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Craigville Motel
OWIVIgRSALO U NV-12122 MW IN USA 6@LRECYCLED �� OONIENT 109b . � POSTt'ANSUMER ` wou" � � � � � . '. ' , � - �' �fi ( .-�- -r- �' � 1 � �' � J � � � � � ' � (L � � � fi � � � � � . � --�- o R � ' � Q o /� - � �; �. -T a J ^/^,'� . V^ � ' �Y J , i. I �� // / _ � �' f '``^ �./ � V _ , . � .� �__ 1 . � � �� �� . - \r, J J .. \ ���„ / �.._ ,_�_....�c.e+..ein�eimia.. 33 - � Z- f �r7 Tccs�� e e A on- ,7 9-7 _ 6 U2v"crvi P � C,4- J�- v c r,-,ass%n Gar\ o � C ` kA c do Craigville Motel 8 Shootflying Hill Rd, W. Barntable/Centerville I . c� Craigville Motel Inspection Room Number 35 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑2ocrowave oking utensils ❑ Oven ❑Refrigerator ��� jam I/ ❑Toaster ❑Hotplate w � -'�"�-- An ❑Crock-pot ❑Food- non-perishable = ❑Food-perishable Room Conditions f Common Areas ❑Bed bug/fleas/Insects �� Emerg exit/stairways ❑Hot water - Clear Yes❑ No ❑ 1� ❑Heat ❑Obstructed Egress (\P ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards �\ NOTES Craigville Motel Inspection Room Number 36 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Oc ants: Adult �'(r dult Children ❑Infant 0 Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird - CoWng Provisions and Appliances: its/pans - -� Mo ing utensils ❑ Ove -� icrowave refrigerator ❑Toaster P<otplate ❑Crock-pot `' `J d •• od- non-perishable Nrod-perishable Room Conditions n Common Areas ❑Bed bug/fleas/Insects ' �L� Emerg exit/stairways []Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector' ❑Other hazards NOTES Craigville Motel Inspection Room Number 37 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Occupants: Adult 0'ti ren ❑Infant l Arrival Date Length of Stay Pets Notes ]Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils , '�. .,L4 ❑ Oven C.JTV icrowave / `��` �,60 �,f . ®Refrigerator (2� (� ` (. ❑Toaster 1 �'r��� ❑Hotplate o VLn / ❑Crock-pot L �J ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects ° Emerg exit/stairways i ❑Hot water Clear Yes[] Nq ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector /} ❑Other hazards JV W'� (i VIVO NOTES I I Craigville Motel Inspection Room Number 33 REAR Date March 18, 2015 Room Size 221 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans W/king utensils ❑ Oven crowave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bwid bug/fleas/Insects Emerg exit/stairways [ Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 34 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Occupants: , Adult 9/Adult ry�� ❑Children ❑Infant Arrival Date Length of Stay VY10S Pe < Notes Dog ❑Other ❑Cat ❑Bird Co "n Provisions and Appliances: ots/pans Wooking utensils ❑ Oven IRMicrowave refrigerator Cl v ��n� 0JD oUkf-- ❑Toaster ❑Hotplate �y���`' ` V rock-pot 1�� rod— non-perishable' od—perishable Room Conditions Common Areas 01ye,d bug/fleas/Insects Jb Emerg exit/stairways of water ----tee Clear Yes❑ No ❑ Heat \ ❑Obstructed Egress I ❑Combustibles Electrical Hazards, Stora e Areas ❑Extension cords ����� ;Y— ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 39 Rear Date March 18, 2015 , Room Size 204 sq No. of Occupants allowed Oc ants: Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster _ ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords �` ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 40 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Ad It L� , ult C�7Children ❑Infant CZ Arrival Date Length of Stay Pets/ Notes og ❑Other U - ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans Fi oking utensils ❑ Ovencrowavefrigerator �— ❑Toaster ❑Hotplate � f— �rock-pot I od—non-perishable rr) ( S�S +' 2j Qf ood—perishable (,U p Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑, ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards/ Storage Areas ❑Extension cords ❑Combustibles ❑Overloads plugs g ❑Operable smoke det ctor ❑Other hazards NOTES Craigville Motel Inspection Room Number 38 Rear Date March 18, 2015 Room Size/' 204 sq No. of Occupants allowed Oc a ts: �I 3 Ad �'bns ErA dult QC dren p 0� I' L�lntant Arrival Date engt o tay Pets Notes ❑Dog ❑Other Thi `unit has a kitchenette- no stove. ❑Cat _ _ _ � ❑Bird L, Cookjn2 Provisions and Appliances: ❑P s/pans ooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate r ❑Crock-pot } cam . ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑ ed/bug/fleas/Insects Emerg exit/stairways t water ��/ Clear Yes[:] No El Eeat ❑Obstructed Egress ❑Combustibles Electrical Hazards aX ` r Sto age Areas ❑Extension cords ❑Combustibles Vverload lu s P g perable smoke detector ❑Other hazards This�uriit:hadha"fir&'Zdostove. -was-'rem_ oved NOTES at that time~—'daie unknown Fiber lass .tub-wall is•cracked -Ina i asp �� ►� �� �� f. b 1 �i i a,7 q 41 KiKI Craigville Motel 8 Shootflymg Hill Rd, W. Barntable/Centerville i I� u 6 i t i Craigville Motel 8 Shootflying Hill Rd, W. Barn ble/Centerville i7 t Craigville Motel 8 Shootflymg Hill Rd, W. Barntable/Centerville � � + � � � s � -_ � , �� �Y � �J C, - � 1\J^�L,� i 1 c'. 1 i i f Craigville Motel Inspection Room Number 1 Up/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: NAdult �uQty ma.cn�en�� �dult X4W y ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: S � -- ❑Pots/pans ❑Cooking utensils ❑ Oven i (OMicrowave 11 ���� 'OYRefrigerator ��---G�rG 0, ❑Toaster , 00 `�_•k-�'� Q� ❑Hotplate ❑Crock-pot 12fiFood—non-perishable BFood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways E]Hot water Clear Yes[] No ❑ [Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs E�Operablesmoke detector ❑Other hazards NOTES f Craigville Motel Inspection Room Number 2 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: 0 Adult �l e-A% ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven EfMicrowave E�Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot bFood— non-perishable [Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways BHot water Clear Yes[] No ❑ 2Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ElOperable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 3 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult &a * /S lrx� �-r ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes �ag ❑Other OCat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable []Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 4 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Gods<s GLrc� 7of,Q�t ? Arrival Date Length of Stay Pets /A cr Notes 491t)og s ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 13/Microwave [kefrigerator ❑Toaster ❑Hotplate ❑Crock-pot U ood—non-perishable E�Food—perishable i Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[--] No ❑ Dlieat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles verload plugs operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection �- Room Number 5 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult N o 0.9e-- /,u -- L�tcs ❑ Adult GueNoazy co7p'n— - ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking.Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven RMicrowave DRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable U�Food-perishable Room Conditions Common•Areas . ❑Bed bug/fleas/Insects Emerg exit/stairways D11ot water Clear Yes❑ No ❑ Bileat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES F V Craigville Motel Inspection Room Number 6 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ,vim oA,-e ❑ Adult ❑ Adult L-,oks 4Ae 6AC- 6-_ []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans []Cooking utensils ❑ Oven RfMicrowave 1&efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food-non-perishable Q�ood-perishable .Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways DHot water Clear Yes❑ No ❑ C3fIeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 20/ perable smoke detector ❑Other hazards NOTES t Craigville Motel Inspection Room Number 7 Up/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult /UO ❑ Adult mks I-) .E'Children CK,6s T►�ius-s �N l�ee�tt, ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 0Mcrowave ERefrigerator ❑Toaster ❑Hotplate ❑Crock-pot 2Pood—non-perishable ©Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ Mleat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs la0perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 8 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: A Adult O Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat .Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ElMicrowave gRefrigerator ❑Toaster ✓�l ❑Hotplate ❑Crock-pot D�ood— non-perishable ffFood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs QOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 9 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: // 0 Adult &A� !/I A 1= Ade__& 'Adult ❑Children ❑Infant Arrival Date Length of Stay�2-?T Pets Notes' ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑ ooking utensils ❑ Oven &icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ErHot water Clear Yes❑ No ❑ G2`Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 10/0perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 10 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: 1N Adult A Adult ❑Children ❑Infant Arrival Date Length of Stay WvbW —s rim twee Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven dMicrowave 6Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot gFood—non-perishable eFood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways EgfJot water Clear Yes[] No ❑ OHeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs B'Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 11 Ui)/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: Adult Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven MMicrowave URefrigerator ❑Toaster ❑I�otplate � Crock-pot MFood—non-perishable EfFood—perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways ER-lot water Clear Yes)4No gHeat ((Jettx,<h❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 90perable smoke detector ❑Other hazards NOTES V-A0-r*6-a- C14 a eLE--AtWVf /ti �47-AWPDRA. wh�-,v c�i,�vsPFcr�T eQn-�� reevu,�er ever �nsoec-�rn4 bac7�iroc . Craigville Motel Inspection Room Number 12 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles verload plugs operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 14 Up/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult �/Rt ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 66perable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 15 UP/Ripht Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes Previously noted: y Garden Room ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles verload plugs operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 16 UP/Right Date March 18, 2015 Room Size No. of Occupants allowed Occupants: Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes: Daughter's Room I ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven QMicrowave D�,efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways 12Hot water Clear Yes❑ No ❑ ZHeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles verload plugs operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 17 UP APT Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult A/° 14100VE-k AT R ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ► -c"S s — ❑Toaster ❑Hotplate b.