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Home My WebLink About0050 KINGS WAY - Health 50 KINGS WAY, A=328-004 "jW i '4 7 xa MRVP # Assessors office (1st Floor) , Assessors Map and Parcel # Building Department (4th Floor) Zoning R2 INSPECTION FEE $60.00 RE-INSPECTION FEE $15.00 Request or A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name (�ba j2,p �,Tm/z-A, Affiliation (Circle One) Owner Real Estate Agent Tenan Your Address_<_�:)e1 Telephone Number (Day) 7 �} (Night) J 0� -% 5gg Address of PropertV Where Inspection is Requested Unit/Apt.# i Iyl r� G118,q �A VAA ' 5 MGL 026a Name of Owner bo)'s ?SIP Address e- R'�- &A _.ylY7ffl:1_ u i D O . L6 Mailing Address (if different) 7 Telephone Number (Day) � )- 7 j a (Night) Will there be any children under the age of six 6) who will be occupying the rental unit? (circle one) a No Was the dwelling constructed prior to 1979? Yes No oe_mock-led /l/, ------------------------------------------------------------ FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at '�.5_S' GcJ Y , -yp�.► was inspected on /Z ,-Z -? -yr7 by G'{st � ,f rya-s��l-�, Q . , 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 c Date-- aw HOBBS&WARRENT" THE COMMONWEALTH OF MASSACHUSETTS FORM 30 C BOARD OF HEALTH CITY/TOWN o DEPARTMENT r TELEPHONE Address 4'�k S _IC��'��° Occupant 0 1L '�C Floor Apartment No No.of Occupants- No.of Habitable Rooms—_ No.Sleeping Rooms Z_ /tj fz v No.dwelling or rooming units No.Stories / Name and address of owner-Lig TS ✓ ?G_�� L,►d ��" S�� 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: wv - wJL hF.w Roof Gutters, Drains: Walls: it Foundation: Chimney: BASEMENT Gen.Sanitation: VledoC.a Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: L eod Hall Lighting: Arw .J,.cf. Hall Windows: HEATING Chimneys: ' v --0 Central ❑ Y ❑ N E ui . Repair ct, v(a9 do G TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: QV, ❑ MS ❑ ST ❑ P Waste Line: I«v,►•• H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 6-1/- El 110 ❑ 220 Fusing,Grnd.: & (=-C'r AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen ;,dl4t--� Bathroom wlv^ Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elec Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink . )je::� Cu o, K Stove yrWLI e I fe Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: 41& ham' I V` AI_I u Wash Basin, Shower or Tub: -e,+.�e CG Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: - L ac4;i -OCC 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 PENALTIES Pf.PERJURY." INSPECTOR STITLE / �,A ,, A.M. DATE ,Z/ q l�� TIME �' ✓�lil/1 P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. pa t } r .. -f .S; ,'lG`'Y 'x .; •. ,^F'' .,h,.>�w,, it•.� :, .,e �' w�f#fi�s. . R x, i ` f y } i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing•is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 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. . 1 (A) Failure to providea 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 rodent's, 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 RM 30 H&W HOBBSS WARREN THE COMMONWEALTH OF MASSACHUSETTS �� _ r BOARD OF HEALTH ' CITY/TOWN DEPARTMENT — T— c^ ADDRESS M a ° d'Is2- /V6y �/ TELEPHONE µ. t ct p _ _Occupant C Ck�k Address � _�f� Floor -Apartment No.-_ __ No. of Occupants. No.of Habitable Rooms— No.Sleeping Rooms_-2._ v No. dwelling or rooming units___ No.Stories Name and address of owner O".i jTeW r _Yv_Ao 6o K ?G, � IMT V;d jS� 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: V-n -0U Roof Gutters, Drains: Walls: .ti Foundation: Chimney: ;/ BASEMENT Gen.Sanitation: S , Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin : Lecd 7 Lj a s, i-d✓L 0 Hall Lighting: A---, w.o d, } Hall Windows: HEATING Chimneys: v-0 k , Central ❑ Y ❑ N Equip. Repair „u P,v,c bSo v 4- iv C TYPE: Stacks Flues Vents: PLUMBING: Supply Line: � CJtn. ❑ MS ❑ ST ❑ P Waste Line: wir Vr H.W.Tanks Safety and Vent(s) - ELECTRICAL Panels, Meters, Cir.: dj1. ❑ 110 ❑ 220 Fusing,Grnd.: G F C t D AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: f DWELLING UNIT6CQ Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks. I jl (7 Kitchen ,i!