HomeMy WebLinkAbout0565 OCEAN STREET - Health 565 OceSE%jjR
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Town of Barnstable
I Health Department
most 367 Main Street, Hyannis, MA 02601
Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
April 18, 1996
Jack Breitkopf
c/o Atty. Benjamin E. Zehnder
P.O. Box 236
Orleans, MA 02653
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY
CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51
The property owned by you located at 565 Ocean Street, Unit #2, Hyannis was inspected
on April 9, 1996 by Christina Kuchinski, R.S. Health Inspector for the Town of Barnstable
because of a complaint. The following violations of the Town of Barnstable Rental
Ordinance Article 51 and the Sanitary Code H were observed:
410.482: Smoke detectors in dwellling unit were not functioning.
410.452: The front entrance porch area had no storm gutter or drain pipe to keep
water from puddling on the stairs.
410.351: Plumbing pipes in the basement was leaking water all over basement floor.
410.480: Broken window lock at the right side bedroom window.
410.501: Two cracked panes of glass and the glass panes were not properly caulked
at the right side bedroom window.
410.501: Two cracked panes of glass at the front left window.
410.500: Large space around pipe that ran through ceiling of the bedroom
closet.
410.500: Hole observed in the wall of the bedroom.
410.500: The hallway and bathroom ceilling were water damaged.
410.504: Bathroom wall tiles were falling off.
410.351: The bathroom tub and sink faucet were hot water
410.500: The wall in the bathroom near tub was water damaged.
410.480: The bathroom window lock was broken.
410.150 D : The bathroom sink surface had several rust/worn spots.
You are directed to correct the violation of 410.482 within twenty-four (24) hours of
receipt of this notice by installing a working smoke detector
You are directed to correct the remaining above listed violations within thirty (30)
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, this violation
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.
You are also subject to non criminal citations of$40.00 for the first violation and $15.00
for each additional violation. Tickets will be issued daily until the violations are corrected.
i
PER ORDER OF THE BOARD OF HEALTH
Thomas cKean
Director of Public Health
cc: Atty. Mark Itzkowitz
Newman&Beeler
Q.Cq.74'V\�J.VI p 1<�yG2�
Mr./Mrs.
G 0 6�
01, 0-a.6-5
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410,00, STATE SANITARY
CODE I1, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51
h
The property owned by you located at :S&5 ( was inspected on
4994 by 644 le, tej Health Agent for the Town of Barnstable because of a
complaint. The following violations of the Town of Barnstable Rental Ordinance
Article 51 and the Sanitary Code II were observed:
OV
011 Ike so o -7�ve.rke)l9 a4 Y4(bo -ice, �►
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�TU .���,,� side ,��� uvrvdoL..)
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y/o, SO/ Acj erg
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You are directed to correct the violation of withi 24 hours of receipt of this
notice by i M- l�i•� a ��0 � `tr��` -r-L
You Are also directed to correct the remaining Above listed violations within-s vw
30�'ys of receipt of this notice.
You may request a hearing if written petition requesting same is received by the Board of
I lealth 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 clay's failure to comply with an order shall constitute a separate
violation.
You are also subject to non criminal citations of$40.00 for the first violation and $15.00
for each additional violation. Tickets will be issued daily until the violations are corrected.
Enclosed are citation numbers due to violations
observed on
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
Town of Barnstable
FORM30 Hows&WARREN,INC.NOV.19M1983 THE COMMONWEALTH OF MASSACHUSETTS
.BOARD OF HEALTH
vls-f Q
CITY/TOWN
o DEPARTMENT
Q,M ADDRESS ?
/� L TELEPHONE
/Address - �� V� -�-� /4,20k!f Occupant � i -f�a"� h y 0 k7
Floor Apartment No: _2 No.of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No.Stories
Name and address of owner
Remarks Reg. Vim
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other: rl ,r �f I� rA fJ�i�f
STRUCTURE EXT. Steps,Stairs, Porches: f
Dual Egress:and Obst'n.: UJ 0 tA t
❑ B ❑ F '❑ M Doors,Windows:
Roof
Gutters, Drains: '
Walls:
Foundation:
Chimney: ,� U
BASEMENT Gen.Sanitation: (a i(tr�v t,.✓_( Wh b---ef IA19 -,t)
Dampness: .
