIGNATURE ENF• CI G PE S N EV�4RCI G DEPT. 1��.� jr/ BADGE No. LLJ . VIOLATION '' k'a �c 1 i11 ��. O OF TOWN L . I H REBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE t Unable to obtain signa re of offender. J ra— t'L�Z THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ �: — ,Date mailed w OR YOU HAVE THE FOLLOWING ALTERINATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a Illy You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted; J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,'MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. Eif you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST NSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the,above offense or to request a hearing within 21 days,or if you fail to appear for the shearing or to pay any fine determined at the hearing to be due criminal complaint may be issued a ainst you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the-amount of$ Signature i BAR NAME-OF OFFENDER � �;�y�YY yy ,. 65399 VtAC ow N:OF' ADDRESS OF OFTENDER— �� .. f Y'�'"CN�+IfI i,✓'�� . . BARNSTABLE CITY,STATE,ZIP CODE I'Y - ; P`pfiHE�Dw� MV/MB REGISTRATION NUMBER ."OFFENSE ! - BAR\s'IARI.F: * �i/.�' ,fir([ r�/'� ^/�hyy/,�, ` d 9e_ MASS. 6t...l UA Q It 0 50 V f `^'`wt Ytii oA O Li 4'4A�tY+w1. 1 A F V N✓11 iCJ�.. YVR .....�., f {ry4 TIME.AND DATUF VIOLATION - - Y LOCATION! LU Z OF VIOLATION NOTICE OF 't: (A.M..i .M)ON Q-3o 2002. !t '7Gt. hr. SIGNATURE 0 N RCI GP SO 'NFORCI G EPT. / BADGE NO. N VIOLATIONc 'tfrv. OF TOWN H REBY ACKNOWLEDGE RECEIPT OF CITATION X c na'ble to obtain sign to a of offender. ORDINANCE THE NONCRIMINAL FINE FOR THIS OFFENSE IS Date mailed l fl 1 LU OR .Date THE FOLLOWING A TERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN,STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail,to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑.I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature. NAME OF OFFENDER DAD 65397 TOWN OF ADDRESS OF OFFENDER" 11 BARNSTABLE CITY,STATE,ZIP CODE IN _Dr A n ` H k U'2-Go I �.THE ip� _ MV/MB REGISTRATION NUMBER OFFENSE / )/�) w/�.XAX'al gXl•ie0 6 .I4 ��l L +J ' f _ O VISTA. 3 ♦ , .i' i \ , W TIME AND D TE OF VIOLATION LOCATION OF VIOLA N NOTICE OF (A.M.i .M. oN f 20 3 / �ti ) VIOLATION SIGNATU E F f RCl PE ON EN 0 CIN D T. BADGE NO. f LU OF TOWN - �,. H REBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE Unatile to obtain sig'atu a of offender. Oti THE NONCRIMINAL FINE FOR THIS OFFENSE IS S � " Date mailed w OR YOU HAVE THE FOLLOWINGIALT RNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION Q (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LU before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2 Uyou desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BBNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ^� �NAME OF OFFENDER "` D R D 65396 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY;STATE,ZIP CODE +, r5 C> `BIKE ip�i MV/MB REGISTRATION NUMBER yP OFFENSE °�Eo rAo+s PR C i� �v 14�7KJ) i'3Q l� less /'14s- �1&c CV r"P,r!i > ' TIME AND DATE OF VIOLATION LOCATION OF VI LATION W _ NOTICE OF v, 3o -(A.M.f •M. ON - W 20 SIGNATURE 0 nCIN' SO F CI G l)P�. 1 BADGE N VIOLATION .A r c , v, CD OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE to obtain si na ure of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ Date mailed 10 111 102— LU w OR YOU HAVE THE FOLLOWINOALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 0- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, _j Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND, MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine:determined at the hearing to be due criminal complaint may be issued against you. 0 I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER .DAD 65395 Ir Q D„n TOWN OF - ADDRESS OF OFFENDER l. BARNSTABLE CITY,STATE,ZIP CODE ` Tp iHE ip�i MV/MB REGISTRATION NUMBER OFFENSE A `\ } l j �,�/`� CL MASS. y .,J��yj�- �"'` ,,�,yrn.� �[j/,� L L I� n /J� PlFD N1P�p ,1 Yt/t_ J W"1 �' a E 44! .:�. V` .✓V EK /�.1'C�. I6/.S.J :i TIME"I TE OF VIOLATIO „"ATION OF VIOLATION NOTICE OF 2 : (A.M./ '.M. ON [.� 20 G'Z +< [�` r J SIGNATURE FOG PE�S�, RCI G DEPT. BADGE 0. LU VIOLATION _ F P1t7A 'vIzt o OF TOWN 1 HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE 19 Unable to obtain signituriof offender. Date mailed THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ I ,•�� � �� w OR YOU HAVE THE FOLLOWING AL ER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL .a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.N.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or you fail to appear for the hearing or to pay any.fine;determine l at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ;.V NAME' OFFENDER i •.�.. I- _< - BA � 6539�4. TOWN OF ADDRESS OF,O€OFFENDER BARNSTABLE CITY,STATE,ZIP CODE _t t IMF t Y - MV/MB REGISTRATION NUMBER aY - OFFENSE_- �,''� }' •914AH11ASS.1.4;, yam_ ' r) p LJ CD 6 0$ CD pfFD MPS sLull J NOTICE OF TIME riDD OFVIOLA(A.M� '• . ON � 20�1 IONLOCATION OF V. W ! 1 J SIGNATUR FO'C N PE SON ENFO KING DEPT, BADGE NO. w VIOLATION Lu .� C) OF TOWN I H `REBY ACKNOWLEDGE RECEIPT OF CITATION X c f ORDINANCE Unable to obtain signature offender. Old THE NONCRIMINAL FINE FOR THIS OFFENSE IS S 'tj� ...••-� J Date mailed LU LU OR YOU HAVE THE FOLLOWING Al. ER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w _ before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J Hyannis MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE;MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this ' citation for a hearing. �. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. 0 [HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature T �,'AMIOFOFFENDER Y `AC� A-)3�'�'V� .1 � � I71�����8�' OWN OF ADDREt�SS OF OFFENDER A `I -- BARNSTABLE CITY,STATE,ZIP CODE lrl f c F I;, , �.INE►per MV/MB REGISTRATION NUMBER gj OFFENSE F. r ry HARNS7A81 v` S+A+Q . . W MASS b C 4639. O (4y C i - w. TIM ND DATE OF VIOLATION ON OF V OLATION 2 NOTICE OF ( .M./ P. ON 1 b 1107, is �� tk4yl& :' t. rV I a SIGNATUfl ASON NOR INg DEPT. �} ` BADGE 0. U) VIOLATLONc,tf,c C1 IV. o. Lu OF TOWN ) E.R EBY ACKNOWLEDGE RECEIPT OF CITATION X Q:_'' ORDINANCE Unable to obtain Sig at re o offender. 10 T l0 r' THE NONCRIMINAL FINE FOR THIS OFFENSEJS Date mailed S ~ J W W ' OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER'OPITON.(1)OR OPTION(2)WILL OPERATE AS A FINAL .a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION III You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal.note to Barnstable Clerk, P.O.Box 2430,Hyannis;MA 02601,WITHIN TWENTY-ONE(21).DAYS OF THE DATE OF THIS NOTICE. 121 If you desire to contest this matter in a noncriminal proceeding,you'may do so byy making written request to,DISTRICT COURT DEPARTMENT,: FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BAR NSTABLE,MA 02630,Att:210 Noncriminal Hearings and enclose a copy of this citation for a hearing. (3I If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearmg or to pay any fine determined at hearing to be due,criminal complaint may be issued against you. C ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature •_ I - NAME OF OFFENDER t., t k C� C � Q®R lr I�.6(��!''�._ TOWN OF AODRESSOFOFFENDER�tQ�^ Y11 ¢�6� V�✓ BARNSTABLE CITY,STATE,ZIP CODE n �1} � ' - 60 IKE tp� t MV/MB REGISTRATION NUMBER. OFFENSE '}`N�.'.' �yy�� y` (�y� ��.�ys+`�, h j) "� f XAX\Sl'AXI.E• ' LJ �1 ✓.. 1 4 f 1 O.''7 S V MASS.. $ O f639• �0 i t •�I 6 J ED NU �,` g W A•t�4+�v.� fW res�� G ���1 Ci > It TIM ND DATE OF VIOLATION LU Z � NOTICE OF „D A.M./ . .)ON ,19 J r SIGNA -.•MFSON OR INGiDEPT BADGENO. W VIOLATION cti� tc 4„A 1t 0 OF TOWN. I EREBY ACKNOWLEDGE RECEIPT OF CITATION X a Unable to obtain si rL,t re of offender. - -i t; ORDINANCE . y THE NONCRIMINAL FINE FOR THIS OFFENSE IS S t✓ w Date mailed u, l OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(2u desire to contest this matter in a p1)DAYS OFyTHE DATE OF.THIS NOTICE.NOTICE. FIRST If BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,OU MA02630 do so 6Att21DmakiNo crtminalten Hearingsanuest to ldencl se a copy of STRICT COURT DEPARTMENT, citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑'I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature Town of Barnstable � YA731N8TAiLE,.: � Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 22, 2002 Rachel Santos P.O. Box 431 West Yarmouth, MA 02673 Rachel, Per your phone message this week, I need to inspect your apartment to note the work not done by Mr. Amster that was ordered by the Barnstable Board of Health. Without being able to get in touch with you on the phone, this is the only way to contact you. Please contact me at your earliest convenience to set up a time to meet for an inspection. I am available Monday through Friday 9:45 am — 12:00 pm, and 2:15 pm — 4:30 pm for inspections. Please call between the hours of 8:00 am — 9:30 am and 1:00 pm and 2:00 m to schedule the appointment. PPointment. Thank-you, Samuel H. White, Health Inspector Town of Barnstable (508) 862-4646 Q:Health/WP/RachelSantos f g Health Complaints 15-Aug-02 Time: Date: 8/14/02 Complaint Number: 3638 Referred To: SAM WHITE Taken By: Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 118 Street: thornton drive Village: HYANNIS Assessors Map Parcel: Complainant's Name: Rachel Santos Address: 118 Thornton Drive, Hyannis Telephone Number: 508-771-1381 Complaint Description: Complaint of two adjacent aprartments behind classic auto dealership that could possibly be illegal. Hole in wall exposing live wires, no window or fan in bathroom. Actions Taken/Results: SW spoke with tenants of both apartments, Rachel Santos and Charlene Maloney(sisters). Charlene is 8 months pregnant and living in a studio apartment with exposed live wires, water damaged walls and floors. Possibly less than 150 square feet for entire apartment. Has been in apartment since January or February of 2002, and is paying $125 per week for apartment. Rachel lives in adjacent apartment with 1 bedroom. Neither the bedroom nor the bathroom have a window or mechanical venting. Has been in apartment since Sept. '01 and is paying$150 per week for apartment. Neither apartment has access to circuit breakers. No lease was signed by either tenant. Mailing address for tenants is P.O. Box 431 W. Yarmouth, MA 02673. Investigation Date:-10:30:00 AM Investigation Time: 8/15/02 • 1 1 N i ,� v .