�_LrovrrN ❑Crock-pot ❑Food—non-perishable }-w r0e, o� - ❑Food—perishable r• `% C`" �i' p Cv � Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat []Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector lia *W14-44- 00ther hazards NOTES Craigville Motel Inspection Room Number 18 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: Adult o OA-i!—:- ❑ Adult /N iti(AUCwc l02) 7--r-C'ticD 15Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven CR(Microwave gRefrigerator []Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ['Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways [fIot water Clear Yes[] No ❑ MHeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs B/Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 19 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult (/ ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven LAMicrowave [ Refrigerator I []Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg.exit/stairways E(Hot water Clear Yes❑ No ❑ &Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ffverload plugs perable smoke detector ❑Other hazards NOTES ` f Craigville Motel Inspection Room Number 20 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult r ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑��Cooking utensils ❑ Oven E04crowave [refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ [/Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 670perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 21 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven [;`Microwave 03�,efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ CRfieat []Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs [Operable smoke detector ❑Other hazards NOTES I Craigville Motel Inspection Room Number 22 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children A7tbf- ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven DMicrowave ®Refrigerator ❑Toaster I Y l� K eS I r0 o ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear YesMNo ❑ CfIeat A:� Z2- 4- 2-1 ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs C3/Operable smoke detector ❑Other hazards NOTES I f I Craigville Motel Inspection Room Number 23 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: 9 Adult 01W ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven EX4icrowave 03'Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑I of water Clear Yes❑ No El eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles verload plugs operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 24 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occu ants: AdultL ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven BMicrowave gRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Elliot water Clear Yes[] No ❑ 9Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs BO/perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 25 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven r icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ 2fieat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 90perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 26 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ffmicrowave dRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ [9Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs LOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 27 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants: 9 Adult /`3lGL o 2)&-7c1c_K ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans QCooking utensils ❑ Oven [1Microwave gRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot [BFood—non-perishable [Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Vt water Clear Yes[] No El at ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs GdOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 28 UP/Left Date March 18, 2015 Room Size No. of Occupants allowed Occupants:, Adult /4V� !�'/� ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven [(Microwave gRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Elfjot water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs perable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 29 upper left Date March 18, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable []Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Ck4ot water Clear Yes[] No ❑ Dfleat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 30 UP/Left Date March 18, 2015 Room Size sq No. of Occupants allowed Occupants: Adult J E JUNI f�* � w ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑ ooking utensils ❑ Oven icrowave refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ood—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 190perable smoke detector r ❑Other hazards NOTES Craigville Motel Inspection Room Number 31 UP/Left Date March 18, 2015 Room Size 186 sq No. of Occupants allowed Occupants: JZ Adult ,ff Adult ��✓ A IR"�M#X4 ,Children_ ❑Infant Arrival Date Length of Stay It17ce- 2 Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ffRefrigerator { dToaster ❑Hotplate ❑ rock-pot ood—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Bflot water Clear Yes❑ No ❑ Meat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Elbperable smoke detector ❑Other hazards NOTES Loz-s of P wga v-prt, QEoo�ycrrAv *&cwa k,rn-, r- �TS f Ou ,-4 y � -24 ,7 kza -c 1 L) jib ne.w 1 �QX L5 -54 5-5 .5-7 -3 k 41 3 5A) Craigville Motel 8 Shootflying Hill Rd, W. Barntable/Centerville I �� �� .,a �� �� _� -� ��, �� ,. -� � - - t Craigville Motel 8 Shootflymg Hill Rd, W. Bamtable/Centerville DATE: December 23, 2014 TO: Building File— FROM: R. Anderson RE: Re-inspection t OWNER: Tara Patel LOCUS: 8 Shoot flying Hill Rd, WB PRESENT: Tom Perry, BC, Robert McKechnie, LI, Donald Desmarais, Health Inspector, Tim O'Connell, Health, Tom McKean, Health Director, DC David Paananen, WBFD, Barnstable PD Reported to site at 1:30 on 12/22/2014. Returned original guest register records to property owner. Police Chief advised property owner that occupants are dealing heroin out of this location; they have executed three search warrants in a short period of time. The property qualifies as a Problem Property under the new ordinance and if the offenses do not stop, a cruiser will be posted in the front 24/7 at the expense of the owner. The Chief also noted that the owner had not responded to his letter concerning that matter. Ultimately,they arranged an appointment to meet during the first week of January. The team proceeded the rear of the facility and our inspection commenced with the end unit on the far left side of the facility. LOWER LEVEL UNITS Unit 33 Adults 2 Baby 1 Unit 34 Adults 2 Unit 35 Adults 2 Baby 1 This unit had a burning candle. Unit 36 Adults 2 Child 1 This unit had a motorcycle stored inside. This unit had a toaster,pots and pans, coffee maker and food. Unit 37 Adults 1 Child 1 This unit had a couch. The female adult advised that the couch was already in the unit when she rented it. Unit 38 Adults 2 Child 1 This unit had a container of Bed Bug pesticide in the window. Unit 39 Adults 1 male This unit had a bird in a large cage and cats. This room very clean and neat. Unit 40 Adults 2 The male resident answered the door with a knife in his hand. This unit had three tires stored outside and a bicycle.(Ordered to be removed) This unit had a portable electric fireplace as the heater was reported to not be working. The smoke detector was beeping when we entered. Occupant indicated it has beeping for a couple of weeks or days—he was not really coherent. Unit 41 Adults 1 Common stairway to second level was locked. Tara unlocked the door. Unit 42 Adults 2 Child 1 This unit did not have contrasting unit numbers. They were painted white—same as the trim. This unit has a grill outside. Occupants were responsible for scraps of foil and paper they were scattered just behind the perimeter fence. Lower Rear—Outside The area down hill, behind the fence where the septic and leeching areas are located also were found to contain old appliances. UPPER LEVEL UNITS Far End— Street end/left side facing facility Storage Unit Found 8 tires stored inside—tires were ordered to be removed on Nov. S by WBFD The tires were removed and loaded into the back of a pick up truck. Unit 32 Adults 2 CONFIRM THIS One occupant was sleeping and did not respond. On previous occasion s he was annoyed we were there and was a little hostile. Unit 31 Adults 2 Unit 30 Adults 1 Unit 29 Adults 2 Baby 1 Unit 28 Adults 1 male This unit was very clean. Unit 27 Adults 1 This unit is the residence of the maintenance man, Bill Roderick Unit 26 Adults 2 Unit 25 Vacant Unit 24 Vacant Unit 23 Adults 1 Unit 22 Corner unit Adults 2 This room was rented for a single night. Tara did not want us to disturb them. Unit 21 Vacant Unit 20 Vacant Unit 19 Vacant Unit 18 Vacant Unit 17—Upstairs Apt Adults 2 Child 3 Tara said 2 teens but male teen present said 3. Total occupants 5—maybe more. Unit 1 Far End— Street end/right side facing facility Adults 1 The end unit is now being used as storage by the occupant of Unit 1. The smoke detector was missing batteries. Tara replaced them before we left. Found sign in window box MOBILE EQUIPMENT REPAIR SERVICE 781-752-7232 Not sure if Unit 1 or Unit2 (I think it was 2) Unit 2 Adults 1 This unit had a candle burning. Unit 3 Adults 2 Unit 4 Adults 2 Baby 2 Infant and toddler. Female adult occupant stated she lived there for 1 '/2 weeks. This unit was undersized for 4 occupants. It could only accommodate 3. Tara reported only 2 adults and one baby. Health ordered them moved to a larger room or to have 2 adjoining rooms. Tara stated she would evict them, no rooms large enough. Unit 5 Adults 1 Unit 6 Adults 1 Unit 7 Adults 2 Unit 8 Adults 2 Occupants stated they have been therefor 2 weeks. The window screen was torn. Unit 9 Adults 2 Unit 10 Adults 2 Unit 11 Adults 2 Unit 12 Vacant Unit 14 Vacant Unit 15 Vacant— Garden room Unit 16 Adult 1 This is Tara's daughter's room adjacent to the office. General Conditions The following list identifies common items or conditions of the rooms through out the entire facility: • Missing smoke detectors—or inoperable detectors • Microwaves • Coffee pot • Portable cooking devices, hot plate/slow cookers/pots &pans/cooking utensils/ • Canned food/spices/cereal/coffee/microwave food products/Ramin noodles • Pets &pet food—dogs/cats and birds • Toys • Unmade bedsibare mattresses • Mattress stacked inside the room—against the window • Stained carpet and curtains/lingering tobacco odor. • Distinct lack of fresh air and light • Overcrowded rooms with personal belongings or too many occupants for size of room • There is no safe place for children to play. • There is no safe place for dogs be outside/exercised or run. Clearly, this facility was not intended to be permanent living quarters. A motel