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Home My WebLink About0023 BROOKSHIRE ROAD - Health 23 Brookshire Road� -' y �` - Sewer Acct#0442 Hyannis A,= 328 —061 ° I � ° o 0 o r q ° c e a + �. UNITED'STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box• Town of Barnstable ' \4 Health Division 1 00a`l- JF 200 Main Street Hyannis,MA. 02601 L SENDER: comPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B�ce' ed by Printed C. M1,119 ivery ■ Attach this card to the back of the mailpiece, `/'D`��/V or on the front if space permits. D. Is delivery address different from item 1? t3 YIN 1. Article Addressed to: If YES,enter delivery address below: ❑No Andrew &Rebecca Heffernan 23 Brookshire Road Hyannis, MA 02601 3. Service Type ertified Mail ❑Express Mail Registered R�Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. �.�.a 4. Restricted Delivery?(Extra Fee) ❑Yes 2. �ticle Number i f } .. ... � (rr�ansfer from service label) ;it~ 7'0 0 8 3 2+3 0 10'��'2 15�17 71 4 6 6"41 l PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 ,,,, ,•-r..-,d.,..._•�..-....:V,.,....,`T,.--F..en. _.,w.,,.tin..r-r..,..,.. .,T"�.:.a�.,,.:.,�.--_ TOWN OF BARNSTABLE BAR-W 5998 -- Ordinance or Regulation WARNING NOTICE �. Name of Offender/Manager yR� v'� # '� (, Address of Offender rrTt`.r MV/MB Reg.# Village/State/Zip i -� Business Name 3•�06 am/pm) on 'J )L 20 0 . Business Address 1 Signatule of Enforcing Officer Village/State/Zip Location of Offense +L% ` z1 % Enforcing Dept/Division Offense � 3'" .a .G4�(/�`~ Facts � '�� ^-�'� This will serve only asja warning. At thi"s time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. .. ._ - ,_..,, .. __,'.. _._. .,_ _:__.•r-_ -.-,-.a...y......-.,-.e.....s-.....-.,;.�..ka,*,. ... •-.+6-.fir.-v : ... ..... -- -...N..-..-+-----r..e•..--*1;•..rr.•,.—,r-o..,- ...., _-. -. TOWN OF BARNSTABLE BAR—W 5998 Ordinance or Regulation WARNING NOTICE " ? - Address of Offender MV/MB Reg.# Village/State/Zip - 1. 0) r.0 r Business Name } 'L am/Pm on 201 Business Address Signatute of Enforcing Officer Village/State/Zip .- Location of Offense P 'a,t6- r Enforcing Dept/Division- Offense '` {f �. Facts �tGA--j This will serve only as)a warning. At this time no legal ,action has been taken. It is the goal of 'Town agencies to achieve voluntary . compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Certified mail#7008 3230 0002 5177 9664 Town of Barnstable of tee r Regulatory Services 1 Thomas F. Geiler, Director I NS CABLE, 9�0 6 Public Health Division aiEo Mai , a, Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 2, 2010 Andrew &Rebecca Heffernan 1 t. 23 Brookshire Road Hyannis, MA 02601. NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property owned by you located at 23 Brookshire Road, Hyannis was inspected on November 2, 2010 by Town of Barnstable Health Inspector Timothy B. O'Connell, R.S because of a complaint. The following violation of the Town of Barnstable Board Code was observed: 353-1 Responsibilities of Owners: Garbage and rubbish observed to be strewn about front, side and back yard. Garbage and rubbish consisted of. old kiddy pool parts, rugs.- mattresses,bags of debris, bags of house hold trash, bottles, cans, ect, ect. You are directed to remove the garbage and rubbish from your property and dispose of it properly within 7 days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Failure to comply with an order will result in,a fine of$10.0.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH ThomeAA McKean, R.S., CHO Director of Public Health Town of Barnstable Q:\Order letters\Refuse\23 brookshire Hyannis 2.doc � �� 1 � � �. I , � , . . _ . �. e n f y .� � r t ;,' `Cyizen Web Request Page 1 of 3 MR I v'ur t., �UC'tr'c!fi Citizen Request Management Request Information Request ID: 32642 Created: 11/1/2010 10:36:11 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Request Category: General _-__ ,_ __.._.._.___...._..........._. Section 353-1 Garbage and Rubbish ..... Routine work: No Estimate: No Date scheduled: _._.......... v_...