Stairs: �" U,
Li htin : sLwj,_#
STRUCTURE INT. Hall,Stairway: WQI 39 16 Q' V t .00Se�!
Obst'n.: 0 a ,
Hall, Floor,Wall,Ceilin : , ,ja 10 a
Hall Lighting:
Hall Windows: ' w {-
HEATING Chimne s:
Central ❑Y ❑N Equip.Repair
TYPE: ' Stacks, Flues,Vents: ((�
PLUMBING: Supply Line:
❑ MS,\ ❑ ST\ ❑ P Waste Line:
1 . H.W.Tanks Safety and Vents U ttLe I �wrv- 0. aqzo
ELECTRICAL Panels,Meters,Cir.:
❑ 110 0120 Fusing,Grnd.: " f 0- f?6,�_1
AMP: Gen.Cond. Distrib. Box: kyi
Gen. Basement Wiring: Ot
e
1 DWELLING UNIT
Ventil.: LcitncOutlets Walls Ceils. Wind. Doors Floors Locks
Kitchen A �%-l>' A Y_", e/ r
Bathroom _`` ' — ` f 75;:
Pant t,^9
Den
Livina Room
Bedroom 1
' Bedroom 2
3 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
PENALTIES OF PERJURY." Por
INSPECTOR S- +�.1 %1/!/�`�JGf TITLE
A.M.
DATE y/9 /to 6V TIME P.M.
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 these 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 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it 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) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common 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 system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(GI Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(R) Failure to comply with the security requirements of 105 CMR 41D.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(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 dafety.
(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 facilities 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 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 operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,• gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
W_ 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.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition 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.
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FORM3o Hoses&WARREN,INC.NOV.1979-1983 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY/TOWN
4 W
DEPARTMENT
wM s yea ..ADDRESSGS
f� / L TELEPHONE
Address S' V �r� i a`l(r Occupant i F- h 'A
Floor Apartment No: 2 No.of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No.Stories
Name and address of owner
Remarks Reg. Vlo.
YARD Out Bld s.: Fences:
Garbage and Rubbish ,, .
Containers:
Drainage d' _
Infestation Rats or other: ,i,,,,,4,rr; f / �"/-/I A
STRUCTURE EXT. Steps,Stairs, Porches: t �+
Dual Egress:and Obst'n.: U aAlflr j .1 ,r 77-
❑ B ❑ F ❑ M Doors,Windows:
Roof S'6�t��1 a_r�l_r�/ a r
Gutters, Drains: a,�
Walls: r
Foundation: �,o. h„ - C , r.AaChimney: k_Nlo ". j_7 C3 r r-14AL v <1
BASEMENT Gen.Sanitation: �,,;r rnp'ir ( ,ay r,A r h� ►u�.t FA o. / .tl
Dampness: ,r /' > I-I n
Stairs: v-a1 . /
Lighting: w - �r� r_�:?,
STRUCTURE INT. Hall,Stairway: (' , L v ,r,,,_/t -,to e-
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting: ,
Hall Windows: 6177 e;4f4 4
HEATING Chimneys:
Central ❑Y O'N Equip. Repair j ' mot, yyayv i,c,: ./ �t�/p
TYPE: Stacks,Flues,Vents: 1 1"f [/
PLUMBING:* Supply Line: {��> .� r R �� gays 41�7t
❑ MS, ❑ ST� ❑ P. Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels,Meters,Cir.: ,A, , �-
0110 01220 �'. Fusing,Grnd.: C.7r'; " . ' 7��
AMP: 1 Gen.Cond. Distrib. Box:
Gen. Basement Wiring: l
i DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen /1 /./ o �V, �
Bathroom "` � ► r -- -
Pantry 77r.-9 dl r, rti l
Den
Living Room
Bedroom 1
Bedroom 2
j 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
PENALTIES
I,O�F PERJURY." ,�-
INSPECTOR ( 1j,`'�'/> 'l.#'f'r rt-� � >C� '�'rTITLE Z/11'/�'
A.M.
DATE � �� TIME P.M.
r
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, E , I
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 these 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 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it 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) Shut-off and/or failure to restore electricity or gas. .