designed for transient visits cannot properly function as a multifamily apartment complex without improvements and proper oversight. This is Not a Motel Because: Clearly, the primary use of these is rooms by the nearly homeless. In reviewing the register and my notes from previous inspections, the true recreational guest is rare r especially outside of the typical tourist months. The latest guest log reflects common Cape names & local addresses. Housceeping service is not provided. (The one exception is the one true transient over night guest noted in Room 22 on this date.) No one is noticing when smoke detectors are disconnected—as a lack of housekeeping. There is no coffee or continental breakfast set up in the lobby as shown on a brochure. Lack of hot water: It has been alleged by occupants that many rooms lack adequate hot water. The allegation stated that the owner only orders $100.00 worth of oil at a time— not enough to service the number of rooms on site. Code Enforcement Notes No one is checking the rooms for operable smokes upon vacancies so management remain s unaware that the batteries died or the units were disconnected because the last occupant was a heavy smokers and couldn't stand listening to the alarm every time he lit up! This is a common violation found by Deputy Chief Paananen with every inspection or re-inspection. Management denies knowledge of illicit activities, as well as the use of forbidden cooking amenities and candles by long term guests. Although, the owner, Tara is always very courteous and willing to correct whatever violation is identified at the time, the strain on public resources is great. Management resides on site and as such should be well aware of existing or deteriorating conditions and guests/occupants. By failing to make permanent corrections, management's reliance on municipal agencies diverts needed resources from others. Conclusion Previous zoning decisions and applications indicate the property to consist of a motel operation run 7 days a week/24 hrs a day, year round. The analysis of the current use partially relies upon the documented history in our street file. Prior to this ownership,there were no complaints or notice of the permanent placement of"guests". Also absent is any hint of illicit activities. Subsequent to the change of ownership in 1998, the facility deteriorated and the use the expanded into long-term tenancy that eventually replaced the transient guest use. At this juncture,the property owner must decide on a use: motel, rooming house or multi- family. Is the Craigville Motel a facility dedicated to the service of tourists/transient guests or is it a residential use that accommodates families and pets? Once the true nature of the use is defined, we can determine and apply the proper codes and resolve many of the issues and undesirable conditions that currently consumes too many of our resources now. M page I I fit,. r� CO odS P e��page 1 of 6 Anderson, Robin From: Anderson, Robin Sent: Wednesday, January 21, 2015 12:56 PM To: 'Jason Warren' Subject: RE: SUSPECT: Re: SUSPECT: Re: SUSPECT: Re: Residential Kitchen The Building Commissioner has agreed to grant approval for your proposal subject to certain terms. Ultimately, when and if your sales warrant increased production(transitioning from the seedling of a small home-based business to reach a greater market and the public)you must relocate to an appropriately zoned commercial location and cease activity in your residence. The home occupation use is reserved normally for uses with products intended to be sold at farmer's markets and similar type venues only. You are restricted from conducting retail/wholesale sales from the home itself. If you have any questions we can discuss the nuances when you come in with your business certificate. p�p61n Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis, MA 026oi 5o8-862-4027 -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Tuesday, January 20, 2015 12:36 PM To: Anderson, Robin Subject: SUSPECT: Re: SUSPECT: Re: SUSPECT: Re: Residential Kitchen Hi Robin, I just wanted to check on the status. Thanks, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarren 1223@yahoo.com From: "Anderson, Robin" <Robin.Anderson@town.barnstable.ma.us> To: Jason Warren <jwarrenl223@yahoo.com> Sent: Wednesday, January 14, 2015 1:13 PM Subject: RE: SUSPECT: Re: SUSPECT: Re: Residential Kitchen I will talk to the Building Commissioner tomorrow. Robin C. -Anderson Zoning Enforcement Officer Town of Barnstable zoo Main Street 1/21/2015 M e,,ssage Page 2 of 6 + Hyannis, M.A 026oi o8-862- 02 5 4 7 -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Wednesday, January 14, 2015 11:42 AM To: Anderson, Robin Subject: SUSPECT: Re: SUSPECT: Re: Residential Kitchen Thanks Robin- I added a section for marketing/advertising and added info to section 4.0 on where it will be produced/delivered. Let me know if that's enough info. Thank you, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarren1223@yahoo.com From: "Anderson, Robin" <Robin.Anderson@town.barnstable.ma.us> To: Jason Warren <jwarren1223@yahoo.com> Sent: Wednesday, January 14, 2015 11:23 AM Subject: RE: SUSPECT: Re: Residential Kitchen Thank you for the information you emailed to me. I noticed that you omitted a few relevant points I need in order to determine if this can be approved under zoning or not. The document you submitted does not address where you will make the product, how you will market it, advertise it or get it to your customers. Once I receive that information, I will review it with the Building Commissioner and get back to you. Robin C .Anderson Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, NA 026oi 5o8-862-4027 -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Tuesday, January 13, 2015 12:14 PM To: Anderson, Robin Subject: SUSPECT: Re: Residential Kitchen Hi Robin, We spoke last week in regards to sending in a business plan for a residential kitchen. I attached a brief.plan for your review. I'm not sure if this is what you need. Let me know if this is sufficient or what I may be missing. Thank you for your help. Best regards, Jason 1/21/2015 Message Page 3 of 6 Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarrenl223@yahoo.com -----Forwarded Message----- From: "Stanton, David" <David.Stanton @town.barnstable.ma.us> To: Jason Warren <jwarren1223@yahoo.com> Sent: Tuesday, January 13, 2015 8:14 AM Subject: RE: SUSPECT: Re: SUSPECT: Re: SUSPECT: Re: Residential Kitchen Hi Jason, I don't know, you would need to check with Robin Anderson, zoning enforcement officer about that. Her number is (508) 862-4027 or her e-mail is robin.anderson(cDtown.barnstable.ma.us She would be the one to require a business plan and local zoning issues if necessary. As for Health, if you get a State wholesale license, you don't need to do anything with us, unless you plan to sell at retail (retail would mean that you sell directly to the consumer vs selling to another person who would in turn sell your product to a consumer.) thanks, David i -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Saturday, January 10, 2015 2:29 PM To: Stanton, David Subject: SUSPECT: Re: SUSPECT: Re: SUSPECT: Re: Residential Kitchen Hi David, Thank you for the info. Do I still need to get a business plan to local zoning or can I go direct to the state and submit their application (Application for Initial Licensure for Food Processing and/or Distribution at Wholesale)? Thanks again, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarren1223@yahoo.com From: "Wadlington, Ellen" <EIIen.Wadlington@town.barnstable.ma.us> To: Jason Warren <jwarren1223@yahoo.com> Cc: "Stanton, David" <David.Stanton @town.barnstable.ma.us> Sent: Friday, January 9, 2015 4:16 PM Subject: FW: SUSPECT: Re: SUSPECT: Re: Residential Kitchen See info below from Dave Stanton. So you need to get with Robin and get that cleared through Zoning. Before you need to prepare a list of what you might be making. 1/21/2015 Mel sage Page 4 of 6 -----Original Message----- From: Stanton, David Sent: Friday, January 09, 2015 3:42 PM To: Wadlington, Ellen Cc: McKean,Thomas Subject: RE: SUSPECT: Re: SUSPECT: Re: Residential Kitchen I don't think we have any restrictions for Health, except State law is they cannot make potentially hazardous food from a residential kitchen and the really good news would be if they sell to other businesses they would need a wholesale license from the State so if they do just that, we don't inspect or permit them,just the State. -----Original Message----- From: Wadlington, Ellen Sent: Friday, January 09, 2015 3:23 PM To: Stanton, David Cc: McKean,Thomas Subject: FW: SUSPECT: Re: SUSPECT: Re: Residential Kitchen -----Original Message---- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Friday, January 09, 2015 3:12 PM To: Wadlington, Ellen Subject: SUSPECT: Re: SUSPECT: Re: Residential Kitchen Yes, she does but also wanted to know where the product would be sold. Once I know what Barnstable allows for residential kitchens in terms of selling restrictions, I can include that in my plan. Thanks, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarren1223@yahoo.com From: "Wadlington, Ellen" <Ellen.Wadlington@town.barnstable.ma.us> To: Jason Warren <jwarren1223@yahoo.com> Sent: Friday, January 9, 2015 3:07 PM Subject: RE: SUSPECT: Re: Residential Kitchen From my conversation with Robin, she wanted your business plan. Where, How and when to start. -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Friday, January 09, 2015 2:14 PM 1/21/2015 Message Page 5 of 6 To: Wadlington, Ellen Cc: Stanton, David Subject: SUSPECT: Re: Residential Kitchen Hi Ellen, Is there a list of restrictions for residential kitchens for Barnstable and also a list of where products can be sold? I spoke with Robin Anderson and she said that she would need to know where the product will be sold. I can't get her that info until I know where it's allowed to be sold. Thank you for your help. Kind regards, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745 (Cell) jwarren1223@yahoo.com From: "Wadlington, Ellen" <Ellen.Wadlington@town.barn stable.ma.us> To:jwarren1223@yahoo.com Sent: Friday, January 9, 2015 9:59 AM Subject: FW: Residential Kitchen -----Original Message----- From: Crocker, Sharon Sent: Wednesday, January 07, 2015 3:59 PM To: Wadlington, Ellen Subject: FW: Residential Kitchen Thanks, Ellen. Shar -----Original Message----- From: Wadlington, Ellen Sent: Wednesday, January 07, 2015 2:17 PM To: McKean,Thomas; Stanton, David; Crocker, Sharon; Parvin, Lindsay Subject: RE: Residential Kitchen Happy New Year Jason. The status is that you do not have a residential kitchen. The Town of Barnstable is very strict about those and as far as I know are not permitting them without special restrictions. You should start with Robin Anderson, Building, Zoning to see if you are able to have this in your area. Her telephone number is 508-862-4027. That would be the first step and then you should talk to David Stanton the Health Inspector after that. David's number