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HomeMy WebLinkAbout0015 GOSNOLD STREET - Health 15 GOSNOLD STRE r A=324-050: i e ,1 r i o OFZ"E ra><ti Town of Barnstable STAB Department of Health, Safety, and Environmental Services BAMLZ '""� 1639. Public Health Division 9� �0� . ACED '� P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health July 19, 1999 Fresh Start Enterprises, LLC c/o Fresh Start Enterprises, LLC 141 E. 89th Street Apt. 7C New York;:NY 10128 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM'STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OYBARNSTABLE RENTAL ORDINANCE, ARTICLE 51 The occupants of 15 Gosnold Street, Hyannis, have provided documentation indicating that they are responsible'for providing potable water. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation are described below: 410.180: The owner shall provide for the occupant of every dwelling a supply of water sufficient in quantity and pressure to meet ordinary needs of the occupant. "Provide", by definition, includes to supply and pay for. You are directed to correct these violations within twenty-four(24) hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than$500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH 19masftAcK—ean Director of Public Health' 1 4 I fresh/wp/q/Is 1. y Jyo,lot rc,e The Town of Barnstable. • �_ Health Department 367 Main Street, Hyannis, MA 02601 rua ►y 1 Office 508-790-6265 Thomas A. McKean FAX 50b-j7PE33447 Director of Public Health F.,eSk S-f-c,�4 4Fi,.4e.,f r-iv-95 , L lL �4/ E. 214"01 tfrIa-f. 4ry 7 C, .ems/ . ivew Yod-t< , �Y//p ( � NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION caned b v I " v fY°�^'" J �p �/l0..tr1t �'ovr-�R(� Gc.V�► dam. t"c6z wn- e, ©© The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fit es9 for Pvima�n H;tbitation : G„A o 3Gr 4 V-e—• Ir,Sc 14 Colo f /oS C44 ti 4/0.1 6`L st, KZ'e't,r I Z, Q &t..,04 You are directed to correct these violations within twenty- four (24) hours of receipt of this notice. Yo area o irected t orrect wi in day ou s of ec ipt t is ntie You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must � be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health i Raw • ma urgent ' Confidential ■ To: From: Attn:—jitan2l, Attn: T CA Fox ►�, E E' i Comments '' 1A nAA •. _ a ko OA rl)NI • LAj �►, , Lb ►� � A ' 1 J Barnstable 470d Ysrmoum Raw W�k.TE M P A'NY "" MeA Mtl�C�usoets QZ�p1-03Zg 77UM PAYMENT SCZEDULE Nam: CYNTHIA MARTIN Add=SS:. 15 Goenold Street Tel No: 178-4399` ACCQ13nt 324 050 Rl Tb* =deraignQd agreng to pay to the Ba=Ztabls Water Co. is aacordaaee With the lollcw=q schedule the amounts indicated =t:l the aceount is paid up. Date Silliaas Pav�tarlts Balance 6/2/99 p.►� 140.28 6/14/99 y 5Bill for mar,." 25.00 alz� 25�00 .� � 25 .00 B/3I/99 25.00 15.28 • a • I Failure to comply with this schudle may result in termination of your seater service without further notice. Signed: ` Daze: - SHUT-OFF NOTICE arnstablROILMDAM 3/18/99 Ee 4?Old Yarmouth uth%ao"07'CEDATE- 6/2/99 P.O.%-1023 ACCOUNT o.: C - M P A iV Y hfa,,M,MA 02eo,.W2� 14 Rteft b!r. 7!2199 WOW'Afib bb IWWOMWknd WK?tWA' fwnw r"M on: 7/5199 SWVICO 18 shut Off for pose mft 42$41D Or w"Jal cost Wj! PL&ASE CONTACT OUR oFpICE IF yokT M,11' "y CURRENTAIAOUNT $ QUIES71ONS REGARDING THIS NOTICE 508-?75-006.3 -APAPEARS 8 94.25 7 TOTAL S 140,26 TO THE TEN&VTS AT 15 GOSNOLD STREET TENANT NOTICE: PLEASE BE ADVISED TEAT' AS A TENANT IN THE STATE OF XAZ91lC1W- RYANNIS, MA. 02601 SETTS. YOU HAVE THE RIGHT TO DEDUCT L FROM YOUR RE-n, An AMOUNT PAID FOR YOUR WAITA UTILITY. In ovam to&wa CkA yoW account oLimbar on ygW prick",San 4 ptarple to. hei tllr4e Canprq See r6vw Side for Whet impoitmi r,"com. 9AA11-VABLE WAT LE A COMPANX HYANNIS. MASS. -7 V Post Due Account Currant Bill 06 Reed on Ac 0"at ��� • soco ARCount Nurnb � FORM 30 �I�w HOBBSB WARRENiM THE COMMONWEALTH OF MASSACHUSETTS C B9ARD OF HEALTH CIT/Y/TO W N�/���/ o DEPARTMENT e. `�M SV• •` ADDRESS / z �/�j/� 7 ( )1 TELEPHONE ` �� t Address ZG `��,-+-wc , � o Occupant_. U Gd�Jc�y_j Floor Apartment No. No. of Occupants No. of Habitable Rooms No.Sleeping Rooms y No.dwelling or rooming units_ ` No.Stories Name and address of ownerp G�e- Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: S Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual E ress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: %eggeis Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: (va✓ t.-+ 6w -/V 9 C-, 0` Dampness: c .-e x Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Li q h t i n 1p (�.