__... —-- Estimated 11/16/2010 Change Estimated Oct November 2010 Dec Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1.65 17 18 19 20 21 1 22 123 1 24 125 126,27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 ................................. ....- . ................... Created By: Wadlington, Ellen Priority; Medium Health Office Citation Numbers: 76� U Requestor Information Requestor Request DETAILS: LOCATION: 23 BROOKSHIRE ROAD Hyannis, Ma 02601 _ .................-_-_......................._........... Request Parcel Number Call re. deplorable conditions and Map 328 ?Block: 061 i Lot: there are children involved. The garbage and rubbish have piled up Parcel.._Lookup again in the yard and outside the house. See closed complaint No. http://issq l2/IntemalWRS/WRequest.aspx?ID=32642 11/1/2010 .-".alth Master Detail Page 1 of 1 �� fC� I.w.,� .,.., ,, '`a .✓_.t,✓ �,cvirl...S'.uz zr':aau.GC>....�' ,.».->'u�.�II:.� �y is vC).-z7 I- As, '€�;)ti�;�iU\011r,}iii't..,.,. ..,..te lth r��aster :M - � i�:�7: 3`Suvem Aoo 'ication Center Parcel ookup Se Iection items, arce e tic er� Well eTank� Parcel: 328-061 Location: 23 BROOKSHIRE ROAD, HYANNIS Owner: HEFFERNAN, A DREW'T & RE ECCA I Business name: Business phone Rental property: Deed. restricted µ Number of bedrooms Contaminant released: Fuel storage tank permit: Save Parcel Changes Return toLookup Parcel Infra Parcel ID: 328-061 Developer lot:LOT 23 Location:23 BROOKSHIRE ROAD Primary frontage: 170 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Sewer acct:0442 Road index:0190 Interactive map Town zone of contribution:WP (Wellhead Protection Overlay District) State zone of contribution:IN Owner Info Owner: HEFFERNAN, ANDREW_F & REBECCA E. Co-Owner: Streets:23 BROOKSHIRE RD Street2: City:HYANNIS State:MA Zip: 02601 Count Deed date:09/28/1998 Deed reference: 11727/336 Land Infra Acres: 0.16 Use: Single Eani MDL-61 Zoning:SF Neighborhood: 0104 Topography: Level Road: Paved Utilities:All Public Location: Construction $ Buildling .. a?' 3ili>tGross Arec i i?inq Ar izathrooms 1 1950 2352 1080 Bedroo,ms2 Full Buildings value:L:103,50.0.00. Extra features: ;�3,000.00 Land value:'•u,67,600.00 http://issgl/Intranet/healthMaster/HealthMasterDetail.aspx?ID=328061 11/2/2010 i 4� (508)775-0387 SCOT H.WRIGHT PATROL OFFICER L BARNSTABLE 1200 Phinney's Lane POLICE DEPARTMENT Hyannis,,-Mass.02601 fff " , 04e (nommonweultll of M.asso—Ousetts - WDepartment of Social Services Mary L. Hooper, LSW Investigator Telephone: 1-800-352.0712 Ext.50214 _DSS.Cape&Island 508-760'0214. 500 Main Street Fax:508.790-3006` - Hyannis,MA 02601 mary.hooper®state.ma.us ` Citizen Web Request Page 1 of 3 F ;T qed 3 -. E.. i.,cC0 :._ i Citizen Request, Malragement � Request information Request ID: 22021 Created: 7/25/2008 3:14:25 PM I Status: Assigned To Staff Assigned To: O'Connell, Timothy ! Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit __ _ .___..............._..._.._._._.._.._..__._._.__......................___..._._._.......___...__.____._. Estimated 7/29/2008 Change Estimated Jun July 2008 Aug Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 29 30 1 2 3 4 5 6 7 8 9 10 11 12 E 13 14 1 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 ( Created By: Wadlington, Ellen Priority: Medium edit ` Health Office E _ Citation Numbers: edit I Requester Information R 02601Hyannis Ma 02601 ;.