is 508-862-4647. Good luck. I still have the application and check. Would you want me to mail this back to you until all of this is cleared. Ellen -----Original Message----- From: McKean, Thomas On Behalf Of Health 1/21/2015 Message Page 6 of 6 Sent: Wednesday, January 07, 2015 1:39 PM To: Stanton, David; Crocker, Sharon; Parvin, Lindsay; Wadlington, Ellen Subject: FW: Residential Kitchen -----Original Message----- From: Jason Warren [mailto:jwarren1223@yahoo.com] Sent: Wednesday, January 07, 2015 1:36 PM To: Health Subject: Residential Kitchen Good afternoon, I was wondering if I could check the status of the residential kitchen application that I mailed in. Thank you for your help. Best regards, Jason Jason Warren 114 Seth Goodspeeds Way Osterville, MA 02655 781-760-9745(Cell) jwarren1223@yahoo.com 1/21/2015 DATE: December 23, 2014 TO: Building File— FROM: R. Anderson RE: Re-inspection t OWNER: Tara Patel LOCUS: 8 Shoot flying Hill Rd, WB PRESENT: Tom Perry, BC, Robert McKechnie, LI, Donald Desmarais, Health Inspector, Tim O'Connell, Health, Tom McKean, Health Director, DC David Paananen, WBFD, Barnstable PD Reported to site at 1:30 on 12/22/2014. Returned original guest register records to property owner. Police Chief advised property owner that occupants are dealing heroin out of this location; they have executed three search warrants in a short period of time. The property qualifies as a Problem Property under the new ordinance and if the offenses do not stop, a cruiser will be posted in the front 24/7 at the expense of the owner. The Chief also noted that the owner had not responded to his letter concerning that matter. Ultimately, they arranged an appointment to meet during the first week of January. The team proceeded the rear of the facility and our inspection commenced with the end unit on the far left side of the facility. LOWER LEVEL UNITS Unit 33 Adults 2 Baby 1 Unit 34 Adults 2 Unit 35 Adults 2 Baby 1 This unit had a burning candle. Unit 36 Adults 2 Child 1 This unit had a motorcycle stored inside. This unit had a toaster,pots and pans, coffee maker and food. Unit 37 Adults 1 Child 1 This unit had a couch. The female adult advised that the couch was already in the unit when she rented it. Unit 38 Adults 2 Child 1 This unit had a container of Bed Bug pesticide in the window. Unit 39 Adults 1 male This unit had a bird in a large cage and cats. This room very clean and neat. Unit 40 Adults 2 The male resident answered the door with a knife in his hand. This unit had three tires stored outside and a bicycle.(Ordered to be removed) This unit had a portable electric fireplace as the heater was reported to not be working. The smoke detector was beeping when we entered. Occupant indicated it has beeping for a couple of weeks or days—he was not really coherent. Unit 41 Adults 1 Common stairway to second level was locked. Tara unlocked the door. Unit 42 Adults 2 Child 1 This unit did not have contrasting unit numbers. They were painted white—same as the trim. This unit has a grill outside. Occupants were responsible for scraps of foil and paper they were scattered just behind the perimeter fence. Lower Rear—Outside The area down hill, behind the fence where the septic and leeching areas are located also were found to contain old appliances. UPPER LEVEL UNITS Far End— Street end/left side facing facility Storage Unit Found 8 tires stored inside—tires were ordered to be removed on Nov. 5 by WBFD The tires were removed and loaded into the back of a pick up truck. Unit 32 Adults 2 CONFIRM THIS One occupant was sleeping and did not respond. On previous occasion s he was annoyed we were there and was a little hostile. Unit 31 Adults 2 Unit 30 Adults 1 Unit 29 Adults 2 Baby 1 Unit 28 Adults 1 male This unit was very clean. Unit 27 Adults 1 This unit is the residence of the maintenance man, Bill Roderick Unit 26 Adults 2 Unit 25 Vacant l Unit 24 Vacant Unit 23 Adults 1 Unit 22 Corner unit Adults 2 This room was rented for a single night. Tara did not want us to disturb them. Unit 21 Vacant Unit 20 Vacant Unit 19 Vacant Unit 18 Vacant Unit 17—Upstairs Apt Adults 2 Child 3 Tara said 2 teens but male teen present said 3. Total occupants 5—maybe more. Unit 1 Far End—Street end/right side facing facility Adults 1 The end unit is now being used as storage by the occupant of Unit 1. The smoke detector was missing batteries. Tara replaced them before we left. Found sign in window box MOBILE EQUIPMENT REPAIR SERVICE 781-752-7232 Not sure if Unit 1 or Unit2 (I think it was 2) Unit 2 Adults 1 This unit had a candle burning. Unit 3 Adults 2 Unit 4 Adults 2 Baby 2 Infant and toddler. Female adult occupant stated she lived there for 1 Y2 weeks. This unit was undersized for 4 occupants. It could only accommodate 3. Tara reported only 2 adults and one baby. Health ordered them moved to a larger room or to have 2 adjoining rooms. Tara stated she would evict them, no rooms large enough. Unit 5 Adults 1 Unit 6 Adults 1 Unit 7 Adults 2 Unit 8 Adults 2 Occupants stated they have been therefor 2 weeks. The window screen was torn. Unit 9 Adults 2 Unit 10 Adults 2 Unit 11 Adults 2 Unit 12 Vacant Unit 14 Vacant Unit 15 Vacant—Garden room Unit 16 Adult 1 This is Tara's daughter's room adjacent to the office. i General Conditions The following list identifies common items or conditions of the rooms through out the entire facility: • Missing smoke detectors—or inoperable detectors • Microwaves • Coffee pot • Portable cooking devices, hot plate/slow cookers/pots &pans/cooking utensils/ • Canned food/spices/cereaUcoffee/microwave food products/Ramin noodles • Pets &pet food—dogs/cats and birds • Toys • Unmade beds/bare mattresses • Mattress stacked inside the room—against the window • Stained carpet and curtains/lingering tobacco odor. • Distinct lack of fresh air and light • Overcrowded rooms with personal belongings or too many occupants for size of room • There is no safe place for children to play. • There is no safe place for dogs be outside/exercised or run. Clearly, this facility was not intended to be permanent living quarters. A motel designed for transient visits cannot properly function as a multifamily apartment complex without improvements and proper oversight. This is Not a Motel Because: Clearly, the primary use of these is rooms by the nearly homeless. In reviewing the register and my notes from previous inspections, the true recreational guest is rare especially outside of the typical tourist months. The latest guest log reflects common Cape names & local addresses. Housing keeping service is not provided. (The one exception is the one true transient over night guest noted in Room 22 on this date.) No one is noticing when smoke detectors are disconnected—as a lack of housekeeping. There is no coffee or continental breakfast set up in the lobby as shown on a brochure. Lack of hot water: It has been alleged by occupants that many rooms lack adequate hot water. The allegation stated that the owner only orders $100.00 worth of oil at a time— not enough to service the number of rooms on site. I Code Enforcement Notes No one is checking the rooms for operable smokes upon vacancies so management remain s unaware that the batteries died or the units were disconnected because the last occupant was a heavy smokers and couldn't stand listening to the alarm every time he lit up! This is a common violation found by Deputy Chief Paananen with every inspection or re-inspection. Management denies knowledge of illicit activities, as well as the use of forbidden cooking amenities and candles by long term guests. Although,the owner, Tara is always very courteous and willing to correct whatever violation is identified at the time, the strain on public resources is great. Management resides on site and as such should be well aware of existing or deteriorating conditions and guests/occupants. By failing to make permanent corrections, management's reliance on municipal agencies diverts needed resources from others. Conclusion Previous zoning decisions and applications indicate the property to consist of a motel operation run 7 days a week/24 hrs a day, year round. The analysis of the current use partially relies upon the documented history in our street file. Prior to this ownership, there were no complaints or notice of the permanent placement of"guests". Also absent is any hint of illicit activities. Subsequent to the change of ownership,in 1998, the facility deteriorated and the use the expanded into long-term tenancy that eventually replaced the transient guest use. At this juncture, the property owner must decide on a use: motel, rooming house or multi- family. Is the Craigville Motel a facility dedicated to the service of tourists/transient guests or is it a residential use that accommodates families and pets? Once the true nature of the use is defined, we can determine and apply the proper codes and resolve many of the issues and undesirable conditions that currently consumes too many of our resources now. t e Craigville Motel Inspection Room Number 41 Rear Date March 18, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult V �� ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑C oking utensils ale ❑ Oven Q iIicrowave I Kftigerator ❑Toaster � h0�'`�� (�v �'���` ,;Q,e..d�.,lCt (1 ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food=perishable Room Conditions Common Areas ❑Bed bug/fleas/Inse Emerg exit/stairways ❑Hot water ����� Clear Yes❑ No ❑ []Heat r✓ � ❑Obstructed Egress ❑Combustibles Electrical Hazards �� Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES f✓/ i7 Iq i 3 3 34 55 3N.. 37 .3 S- 31 Craigville Motel 8 Shootflying Hill Rd, W. Barntable/Centerville i Craigville Motel Inspection Room Number 1 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult Nicholas Bradshaw ❑ Adult Charlie (Chuck- maintenance man) ❑Children ❑Infant Arrival Date Length of Stay 2/3 months Pets Notes . Ownejrls+�k�ter's room ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans []Cooking utensils ❑ Oven Microwave Wefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways teat ot water Clear Yes❑ No El ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector Other hazards Heater with extension cord NOTES Craigville Motel Inspection Room Number 2 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants:, ff Adult Diana Danforth ❑ Adult daughter in NY with father ❑Children ❑Infant Arrival Date Length of Stay Pets Notes Dog ❑Other said she was just watching doh_ ❑Cat ❑Bird Cookin Provisions and Appliances: ots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster Hotplate ❑Crock-pot ®Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ teat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector Other hazards 2 space heaters in bathroom NOTES toaster-oven under table i Craigville Motel Inspection Room Number 3 Up/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: Adult Tony Boniglio ®Adult Mariana ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans l ❑Cooking utensils ❑ Oven icrowave jr(efrigerator ❑Toaster ❑Hotplate ❑Crock-pot []Food — non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ teat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 4 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: ffAdult Occupant not on site — looks like one adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other May have a doOg=pet odors ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Uicrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ Leat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 5 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: Adult_ Occupant not on site — looks like 2 adults ® Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: Its/pans Cooking utensils ❑ Oven o icrowave ❑Refrigerator ❑Toaster S Hotplate ❑Crock-pot ood — non-perishable ood — perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ []Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles []Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 6 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants:, Adult John Cavanaugh ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay 2 Years Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ood — non-perishable ood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Hot water Clear Yes❑ No ❑ Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Smoke detector didn't work Did not respond to canned smoke i Craigville Motel Inspection Room Number 7 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: • Adult Raquel Cook ® Adult Second adult occupant not present ❑Children ❑Infant Arrival Date Length of Stay 4 weeks Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ood — non-perishable UlFood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 8 UP/Ripht Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult Occupants not present ®❑ Adult Appears to be 2 adults ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Microwave ❑Refrigerator ❑Toaster ❑ otplate ❑Crock-pot D❑ ood- non-perishable ❑ ood— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Meat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Fmoke detector didn't work with canned smok Craigville Motel Inspection Room Number 9 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: W Adult Justin Parker ® Adult Ashley Boucher ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven • icrowave efrigerator oaster ❑Hotplate ❑Crock-pot ood — non-perishable ood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 10 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: Adult Laura Franklin Adult Greg LeBlanc ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ®Food— non-perishable ❑Food — perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways Hot water Clear Yes❑ No ❑ Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 11 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants:, Adult Jason Gleason ® Adult Cherry Laperche ❑Children ❑Infant Arrival Date Length of Stay 6 Months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot MIF7ood — non-perishable [fFood— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ Leat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 12 Ui)/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird i Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ®Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords []Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 14 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ •®Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs MOperable smoke detector ❑Other hazards NOTES r i Craigville Motel Inspection Room Number 15 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult IVACANJ ❑ Adult []Children ❑Infant Arrival Date Length of Stay r Pets NotesPreviously noted: Garden Roo ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ©Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 16 UP/Right Date 1/26/15 Room Size No. of Occupants allowed Occupants: • Adult Ms Patel (owner's daughter) ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ El7leat ❑Obstructed Egress ❑Combustibles c Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles []Overload plugs MOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 17 UP/APT Date 1/26/15 Room Size 222 sq No. of Occupants allowed Occupants: ❑ Adult Husband 0Adult Spouse Children 2 teens — questions about number of children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog []Other- Ru—mber of beds and occupants don't matc ❑Cat Lurrently, 3 bedrooms with 5 bed ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ Q❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas []Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Adult male occupant reported no problems with heat/hot water or applicances. r Craigville Motel Inspection Room Number 18 Up/Left Date 1/26/15 Room Size No. of Occupants allowed ' Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot []Food— non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress []Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 19 UP Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven r Microwave @ efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 20 UP/Left Date 1/26/15 Room Size 17'5" X 13'.5" No. of Occupants allowed Occupants: ❑ Adult I ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ERefrigerator ❑Toaster ❑Hotplate ❑Crock-pot [ Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 21 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult_ ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions.and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat i ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES 1 Craigville Motel Inspection Room Number 22 UP/Left Date 1/26/15 ' Room Size 17'5" x 13'6" No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Qther ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Microwave ❑Refrigerator []Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 23 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 24 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult a ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 25 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: ❑ Adult a a ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ricrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES r Craigville Motel Inspection Room Number 26 UP/Left Date 1/26/25 Room Size 11'6" X 15' No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 27 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans I ooking utensils ❑ Oven icrowave Cooking ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ fflHeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 28 UP/Left Date 1/26/15 Room Size No. of Occupants allowed Occupants: W Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Uicrowave frigerator ❑Toaster ❑Hotplate ❑Crock-pot t ood— non-perishable ood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ teat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 29 upper left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult Vacant ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ricrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i i Craigville Motel Inspection Room Number 30 UP/Left Date Jan. 26, 2015 Room Size sq No. of Occupants allowed Occupants: Adult 1 adult ❑ Adult ❑Children ❑Infant Arrival Date Thanksgiving Length of Stay 2 months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot Food— non-perishable Wood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways •Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES r Craigville Motel Inspection Room Number 31 UP/Left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: Adult 2 adults ® Adult ❑Children ❑Infant Arrival Date Middle of Dec Length of Stay 1 month Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven • icrowave efrigerator I ❑Toaster ❑Hotplate ❑Crock-pot ood — non-perishable ood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 32 Up/left Date 1/26/15 Room Size No. of Occupants allowed Occupants: F Adult Occupant unidentified ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay 7 months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 5 icrowave • efrigerator ❑Toaster ❑Hotplate ❑Crock-pot • ood — non-perishable ood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat. ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs OOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 33 REAR Date Jan. 26, 2015 Room Size 221 sq No. of Occupants allowed Occupants: ❑ Adult Two adult occupants (not present) Q Adult Chuck did not provide names ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other Unused door in front ❑Cat of window. (said to replace lav door) ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑ icrowave ❑ efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑ ood— non-perishable ood— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways D of water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs QOperable smoke detector ❑Other hazards NOTES, athroom vanity door detached from frame per BOH notes. ti Craigville Motel Inspection 1 Room Number 34 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult Kyle Mediros ❑ Adult Kately FoFoye ❑Children ❑Infant Arrival Date 1/15/2015 Length of Stay 1 1/2 weeks Pets Notes rcat og ❑Other ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ®Refrigerator []Toaster ❑Hotplate ❑Crock-pot lFood — non-perishable Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Mir of water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ®Other hazards ,u NOTES I i Craigville Motel Inspection Room Number 35 Rear Date Jan. 26 2015 Room Size 204 sq No. of Occupants allowed Occupants: Adult Jessica Burnell Adult Damien Hatfiled-Lyon hildren ❑Infant Arrival Date Length of Stay 1 month Pets Notes []Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave &efrigerator ❑Toaster ❑Hotplate ❑Crock-pot FEB- ood— non-perishable I[Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles []Overload plugs ❑Operable smoke detector ®Other hazards NOTES i Craigville Motel Inspection Room Number 36 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: Adult Marisa Burnell Adult Geoffrey Burnell Children 6 yrs old ❑Infant Arrival Date Length of Stay 3 Months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cookin Provisions and Appliances: ots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster R Iotplate ❑Crock-pot ood— non-perishable ffFood — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Blot water Clear Yes[] No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector Other hazards NOTES i Craigville Motel Inspection Room Number 37 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult Stephen Bartlett ❑ Adult Jane Sweeney ❑Children Stephen Sweeney, Jr. 14 yrs.old ❑Infant Arrival Date Length of Stay i Pets Notes ❑ og ❑Other ❑Cat ❑Bird Cooping Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator 0 ❑Toaster ❑Hotplate ❑Crock-pot ❑QFood — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways FjHo' t water Clear Yes❑ No ❑ ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards Id water leak cause vanity to ro NOTES ub drains O r Craigville Motel Inspection Room Number 38 Rear Date Jan. 26, 2015 Room Size 288 sq No. of Occupants allowed Occupants: ❑ Adult Kerry Putnam ❑ Adult ®Children 4 yrs old & 1 yr old ❑Infant Arrival Date Length of Stay 5 weeks Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ood — non-perishable ffFood — perishable Room Conditions Common Areas ed bug/fleas/Insects Emerg exit/stairways ■ of water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 39 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult Occupied but bnable to acces ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other at in windo []Cat ❑Bird Cooking Provisions and Appliances: . ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrig erator []Toaster ❑Hotplate ❑Crock-pot []Food— non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress []Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ©Other hazards nauthorized tenant lock NOTES i i Craigville Motel Inspection Room Number 40 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: Adult Adult ❑Children ❑Infant Arrival Date Length of Stay 2 months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ Leat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ®Other hazards Hot water leak/tub valve NOTES missing tiles Tub drains ok Craigville Motel Inspection Room Number 41 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: E Adult Uccupied - tenant installed new lock { ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooping Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ®Other hazards NOTES Windows were nailed shut inside by tenan Craigville Motel Inspection Room Number 42 Rear Date Jan. 26, 2015 Room Size 221 sq No. of Occupants allowed Occupants: ❑ Adult Maureen Quay ❑ Adult Brian Quay ❑Children 9 yr old boy ! ❑Infant Arrival Date April 2013 Length of Stay 1 yr 9 months Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: Fop / ans king utensils ❑ Oven []Microwave ❑Q.Refrigerator ❑Toaster ❑Hotplate ®Crock-pot r e ❑Food — non-perishable ❑Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Mot water Clear Yes❑ No ❑ [UHeat OObstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector QOther hazards old/mildew in la NOTES iles missing in lav — exposed insulatio ain water leaking in over front windo errant claims to have advised Tara and Bil former maintenance man of these issue . i i 1 i V • ` i �� Craigville Motel Inspection Room Number 1 'UP/Right Date Room Size No. of Occupants allowed - Occupants: 'Adult ,O'Adult ❑Children ❑Infant Arrival Date Length of Stay �� Pets �T„�,. -Owner-Is 71�„■rTh+nr�e r ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans []Cooking utensils ❑ Oven Microwave Mefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food —perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water ✓ Clear Yes❑ No ❑ JgHeat ❑Obstructed Egress ❑Combustibles Electrical;Hazards Storage Areas extension cords ❑Combustibles ❑Overload plugs `•(Operable smoke detector ,Other hazards�f� � NOTES Craigville Motel Inspection Room Number 2 UP/Right Date —Z� Room Size No. of Occupants allowed Occupants: Adult A "-b ❑ Adult_ ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ,®Dog ❑Other SRiD sHf xa;qs sr �u/zz-Cf�irttd- T y��. ❑Cat ❑Bird Cooking Provisions and Appliances: moots/pans jEacooking utensils ❑ Oven L�2NIicrowave refrigerator ❑Toaster Hotplate .❑Crock-pot $RTood— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water y � Clear Yes[] No ❑ ,Meat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs OOperable smoke detector ❑Other hazards 2__� uve 4cie6 ��42cna NOTES Craigville Motel Inspection i Room Number 3 UP/Right Date Room Size No. of Occupants allowed Occupants:Adult `/ t'o r Adult r f c-h a ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ,12Vlicrowave ,59kefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water ✓ Clear Yes[] No ❑ ❑Heat ✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ®Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 4 UP/Right Date Zd —/:r Room Size - No. of Occupants allowed Occupants: ❑ Adult yo D DN S rG ❑ Adult Lo o�✓. �iKE .1 ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other /yia!!"Z t4i4K- W k&— ❑Cat s rr►c-�6-j) ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ,AlMicrowave refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water P/ Clear Yes❑ No ❑ ❑Heat o*- ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 5 Up/Ri2ht Date 1-2,(o —/.5- Room Size No. of Occupants allowed Occupants: ❑ Adult e9, 52—E L moKt 41c�2 ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ,Mots/pans �Kooking utensils ❑ Oven Microwave ,refrigerator ❑Toaster otplate ❑Crock-pot -Wood—non-perishable ,&Food — perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water ✓ Clear Yes❑ No ❑ ❑Heat ✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs .®'Operable smoke detector ❑Other hazards NOTES r Craigville Motel Inspection Room Number 6 UPM2ht Date Room Size No. of Occupants allowed Occupants: y r ❑ Adult ❑ Adult []Children ❑Infant Arrival Date Length of Stay 2 ye;p*z_ ' Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ;ER,,,4icrowave AgRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot Food—non-perishable -mood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water ✓ Clear Yes❑ No ❑ ❑Heat ✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 7 UP/Right Date — 6 Room Size No. of Occupants allowed Occupants: 15 Adult RA-q LI(_S� C�oK ,a Adult ❑Children ❑Infant Arrival Date Length of Stay 7 �cs Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven .Microwave 2Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot OFood—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water✓ Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 8 UP/Right Date 1 Z 6 —/5 Room Size No. of Occupants allowed Occupants: ❑ Adult / Z ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 4FIMicrowave ,gRRefrigerator figI'oaster ,RlFIotplate ❑Crock-pot Food—non-perishable 'ETFood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES :W O:� ;e, b Sw i Craigville Motel Inspection Room Number 9 UP/Right Date /—26—/.5- Room Size No. of Occupants allowed Occupants: EYAdult 49 Adult _ A G A�'_ ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Microwave -&Refrigerator �Moaster ❑Hotplate ❑Crock-pot -EiMEood— non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs .Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 10 UP/Right Date / - /5- Room Size No. of Occupants allowed Occupants: 0 Adult 4!1-Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ,RMicrowave refrigerator ❑Toaster ❑Hotplate ❑Crock-pot Wood— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water r Clear Yes❑ No ❑ ❑Heat✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 20perable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 11 Up/Right Date Room Size No. of Occupants allowed Occupants: P5 Adult •TL&*-'ro-ri1 ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ,Microwave 4!3Refrigerator Z ❑Toaster ❑Hotplate ❑Crock-pot Food— non-perishable .2Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water V Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES L Craigville Motel Inspection Room Number 12 UpMght Date Room Size No. of Occupants allowed Occupants: ❑ Adult N�6�cvjae ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ROperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 14 Up/Right Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ✓ ❑Obstructed Egress []Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 20perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 15 UP/Right Date /` Z —� Room Size No. of Occupants allowed Occupants: ❑ Adult A*W-ro-E ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes Previously noted: Garden Room ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 00perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 16 Up/Right Date Room Size No. of Occupants allowed Occupants: R Adult ❑ Adult []Children ❑Infant Arrival Date Length of Stay OGVNEI�S �$IL��Y�L�7e.S �6Y�� Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable []Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ✓ ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs 00perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 17 UP/APT Date �� . Room Size (,>Y 17 r G,- r No. of Occupants allowed Occupants: ❑ Adult (� ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans 1015,00king utensils ❑ Oven Elm!pzrowave DRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable []Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles []Overload plugs ❑Operable smoke detector ❑Other hazards �✓ NOTES r c�0c�� L Craigville Motel Inspection Room Number 18 UP/Left Date Z26 J s Room Size j_ Y 1 �'fNo. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other []Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven oowave Df efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 19 UP/Left Date / Room Size No. of Occupants allowed T Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Coking utensils ❑ Oven A41 "owave Qi�efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 20 UP/Left Date CP Room Size �-��� j, ,�No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑M' rowave OfZefrigerator ❑Toaster ❑Hotplate []Crock-pot ❑Food—non-perishable ❑Food— perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector .❑Other hazards NOTES Craigville Motel Inspection Room Number 21 UP/Left Date r Room Size No. of OccupantW allowe Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑C9oking utensils ❑ Oven ��crowave 01Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES C aigville Motel Inspection Room Number 22 U /Left Date p ,�(n I Room Size 7 ir � o%No. of Occupants allowed Occupants: ❑ Adult_ -© ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑OC ing utensils ❑ Oven ricrowave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES CraigAlle Motel Inspection Room Number 23 UP/Left Date Room Size Size No. of Occupants allowed Occupants: � ❑ Adult ( l ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird J Cooking Provisions and Appliances: ❑Pots/pans ❑C Viking utensils ❑ Oven i owave Refrigerator ❑Toaster ❑Hotplate []Crock-pot []Food_non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs DOperable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 24 UP/Left Date 5 Room Size No. of Occupants ai lowed Occupants: ❑ Adult (7 ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Coo 'ng utensils ❑ Oven icrowave ElRtf`rigerator []Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection TIP Room Number 25 UP/Left Date h :S Room Size No. of Occupants lowe Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooping Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 11?Vf icrowave Eh;refrigerator ❑Toaster ❑Hotplate []Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 26 UP/Left Date I ��- Room Size C No. of Occupants allowed Occupants: ❑ Adult U ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑king utensils ❑ Oven owave 91Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i r