-F ri.. rt*4- #yel 6,. UXXZzS Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: O MS ❑ ST ❑ P Waste Line.- H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: - 6'v- O 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks QI- Kitchen oC Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elec .. U l3.0 ) >; Stacks, Flues,Vents, es: Kitchen Facilities Sink Stove ✓ Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: /mob Egress Dual and Obst'n: -Ak General Building Posted 2, Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." INSPECTO __ -Jr TITLE DATE l� TIME THE NEXT SCHEDULED REINSPECTION �� CY�J P.M. ��.,y. .F,...` atlr7o�tia+•i�+•-••.��.„,...r;-r....p„'!fw"r',,..,.,,e.. .. •r.�;r•-..�r......-m,Rrv-xi'^�-sckr„}�t!Vrs..!'.rM.i1'+.:�aiitW",uiV"tY: �"fP.yi',(AR".'�K' 1kr�iAT;"�`,SEClr�"n''... .F;`....:.- ..pr..,.w. -.,...•.-7tl,+Wr"G...... 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found.to exist in residential premises, shali be deemed conditions which may endanger or impair the heaith, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items,which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 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'6f'1he 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). (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)rFailure 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. QUIRK AND CHAMBERLAIN, P.C. c:-AEoznF_ i and C'oun:iEffotj, of Zaar 99 WILLOW STREET JAMES H.QUIRK,JR. POST OFFICE BOX 40 ROBERT C.CHAMBERLAIN BARNSTABLE OFFICE YARMOUTHPORT, MASSACHUSETTS 02675-0040 PAMELA B.MARSH POST OFFICE BOX 92 THOMAS C. PAQUIN 508/362-6262 BARNSTABLE,MA 02630 THOMAS J. PERRINO FACSIMILE 508/362-6060 ANASTASIA WELSH PERRINO 508/362-4314 OFCOUNSEL WILLIAM E.CROWELL,JR. August 24, 1999 �!1 VIA FACSIMILE AND FIRST-CLASS MAIL REr?IV E 0 (508) 790-6304 �= AUG 2 6 1999 >�. Mr. Glen Harrington Town of Barnstable Via. Board of Health Post Office Box 534 Hyannis, MA 02601 RE: FRESH START ENTERPRISES, LLC. OUR FILE NO. 903/9027 Dear Mr. Harrington: As you are aware, I re,pr-es-ent Fre.s.h_Star-t_Enter-pr-ises, LLC. , the owners of property located at' 15 G"osnold Street, Hyannis! As discussed, this letter will confirm that we are withdrawing our appeal of the Department' s Order dated July 19, 1999. As a hearing is scheduled for Tuesday, August 24, 1999 at 8:15 p.m. , please take it off the list. Thank you for your time and attention to this matter. Very truly yours, QUIRK AND CHAMBERLAIN, P.C. Thomas J. Perrino TJP:ap h � FVaE Town of Barnstable GSM Department of Health, Safety, and Environmental Services 16 9. ,0� Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health June 17, 1999 Fresh Start Enterprise, LLC c/o Fresh Start Enterprise, LLC 15 Chatham Road Plymouth, MA 02630 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE 1I, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 15 Gosnold Street, Hyannis, was inspected on , May 25, 1999 by Glen Harrington, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 410.351: Flu to fireplace was inoperable 410.351: Exposed wires were observed in closet under stairs 410.500/501: Several storm windows and doors out of compliance. See enclosed inspection report. 410.551: Two screens missing in second floor, western bedroom. You are also directed to correct the remaining above listed violations within five (5) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. . Plu-0 ORD FjR OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health freshsta/wp/q/Is . :`N The Town of Barnstable •J �_ Health Department } out 367 Main Street, Hyannis, MA 02601 ,ego• Office 508-790-6265 Thomas A: McKean FAX.50b-j7pe3445v v l_ % ai Director of Public Health is- L ad Ytii M11 0 z NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at l,�(-oYko Id �{ree,'f, w as inspected. on /t a�j ZS', 1997 ' by, C&4, 2-5,,; Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 4 io03 S" t✓�L iPd ?r� c- C V P S Wk,'-R C) C.Lo be� d;^ S' �'r ,S �( l e9 , y : pwe,if r.,� itio d Id S d e,4 �:r 4-t 0t,.�f�a.