�'fti a �: � x�'��`, �_t �. 4,�iz ��:.��. e'r.'j?a ., — .. _ _, ..�.. �- a ... +t. _� '� 'i _,�,� 02 8 - — _ mop, `�� �• r. � is .. FORM30 ChW Hoeas&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS B RD OF HEALTH CITY/TOWN W f paj, - _ b DEPA TMENT ADDRESS 4�M SyOy`ow ._ ^ TELEPHONE ' Address_,_�_ _ tp;��0�® A Occupant (ZRcto I 7 `,az&.c Floor Apartment No.C— No.of Occupants-1-- No. of Habitable Rooms No.Sleeping Rooms_1_ No.dwelling or rooming units No.Stories--, 1 Name and address of owner �V(C i0r� 1� 7 J f �At 4751'04,4 T j,, V"C_ Remarks Reg. Vio. YARD Out Bld s.: Fen Ms: 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: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: - Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y El 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 X Pantry Den Living Room protst4eV Ljj()_5S,2_ Bedroom 1 . Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove B_ athing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: ®r- _ Pe Egress Dual and Obst'n: General Building Posted 2 _ -,F c^ i Locks on Doors: jrgW ot ;1 ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICHs tC_ _ rrn MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE att-' OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE LAW-lS� AUTHORIZED INSPECTOR.(See Over) GJ(Do­ "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OFPERJURY.") (� j�� INSPECTOR f �'IOnk& A1VJ.W9* TITLED r � (-) I' _o?t-� W411 DATE Ck-5 f S; O TIME 2-0 P. A.M. THE NEXT SCHEDULED REINSPECTION P.M. � � ' ^ . . 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found|o exist in nmidomiu| pmmioeo, shall be deemed conditions which may endanger or impair the heai#h, or safety and well-being of person or.pomons occupying the premises. This listing is composed of those items which are deemed to always have the potential m endanger o,materially impair the health or safety, and well-being of the occupants or the public. Because Chapter||. 1O5CMR4iO.1O0 through 410.O2U state minimum requirements of fitness for � human habikgmn, any other violation has the poVanho|to fall within this category in any given specific situation but may not doao � in every case and therefore io not included in this listing. Failure\o include shall in �owayb000n§�God aoa determination that other violations orconditions may not bafound to fall within this category. Nor ahaU fai|ueVu include affect the duty c4the local health official to order repair orcorrection ofouo�violation(s) pursuant to 105 CMR 410.830through 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) F�|ummp�v�oaxupp��wa�mfikiontin pi�eusu�ean'd cold, mmeet the ordinary needs of the occupant ina000rdavoewith 1O5CMR41O/18O and 41O.1S0 for al"Pahoduf24 hours o/longer. (B) Failure to provide heat as required by 105 SMR 410.201 ov improper venting or use odaspace heater mwater heater as prohibited by1O5CMR41U2OO(B)and 41O202. <C> Shv toff and/or failure to restore electricity orgas. (D) Failure to provide the electrical facilities required by 1O5CMR410.250(B). 410.251(A). 410.253 and the lighting in com- mon arearequied by 105CMR410.254. (E) Failure to provide a safe supply ofwater. ~ (F) Failure to provide o toilet and maintain a sewage disposal system in operable condition as required by 105CMR 41U15U(/)(1)and 41O.30U. (G) Failure to provide adequate exits, the obstruction of any exit, passageway orcommon area caused bY any object, including garbage or�raah, whiu*h proven.ts egress in case`ofanomergenuy,1O5CMR41O.45O. 41O.451 and41U.452. (M) Failure Vu comply with the security requirements of 105CMR 410.480(D). (|) Failure tn comply with any provisions of1O5SMR410.00O. 41U.0U1 nr41O.G02 which results in any accumulation ofgar' bago, rubbiuh, filth or other causes of sickness which may provide aiood oou/oo or harborage for rodents, insects or other pests or otherwise contribute V»accidents o/oo the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Depa rtment of Public Health Regulations for Lead Poisoning Prevention and Control, 105CMR480.000. (See M.G.Lo. 111 @)@} 19O through 199l (K) Roof, foundation, nr other structural defects that may expose the occupant or anyone else tofire, burne, ohouk, accident or other dangers or impairment Vo health orsafety. (L) Failure to install o|ootrioa|, plumbing, heating and gua'burningfaci|itioo in accordance with accepted p|umbing, hoa8ng, gaa'fittingand electrical wiring standards or failure to maintain such faui|iieoau are required by 105CMR 410.351 and 410.352, so aoVz expose the occupant oranyone else tofire, burno, ohock, accident or other danger or impairment to health or safety. (M) Any defect in aobookm material used an insulation or covering on a pipo, boiler or furnace which may result inthe ro|omoo of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR410.353. (N) Failure to provide a smoke detector required by1O5CMR41O.482. . '. ` u` ' ` ' ^ (0) AMyof#hofoUo�ng'oond�onowh�hvemanunoormo�dbnL'upehodof�veor/moedayofd|owingmenohueVom knowledge of the owner cd said condition ovconditions: , (1) Laokofa.kdohanuink�� #i i and oapaohyfor washing d�heuand kitchen utensils or lack ofun�vo and oven . orunydofoo\thoUmnd��a either inopdab|o.' � �� � ` . . , ' . � (2> F�|uneVz�mv�oawaohboonundohowo m�u�'�baoiequimdin 1O5CMR41O.15U(A)V0 and 41O.15O(A)(3)orany defect which renders them inoperable. ' (3) Any defect in the dootrimd, plumbing or heating system which makes such system or any part thereof in violation of generally accepted p|umbing, heating, gmsfitting, or electrical wiring standards that dn not create an immediate hazard. (4) Failure to maintain auafo handrail or protective railing for every stairway, porch ba|uony, roof orsimilar place as required Uy105CMR410.5U3(A)and 41O.5O3(B). (5) Failure Vo eliminate rodents, 000kmauhoa, insect infestations and other pests aarequired by 105CMR410.550. (P) Any other violation of 105CMR 410.000 not enumerated in 105CMR41O75O(A)through (0)ohal| bo deemed Vu bea con- dition whinh may endanger ormaterially 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. , � � ^ . . ' � f '�-,.:..�. ..,<.:,w- ^-' '5..,war .'!'4'rw..- "tH.. .,.,ti'-r^.r..-r..^s-'.., -••--V.,,......^..r'r.Y.,- 'sn..,fyv�rr.,r-o-..,...1,..�.+.;.,.1. z�-�.,,.r.i'`tiT" t r. , yi.y. y�'Htn,� ..,t":y�.. fl "` .' y ¢ �C FORM30 ' _&w_ HOBBS&WARREN'm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C Y/T{O_W(N r W JfI,G a DEPARTMENT ADDRESS r s ' TELEPHONE Address-0 g `l _.f�s 1-1 1iL —____— Occupant- PAc" ( 5rt_" 4 x Floor Apartment No._._ No.of Occupants_ / No. of Habitable Rooms No.Sleeping Roomsl No.dwelling or rooming units ___ No.Stories / Name and address of owner u c e a. 7'7S R 131 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: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: ;i2Q Ll10 6_Oz Hall Floor, all,Ceiling: Hall Li tin : 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 Ki chen Bathrooms Pantry Den �L.living Room scv .ts , rovi tho 2 -Bedroom -1 o o r'vv6 ° �It 0 Vo Be room ,+ 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 Du st'n: General uildin -Postedd>ft0 S 00 Q OWt�e;s rig- .ess ylo qFj o ry'Doors. `}� -s4v.4e s161 ONE OF MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION H'CH s.� `41,jr,' 46z`~ MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750. OF THE CQDE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." INSPECTOR SO— TITLE DATE 1 Z Z� L,16_Z TIME P.M. THE NEXT SCHEDULED REINSPECTION �%A ��/ 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 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 prohibit,d 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. �— M FORM 30 THE COMMONWEALTH OF MASSACHUSETTS ,_H&W HOBBS 8 WARREN OARD OF HEALTH CITY/TOWN W RblIC- G — o DEPARTMENT SyO�.e ADDRE b S C�R� p� TELEPHONE Address 17r^_� b _�D nwej Occupant Olt Floor Apartment No. No. of Occupants__ No.of Habitable Rooms No.Sleeping Rooms - No.dwelling or rooming units No.Sto�rigs- l Name and address of owner « �5 � f�9_Ayen&, �� �—77-3 3 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: Li htin : 11 STRUCTURE INT. Hall,Stairway: j Obst'n.: r �� Hall, Floor,Wall,Ceilin : Hall Lighting: g 5 i22. Hall Windows: ' CU43, c, HEATING Chimneys: h0,s Central ❑ Y ❑ N Equip. Repair %1 TYPE: Stacks, Flues,Vents: r� PLUMBING: Supply Line: r ❑ 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 ova p` Pantry Den LWeoj two, ,n oQ Living Room / wry,, Bedroom 1 Bedroom 2 Bedroom 3 c 1 b Bedroom 4 _ Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: ' q„s 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 Ll y-AeA A21.,* �- i'?