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common 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 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 an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 4110.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(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 dafety.
(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 facilities 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 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 operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,. gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
(r) 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.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition 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.
c—
X
Town of Barnstable
Health Department
} mom 367 Main Street, Hyannis, MA 02601
.spa
Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
April 18, 1996
Jack Breitkopf
c/o Atty. Benjamin E. Zehnder
P.O. Box 236
Orleans, MA 02653
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY
CODE II, MINIMUM STANDARDS OF FITNESS'FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51
The property owned by you located at 565 Ocean Street, Unit #6, Hyannis was inspected
on April 9, 1996 by Christina Kuchinski, R.S. Health Inspector for the Town of
Barnstable because of a complaint. The following violations of the Town of Barnstable
Rental Ordinance Article 51 and the Sanitary Code H were observed:
410.351: The bathroom sink faucet was leaking.
410.480: Broken lock observed at the bathroom window.
410.501: One cracked pane of glass observed at the bathroom window.
410.500: Bathroom wall near the tub was water damaged.
410.500: The threshhold for bathroom door was cracked.
410.500: The carpeting in living room was worn and not secured to the floor in
several areas.
410.500: The bathroom ceiling paint was peeling.
410.500: Holes observed in the walls throughout the dwelling unit.
410.501: One broken pane of glass at the front window of the living room.
410.480(C): The main entrance door self-closing device not closing door completely.
410.500: Threshhold for main entrance door was loose.
You are directed to correct the above listed violations within thirty (30) 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, this violation
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.
You are also subject to non criminal citations of$40.00 for the first violation and $15.00
for each additional violation. Tickets will be issued daily until the violations are corrected.
PER ORDER OF E BOARD OF HEALTH
omas A. McKean
Director of Public Health
cc: Atty. Mark Itzkowitz
Newman&Beeler
i
44-17
z�lid
Mr./Mrs. 4P. 0Ok 03 6
D�. Vim' " '�/ � • / V� �� y.yar2tetld 7
.rTa Yl r
;c
NOT
ICE TO ABATE VIOLATIONS OF 105-CMR 410 00 STATE E SANIURY
CODE 11 MININIUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND 'HIE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51
The property owned by yo
u located at 5ta-' 6faa" J31/ 0& �WAs�ed On
by 10S health Agent for the Town of Barnstable because of a
coml)laint. t*lie following violations of the Town of Barnstable Rental Ordinance
Article Sl and the Sanitary Cole II were observed: {
Ito.ITo t
L,/10, goo 1`�q►.rcom, t
T► /,Id ��, doa- w
,r,00rr+ t�P wov-�'►
y
k �
y_go�cJ may P�fvice / c�t'or� o)ecree
1� a
.i
ar d ected orrect th iol tion of ithin 24 �rsf receipt thi
no is y
Yon are 10rdireded to correct the remaining above listed violations within �' 7
QJ,4rdnys of receipt of this notice.
You may request a hearing if written petition requesting same is received by the Board of
I lealth within seven (7) days a(ler 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 tine of hot more
than $500. Each separate day's failure to comply with an order shall constitute a separate
violation.
You are also subject to non criminal citations of$40.00 for the first violation and $15.00
for each additional violation. 'Pickets will be issued daily until the violations are corrected.
Enclosed are citation numbers due to violations
observed on
s
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
Town of Barnstable
r �
_ j'
FORM30 HOBBSB WARREN,INC.NOV.1979-1983 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY/TOWN
o DEPARTMENT
'~t ADDRESS /�/ . P'
�M yve V / ! L./ J
G G
TELEPHONE
Address .f�-f U�'P �t Occupant /UDfS/A`;- -S` hue-ZJ'
Floor Apartment No: No.of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units _ No.Stories
Name and address of owner
yi Remarks Reg. Vlo.
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 e o
Gutters, Drains:
Walls: 6 rx
` Foundation:
j Chimney: i
BASEMENT Gen.Sanitation:
Dampness: V\_V�
Stairs:
Lighting X r
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling: r /.