Craigville Motel Inspection Room Number 27 UP/Left Date / Room Size No. of Occup t allow d Occ ants: Adult ❑ Adult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ,ping utensils ❑ Oven OBI rowave BRRefrigerator ❑Toaster ❑Hotplate []Crock-pot []Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways Cgllo'-t water Clear Yes❑ No ❑ [Meat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas []Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES L r i ill C a gv a Motel Inspection Room Number 28 UP/Left Date J Room Size No. of Occupants allow d Occupants: ❑ Adult ❑ Adult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cpoking utensils ❑ Oven UWrowave EAefrigerator ❑Toaster ❑Hotplate ❑Crock-pot Elf odd— non-perishable V090d—perishable Room Conditions Common Areas ❑Be bug/fleas/Insects Emerg exit/stairways of water Clear Yes❑ No ❑ 0116'at ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles []Overload plugs ❑Operable smoke detector El Other hazards NOTES Crai ville Motel Inspection g P Room Number 29 upper left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult 0 ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ERdicrowave CIRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection i Room Number 30 UP/Left Date Jan. 26, 2015 Room Size sq No. of Occupants allowed Oc 'ants: Adult I ❑ Adult ❑Children ❑Infant 1 U Arrival Date 1Jni Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑C3king utensils ❑ Oven 9 icrowave 1316frigerator ❑Toaster ❑Hotplate �Zr,d ck-pot — non-perishable C ood—perishable Room Conditions Common Areas ❑Be bug/fleas/Insects Emerg exit/stairways Mot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES v : _ . . � : � . ;;r Craigville Motel Inspection Room Number _ 32 Up/left Date Room Size No. of Occupa 1 is allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat r ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven I crowave CRefrigerator ❑Toaster ❑Hotplate ❑C ock-pot IaF90d— non-perishable Elf'ood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑ oad plugs perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 31 UP/Left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant p Arrival Date , , Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑C oking utensils ❑ Oven crowave efrigerator ❑Toaster ❑Hotplate Woe ck-pot d—non-perishable —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways []Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards w 0 NOTES CraigAlle Motel Inspection Room Number 33 REAR Date Jan. 26, 2015 Room Size 221 sq. No. of Occupants allowed Occupants:- 17 x dult ❑ Adult (�t uC. toou,l ❑Children ❑Infant Arrival Date Length of Stay Pets Notes �� ` ❑Dog ❑Other (�06r QXr W t"A60 OCat []Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Wicrowave DRefrigerator ❑Toaster ❑Hotplate ❑C ck-pot aod— non-perishable 'Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways 2 of water Clear Yes[] No ❑ 04eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑OOve'rload plugs �perable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 35 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ) ❑ Adul J! V n 1 ❑ Ault Z hildren ❑Infant Arrival Date Length of Stay1Gd � Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot 0K od— non-perishable 70od—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways CRfIot water Clear Yes❑ No ❑ Ekleat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES ,h.A'L` n J Craigville Motel Inspection Room Number 34 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occu ants: ,., �' 1'b • � C�Adultk(A 1 I��U;S ❑ Adult n ❑Children ❑Infant Arrival Date I PIA 0 Length of Stay Pet Notes 19609 ❑Other 2!1 61X t Chat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 2ecrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot 2rFood— non-perishable 19/Food—perishable Room Conditions Common Areas ❑B bug/fleas/Insects Emerg exit/stairways CKTH t water Clear Yes❑ No ❑ M eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards eSn t7J(A4,->/-%- NOTES Craigville Motel Inspection Room Number 36 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ® dult Gt.�tl `'� �le K[Ati ❑ Adult - DEVC1dren G ❑Infant t Arrival Date Length of Stay ►'�bn Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Co kin Provisions and Appliances: P 's/pans L�Jt ooking utensils ❑ Oven Microwave [refrigerator Wotplate ster ❑Crock-pot Good—non-perishable G Food—perishable Room Conditions Common Areas DBad bug/fleas/Insects Emerg exit/stairways Qfiot water Clear Yes❑ No ❑ Cheat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector 1 ❑Other hazards NOTES Craigville Motel Inspection Room Number 37 Rear Date Jan. 26, 2015 Room Size 204 sue_ No. of Occupants allowed Occupants: +�_� k, V6I El Adulf ❑ Adult <S W Def�ildren L� ❑Infant Arrival Date Length of Stay Pets Notes ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑M'crowave CRRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot Df,'*'o'od—non-perishable []Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways of water Clear Yes[] No ❑ QKeat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles b ❑Overload plugs ❑Operable smoke detector II ❑Other hazards 1+ NOTES Craigville Motel Inspection Room Number 38 Rear Date Jan. 26, 2015 Room Size No. of Occupants allowed Occu ants: a.Y _ Adult _� (A PCIA, _n�_h ❑ Adult 06 ildren 1 , (A ❑Infant Arrival Date Length of Stay S_�/A, Pets Notes ❑Dog ,blp� ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 94crowave EXefrigerator ❑Toaster ❑Hotplate ❑Crock-pot Dfood— non-perishable Good—perishable Room Conditions Common Areas 2B 'd bug/fleas/Insects `r..2 f 6 r Emerg exit/stairways it water Clear Yes❑ No El O'Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs DOperable smoke detector ❑Other hazards I VAb 61V k-i' -� NOTES i Craigville Motel Inspection Room Number 39 Rear Date Jan. 26, 2015 Room Size 204 sq _ No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑D g ❑Other Ca`Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food —perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards X NOTES Craigville Motel Inspection Room Number 40 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occuv a : Adul ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay :L�f'� Pets Notes ❑Dog ❑Other ❑Cat ❑Bird CoQkinii Provisions and Appliances: ots/pans ❑Co king utensils ❑ Oven rowave Fefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food— non-perishable []Food—perishable Room Conditions Common Areas ❑B d bug/fleas/Insects Emerg exit/stairways EN-lot water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards M 1 S NOTES Lid i Craigville Motel Inspection Room Number 41 Rear Date Jan. 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster cam° []Hotplate ❑Crock-pot ❑Food— non-perishable ' ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector .❑Other hazards NOTES Craigville Motel Inspection Room Number 42 Rear Date Jan. 26, 2015 Room Size 221 sq No. of Occupants allowed Occupants: �� 2 ❑ Adult G LOwl ❑ hi ildren ❑Infant Arrival Date J j,illLength of Stay Pets Notes V g ❑Other t ❑Bird Cooldn2 Provisions and Appliances: Iis/pans oking utensils ❑ Oven ❑ .icrowave 'Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas Feat d bug/fleas/Insects Emerg exit/stairways `t water Clear Yes[:] No El G ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector , _ / ❑Other hazards NOTES NOTES (Y►'� i'l ,k Craigville Motel Inspection Room Number At Rear Date 2015 Room Size No. of Occupants ;allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans Yiefrigerator oking utensils ❑ Oven crowave !r ❑Toaster ❑Hotplate ) ❑Crock-pot J 1j ❑Food—non-perishable ❑Food—perishable S �, Room Conditions. (ln` Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑ of water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑ verload plugs Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number Rear Date .ate.: ;.. 2015 Room Size —394:M No. of Occupants allowed Occu ants: Adult �& `'�.e� C"Adult 00iildren �dl. ❑Infant r Arrival Date Length of Stay 1 V2_ Pets Notes Va g ❑Other I 104jhc1� n - W ^ � t ❑Bird Cojokin2 Provisions and Appliances: Elpots/pans aCooking utensils ❑ Oven Microwave ❑Refrigerator ❑Toaster �c ❑Hotplate A ❑Crock-pot Good—non-perishable G(Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways G2f46t water Clear Yes❑ No ❑ O'fleat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES i Craigville Motel Inspection Room Number 41 Rear Date '2015 Room Size 204 sq No. of Occupants all'ei Occ ants: Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans 0-9oking utensils ❑ Oven Microwave Ci(Refrigerator ❑Toaster ❑Hotplate < ❑Crock-pot G12f iod—non-perishable �� QFood—perishable S Room Conditions Common Areas ❑$ed bug/fleas/Insects Emerg exit/stairways UHPt water Clear Yes❑ No ❑ E1 eat []Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards ---- NOTES — Craigville Motel Inspection Room Number 39 Rear Date 26 2015 Room Size 204 sq No. of Occupants allowed Oc ants: Adult I ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes V 'g ❑Other t 2�ird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 121�4icrowave efrigerator ❑Toaster �. ❑Hotplate ❑Crock-pot ❑Food—non-perishable 1 A ❑Food—perishable " Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES r I Craigville Motel Inspection Room Number 38 Rear Date r , 2015 Room Size 204 sq No. of Occupants allowed Occupants: ants: , EVAdul CAAdult �� ❑Cl}ikdren infant Arrival Date Length of Stay o2 �'Y1()`✓�' Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Coo,kinLy Provisions and Appliances: ots/pans P oking utensils ❑ Oven L�dMicrowave ❑Refrigerator ❑Toaster �� ❑ otplate � � CO �t}'� , I . � rock-pot �/� ood—non-perishable 6food—perishable Room Conditions Common Areas E❑ ed bug/fleas/Insects Emerg exit/stairways 't water Clear Yes❑ No ❑ eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑ erload plugs ®O erable smoke detector � P ❑Other hazards NOTES Craigville Motel Inspection Room Number 37 Rear Date + > 26, 2015 Room Size 204 sq No. of Occupants allowed Occupants: Adult — ,VeIV--�f hildren 1 (� ❑Infant Arrival Date Length of Stay P s Notes f�mmq Dog ❑Other ❑Cat ❑Bird yjg4S Ltj II Cooking Provisions and Appliances: ❑Pots/pans ❑C oking utensils ❑ Oven crowave Fefrigerator 2,- ❑Toaster ❑Hotplate V ock-pot od—non-perishable 03f ood—perishable Room Conditions Common Areas ❑ ed bug/fleas/Insects Emerg exit/stairways ot water Clear Yes[] No No lneat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 36 Rear Date 2015 Room Size 204 sq No. of Occupants allowed Oc u ants: 11YAdul e'Adult Children ❑Infant Arrival Date Length of Stay :U Pets Notes ❑Dog ❑Other n ❑Cat C ❑Bird Coakin2 Provisions and Appliances: is/pans Cooking utensils ❑ Oven Vcrowave IO efrigerator ,� /U ❑Toaster 6(b v ❑Hotplate / ei nJ1 � ❑Crock-pot `�v �J od—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑�of water• Clear Yes[] No ❑ 12 Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 35 Rear Date 2015 Room Size 204 sq No. of Occupants allowed Oc u ants: / Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay :m _,4A_,_, Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave C�3Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot Vhod—non-perishable Food—perishable Room Conditions Common Areas On d bug/fleas/Insects Emerg exit/stairways of Kwater Clear Yes❑ No El eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector 1^ ❑Other hazards l ?as m-rrVI-) ptvr NOTES 1 w� Craigville Motel Inspection Room Number 34 Rear Date . .:, 2015 Room Size 204 sq No. of Occupants allowed Oc u ants: Adult V 2/Adult ❑Children ❑Infant S Arrival Date Length of Stay ' Pels Notes Vat ❑Other ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑ricrowave king utensils . ❑ Oven C 12�efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ood—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards ljo NOTES C� rr Craigville Motel Inspection :f' Room Number 33 REAR Date .