�___ - Request Parcel Number q ?Ma : 3328 Block: 061 Lot: 0 0 ( Hyannis PD needed a health � officer at site for deplorable iconditions, immediately. Parcel.Lookup i ' Email: http://issgl2/intemalwrs/WRequest.aspx?ID=22021 7/28/2008 ` Citizen Web Request Page 2 of 3 Edit_Req u estor.._I_nfo_rm.atio n ......... ......... .. .._......................................... _.. ...... ....... . Track Request Progress Request Work History: Internal Note History: Entered on 7/28/2008 9:04:55 AM System entry on 7/25/2008 3:14:25 PM: by O'Connell,Timothy Last modified on 7/28/2008 3:57:56 PM Assigned to O'Connell, Timothy E i On 7-25-08 responded to Barnstable PD call at said property. During inspection of home I I ' observed house to be in bad condition. Le trash and cleanliness of home. See pictures. I also noticed there was not smoke detectors on any level of home. I called TM for advice on condemning home. TM arrived at property and I we decided to give owners until 9:30am on 7- 28-08 to clean home and get SD's and CO's. i The children at home were dealt with by DSS. See file for police report and DSS workers name. On 7-28-08 TO and officer Wright inspected home and deemed it clean enough l for habitation, also SD's and Co's installed on ( all floors. Although I told DSS about inspection a it is more there job to see if children's welfare is in jeopardy. ` up date delete I Enter work progress: i Enter internal note: (Viewed by everybody) (Viewed internally only l i S 1 E t € i [ r E Spell,Check%� Spell Check,», Add document ....or image link. Browse: You can also type in a folder name t _,c everythin a in the foil r F Current Links: http://issgl2/intemalwrs/V,Request.aspx?ID=22021 7/28/2008 I 1 ` Citizen Web Request Page 3 of 3 Time worked on request: A2.00 Response time '0.10 '1" .l.ty in ors, �.�xa Aes r; �.?$..:.a � fELP, 1- , ..5, €.'.i , - ,1' , 1„ CR v<i.0 Response i tal f e,; Measured fI"C311`i the creation date to your first nations �7T�ggthe request, vlee.kenis, anrl holidays in, gg.rnents .._.__..... ............. ......... .__._..... ................_....... ............ ......_ ... .............. .... ....__......... __._.......... .__.............._ ......._..._........... Save changes Check to notify town employee below to review this request. f4> Save changes and notify Health Office citizen* Cabot, Jaime Close request Brief message to reviewer: r Close request and notify citizen* m orbs if ernail address tz s give ............. Update . Spgll�heck Public Use: Printer Friend Version I..nte.r...n..al___U_s..e._Printe...r............ http://issgl2/intemalwrs/VVRequest.aspx?ID=22021 7/28/2008 > t. Town of Bam� ble � t. ;�,� ,i M ain: (5U) 751"mb i �; :,`�y,;r•1,1;i. • ... ,;•,a:;s,;:.;;,.y;:. L'1�\drriin: (5 08(gyp)' 75-0 ',U(� •I;Irili:,y��0:1��i�S'1(,i. t't':(2!. ��IJ'1i �?aul S. MacDonald �:,,.,c,;;;,, ; 4�11 ;iY'?.,.i•'t`"Yivi;' :. Records, thief of Police :` ' Fax: (508)'i;0"f ';i'7 02601 �,barr�dtablepol.iY:e.cor:s i FAX COVER SHEET i RECORDS FAX#508-790-0062 I DATE: d o e TIME: . NUMBER OF AGES INCLUDING COVER SHEET: NOTEIMESSAgE: i i i i '1•his fax is intended only for the use of the individual or entity to which it is addressed, quid may contain information, which is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not responsible for delivering the message to thL; intended recipient,y u are hereby notified that any copying, dissemination or distribution of thus communication is strictly prohibited. If you have received this communication in error,please notify us by telepho a and return the original to us at the above address via US Postal Service. S�?r•valo tha Wlaoe,s of Bxmsta le,CentervMe,Cc Wit, Hyannis,Marstans Mills, Ostervill€,and Wesk Barns�-Iilalr<- TO 39Vd sado038 Z90006L805 6T:tT 131aG Z,,r6:z {. r - I Incident Report ID, IIIcident 8 08-2070-OF i Call s 08-26562 '1 15ate?Time Reported. 07 2SI 2009 1435 Report Date/'Time. 07/26 2006 0937 Statue: No Crime Involved Reporting Officer: PTL. SCOTT WEIGHT Appx'oving Of f icer: SGT. JOHN SWEENEY OWN I arFEL€is3, ASHL,EY i � ea as �®� �� T:i'i'AI,WIS MA 02601 HEIGHT: 510 ' WEIGHT: 151 HAIR; BROWN EYES: BROWN BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: NOT HISPANIC ! I 1 I i a...�w� (CONTACT ZNFORMATIOU] _ .,... _........ I Nome Ph ne (Primary) f { GLASSES WORN: NO i --__- ALIAS 1aST NAMS FIRST NAME MIDDLE NME I I [FAMILY/EMPLoY Y INFORMATION] d M4ITAL STATUS: SINGIaE FATHER'S NAME: HUFFERNAN, ANDREW r0THER'S NAME: HUFFERNAN, REBBECCA EMPLOYER/SCHOOL: BHS 1 OCCUPATION: STUDENT p i ss 'I I � I I I I .