/ Locks on Doors: a z Q-tc t2 ,- ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE , 4j* I 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." > J , INSPECTOR TITLE DATE A--,46-i6 -:2 oo-2-- TIME eI P.M A.M. THE NEXT SCHEDULED REINSPECTION P.M. I ,... y._..• ,� .,.n..: . , ..,,. :.t«Ris - . ...�.... . ..: ,..u. ... � .. ,.,.�, .y.sb.,t.:.yk,� ..T M'r'x. c1.l:..a r .... ...., ,t; 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 Il, 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 affectethe 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). (I) 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 leadba_sed 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.#' r (2) Failure to provide a washbasin and shower or bathtul as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. 1 (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; gasfittinglt '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. FORM 30 �I&w HOBBS 8 WARREN M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � Ay �f CITY/TOW N _ V(J i L ti i EPARTMENT ~a UD �V►�ir1� �Sr A4oi4 7 MI 6a240/ '. ADDRESS p F�- . -� Re � E TLE Address 111 I h0.✓1-hI'l Dr — Occupant_ . ,, e S Floor Apartment No. _ No. of Occupants—/ No. of Habitable Rooms No.Sleeping Rooms-1— No. dwelling or rooming units N .Stories._ Name and address of owner �� n_n�. _ c .r _ 7_75_-4,1V 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: alls: of C'" �►. n W ✓n ndation: a' Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall to ,Wall,Ceilin D Hall Lighting: Hall Windows: HEATIN Chimneys: ral ❑ Y ❑ N u e fn / p TYPE: Stacks, Flues,Vents: _ Our PLUMBING: Supply Line: ❑ MS C 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 athroo Pa Den Win VV Sc A S edroom 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 General Buildin Posted I?5 46e UK Loc son oors: 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 PENALTIE OF PERJURY." INSPECTOR VA Vf TITLE Qti A.M. DATE TIME I., A.M. THE NEXT SCHEDULED REINSPECTION P.M. / AW � Conditions Deemed to Endanger or Impair Health or Safety � The following conditions, when found to exist in residential Oremises, shall be deemed conditions which may endanger or impair the hoadh, or safety and well-being of a ponmo 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. Boouluaa Chapter ||. 105 CIVIR 410.100 through 410.620 state minimum requirements of fitness for human habitatmn, any other violation has the potential to fall within this category in any given specific situation but may not d000 in every oaoo and therefore in'not included in this listing. Failure to include ohuU in noway'beconstrued aoa determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty ofthe local health official to oruor repair orcorrection of such violation(u) pursuant to 105 CMR 410.830through 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 oaou��odwa���o��inqu��ypm�un/�d �mp6ragm. bothhot and cold, tomeet the ordinary � needs cx the occupant in accordance with 105CMR410.18O and 410.190 for a period of24 hours orlonger. <B> Failure to provide heat as required by 105 CIVIR 410.201 or improper venting or use ofaspace heater ovwater heater as prohibited by 105CMR410.20O(B)and 41U.202. (C) Shutoff and/or failure Vo restore electricity orgas. (D) Failure Vx provide the electrical facilities required by 105CIVIR 410.250(B). 410.251(A). 41O253 and the lighting in com- mon area required by 105CIVIR410254. (E) Failure Vo provide a safe supply ofwater. (F) Failure 0o provide a toilet and maintain a sewage disposal system in operable condition ao required by1O5CIVIR 4lU.150(A)(1)and 41U.OUU. , (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage ortrash, which prevents egress in case of an emergency 105 CIVIR 410.450. 410.451 and 418452. (H) Failure to comply with the security requirements of105CMR41O.48U(D). (|) Failure 0z comply with any provisions of 105CIVIR 410.000. 410.601 or41U.602which results in any accumulation ofgar- bage, rub.bish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute 0»accidents o/Vn the umatio.n or spread of disease. � (J) The presence of|oadbaaad paint on adweUing or dwelling unit in violation of the Massachusetts Department of Public - Health Regulations for Lead Poisoning Prevention and Control, 105CIVIR460.000. (See M£.L. o. 111 @VD19Uthiough18Sj � - ^ (K) Roof, foundation, or other structural defects that may expose the occupant m anyone else 1ofire, bumn, ohook, accident or other dongmsurimpairment to health orsafety. - (L) Failure to inota1| oleotrimd, plumbing, heating and gau'bumingfaoi|hieo in accordance with accepted p|umbing, haahng, gas-fitting and electrical wiring standards o/failure k/maintain such faoi|tiemao are required by 105 CIVIR410.351 and 410.352. . so mo0z expose the occupant or anyone else tofire, bumx, ohuck, accident o,other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation o,covering on apipe. boiler or furnace which may result in the release of asbestos dust o,which may result in the release of powdorod, crumbled o/pulverized oobootoo material in violation of 105 CIVIR41O.353. (N) Failure to provide a smoke detector required by1O5CIVIR410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days follo�ing the notice to or knowledge of the owner of said condition orconditions: (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 aa required in 105CIVIR41015 '(A)(2) �nd410.150(A)(3)orany defect which renders them inoperable. (3) Any defect in the eleutrioal, plumbing o/ heating system which makes such system or any part thereof in violation of' generally accepted plumbing, hoahng, gmsfUffing, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain uuudo handrail or protective railing for every stairway, porch ba|oony, roof orsimilar place as required by1U5CIVIR41O.503(A)and 410.5O3(B). (5) Failure Vo eliminate rodents, 000kmaohoo, insect infestations and other pests aorequired by 105CMR410.550. (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- ditionwhichmuyondungorormaterid|yimpairUhohmd1hovoafetyandwel|'boingcdun000upantuponthetai|uvaofUkemwner to remedy said condition within the time so ordered by the Board of Health. . ` ' � � . Town of Barnstable Regulatory Services �rsat° Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 8, 2002 Mr. Bruce D. Amster 119 Thornton Drive Hyannis, MA 02601 You are scheduled to appear at the Public Health Division Office, 200 Main Street, Hyannis on Friday, October 18, 2002 at 10:00 am to discuss the conditions of the rental apartments owned by you located at 118 Thornton Drive, Hyannis. As you are aware, at least two rental units do not meet various provisions of the State Sanitary Code Article H. Also, electricity was not provided to the same rental unit on two.separate occasions during the past thirty days. Copies of this letter are being sent to the Licensing Agent and the Building Commissioner. Thomas A. McKean, S. Director of Public Health Town of Barnstable cc: Licensing Agent Building Commissioner Q:Health/WP/Amster' I ~ • Airport Departures •' Corporations Pickups. .='Night.;On �.} • Business Meetings " Town' 4 :; Casinos i Proms''. �` •,Charters ?' . Special:Events', 6[F • ;Concerts • ::.1Neddings Im :. Boston ❑}Cape Cod d New York ❑",Providerice i tr t i C /V•N "The Ultimate:Transportation Experience", ,J di Sacco,,President. .18888.99906515 Local(508)888-9369 Fax:''(508)888 95.78 limo@capecod.net_. Pager:(978).545-5825 W".capecodlimo:com Cellular:(508)294-4416 i TOWN OF BARNSTABL COMP LIANCE CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 2.Printers 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANYO&N XXr,- S-_ 6,41-2 (see Orders ) 5.Retail Stores 6.Fuel Suppliers CiSSS' ADDRES �"�� f/ / �G� 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) 7 71N IN OUT !!!"OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic ,.1 , Synthetic Organics: degreasers ,� Miscglianeous: 6 10 -;1v V �o x � L DISPOSAL/RECLA1ViATI N REMARKS: 1. Sanitary Sewage 2.Nyater Supply )2 L,*"7_zj, O Town Sewer ublic O On-site OPrivate i 011, 3. Indoor Floor Drains YES L NO 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES 41' NO O ERS: 0 Holding tank:MDC Aj�V Catch basin/Dry well P On-site system 5.Waste Transporter G Name of Hauler Destination o� d. 1. YES NO 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE OMPLJANCE: CLASS: 1.Marine,Gas Stations,Re it satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops r unsatisfactory- 4.Manufacturers C0MPANYMI .Z � L 4 �-5' (see"Orders") 5.Retail Stores S.Fuel Suppliers ADDRESS r d i ClaSS; 7.Miscellaneous AND STORAGE (IN= indoors;OUT=outdoors) MAJORMTER� IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) l� new motor oil(C) � . v transmission/hydraulic Synthetic Organics: degreasers P4_t� ,c V 10 r Mis ells e �cs: --� L- DISPOSAURECI AMATION REMAR.KS: 1. ISanitary Sewage 2.Water Supply Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES N0P' O Holding tank:MDC O Catch basin/Dry well O On-site system /� 4. Outdoor Surface drains:YES y NO ORDERS: _ Holding tank:MDC v�' Catch basin/Dry well On-site system 1 5.Waste Transporter ProductName of Hauler Dest,ination Waste MS NO � A e;o' ' d 2. Person s) Interviewed Inspector Date //� .-Pk.j�,� Date: / 07 TOWN OF BARNSTABLE -F' l TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: / YA-AlAll.S &&Z- ,540AI BUSINESS LOCATION- TH-6ri7-0,4f INVENTORY MAILING ADDRESS: V1,557-RA-fAJ Jr. L�i�iVAJf-S TOTAL AMOUNT: TELEPHONE NUMBER: g-o t - S ' Z/ " -106L C7At.Z-oAfiS CONTACT PERSON: 76" 7/5 oTTD EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Aun 13ooV 86PA VCS 'oa! e0y00o1VT INFORMATION/RECOMMENDATIONS: A-L-1 //.4"oe Fire Dist�ous w4srr s� t" prict:t_vy�z hccrss o,J ecnocflzr 6,;UcA, ®GA-U /.s A65� t t cCW s C /s ?A IP, A s®iu �/r B•4/ZAJS 7-A-0 CE IS flVA-1L,fBLC� S// 57N- 76AJ /,S �i.