/?a✓�• _ Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, lec : I 7- VIF Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink b'AG' Cato 1 ►.e 11-3 r A-( . Stove y b f,,o34 C. I ft Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: .�,'(� /trr VrtA^,+-O(k Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: P - L a uc N -C)a 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 PENALTIES O PERJURY." �p / ' 1 ' `C` J Tom'' INSPECTOR �7 TITLE ��` L A.M. /�-QU P.M. DATE TIME f �. 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 heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as 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. Town of Barnstable Regulatory Services f tio�, Thomas F.Geiler,Director • BMM STABLE, # Public Health Division 9 MASS. g 1639. ♦0 �AlEDMA'ta Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 LEAD DETERMINATION REPORT FORM Date of Determination: Z5, !-6G 0 Inspector: C i IQ,,,, F. a.r r K�t®i,► (� .-S' License#: D 3 3 q-5 Method Used:_1,,�-Sodium Sulfide Expiration date: l X-Ray Fluorescence Model: Serial#: Property Address: i t-1. ,J�, Apt. # Description of Property: Single family Multi-family #units Garage Fence Other structures Age of Property: ✓ Pre-1978 Post-1978 Occupant: G Gt,y (e In _5 S V-% Occupants under six year of age: a,j k a ea DOB: -7 C9 � DOB: DOB: Occupant's Telephone: 3-0 777-6 (a Property Owner(s): La i S" E ff er Owner's Address: ? ZS Y,Vl Gr i ivy S-t-e e.-f i'.1 V".Ll V 1,al- 0 Z-6 3 Owner's Telephone: 3(o Z — ?S-Y- / Lead Hazards found? Yes No An X-ray fluorescence reading greater than 1.2 mg/cm2 or a gray or black reaction to sodium sulfide indicates a dangerous level of lead and constitutes a positive determination. Deleading should not be undertaken based on this report. A licensed lead inspector must do a full inspection in order for you to qualify for a Compliance Letter. Deleading of lead painted surfaces must be performed by an appropriately authorized person, including a licensed deleading contractor, a licensed lead-safe renovator, and an owner/agent who is trained to perform specific work as required under the Lead Law. Contact the Childhood Lead Poisoning Prevention Program for additional information regarding deleading and training. Determination Report form without letterhead.doc rev 1/00 LOCATION SOURCE Pb 1. Child's bedroom Window parting bead/exterior sill area 2. Child's bedroom Window sill �g—,4 -- AJa9 3. Living room Window parting bead/exterior sill area"&;-z__ 4. Kitchen Window parting bead/exterior sill area 5. Interior Flaking paint 6. Exterior Flaking paint e- s4 7. Exterior Cellar window units 8. Exterior Window sills below 5' 9. Exterior Main entry door casing 10. Interior Outside corner of baseboard 11. Kitchen or Bathroom Chair rail 12. Bathroom Window sill 13. Exterior Threshold 14. Interior hallway(common area) Stair tread or stringer 15. Interior hallway(common area) Balusters 16. Interior hallway(common area) Door casings 17. Porch Stair tread or riser 18. Porch Railing cap 19. Porch Balusters 20. Porch' Support columns(<6" diameter or square) 21. Porch Staircase stringer 22. Exterior Bulkhead 23. Garage/Outbuilding Door casing or jamb 24. Interior Closet door or baseboard(uncapped) 25. Interior Cabinet door, shelf, or wall q/healthAeadDete Report form without letterhead rev 1/00