� (AaA,�='-j a f fo f SSD :SO S S dw w. w L 10.9-3- 1 : -TL j G7 S f.v-2 You are directed to correct these violations within twenty- four (24) hours of receipt of this notice. You are also directed to correct within days/hours of receipt of this notice. You may request a hearing,-if written petition requesting same is 'received by they Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health % fM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 0:11�) HOBBS&WARREN B,9`A R D�ik �_HEALTH S IDS CITY/, Nct N44 n DEPARTMEN G1.M SVOyV ADDRESS TELEPHONE Address �'�6 s k 0( __Occupanttea"r 4 i h 77$-u 3 99 Floor Apartmentlp. No.of Occupant No.of Habitable Rooms_No.Sleeping Room No.dwelling or rooming units _,_F_v .j_k__�S4j4,.Si r� I , Ste.e Fie i SC h vLla H H Name and address of owner, Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: -P: T r u r - Dual Egress:and Obst'n.: , ❑ B ❑ F ❑ M Doors,Window Roof Gutters„grains: f Walls: 4`" Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin _ STRUCTURE INT. Hall,Stairway: I►t CA ' I I I 1 #1 IL tow` t.D ° p Obst'n.` L` /a <t Hall, Floor,Wall,Ceilin : '` `� • Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip. Repair TYPE: Stacks, Flues,yents: " 0 "`� `" PLUMBING: Supply Line: I CA.— ot ❑ MS ❑ ST ❑ P Waste Line: r" H.W.Tanks Safety ang Xent(s). E ECT"ICL Panels, Meters,Cir.: 110 220 Fusing,Grnd.: r AMP: 1 Gen.Cond. Distrib. Box: f0# `, I in_ T Gen. Basement Wirin DWELLING UNIT Ventil. L to . Outlets Walls Ceils. W Doors Floors Locks Kitchen _ Bathroom &" r J Pant Den Living Room ' rta►�+-� / a yc Bedroom 1 I r tea:`'' • Bedroom(2) *w IN wrr •� C/WC-4t 6-t. a e- w Bedroom 3 - v , Bedroom 4 Hot Water Facil. Sup.Ten.;Gas,Oil,\Qe-Gf. 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 T Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES. �EIqR ' INSPECTOR TITLE4: A DATE ZS �/ TIME � ' i 6s P�� A.M. THE NEXT SCHEDULED REINSPECTION P.M. 01 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises,shall be*a6emed 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 V11 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 iri 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(8), 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 condition's: (1)' Lackof a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven o�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,rende'rs them inoperable. (3) Any defedirthe'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. f FORM30 ��w HOB&r WAaaIN THE COMMONWEALTH OF MASSACHUSETTS BOA D OF HEALTH CITY/TOWN DEPARTMENT ADDRESS 7 — ` ,/ `, q /,�/ TELEPHONE Address �� �"� t� S��; [i- bccupant_� Gi" Floor Apartment No. No.-of Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming uni s�. No.Stories Name and address of owner Sri E-(Q��GG/�ta�,s,T f,��i t-� fGwf- cc1ev�C�v�{mil Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EX Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: ' Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: Al"bt ee— i Oh Z°` F h a.! /-z1 16;6 0 H.W.Tanks Safety and Vents t►1iw CjN p.lao L.2/ee r 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 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 INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIESAF PERJU _ AI1 � INSPECTOR TITLE DATE TIME A.M. THE NEXT SCHEDULED REINSPECTION P.M. LT MI 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 per"son 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 fallwithin 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 viol'ation(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 i 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(8), 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 f 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 i 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 41,0.750(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. �I Hxw Hok WnaaeN THE COMMONWEALTH OF MASSACHUSETTS FoZ 30 BO RD OF HEALTH _'' a.v vJjb (f CITY/TOWN W 1 .C4- l DEPARTMENT G^M ADDRESS �( ` rY O TELEPHONE Address )r 6ry S" if cl 111JOccupant Z0Ct'4[ , Floor Apartment No. No.of Occupants �- No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units No.Stories r Name and address of owner e,Ic G''' A-k ''C f Va.,r Ct Yayr-"i 1--*l ' tl Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B- ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'ri.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: Zi/fT Cr cfr-&% - Oh Z`;Ff h r j PqPll Cuv;,R 33- H.W.Tanks Safety and Vents J' 1 k;n +d,-401 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 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 INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENA 'TIE F PERJU� ,(�/,, / INSPECTO /'` TITLE�'J4& � A.M. DATE Z TIME—!V.' /05 ! A.M. THE NEXT SCHEDULED REINSPECTION P.M. ". I .r./� •• � r � ` 'tip ` � ,ti'1+1� 410.750: Conditions Deemed to Endangeror 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 fhe 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 vi+olation(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). (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. i