[�"6Af,4t_. A/o �L©r�� D,2�izs 065 VED. - 771V4 U,S HE72S . ADo 443 & " 14-A o ous W*srt,'' ° runt.'. 7v b R.0 l tOF- W A3r�01L_ Waste T . 1,b ,0Y*1d yZ:5 Yb yqj Last shipment of hazardous wast "3 ` Name of Hauler: S �-�C Destination• eve s775/J L Waste Product: YJ Pk� Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division, LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum .3 Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW 3'3- USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine BIR tt acid (electrolyte)/Batteries Lye or caustic soda oofers Misc. Combustible sh detergents Leather dyes 15 xes and polishes �es�P®uN� Fertilizers t & roofing tar PCB's varnishes, stains, dyes PA mmR.coq Other chlorinated hydrocarbons, .thinners (inc. carbon tetrachloride) 020 NEW 20 USED Any other products with "poison'..labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, �rAlvT�`{' Misc. Flammables µ15c�tt.A�1��uS s p" �uS hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers f//S SNDP /S USCy IAINe�f / fF/r/,U/S (including bleach) &U-/s/oAj 4-r 6475' lAlE3T AtAIAJ Sirs Spot removers &cleaning fluids 6VAXTINJI/ J(n A7- Fuu- eAPAu (dry cleaners) I-N/S 1AJ6 E-CTIoAJ T _C A-l./TD /3ooV sH&P Other cleaning solvents \XIA-S NoT weyz ,Enl.S A`Aja KJAS Vold or- Bug and tar removers Aw y V"9-ids Ole- Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f N w 4 Town of.Barnstable Barnstable 'WE Regulatory Services Department ;erieaC"i • BARNSI'ABLE. Public Health Division 10 � • G 9� MASS. . 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 C ® �. Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �6 b —DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT V 0�n �J rbt�0 NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT �� ® PhD 1�►�1 V� t'7NG�11ii� TELEPHONE NUMBER -17 J 3 a)L C_ c � , i SOLE OWNER: t/YES NO _ ei C ) IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL-'" PARTNERS: g IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION Q r FULL NAME AND HOME DRESS OF: PRESIDENT won", L:� ��, _ Ce� -vilZ� (� - 0 3� TREASURER 1nvi Ce'196.1 i L.Q. (°?a- Dab 3a CLERK v�'+� frk. 69b �a i SIG6ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS SOb Ob6 . (lee.. CPnkry )lt (94., HOME TELEPHONE# Sig-710-39S 3 Q:\Hazmat\Haz Mat Application2008.DOC j SPILL CONTINGENCY PLAN 1)EVACUATE THE IMMEDIATE AREA,IF NECESSARY 2)SHUT OFF PUMPS&ELECTRICAL AS NECESSARY 4)CONTAIN SPILL USING APPROPRIATE EQUIPMENT IN SPILL KIT 5)CONTACT SPELL RESPONSE FIRMS IN APPENDIX E 6)REMOVE CONTAMINATED ABSORBED MATERIAL WITH SUPPLIED EQUIP.IN KIT 7)LABEL WASTE COLLECTED,WITH AMOUNT AND TIME 8)NOTIFY APPROPRIATE AGENCIES OF SPILL 9)INSPECT AREA FOR CONTAMINATION AFTER CLEANUP 10)REPLACE ANY USED MATERIAL FROM KIT 11)CONTACT WASTE HAULER FOR DISPOSAL OF MATERIALS 12)'RECORDS OF SPILL SHALL BE KEPT ON PREMISE IF NECESSARY BY STATE 1 REGULATIONS 13)SPILL CLEANUP KIT IS LOCATED IN PAINT MIXING ROOM IN WHITE CONTAINER g' 14)SPILI.EQUIPMENT ON PREMISES: A. SPILL KIT SUPPLIED BY WASTE HAULER FOR OUR SPECIFIC USE . B.RESPIRATORS,GLOVES,PAINT SUITS,BOOTS C.FIRST AID KIT D EYEWASH STATION E. FIRE SUPPRESSION IN NECESSARY AREAS F. FIRE EXTIGUISHERS ENTIRE FACILITY K f , i `R r APPENDIX E SPILL CONTINGENCY PLAN s EMERGENCY PHONE NUMBERS POLICE DEPARTMENT 508-775-0812, 911' S FIRE DEPARTMENT 508-362-3312 ` 911 'I} EMERGENCY RESPONSE : 800-468-1760 + , AMBULANCE SERVICE 508-775-2323. ' 4 S ENVIRONMENTAL PHONE NUMBERS i a t' SAFETY KLEEN 508-6974648 ' SAFETY KLEEN EMERGENCY COORDINATOR 978-360-69 CLEAN HARBORS 617-849-1800 JOHN TROTTO OWNER 508-364-1077 i 0 r Town. of Barnstable �+WI Regulatory Services f ° Thomas F. Geiler,Director V 3 Public Health Division � Thomas McKean,Director \1 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 t. ASSESSORS MAP AND PARCEL NO. -?94161 6 DATE APPLICATION FOR PERMIT.TO. STORE.AND/OR UTILIZE MORE THAN 111.GALLONS. OF HAZARDOUS MATERIALS - -�FULL NAME OF APPLICANT NAME OF ESTABLISHMENT n;'s 6D111S1'bn ADDRESS OF ESTABLISHMENT pr^hr p',ryve l/A 0 TELEPHONE NUMBER S D Jam'7D g D SOLE OWNER: `/YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. co rt STATE OF INCORPORATION = m FULL NAME AND HOME ADDRESS OF: PRESIDENT �a 50 ' E'+��-2✓v,� e TREASURER r 6 SD j ri ilk CLERK aiv^ o h P✓�A�,v; q4SIOAT ;E OF APPLICANT RESTRICTIONS: HOME ADDRESS_ 500 j5))1 B j P& CPn4e/.j& HOME TELEPHONE#- 10 1-7c16 -- 3WS3 Haz.doc/wp/q I {k MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition,please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in- house processing. Our mailing address is: Town of Barnstable { ' Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition,,please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable., The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 "3 5 Number Fee 1038 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision #2 118 Thornton Dr., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. January 16, 2007 PAUL J. CANNIFF, D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MMATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: + (I I 1 1�VVI,�?i�Yl Dt�l �ra,i�l U1,IS INVENTORY MAILING ADDRESS: �i " TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: --dU hA �f'l1 11 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: _�11UJI U &6, IkA INFORMATION/RECOMMENDATIONSe &02 11( �(1�-4-U44f)IA Fire D tric : f /1 ( OlMe pp Waste Transportation: Last shipment of hazardous.waste:.. . Name of Hauler• -Destination- Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 11 9, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW 66 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW q6 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil . NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED - Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers Wa,5fe Oki r) 3r� 1i cm, (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT!CANARY COPY-BUSINESS OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANIUY2 TF E GASOLINE WASTE GAS DIES EL FUEL W/W FLUID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE YLAMMABLE CORROSIVE PETROLEUM t. (GEAR OIL/GREASE/ —LUBRICANTS) D-3 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS 50 SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT ��� Q c_i1.t MSDS MANIFESTS t2- /G� as-k c5tuh I sr d FA4 �ka.c kba4---s Health Complaints 06-May-03 Time: 3:05:00 AM Date: 5/6/2003 Complaint Number: 4017 , Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: -_ Number: 118 Street: THORNTON Village: HYANNIS Assessors Map_Parcel: Complainant's Name: Address: Telephone Number: r Complaint Description: NO HEAT. APPROACHED OWNERS ABOUT HEAT. SAID THERMOSTAT IS BROKEN. NO SCREENS ON DOORS-NO VENTILAITON IN BEDROOM AND BATHROOM. WATER DAMAGE IN APARTMENT. MOLD ALONG THE WALL AND IN THE ELECTRICAL SOCKET. ass ! ol. 0 Actions Taken/Results: U Investigation Da e: Investigation Time: S'� U� `� •ACM lJS_ (mr SSA/ '�.J/ rr f dd 1 / d11 /( o tlwrf(f �pMQ y�nyg� �^r/I Scc r•L/ of e�� lGrY/Ir�w��e 1/1r114 t— Q� /. / �M�Ct 11.. UOr, LiIV,'s'S� eta . I,VI Ilfoq^ f dt, -V_C' Tow wdolr� l' 4- PN �O/G�'�c�NB�n g10,102 ' 1 No k o, Town of Barnstable Geographic Information System June 8. 2007 296002003 #110 r 001002 t.r e A> - ° {, g5 "' tit, #157 296020CN D 22W002002f296028 yr f 4c tl, r i. lip 00100365 b f 296017 `? r417r #139 }' 296018 ' v e -96002001 a A r 1 f. r t Zr r 015 ( #296016 314041 CN D ! taf #118 #0 :+ f s lc"301.5003 'i � 4 ss IL aNe . � 005004I� 296014CN D #35 2 #0 • lr .r1j Y - Q r #73 l 296012CND 296011 #400 t .« DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:296 Parcel:016 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:TROTO,CAROL M TR Total Assessed Value:$604600 1"=1 00'may not meet established map accuracy standards. The parcel lines on this map tN- -•E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.45 acres Abutters . boundaries and do not represent accurate relationships to physical features on the map Location:118 THORNTON DRIVE such as building locations. Buffer ' Town of Barnstable Geographic Information System ( June 8, 2007 296002003 a v 110 001002 t ` r zC p yi:V t 296019 #.�� �� 157 296020CND h fY e i~ 298002002 �?►r #0� + .�y,,: -_ " ". !� � w 296028 `5 #� r a #754 re a ,yI 001003 y #35 Ap #139 w �y. 296018 jile IF �j Res► N fir, #119 !, t;fi 296016 314041CND i- #118 #0 Cq s+�296013 296031\ 296005004 J 296014CND . 0 #0 1 •� a 296025 296011 #400 �y n. #73 296012CN D �_. #0 i DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Ma P'296 Parcel:016 N Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:TROTO,CAROL M TR Total Assessed Value:$604600 1=100'may not meet established map accuracy standards. The parcel lines on this map w- - -E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.45 acres Abutters _ boundaries and do not represent accurate relationships to physical features on the map Location:118 THORNTON DRIVE such as building locations. Buffer s DATE I1 Z% � ❑ URGENT SOON AS POSSIBLE �-ce ' �F r c1 534 FILE NO. ❑NO REPLY NEEDED �67 . SLr . P. O. Bo ATTENTION / 6 SUBJECT /�TEic�� v� TO L f MESSAGE ,f Tf/� WIA16 �vsi.��ss�S 9,2� .�ic�,vct�7? U�Dt:� CUB /SRO. ,thick 4geelrT �r/u -sT��-�r~ vTv s . 3 j#&ewro�l vh' Ive k/;A.0Al,� t/a rig�� ����� C��}i"�:� Yo v�P �o o'�� Ted v 10 7- SIGNED REPLY D O .RE Y.