HomeMy WebLinkAbout0052 CEDAR STREET - Health E
52 Cedar Street Sewer Acct # 2279
Hyannis
A = 342 —020
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MRVP #
Assessors office (1st Floor) u
Assessor's Map and Parcel # 0 QLU
Building Department ( h F oor) -
zoning 2
INSPECTION FEE $so Beq$(po•
RE-INSPECTION FEE $15.00
Request For A Housing Inspection For Certification Under the
MA Rental Voucher Program
Your Name
Affiliation (Circle One) Owner Real Estate Agent Tenant
Your Address_ Re_)- CeAn,,r S yr e-ek 114 4 C-n nt N'17- C9.(00
(Day)9''
Telephone Number (Night)
Address of Property Where Inspection is Requested
Unit/Apt.# _ � �- S�,*�(s l-�,nry�P�� 1"�1�- Oakac�i
Name of Owner :3_ohw) G ^ 14er,ders cyi
Address a
Mailing Address (if different)
��ti — lv 1 H� T VYvi%-
Telephone Number (Day) (Night) Sc �yv CaQ
Will there be any children under the age of six (6) who ll
be occupying the rental unit? (circle one) Yes No
Was the dwelling constructed prior to 1979? Yes No
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FOR OFFICE USE ONLY:
Certification
The dwel in , dwelling unit, or rooming unit located at
�2 Dins ®2$O 1 was inspected on
t _go`02 by 5 ,,,�! �. fall - Health
Inspector for the Town of Barnstable and was found to be in
compliance with the provisions contained within 105 CMR
410.00, State Sanitary Code II: Minimum Standards of Fitness
for Human Habitation. However, this certification does not
include a determination as to whether this unit contains any
lead paint because under 760 CMR 49.02 Massachusetts Rental
Voucher Program, a separate lead paint inspection must be
conducted.
Inspector's Signature
Date �- 3Q - �2_
' I
TOWN OF BARNSTABLE
BOARD OF HEALTH
o
ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION O `�
Date
Owner �0611 l(4A-,r4 lleAjki�� Tenant T e 3Cyvle3
Address '5 2 -�clJ�r cam_ t�,,1/U UA(�26Q J Address - Z e S�'. /`I tfQ�(�/�f I�Q 61
Compliance Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities
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3. Bathroom Facilities _ d S i A� (2-0"
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4. Water Supply
5. Hot Water Facilities
6. Heating Facilities a
7. Lighting and Electrical Facilities J
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits 6"eeA Aas
13. Installation and Maintenance of Structural 1 abb-e-
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal (�
1-;Zts2
16. Sewage Disposal
17. Temporary Housing
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Person(s)Interviewed slww Inspector
If Public Building such as Store or Hotel/Motel specify here
HOBBS$WARREN.INC.