►. ..;: 2015 Room Size 221 sq. No. of Occupants allowed % ants: Adult r ldren OIn ant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ooking utensils ❑ Oven crowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑ ed bug/fleas/Insects Emerg exit/stairways of water Clear Yes[] No ❑ ' Q eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES _ t Craigville Motel Inspection Room Number I UP/Right Date 2 l �, ��4 Room Size z Ix No. of Occupants a lowed /� Occupants: � Adult_ fvv c-,� %Sn s f1�4GrJ ❑ Adult ehl-(C clG ❑Children ❑Infant Arrival Date Length of Stay Pets ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans []Cooking utensils ❑ Oven Cl/Microwave gRefrigerator ❑Toaster ❑Hotplate ' ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas Elf,xtension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES y/1I Craigville Motel Inspection Room Number 2 UP/Right Date Room Size No. of Occupants allowed Occupants: Adult 61�Iv 19 Adult e []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑ ooking utensils ❑ Oven icrowave efrigerator ❑Toaster ❑Hotplate WB rock-pot Yod—non-perishable od—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection s Room Number 3 Up/Right Date v '7-'5 �5 Room Size Y No. of Occupants allowed Occupants: Adult ❑ Adult 'Children ❑Infant Arrival Date Length of Stay Pe s Notes j2bog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Ricrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot F Food—non-perishable Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 4 UP/Right Date z Room Size No. of Occupants allowed *6�upants: Adult Ger*14 Vou z 1 0 ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven UfMicrowave refrigerator []Toaster ❑Hotplate ❑Crock-pot E�Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 5 Up/Ri2ht Date Room Size No. of Occupants allowed Occupants: / 0 Adult zo��W_Ocvk G It�AiSTEp D A'Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ®Microwave EIRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 6 Up/Ri2ht Date v z r Room Size No. of Occupants allowed Occupants: �ff Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven OMicrowave 13Refrigerator ❑Toaster ❑Hotplate []Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 7 Up/Ri2bt Date Room Size No. of Occupants allowed Occupants: A Adult Jg Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven [Microwave [Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot EfFood—non-perishable [Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 8 UP/Riiiht Date 741_3 l Room Size No. of Occupants allowed Occupants: Adult Gt Adult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven [Microwave MRefrigerator ❑Toaster ❑Hotplate ❑Crock-pot EfFood—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 9 UP/Right Date z3 Room Size No. of Occupants allowed Occupants: _ -Adult -Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 19microwave efrigerator To - ►R►„�s�P �fi w�sa �n s e ❑Hotplate ❑Crock-pot OFood-non-perishable ,®Food-perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas I - ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector I ❑Other hazards NOTES i i Craigville Motel Inspection Room Number 10 UP/Right Date Room Size No. of Occupants allowed Occupants: �- Adult AI Adult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans Wooking utensils ❑ Oven icrowave IdRefrigerator ❑Toaster ❑Hotplate rock-pot Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat . ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection i Room Number 11 UP/Ri2ht Date 1 Room Size No. of Occupants allowed Occupants:, Adult XAdult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 12microwave CARefrigerator ❑Toaster ❑Hotplate ❑Crock-pot 19 ood—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector i ❑Other hazards NOTES Craigville Motel Inspection Room Number 12 UP/Right Date y� Room Size No. of Occupants a low Occupants: ❑ Adult , ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 14 UP/Ri0t Date z� 7 Room Size No. of Occupants a lowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 15 UP/Right Date 2 Z A s' Room Size No. of Occupant allowed Occupants: ❑ Adult ❑ Adult N f ❑Children ❑Infant Arrival Date Length of Stay Pets Notes Previously noted: Garden Room ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑ ooking utensils ❑ Oven crowave /, IffReffigeratorm ❑Toaster ❑Hotplate El rock-pot �ood—non-perishable ®Food—perishable ,Q Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress []Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs i ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 16 UP/Right Date 17- z � /5__ Room Size No. of Occupants allowed Occupants: — NGSH11 -0-Adult --- E'Adult ❑Children ❑Infant V17r Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans- C2'Cooking utensils ❑ Oven #Microwave Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical. Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 17 UP APT Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 31 UP/Left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult �d Adult 'Children �� ' C�-f v J ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ' ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 'Ctlicrowave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot o ig*,� d—non-perishable ed—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords �\�� . ❑Combustibles ❑Overload plugs c, Pl ❑Operable smoke detector l ❑Other hazards NOTES i Craigville Motel Inspection Room Number 32 Up/left Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog []Other 5dCat ❑Bird Cookin Provisions and Appliances: ots/pans PCooking utensils ❑ 4ven�� ' Microwave §ZZefrigerator 'J oaster Or ❑Hotplate ❑Crock-pot ood—non-perishable WoodZIr —perishable Room Conditions. Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways rpff of water C� Clear Yes[] No ❑ ,-eat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords G ('( ❑Combustibles ❑Overload plugs S�� ❑Operable smoke detector ❑Other hazards NOTES � � � � J �� I, Craigville Motel Inspection Room Number 22 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult U N ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Microwave []Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 20 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult D ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑ icrowave ( -efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ' ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ` ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES I Craigville Motel Inspection Room Number 18 UP/Left Date Room Size No. of Occupants allowed Occupants: U t� o ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 'EAicrowave `k frigerator []Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords - ❑Combustibles ❑Overload plugs ❑Operable smoke detector i ❑Other hazards NOTES i Craigville Motel Inspection Room Number 23 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave Zefrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable []Food—perishable- Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 19 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult U (5 C_ ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven 0 4icrowave [ efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 21 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult 0 C_ ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes []Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven icrowave frigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES 4 Craigville Motel Inspection Room Number 24 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult U L i ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave (efrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 26 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven ❑Microwave ❑Refrigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ []Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES I Craigville Motel Inspection Room Number 25 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult L) HOC , ❑ Adult ❑Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans ❑Cooking utensils ❑ Oven Microwave t frigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed'Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector i ❑Other hazards NOTES Craigville Motel Inspection Room Number 27 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children 12 C_ ❑Infant l� `—�7 K_ Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans (Cooking utensils ❑ Oven QVlicrowave ttefrigerator Toaster ❑Hotplate ❑Crock-pot Afood—non-perishable VPood—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 28 UP/Left Date Room Size No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children v ( / E:�r ❑Infant 7 Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans Cooking utensils ❑ Oven icrowave refrigerator []Toaster ❑Hotplate ock-pot od—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes[:] No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville. Motel Inspection Room Number 29 upper left Date Jan. 26, 2015 Room Size 186 sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult ❑Children ❑Infant �1 Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans CCooking utensils ❑ Oven �Vlicrowave d�frigerator ❑Toaster ❑Hotplate ❑Crock-pot ❑Food—non-perishable ❑Food—perishable Room Conditions Common Areas ❑Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards Storage Areas ❑Extension cords ❑Combustibles ❑Overload plugs ❑Operable smoke detector ❑Other hazards NOTES Craigville Motel Inspection Room Number 30 UP/Left Date Jan. 26, 2015 Room Size sq No. of Occupants allowed Occupants: ❑ Adult ❑ Adult []Children ❑Infant Arrival Date Length of Stay Pets Notes ❑Dog ❑Other ❑Cat ❑Bird Cooking Provisions and Appliances: ❑Pots/pans r♦; ❑Cooking utensils ❑ Oven *icrowave efrigerator ❑Toaster ❑Hotplate ❑Crock-pot good—non-perishable ood—perishable Room Conditions Common Areas []Bed bug/fleas/Insects Emerg exit/stairways ❑Hot water Clear Yes❑ No ❑ ❑Heat ❑Obstructed Egress ❑Combustibles Electrical Hazards ' Storage Areas ❑Extension cords ��� ❑Combustibles ❑Overload plugs C ❑OP erable smoke detector ❑Other hazards NOTES