< ^ . f r SIGNED SENDER. DETACH THIS YELLOW'COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES WITH CARBONS ATTACHED. THE COMMONWEALTH OF MASSA SETTS ,a BOLD OF HEALTH NOTICE TO ABATE A NUISANCE A oecupan ,of yo 4ar-e-hereby notified to remedy the conditions named below within 24 hours of the service of this notice, according to Massachusetts General Laws, Chapter II1,Section 123: Y . Z-f-- z . If at the expiration of time allowed these conditions have not been remedied, such further action will be taken as the law requires and a fine of$20.00 per day may be charged. By Order fhe oard of Health r�_.. Inspector FORM 600 HOBBS&WARREN,INC. REVISED 1979 j Januar� :1 1982 The following persons or establishments were issued Class I , II & III Auto Agents licenses for the year 1982. These are straight. renewals unless otherwise noted. NAME CLASS DATE ISSUED A-1 Auto Sales IL l/l/82 158 Corporation Road Transferred to Hyannis, Ma: 416 Yarmouth Road, Hyannis Airport Motors Inc. I 1/l/82 Lincoln-Mercury-Mazda.°" ` 556 Yarmouth Road Hyannis, Ma. Airport Motors Inc. d/b/a II 1'/l/82 Airport Auto Body Route 28 Hyannis, Ma: Airport .Motors Inc. d/b/a I 1/1/82 Central Cape- Dodge 600 Yarmouth Road Hyannis , Ma. American International Rent-a-Car II —1/1/82 538 Bearses Way Hyannis, Ma. Anchor Auto Sales II 1/1./82 380 Yarmouth Road Hyannis, Ma. Barnstable Auto Rental II 1/20/82 d/b/a Payless Car Rental (Transferred From Barnstable 287 Iyanough Road, : Auto Sales) yannis ,Ma. Bayside Motors II 1/l/82 143 Old Yarmouth Road .. Hyannis , Ma. Ray Blackburn's Auto Salvage' III 1/1/82 Airport Road Hyannis, Ma. Bob-Ries Auto' Parts III 1/1/82 Straightway North. Hyanni-s, Ma. Bob-'Ries 1/l/82-Auto Parts II . Straightway North.F Hyann'i s ,Ma. Dick Beard Chevrolet I 1/l/82 Ridgewood Ave. "vannis, Ma. : -2- , x Barnstable Road Auto Sales II 1/l/82 Corner of Louis St. & Barnstable Road Hyannis , Ma. Bilkin Auto Salvage III 1/1/82 800 Waceby Road Marstons Mills, Ma. Buckler's GMC I - l/l/82 -100 Ridgewood Ave. Hyannis , Ma. Cape Auto Sales. Inc. II 1/1/82 68 & 69 Center Street Hyannis, Ma. Cape Car Mart Inc. I:I 1%1/82 84 Barnstable Road (Chan.ge to Corp.'.. formerly Hyannis , Ma. Charles Mitchell d/b/a) Cape Cod Motor.Sports Center I '1%1J82 353 Stevens Street Hyannis, Ma. Cape Motors Inc. I 1/l/82 Airport Rotary Hyannis, Ma. _ Cape Wide Auto Sales I _ II 1/1/82 730 Bearses Way Hyannis, Ma. Cape Wide Auto Sales II I I °. 111182 93 Falmouth Road Hyannis, Ma.. Chris Bullock Toyota Inc.' L . 1/l/82 1020 Iyanough- Road r Hyannis,; Ma. Everett H. Corson I°nc.' I 1/1/82 1040 Route 132 Hyannis, Ma. Jack Ellis Forei.gn. Auto II 1/1182 515 .West Main Street Hyannis Ma.<,�Di-ck_Garbitt Investment Aut6!0' II 1/l/82` ar F1,18 Thornton _Drive ' R ; H annis,,, Ma E �. y- r 'Gil1i's & .Tivey Inc. I 1/l/82 362 Yarmouth Road Hyannis, Ma. =3- 4 Harley Davidson Cycle Center I 1/1/82 100 Ridgewood Ave. Hyannis, Ma. Hillshire RV, Inc. V, I l/l/82 55 Airport Road Hyannis, Ma. Hyannis Auto Inc. II 1/l/82 478 West Main Street Hyannis, Ma. Bourne Bridge Auto Sales I 1/1/82 d/b/a Hyannis Saab 163 Barnstable Road Hyannis, Ma. Hyannis Kawasaki of Cape Cod Inc. I 1/l/82 405 West MainStreet Hyannis, Ma. Earl T. Legeyt Used Cars II 1/l/82 Bearse Road Hyannis , Ma. European Car Service II 1/l/82 63 Cit Avenue Hyannis, Ma. Hyannis Porsche Audi, Incl. I 1/l/82 Phinney's Lane & Route 132 Hyannis, Ma. Hyannis Porsche Audi Inc. I l/l/82. 830 West Main Street Hyannis, Ma. Hyannis Texaco II 1/l/82 Route 132 Hyannis,, Ma. Imported Cars of Cape Cod Inc. I 1/l/82 Stevens & North Street Hyannis, Ma. Jim's Arco II 1/l/82 792 Main Street Ostervi l le, Ma. Jim's Gulf Service II l/l/82 831 .Main Street Ostervill.e, - Ma. 1Meadow`Pond Inc : II l/l/82 Lot 47 ,Thornton Park,-" cHy4nnis, Ma. Merrick, Inc.. d/b/a II l/l/82 Hyannis Auto Sales -4- MidCape Motors Inc. L ., l/l/82 332 Falmouth Road Hyannis ,Ma. Mike's Cape & Islands Gulf Service I.I l/.1/82 Route 132 Hyannis, Ma. Moore Motors Inc. 13 Main Street Hyannis, Ma. .,Pilgrim Auto Sales II`` � , -� 1/1/82 416 Yarmouth Road Transferred to Coyne 'Motors Inc., Hyannis, Ma. 587 Iyanough Road, Hyannis Rotary-Auto Body Shop Inc. II 1/l/82 Barnstable Road , Hyannis , Ma. Thompson Motors II 1 1. 82 740 Bearses Way Hyannis, Ma. Thornton Drive Auto Sales - 1/1/82 �Bui l di ng #23; Thornton` Dri ve Hyannis, Ma. Tracy Volkswagon Inc. I - l/l/82 Route 132 Hyannis, Ma. Trans-Atlantic Motors Inc. I' l/j/82 Route 28 at Airport Circle Hyannis , Ma. Warren Buick Inc. I 1/1/82 100 Barnstable Road Hyannis, Ma. Webb Auto Sales II 1/l/82 95 Corporation Street Hyannis, Ma. Yarmouth Road Auto Sales LI T/l/82 202 Yarmouth Road Hyannis, Ma, Lebco Enterprises' I,nc: I ' l/l/82 77 Flint Street Marstons Mills, Ma. I Puritan Pontiac Inc. i.` 1 8/1J 2 460; Yarmouth Road Hyannis, Ma. Robert's Auto Wholesale II 1/l/82 100 R Ridgewood Ave. Hyannis, Ma. M -5- Village Auto Sales II l/l/82 PQute 149. Marstons Mills,, Ma. Coyne Motors. Inc. II 4/2/82 Paul R. Coyne Transferred. from Pilgrim Auto Sales 587 Iyanough Road Hyannis, Ma. Thomas Brown d/b/a II A-1 Auto Sales Transferred from 4/2/82 416 Yarmouth Road 15.8 Corporation St. , Hyannis Hyannis, Ma. • Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator .---------•-•-------•-•--------•-•-------•--------•---------------•------------------•--------••-----------••-- ................. 118 Thornton Drive, Hyannis, MA .---------------•-----------•-----------....-------•••---------•------------------•-------••-----•-•---------••-----...-------•--------...-----------••-•---------...... Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------••----------------------•-------------------•--------•-------••------•-•-------••------...------.....---------.....---------••----- Restrictions: .-------••-------••--------------------------•----------•-•--------•---------••--------•------...-----------------••-----....------......------•••. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of BarnstableMU Inspectional Services BARN LE M�AR'+51p15�H'.LLS��RVllt��?Srti B?AtISR&-E . V' Public Health Division 1639-2019 :: MAMSTABM ' Thomas McKean, Director KAM et •`� 200 Main Street, Hyannis,MA 02601 p,E l'5 Office: 508-862-4644: Fax: 508-790-6304 ' x;. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE c 4 HAZARDOUS MATERIALS' P "1 il IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ --CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A lateicharge of$10.00 will be assessed if payment is not received by Jules 1. ASSESSOR'S MAP AND PARCEL NO. CSC;M -.0 A 2. IS THIS A PERMIT RENEWAL? YES—NO. IF YES,SKIP QUESTION 3. r 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BU SS HAS ZONING/BUILDING IG APPROVAL FOR HAZARDOUS MATERIALS ORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT:... ko � C cSFi 5. NAME OF ESTABLISHMENT 6. ADDRESS OF ESTABLISHMENT: �,C '` O o zp-i V9 N�')��► '� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: I 9. EMAIL ADDRESS: Q- -'"tj;ATD�� AIA o•C s 10. SOLEOWNER: ; YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRE S,AND TELEPHONE#OF: CORPORATION NAME A7� PRESIDENT 'l TREASURER Ig--r CLERK I)J 12. IF PREPARED BY OUTSIDE PARTY: NAME: s TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ,off-® Q:\Application Forms\Haz,Mat Appli Draft Jan2019.docx Number Fee 1218 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Toby Leary Fine Woodworking ................................................................................................................................. 135 Barnstable Road, Hyannis, MA ........................................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. .................................................................................................................................................................... Restrictions: .................................................................................................................................................................... This License is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �.* q i Town of Barnstable Inspectional Services BARNSTABLE M.TRBE V 7 OWU F AKNIS Mk 54 S-OSE LL,VP9SAMME LE 1639-2014Public Health Division 1 BAMSrnsI : Thomas McKean,Director -MASK r ' 9. `� 200 Main Street, Hyannis,MA 02601 rz KI Office: 508-862-4644 Fax: 508-790-6304 + APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE - HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ . 9 V A-�E.CORY,-2.PFIMITC_ 1_l l_-499_Gallons: . _._._$125 OQ _ _ CATEGORY 3 PERMIT 500 or more Gallons: $1"SO.UU" _ G - *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 1 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD' -UANTITIES (25 GALL'ONS)? YES NO. _ 4. FULL NAME OF APPLICANT: I O l>CJ �1 5. NAME OF ESTABLISHMENT: I Q � e , - 6. ADDRESS OF ESTABLISHMENT: o1,bo 7. MAILING ADDRESS(IF DIFFERENT FROM-ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �J� AE ,L ADi�REcS: CA - 10. SOLEOWNER:'J YESNO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME_ _ �C PRESIDENT TREASURER: CLERK C 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS -EMAIL: SIGNATURE OF APrLICANT DATE !/6 Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator 118 Thornton Drive, Hyannis, MA • Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------- ---------------------------------------- ------------------------------------------------------------------------ ---- -------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health i Town of Barnstable t Inspectional Services BARNSTABLE F SHE Ip WNSTA un�CMtsv ie°WI--M E w o„ Public Health Division -=014 ^B Thomas McKean, Director Mass r„r A`deg' Arfots 200 Main Street, Hyannis,MA 02601 NO Office: 508-862-4644 Fax: 508-790 K 304 w. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED,TO OBTAIN AN ANNUAL PERMIT(RUNS MY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 x v sv *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL N � 1 y t• • 2. IS THIS A PERMIT RENEWAL? YES NO. IF YES, SKIP QUESTION 3. r — r 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER B SINESS*HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIAL TORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS.)? YES NO. 4. FULL NAME OF l�APPLICANT: a,w* 'r �<LV�sE�K 5. NAME OF ESTABLISHMENT: T\I ��Z-L- R•daD id\'i-DR.,-%�AJG1 . 6. ADDRESS OF ESTABLISHMENT: "� <\P� � D 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:. 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: "�`cLLRAoJiA��+-��r+'►�+� �O 10. SOLEOWNER:_ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME -T4 P- i A-%-VP, eJC. it o �"DR A Q11J i AA d SL60 PRESIDENT Qo -- Ie+WC� TREASURER U E& V W LO&O CLERK " KU X.I"XSCjk Y . 12. IF.PREPARED°BY`OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE �D Q: Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator I18 Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018. JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health rr t# �I • • p�Q t lSo obl-�# /9-2 7- low� of B�rnsxable eg atory ervices Richard V. Scah,Director �t�royi, Public Health Division BABSTABLE Y ♦ WN�nUI CEWERVIM-OMM-NYA. BARNSPABLE, Thomas McKean,DirectorMAS& i "a 4 5" 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES -- CATEGORY I PERMIT- 26---110 Gallons: $ 50.00. -CATEGORY=2 PERMIT 1,11 499 Gallons: $125.-00- CATEGORY 3 PERMIT 500 or more Gallons: $150.00 V•s *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO71YES R�R AL? 2. IS THIS A PERMIT RENE W _NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BU INESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATE S ORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: 1`0 N cv-� Vw r w x 5. NAME OF ESTABLISHMENT: �� R At✓�- �'�1�(Z� �1G; 6. ADDRESS OF ESTABLISHMENT: 1`q' TAOW T-DrJ `ASK tAtM CIS, MA Y® 2-60I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: fV(A 8. TELEPHONE NUMBER OF ESTABLISHMENT: C51>7, 9. EMAIL ADDRESS: PLCL,L � GP°l A il..CaM 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME`r,P2.W-L PRESIDENT kNur- V.-We2 c4A TREASURER 0.,3_QpJ1.r "(-r4/5j7f- CLERK__ IoLk-rcii t<Wcf�fSP,iC 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ` DATE Q:\Application Forms\I-IAZMAT APP 2017 REVISED.docx n �y Number Fee 341 " THE COMMONWEALTH OF MASSACHUSETTS ' $150.00 Town of Barnstable Board of Health This is to Certify that K Tirrell Radiator _ `1 118 Thornton Drive, Hyannis, MA J Is Hereby Granted a License ;For: Storing or Handling 500 gallons or more of Hazardous Materials. U3� - ----- -- - -- -------- ------- ---- -------- ------- ------ ------- --------- ------ --- ----------------- ------ ----------- --- ------------------------------------------------------- ------------------------------------------------------------------------------------- J_ This license is granted in.conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless'sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN, DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 1 9w-- T nlof B4rnstable egu atory Semces ! Richard V. Scali,Director Public Health Division BARNSTABLU M Y & i51A61f:((pp.M 11 -miurr."Mgp1�5 ELAMIMABM : Thomas McKean,Director ft'lug [Sl8ST4q,E'.. . 1 059. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 O?ol q ao/g Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26-- 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. d 1 2. IS THIS A PERMIT RENEWAL? YES—NO.'IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF f • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: Tj,?)q U— �Yl e• 6. ADDRESS OF ESTABLISHMENT: ) . _K. TnA-Q'n 1)R NE 01Y1t(1�S o 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �00 9. EMAIL ADDRESS: 4� r2 _ L 1- tRachiG OY'69,Y'( A�e co� 10. SOLEOWNER:_VYES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATI N NAME_7j p FIL Rya,4t j T41r_� I I S��1 ')r9r ifll D T ann� 5b�77_7600 PRESIDENT' obef�- 1k ' 9S2L.ei TREASURER SQ t CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT DATE ! .7 C:\Users\Decollik\AppData\Local\Microsoft\Windows\Tempo ntemet Files\Content.Outlook\BMQD 9H2 MAT APP 2017 REVISED.docx Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator 118 Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health CAP Town of Barnstable �t ►�,,ti Regulatory Services t Richard V. Scali, Director B" MAS&14 . Public Health Division BARNSTAB 1659- N:rtS 06 YR 5 05 E0.V�E�cS B FX F5 Thomas McKean,Director '6'9-2°'" Sas200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 �'? Fax: 508-790-634 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY f st-DUNE 30th). "APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: . $ 50.00 El CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. o� --01 DATE /d b FULL NAME OF APPLICANT: . NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: D IO �, `� N S U°�0/ MAILING ADDRESS(IF DIFFERENT):.. A1114 TELEPHONE NUMBER OF ESTABLISHMENT: �D W?5'2400 EMAIL ADDRES7YES 1 ALL A0�A iv A l-0®..C® (A SOLE OWNER: _NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATIO NAME `r i ®.,;4 riVe- PRESIDENT K06D r V3 < If C4,VJ2 6 A, 0 TREASURER CLERK _ w IF PREPARED BY:OUTSIDE PARTY: SIG U PPLICANT ' 'Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 1 .�fT ►okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""M `E)' 200 Main Street• Hyannis, MA 02601 �'ArfDMA�a`0$ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name:--I i f�rRd r Date: IZ 10 / Location/Mailing Address: I-,v4e- 14vtv,%V11,S Contact Name/Phone: f7A -K1vcev'St.h Inventory Total mount: � MSDS: "I'es License#: 3`t Tier II : No Labeling:*NOA�S ,v Cab-� Spill Plan: e.5 Oil/WaterSeparator: Floor Drains: IJo Emergency Numbers: .a5 Q Storage Areas/Tanks z r !' 4'oa4- 175a1 w ke vri• I+ tote O.I A,67r-W illa-atco Emergency/Containment Equipment: +A< v,1�b� .n.�c. -SS alcecv�►ts-,nod�Gc(e�-ti 3er`k-5 Waste Generator ID: kbOO1A S ��'V�/�st roc"�luct: Date&Amount of Last Shipment/Frequency: 301D 141 2 Licensed Waste Hauler&Destination: Wyaske< 0, 1 G o\n i V O OD25 Other Waste Disposal Methods:aS Co4- A"i,C-C22-Ae- ,h,1c4, t", (,.s-k Syc5 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. 3<0 Antifreeze nS�Lwk\-5'wv,6t,­x 30 ka" Dry cleaning fluids Automatic transmission fluid pxo„ Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash CLe Motor oils►_< I�w�ks+3-.SwwSke- 1\O Miscellaneous Corrosives Z_ Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants S" Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Z Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine 20 Paints, varnishes, stains, dyes Lye or caustic soda ( ip Lacquer thinners 5,t SS wa5tv.- Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes 2 Miscellaneous Flammables ZS,wCWKe- Fertilizers Floor&furniture strippers CA)p' PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: 0,A-k'da.a,�4-A �1., �c. S g 11,0 &-A- I Vo-l. M,54.v,4.�r.I�ytS 6vU AQ,-'�ooa`Kn-yeV4:. . D ORDERS: INFORMATION/RECOMMENDATIONS: QvQ ab ,I N wke_w 7 ae.424 -- �JT` 061M ��5 ge, .Q GAS wl Inspecto . �f� .k_ So, ��Ll I�,ea�•�ow C L� �(� S�{� �5 Facility Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i� � ,. I 4 t 1 ,.: � _ � _ . �., aV!� s� �r ;�. � � �, ,�� '�''` - . �,� � �. �: - .-w `.� _ ��� r .. i _ _Y . -� � M1iY- 7 �- -.. 1 �nr '. .. ..- > ra �t.�� i r , �. i ..�. t j � - . ' "�. . . � �; ,_ _ F ti .J IOM r (�IIC 04 A i• s 1 i r � — :;n d 1 r _ f ti: Notes to the File Date: September 10, 2009 Tirrell Radiator 1 118 Thornton Dr. C+o y Lc�� � s� fj`�/ZS E:f W ) Hyannis, Ma l Cynthia Martin,PHD A Hazardous Materials Inspection was prompted by the completion of a business application for the relocation of the radiator repair_shop..The new shop work areas consist of two garage bays, one paint spray bay and a radiator repair bay..The building is owned by Hyannis-Collision. A Stop Work Order issued by the.Building Department was posted on the front of the building. In conversation with Paul Rome, BBD, a new building layout/permit should be provided to the Building Department prior to starting business. At this time equipment is still being brought in to the building, therefore only a partial inventory of hazardous materials could be conducted. Anticipated and actual hazardous material use and storage on site at the time of the inspection was as follows: • Two, plastic above ground storage tanks for anti-freeze, each with a one-hundred and seventy-five gallon capacity(partially full). • One full radiator test tank with an estimated total capacity of three-hundred gallons (water and antifreeze). • One aqueous parts washer,.presently non-functional. • One radiator flush booth,presently non-functional. • A Hazardous Waste Storage Area containing a two-hundred and seventy-five gallon plastic above ground storage,tank for waste antifreeze and two empty �32S�tS� fifty-five gallon drums for waste oil. • A single Flammables Cabinet currently containing eight and a half gallons of Red is Kote, a combustible material used to reline automobile gasoline tanks, a gallon of acetone, and one and a half gallons of over coat material. • One acetylene kit • Approximately eight, one-gallon containers of antifreeze's '�`°k0� • Nine, thirty pound canisters of Freon 134A✓ 1 Z. • Five gallons of soldering flux • Six gallons of ester oil used for lubricating air conditioner compressors. y� \ A caustic bath for cleaning/boiling radiators is not yet on'site. The capacity of the caustic .' � bath at the previous.location was approximately two-hundred gallons. It is anticipated that a new bath, currently of unknown capacity, will be installed. Additionally, approximately twelve cases of antifreeze containing one-gallon bottles are typically maintained on site for specific auto requirements as well as one case of motor oil:It is r i ` - - 2 - ✓ ( 'Oct. anticipated that a small amount (three to.five gallons) of paint will be stored on site, it is used on repaired radiators. P ,v` - boo(-e,� ,,��,oQ� y� �'� �C; p�,� o 11 .