�.m imp..,..„.,,......-___..._.� ZO 39dd Sa6033d Z90006L30S GT:VT Barnstable P®iice Department — Incident Report i incident 08-2070-OF Call ' 08-26562 I �tll 1 7 W 3 23 BROOKSHIRE RD M'ANNIS MA 02601 HEIGHT: 508 WEIGHT: 123 HAIR: BROWN EYES: BROWN BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: HISPANIC I I < [CONTACT INFORMATION] Home PhOe (Primary) GLASSES WORN: NO [FAMILY/ZNPLO T INFORMATION] MARITAL STATUS: SINGLE II�ATHER'S NAME: HEFFERNAN, ANDREW MOTHER'S NAME: WELSH, REBECCA EMPLOYER/SCHOOL: BMS p OCCUPATION: STUDENT ' 71, NO` MINE 1'05 %TION TYPE: ReSidence Home/Apt./Condo Zone: HYA1 2:5 BROOKSHIRE RD ErTANNIS MA 02601 , s t :6 IVV"AL DOMESTIC i i i I (� I i i t 'I t 1 I i CO 39dd SG�1003�J Z90006t805 SI:y 1 Earng3tabl.a p®Aicg Department NARRATIVE FOR PTL. SC®TT N WRIGHT ®go 90-2070—OF entered: 07/26/2000 @ 0955 Entry ID: 244 x difieds 07/27/2008 0 1028 Modified IDi 244 Appsoveeda 107/27/2008 0 1347 Approval IDs 115 On 7-25-08 at approx. 1435 hr . this officer responded to a brother and sister domestic at 23 Dro;i lksh3-T-e l--62 U..pan my arrival with Officer;orrison we met with the RP,Jesse Edwards, in the front of the hose. According to Edwards, he and Ois sister Ashley Welsh had an argument over living arrangements in tl lx)-ia 3e!. Edwards also stated that his sister pushed him in the upper right chest area. -At t:h:as time I met with Ashley Welsh inside the residence. Ashley was with her two daughters, Osh am;i:l i:; ,f '(D-CIR and Koral Da.v s (D.0.13, , ). Welsh stated that her and her brothef were haidn l; i aLrga cxi nt over there living arrapgements and the girls were in the room, According to Welsh her brcj _e. co;;51; f g h d ��._, 'dva„ Very angry and flailing his firms over one of the girls. in order to keep her brother away from her �aaa.s ;er; .A,s l ley,admits to pushing him Gut of the way. Welsh was notified at this time that a mandatory 51A wout. i li- filod by me. I VVUe inside the home it was obvious to this officer that there was an extreme health concern to not on'!! tai yottug children but all who lived in the household. Some of the obvious issues in the home were wini'lows i Ivial..out glass and screens, fly type hanging from ceilings, syringes for diabetic purposes where child e'n'-x 'lI reftc°h, defective smoke detector,overflowing trash throughout the house, and chemicals around outsicic-the home. The Town 0 13arnstable Health Dept. was contacted. Timothy O'Connell was they inlicstisating health inspector. ()'Connell and his supervisor condemned the house and advised the o,i�lner. i:)f -the violations on scene. The pr?perty owners have until Monday 7-28-08 to fix the problems or they wltl.b€ ;removed from the property. 1)dt111) was also contacted in regods to the children that were present in the home. DSS case worker M;,Py k Hooper arrived on scene and w4s able to find temporary housing for Welsh and her two daughter in 7%ert;is also an open case with �5 yr. old William Heffernan which was also in the house during theirs�i�i.r:;:°�:_. i :lew,se Ed-wards was asked to lea!ye the house by his stepfather, Andrew Heffernan. Edwards left the pta P i wwvzt]i,:out incident. i ]:loth Edwards and Welsh were 4sued abuse forms and both stated they did not want a 209A at this tiz-ac. This officer later spoke to Sgt. Mellyn in regards to the domestic incident. There will be no charges sougla! at � this time. j l � , ; Pe 39d sadoo36 E9eee6Lses E1:ti ;sz�s ,,_�W, �Q&THE T Town of daring ble yrvP 2p` BASTABEX ; Regulatory Services v� 639. �� Thomas F. Geiler, Director ATED MA'S A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 DATE: .7 NUMBER OF PAGES TO FOLLOW: TO: `nY'� FROM; 6 PHONE: PHONE: (508)862-4644 FAX PHONE: -7 j�o D 6 /_ FAX PHONE: (508)790-6304 cc: l�J NOTES/COMMENTS: - off QAFax Form.doc Town of Barnstable Ft : Regulatory Services Barnstable do Thomas F. Geiler, Director * Public Health Division * * * BARNSTABLE, 9 MASS. Thomas McKean, Director f:s �AlE p 3y A 