Hall Lighting: p
Hall Windows: C� to S ct�PEt/
HEATING Chimneys: J ��
Central ❑Y ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line: LiOL
❑ MS ❑ ST ❑P Waste Line:
H.W.Tanks Safe and Vents ` Uw 7-7
ELECTRICAL Panels,Meters,Cir.: / 1 '
❑ 110 ❑220 Fusing,Grnd.: v
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring: OD✓ / w,t P-ke", ,
DWELLING UNIT _ rs
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
PENALTIES OF PERJURY."
INSPECTOR AAAIO -'�-t �� ��� i� —,TITLE
A.M.
DATE TIME P.M.
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 these items which are deemed to always have the potential to
endanger or materially impair the health or safety, and well-being of the
opcupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it 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 OIR 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) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common 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 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 an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 4110.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602
which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(B) 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 dafety.
W 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 facilities 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 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 operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,, gae-fitting, or electrical wiring standards
that do not create an immediate hazard.
(r)_ 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.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition 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.
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FORm 3o Hosss&WARREN,INC.NOV.1979.1983 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ce
CITY//TTO�W.N
o DEPARTMENT
ADDRESS
TELEPHONE
Address Oc pant j �-fSA S4P.cJc-iiLJ
Floor Apartment No.., /m No.of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No.Stories
Name and address of owner
Remarks Reg. Vlo.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage '
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual E ress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows: f` �:a ��..�- ;, �'r !C Qt, .0
/Roof
Gutters,Drains: �nw4r+�. ��^
Walls: N -
` Foundation: `04
Chimney:
BASEMENT Gen:Sanitation: LA_ -tc- (,
Dampness: CJ
I/Va_ A-#--
Stairs: ,
Lighting: ^-L”
STRUCTURE INT. Hall,Stairway:
Obst'n.:
` Hall, Floor,Wall,Ceiling: f'. �,r,�V/ 11 /1 o
Hall Lighting:,
Hall Windows:
HEATING Chimneys:
Central ❑Y ❑ N E ui . Repair � tr,f �rx� • , /� �� ,,�
TYPE: --7 Stacks,Flues,Vents:
PLUMBING:- Supply Line:
❑ MS ❑ ST ❑ P -Waste Line:
H.W.Tanks Safety and Vents t 7-OW' W c LAd.0 w ` /C yf �- t;� ►E .
ELECTRICAL Panels,Meters,Cir.: / _ I _ , , ,
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond.`Distrib. Box:
Gen. Basement Wiring.
DWELLING UNIT �', ,r.v
Ventil.. L to . Outlets Walls Ceils. Wind. Q60*rs'l Floors Locks-1`
Kitchen
Bathroom
Pantry
Den
Living Room -
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. .$up.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 .9611dina 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 OFPERJURY." �' f
INSPECTOR 141
A.M.
DATE / `` TIME P.M.
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 these 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 410.000 through 410.499
state minimum requirements of fitness for human habitation, any violation has
the potential to fall within this category in any given situation but may not
do so in every case and therefore cannot be included in this listing. Failure
to include shall in no way be construed as.a determination that other
violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833
nor shall it 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) Shut-off and/or failure to restore electricity or gas.
(D) Failure to supply the electrical facilities required by 105 CMR 410.250(B),
410.251(A), 410.253(A), 410.253(B) and the lighting in common 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 system in operable
condition as required by 105 CMR 410.150(A)(1) and 410.300.
(GI Failure to provide adequate exits, or the obstruction of any exit,
passageway or common area caused by an object, including garbage or trash,
which prevents egress in case of an emergency 105 CMR 410.450 and 410.451.
(H) Failure to comply with the security requirements of 105 CMR 4110.480(D).
(I) Failure to comply with any provisions of 105 CMR 410.600 through 410.6.02
which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in
violation of the Massachusetts Department of Public Health Regualtions for
Lead Poisoning Prevention and Control 105 CMR 460.000.
(R) Roof, foundation, or other structural defects that may pose the
occupant or anyone else to fire, burns, shock, accident or'oiher dangers or
impairment to health or dafety.
(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 facilities 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 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 operable.
(2) failure to provide a washbasin and a shower or bathtub as required
in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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,• gas-fitting, or electrical wiring standards
that do not create an immediate hazard.
(a), 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.
(N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A)
through (M) shall be deemed to be a condition 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.