- 0 A covered rag bin was observed on site. The fire extinguishers.that were left on site from the previous business required annual testing. The fire extinguishers brought in by Tirrell were up to date. The contents of a spill kit (booms/pads) were available on site but needed to be placed in an easily available container. Also of note is the plan to recycle the aluminum.from old radiators,and metal from automobile air conditioner compressors. Tirrell Radiator exceeds the one-hundred and eleven gallon licensing requirement and is required is to apply for a Hazardous Materials license and post a Contingency Plan once the business is legally operational.A license application and blank contingency plan were left with Al, an employee, at the time of the inspection. 4 Number fee 341 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator 118 Thorton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- -- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. --------------------------------- ------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health y Town of Barnstable °FtHE tti Regulatory Services Richard V. Scali,Director MASS. E'r Public Health Division 1639. �0 i°rFOMe�°i Thomas McKean, Director 200 Main Street;, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 f Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. I DATE APPLICATION FOR PERMIT TO STORE AND/OR.UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS. FULL NAME OF APPLICANT NAME OF ESTABLISHMENT WAX_ 10-,A b/1-[ ADDRESS OF ESTABLISHMENT T$-1� ` AtJ'r`y yl � TELEPHONE NUM R SOLE OWNER: YES` NO IF APPLICANT IS A PARTNERSHIP;FULL.NAME AND HOME ADDRESS OF ALL PARTNERS, IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0� STATE OF INCORPORATION MASSO FULL NAME.AND HOME ADDRESS_OF- PRESIDENT KAC*�r k.W-&�j Vj cA-VPr-0 Sr PCAIWVCI Kk,opTi�j TREASURER CLERK l✓0LL"f,4 t<LUcCV5M jj, C,tA,)" 5T-, d1'1A 5 SIGNATURE.OF APPLICANT RESTRICTIONS: HOME ADDRESS ,C %Az '/'&&6krAA,0)-31'7 HOME TELEPHONE# 3- Q\Application Forms\HAZAPP.DOC .. L MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to:,Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is; Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc):. In addition, please mail the required fee amount of$1.00..00. Please make the check payable to: Town.of Barnstable., The check must be mailed-to the address listed above. Allow up to four days for in-house processing. 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I�.''.'�::::,,zT-,:f_,.t�-_-. mt r $ - ! - .""a}-ref` ��ra'.Xgof `, -- - t 7 r 3 ..- - ,_.,",-.......�.:-�_�"."...�.�_,_._-___­,-.-'-N­�A-�.--.�_...,,��­_�:.-pn�.I.,-�:_.l _.,�-3O.i�',,�.Y,.�..z_"g�_-�.:I.!,�,"-,,S-.�-'-,��,.�,� t_,.,!:.'._�P'-":.-,.­��-.::,-�-1_"-_.­--,-Z__,-:.f__­-..!��-.m_;,-,.�N-",-,�;6r,�,..�,�.�'.-�i.7;Mf�"�-­ ." i::,..i_- ,i5. ., - _ -. . s � ��' tSR'G �gvGla✓ t= 4 ti I, L } . �x �) .I.,_--.-,.--.-M.-._.---__..-0--_--_,,."�"-,_�--,'-.­_�-�_.-.."-,­,__....-'_l,_.-.-,'4�_ _"i._�-,.�,%-­--._- t �f ,tom&� c � : . . S ;11 i4t 41 .-�,,�,,,.��-.--,,-._-�"...-,,�.�-.�-.�.,,,_.- � , . _: - _ - .. :. .,. :. . . - - - -...,: - - LQG's see 3 0 C1VIIt 30.341(1)(e)and 30 524(2)(fl SQG's.see 310 CMR 30 351(9)(c)6 . -,,a Number Fee 341 THE COMMONWEALTH OF MASSAC:HUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator 118 Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barmtable ofIHE f Regulatory ,services Thomas F. GeEer,Di dnr 3 MARS Public Health Division. Thom2s McKean, DinctDr 20C Main Street, Hyannis, MA 02601 Ofstcz: 508462-4644 F= 508-790-6304 Appiica#3cn Fee: $100.00 ASSESSORS ATAP AND PARCEL N0, O�-1 DATE s 13 APPLICATION FOR PEST TO STORE AIND/OR U U= MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FU7. L NAME OF APPLICANT N_,�ASE OF EST-,A ABLLgE F N T' "�1 9 4ZA),, V r)i Ate, ADDRESS OF ESTABLLSE '' 1 �0 dZ�nnl CA 5, M A,a TELEPHONE 75—-Ap0-0 SOLE Obi Ems: YES NO APPLICANT IS A P,!�RT_N==p,FULL NAB AND HO1ME ADDRESS OF ALL PARTNERS: c3 ZF A ?IJCAN-T IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION L NAB AND HOB ADDRESS OF; PSZDE�Tr Aml4'C /°' o�3 ' Q �S,2lz ri1J✓ Sr';' �1414 4 ogiv k SId 1A=OF APPLICANT y i P7STRICEOIN . HOAU ADDRESS 101 U- 0"�TJG WW KA,C930 HOB TELEPHONE #/ � a Hazdndwp/q Q\ Number Fee THE COMMONWEALTH OF' MASSACHUSETTS 341 100.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator 118 ThorNton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------- ----------------------- ------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health . ~~ Town of Barnstable Regulatory Services Richard V. Scali,Director MAS& g Public Health Division P Thomas McKean,Director 200 Main Street, Hyannis;MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 - ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS t FULL NAME OF APPLICANT NAME OF ESTABLISHMENT i i ADDRESS OF ESTABLISHMENT 1 � U� -, � M N 'S MA. v P Go TELEPHONE NUMBER �6 v SOLE OWNER:--V�ES NO IF APPLICANT IS A PARTNERSHIP_ ,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION MA SS. FULL NAME AND HOME ADDRESS OF: PRESIDENT (L W Y WcOAa let tUjjLq S� 6aWl TREASURER R j)Q1r ' caZysm 11 Gily"W 5T P Q'khUV-f- &2' O&T CLERK COi t.p zj %5 CtdA4 t—, t khk4 jMA .No-3K7 SIGNATURE OF APPLICANT'` • RESTRICTIONS: HOME ADDRESS CWyP-cif S�. �QM ►.o a�A,� 59 HOME TELEPHONE#�15 13 a- C:`,cache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.DOC 3� Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 ' Regulatory Services Department sAxNrn� ' Public Health Division 63 Thomas A.McKean,CHO a � 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/11/2015 Permit number: 341 CCheck number: 17646 Check amount: 1$ 00.00 Name on check: Tirrell Radiator, INC. j (Business: Tirrell Radiator Owner: CAROL M TR lAddress: 118 THORNTON DRIVE, Barnstable i k Number Fee '341 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health x This is toCertify that Tirrell Radiator 118 Thorton,Drive,Hyannis,MA 02601 j Is Hereby Granted a License ri FOR: STORING OR HANDLING 1.11 GALLONS OR MORE OF HAZARDOUS MATERIALS. --;---- ----- -------- ------ ------ ----- ------- --- ------- --- - --------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there-to, and and expires 6/30/2011 unless sooner suspended or revoked. T -------- - ----- --- ----- WAYNE MILLER,M.D.,CHAIRMAN PAUL J. CANNIFF,D.M.D. 6/30/201 o JUNICHI SAWAYANAGI. THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable �off,IHE ro Regulatory Services P �. ° Thomas F. Geiler, Director * BARNSTABLE, " -1 'V MASS. Public Health Division 1639, cprEOMPya� Thomas McKean, Director , -200 Main Street,. Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ` ASSESSORS MAP AND PARCEL NO. DATE b APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT e-ADpATO�- i N� ADDRESS,OF ESTABLISHMENT I` �No Q.r� b �/ ...:��I S^�iAQL��MA •0 d 6 0 TELEPHONE NUMBER (4roy) 775-760'0 SOLE OWNER: YES VNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: d . IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION,NO. D -3a - Via' STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT `?UICI Kt,OaMtk— I U-P-,14 ST PC"P®1(-C,I / 0—a.30 TREASURER �- Lj SR-/, of-C Au '-- CLERK ' Co lzi-ocr sc*- QM NIA P .L3 5 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS t.4o&/Q N 14,or 00.7SI HOME TELEPHONE # Haz.docr%k P/q Town of Barnstable ,,oF1"eroyti Regulatory Services Thomas F. Geiler, Director BARNSTABLE,) MASS. . 1639. Public Health Division; �0 Thomas McKean, Director 206 Main Street, Hy is, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 b,r -Paul J. Canniff, D.M.D: Junichi Sawayanagi NOTICE » TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALSt w IN BARNSTABLE ; The Town of Barnstable Town,Council adopted,Chapter 108: Hazardous g Materials, a requirement for each business operator to obtain an annual permit,and to remit a fee of$100.00 if one-hundred and eleven (11T1) gallons or more of hazardous materials are stored,'transported,,utilized, and/or disposed of at-a particular site: ; STEPS 1 - 2 — 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. , Submit the fee of$100.00 payable to the: Town of�?arnstable.' MAIL all of the,above to this office on or before June 30,'2010. A late charge of$10.00 will be assessed if payment is not received by July 1, 2010. Upon receipt of the fee and a completed application form, an inspection will be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory.,-A pennit.will be issued once the`.inspection is; compl eted and has passed. is •.•y-t r a .