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 f July 28, 2008 To Whom It May Concern: I responded to a call from Barnstable Police Department on July 25, 2008 at approximately 3:30pm. This was due to the conditions within home that Officer Scott H. Wright observed. I am requesting a copy of his report for Health Division records. Thanks, Timo y B. O'Connell Health Inspector FORM30 &w HOBBS&WARRENiM THE COMMONWEALTH OF MASSACHUSETTS BOARD ��TH CITY/TOW w ^ o DEPART ENT 'p ADDRESS G,,M SV 6 y`0w T' TELEPHO E Address �,3 f3 ,?W0 _ — Occupant_ An/ Floor i Apartment No: No.of Occupants_? .Z No. of Habitable Rooms— !�; No.Sleeping Rooms__ No. dwelling or rooming units No. St ries # _ Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish I I Lb Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: _ /O 7 Sd ❑ B ❑ F ❑ M Doors,Windows: Roof fnrovy, Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: — _ Dampness: Stairs: Li htS : STRUCTURE INT. Hall,Stairway: c) Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: dt Hall Windows: 4frh SaL> HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box:. Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den Living Room Bedroom 1 r Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) + "THIS INSPECTI EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES 10 P RJ R ." INSPECTOR TITLE_ DATE��-0 9 TIME e � THE NEXT SCHEDULED REINSPECTION— P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(8) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by.105 CMR 410.254. (E) Failure to provide a safe supply of water. `+ (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural,defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or.anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. t► FORM30 &w HOBBS&WARRENrn THE COMMONWEALTH OF MASSACHUSETTS t 1 BOARD OF H TH j CITY/TOWN . � W DEPART ENT ADDRESS i 47M Sv9 y`0� .. TELEPHONE — Occupant — ^V Address ant p Floor I Apartment No. No. of Occupants__ ` No.of Habitable Rooms— _No.Sleeping Rooms--3 No.dwelling or rooming units_ No.Stories Name and address of owner ae pC 3 Remarks Reg. Vio. YARD Out Bld s.: Fences: t_ Garba eandRubbish (" re /I[A -� 'Containers: _�,(' A ^'7`. Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: . Dual Egress:and Obst'n.: �fTM io. ❑ B ❑ F ❑ M Doors,Windows.', I 14 (� Roof f h to V r" 6'�`�C .► i D tt Guers, Drains: ` r' ? Walls: r `�-.Chimne : BASEMENT Gen.Sanitation: — �, A 5 • Q `s u 4 k Dampness: ' � Stairs: �. Li htin . r n l" 91 D �'� ..• STRUCTURE INT. Hall,Stairway: - Win S c.)(�� Hall, Fl:.00r,Wall,Ceiling: Hall,Li htin : .41 q Hall Windows:.wmr�. uNl Sot> HEATING Chimneys: Central []`Y '❑ N . Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ,,► - �'"�,� ❑ MS ❑ ST ❑ P Waste Line: A H.W.Tanks Safety and Vents ,ELECTRICAL Panels, Meters,Cir. 1A I X ti,/:L, ❑ 110 : ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib."Box: Gen. Basement Wiring: ¢, DWELLING UNIT_'`,' Ventil. L to . Outlets : Walls Ceils. Wmd.7 :Doors Floors Locks K _. tchen r 1"11 B m athroo yl ntry Den Living Room : / fill Bedroom(1). Bedroom 2 r r Bedroom 3 Bedroom 4 Hot Water Facff- Sup.Ten.,Gas,Oil, Elect.'. Stacks, Flues,Vents,Safeties; Kitchen Facilities _ 'Sink i Stove Bathing,Toilet Facill. Vent. Plumb. Sanit'n.: Wash Basin,Shower or Tub: Infestation` "- `f'�� Rats,-MiceR`oaches or Other. Egress Dual and Obst'n: , General I Building Posted t ' ` Locks on Doors: r ONE OR MORE OF THE--VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE I OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE r y rAU.THORIZED INSPECTOR. (See Over) „t P `,THIS INSPECTION-�IEPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF P RbAY." <.• SPECTOR TITLE c-^/ A.M. DATE ..- TIME 7 / &-.3 .s• A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. ~ (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). I * (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos,material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health.