- .. r Please feel free to "view the above Code, Chapter 108: Hazardous Materials-on the Town Website, ww\v.town.barnstable.iii,'IAIS , which is located under the E-Code section if you should have any questions or concerns. QAHazmaillaz Mat Permit Letter.60C T, Number Fee 341 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Tirrell Radiator — ce 118 Thorton Drive, Hyannis,MA 02601 c� Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------- ------------------------------------------------------------------ ------------ --------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Op1HE pp, Regulatory Services O Thomas F. Geiler,Director it a M •g Public Health Division i639• °Fay°' Thomas McKean, Director , 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application.Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR,UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL,NAME OF APPLICANT NAME OF ESTABLISHMENT I �-�— iD1,a EV- ADDRESS OF ESTAB LSHMENT � � "®� TELEPHONE ER SOLE OWNER: YES' NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT fkr 4kecoelc l 9 ✓/LcA 9-7-1 /® TREASURER ( iq— IE=Wuzvs 9e. 4, r4 11 CLERK GoLae . i SIGNATURE OF APPLICANT � �I a.: RESTRICTIONS: HOME ADDRESS .HOME TELEPHONE# -60k a-`)' A311 Haz.doc/wp/q 4 ti+' Town ®f Barnstable 0jIME r � Regulatory Services Thomas F. Geiler,Director * snxrrsrnBt.�, 9� 3' . ,�� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J. Canniff,D.M.D. Juniciu Sawayanagi NOTICE TO ALL BUSINESS OPERATORS ' WITH HAZARDOUS MATERIALS IN BARNSTABLE ,The Town of Barnstable Town.Council-adopted, Chapter 108: Hazardous Materials, a requirement-,for each business operator to obtain an annual permit,and to remit a fee of$100.00 if one-hundred and eleven (11.1) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. . STEPS 1 - 2 - 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of Barnstable. MAIL all of the above to this office on or before June 30, 2012. A late charge of$10.00 will be assessed if payment is not received by July 6, 2012. Please feel free to,view the above Code,.Chapter 108: Hazardous Materials on the , Town Website, www.town.bamstable ma.us , which is,located under the E-Code section if you should have any questions or concerns. QAHazmat\Haz Mat Permit Letter.DOC i y f MATT,-IN REQUESTS Please mail the completed application form to the' address below. In addition, please include the required fee amount. Make check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main ,Street Hyannis,NIA 02601 FOR FAXED REQUESTS- Our fax number is (508) 790-6304. Please fax a completed application form. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Ba rnstable. The check must be mailed to the address fisted above. - For further assistance on any item above, call (508) 862-4644 { i I e � • + ,,I x .. _ .. :ir ; _ _ _ -_ _ _ _ y - - _ '. . f� ,� , � a `-` //�� //��-- .r /�may/ j ^}�j N. � , - -,--- � -, ': -..- .... -/ . �� Coo�ana :.�:... -•-- MyBa�ck--p.V '' _ lame: :� i: L � ��.--,-.,*---.. -�.1� � -��-— . - -0 . - ..- --.:�t�- . . ,H ,", .. -("S � , ,- -5.. . .Ii4 � 3-71-,�4 C�<;:- -_I--�- , . -. �� .;. :: _ r -: - Y �]W _ z � �........ .. -- - - ...... L .. { 617.- -•1.1133- or - :-, DEP g se- '{; { 88$� £3� 3 i j - P _ L l -- - - - i Dgp�....»».. " ..-. ....» 6� 9 -5 REF offie1.e-�s doh {B°s�on _ "-`* . �i �� 7-1 _ e �hceoneaune� �- L ," _ - - - - .. - y _ p.��.�' �:. (1� � /� /t r (9/99):»»» ,,. »..... .. 1. .... ..- .,., ,{508�-.$Zf�2121 �- -- S e.i�oh it - l9 : s #�� NTr_ - ■/�-j!..{`wsy�.- - -.M. •{i7YV'�' �fLTT 88 ' _ - 1 : f = o: S -* lt�iygpljI+3 i aal umbecis - � � k t � _ s. . . E �- "� 'v s r . - EVAC�7ATI41v.- ,.-, ,.� ;. ,�, and` _ = F =� -tig�cy eiuts aadloca {s of the fiie� - _ pw ,h . .a alarms. , ( _ ._- - c�mtu s), 'f � - _ _ - _' . , r _ sera y � - �: i. uY: s , ..G 3l +I- S- -'7' `� -'' jZ Mom- r ✓ = „r . 4 _ r ~ - - ' , �--r � zJ y e t_ 3 - ' .- t �� � �, fire a a ti�ar`- �1.� j .. __ - - _ .. _ �- - 5: 1: .. _-. .. _ .. - - _ _ .-_.. Y �����and30.�����������X ' `s see 3 Civ� '- 4..: t T� 1 Number Fee 1038 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision #2 . 118 Thornton Dr., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------- ---------------_------------------------------------ This license is granted in conformity.with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless.sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/20/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable � z Regulatory Services Thomas F. Geiler,Director B"NST'ABLF, -` F „AN. $ Public Health Division iDT�arr�►�" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. O)L DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT fAtn�e� Cflitl S�b� �' ADDRESS OF ESTABLISHMENT D,P\V-2. UUY,,niir� 00 Dl- TELEPHONE NUMBER TO r SOLE OWNER: .: 4ES NO o IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF LL PARTNERS: ry co o r- m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. N314 I U STATE OF INCORPORATION C90 FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK 1Tn SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS t�()b LIIib� fa. �vn�✓� � (�u HOME TELEPHONE 9 Ug, ')q0-3q53 SPILL CONTINGENCY PLAN 1)EVACUATE THE IMMEDIATE AREA,IF NECESSARY 2)SHUT OFF PUMPS&ELECTRICAL AS NECESSARY 4)CONTAIN SPILL USING APPROPRIATE EQUIPMENT IN SPILL KIT 5)CONTACT SPILL RESPONSE FIRMS IN APPENDIX E 6)REMOVE CONTAMINATED ABSORBED MATERIAL WITH SUPPLIED EQUIP.IN KIT 7)LABEL WASTE COLLECTED,WITH AMOUNT AND TIME 8)NOTIFY APPROPRIATE AGENCIES OF SPILL 9)INSPECT AREA FOR CONTAMINATION AFTER CLEANUP 10)REPLACE ANY USED MATERIAL FROM KIT 11)CONTACT WASTE HAULER FOR DISPOSAL OF MATERIALS 12)RECORDS OF SPILL SHALL BE KEPT ON PREMISE IF NECESSARY BY STATE REGULATIONS 13) SPILL CLEANUP KIT IS LOCATED IN PAINT MIXING.ROOM IN WHITE CONTAINER 14)SPILL EQUIPMENT ON PREMISES: A. SPILL KIT SUPPLIED BY WASTE HAULER FOR OUR SPECIFIC USE B.RESPI ATORS,GLOVES,PAINT SUITS,BOOTS C.FIRST AID KIT D EYE WASH STATION E. FIRE SUPPRESSION IN NECESSARY AREAS F. FIRE EXTIGUISHERS ENTIRE FACILITY i APPENDIX E SPILL CONTINGENCY PLAN ' ° I EMERGENCY PHONE NUMBERS POLICE DEPARTMENT 508-775-0812 911 FIRE DEPARTMENT 508-362-3312 911 • ,{ EMERGENCY RESPONSE 800468-1760 j AMBULANCE SERVICE 508-775-2323 f • I i ENVIRONMENTAL PHONE NUMBERS SAFETY KLEEN 508-697-4648 SAFETY KLEEN EMERGENCY COORDINATOR 978-360-69 CLEAN HARBORS 617-849-1800 JOHN TROTTO OWNER ' 508-364-1077 t - Barn I►IE rokti •, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"MA�01; 200 Main Street• Hyannis, MA 02601 ,bM a,. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MA'S 11 Business Name: Ii(Irf,11 Folmu Date: 16 iq Location/Mailing Address: jig AbrMon C) Contact Name/Phone: _ K lUr-tu<,C� C ��o —9r,S 7— (2o Inventory Total Amount: `- 40o SDS: cs License#: P_ 3 Tier II : 0 Labeling: Spill Plan: - Oil/Water Separator: _ Floor Drains: Emergency Numbers: 4 Storage Areas/Tanks: 0, `7�� UJId -P-- Emer enc /Containment E ui ment: a � Waste Generator ID: �� Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: WU5kfn Oil° Other Waste Disposal Methods: iAA eAx,-a W !9 dO; Ca n$:x_, ►Pf j LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,. storage and disposal of 111 gallons or more requires a license from the Public Health Division. v Antifreeze )0 Dry cleaning fluids Automatic transmission fluid /' Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers V Hydraulic fluid (including brake fluid) Windshield wash Motor oils °$® Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine V Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: Q eaA c s INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: %ML WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS o,IKE rpm Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. ' kAlke-5ARk G \ MASS. $, 200 Main Street• Hyannis, MA 02601 �`rfoNu+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name:«e 11 :Da te , Location/Mailin Address: I I$ , Contact Name/Phone: Inventory TotalAmount: 't' 1oo 6L I MSDS: vltg '� ��"�� g�S License#: 3y 1 Ca�' Tier II : o Labeling: Spill Plan: 4 ' S ,11 I�rtrs Oil/WaterSeparator: P% Floor Drains: o Emergency Numbers: StorageAreas/Tanks:32 Wk5k,e. e-1 olc2ww�.nsCse�eANc�b�S, 2-Ssi,,.ak SSua �,,r,,rr Emergency/Containment E ui ment: 5dtV61 pkce-, Waste Generator ID: U o "1-7 7 o Waste Product: o% Date&Amount of Last Shipment/Frequency: 6 30 G ZSD k l Licensed Waste Hauler&Destination: We5441rv- 0, 1 L n co 1,.. (� Other Waste Disposal Methods: C�65 -C-r owA, .e-vee LIST OF TOXIC AND HAZARDOUS MATERIALS �v v�•a�er - i� „n�{-hk°1y NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage/and disposal of 111 gallons or more requires a license from the Public Health Division. ✓ Antifreeze Dry cleaning fluids Automatic transmission fluid - Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers VHydraulic fluid (including brake fluid) Windshield wash Motor oils �— Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts / grease, lubricants, gear oil Refrigerants A.vim+ ✓ Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible y N Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons a Laundry soil &stain removers (including carbon tetrachloride) "tea S (including bleach) Any other products with "poison labels" - (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS:\�mk-- 0A kk*V,w 6,�\ooe ak.xe, o.\ ",%" 4� ow oJAnA--�! o �. �J(a.vc�S,tiok�wv u-• •lkc!D A2 V, c• �0o tD�ERS: C vt. c 6✓w N vo-! 6i 5 L.> n \YLv'ic.✓ \kw s tv- ea , L e,��� a 1 e�vKS.✓ INFO MATION/RECO MENDATIO S: A\ C&,A -evv S gyLce5s are- �w.. . ✓ �L c S 1 al.\ v -S Inspector: � Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS hors 66 14d* ®®r Es M EAR KEEPING YOU ORGANIZED No.10M 2-1536 MADE IN USA GET ORGAb m AT SM€AD.COM