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HomeMy WebLinkAbout0071 PINE AVENUE - Health 71 Pine �� I S-T , LL `( - ((0 DS ►-' S ��C-T I " FORM30 C&W HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT a 2 a o "�+�sT �-1� Aw��s� MA C�2�o1 �M ADDR S TELEPHONE Address71A V i SZ Occupant \t-A f %171 Floor I Apartment No. No. of Occupants��� No. of Habitable Rooms y No.Sleeping Rooms 2- No.dwelling or rooming units No.Stories 2- Name and address of owner---e t- �O 1.FAJ--t C 9 e- L�- QZt2_\-i^F-0 8 052 o , A ZL� 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'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: 'Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom(1). 0 Bedroom 2 e! Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Safeties: Kitchen Facilities Sink 2 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 IS O - 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 F PERJURY.' q7- INSPECTOR TITLE L't i-t +-► 2_c_'COR DATE Z f% es- TIME C.. �! P.M'� p ' A.M. THE NEXT SCHEDULED REINSPECTION N P.M. 1 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those y.. 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. 4 (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. 11 (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.) f (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 Town of Barnstable Regulatory Services BARN SrABLE. . Thomas F. Geiler,Director 9� 6S �0� A,f1639. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 16, 2008 Attn: Hyannis Fire Health Inspector Jaime A. Cabot conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 71 Pine St.,Assessors Map and parcel (308-217) - Smoke.detector not working in second floor J ' e A. Cabot, Health Inspector Q:\Order IetterMousing violationARental ordinanceUire ViolationsTIRE TEMPLATE.doc L _ e �U 0 FORM30 C&W HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH AQ� SZa6t_f- CITY/TOWN w 1-Y%L A`Z H b DEPARTMENT AD ESS --r D 2 ^ qq 1M SV Oy`�W ELEPHO E Address P1 lV� S1• �1,1 N1:5- Occupa � Floor Apartment No.—��—No.of Occupants�� No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units 3& No.Stories Name and address of owner L.i CC I i-_4 G. 4 '?-0 . f-0 S�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: Roof Gutters, Drains.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: / Dampness: Y600-✓I PN A-1f M -1 V Stairs: A-1 1..4u-1 Li htin : STRUCTURE INT. Hall,Stairway: Z / Obst'n.: N -m"7 A / Hall, Floor,Wall,Ceiling: 9!J)A*o (,%._G 2te-OV VVV Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y7 Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST Waste Line: H.W.Tanks Safety and Vents v ISO A I � 9 ELECTRICAL Panels, Meters,Cir. L_ 112-1 P- ❑ 110 ❑ 220 / Fusing,Grnd.: AMP: v Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Q Bedroom 3 Bedroom 4 Hot Water Facil. Su .Ten.,Gas,Oil, Elect.: tac s, Flues,Vents,Safeties: Kitchen Facilities Sink ooNIJ L-/E i7ClT S e & Aj K Bathing,Toilet Faci . Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted =0 O 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 ERJURY." INSPECTOR TITLE kAE 7 .v C /L A.M. DATE ZO 0 5 TIME 2 • S' P.M. A.M. THE NEXT SCHEDULED REINSPECTION -7 )3,4 P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure.to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (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. GP.�►,T.ra� fir.�° ' ` E � � I � I V � \ � '. v Invoice CAPE COD INSULATION, INC. Number 1702,V- 455 YARMOUTH ROAD -> HYANNIS,MASSACHUSETTS 02601 775-1214 DATE I l 7115 CUSTOMER'S ORDER NO. SHIP TO Sold To C �� 7 f?86aJQV-d t Pd- �()auCEls - P)AD D ; G�a, o;�Ss SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE.RETD. PAID OUT OUANTITY DESCRIPTION /PRICE AMOUNT 39001 go A FINANCE CHARGE OF 11/2% per month which is an ANNUAL PERCENTAGE RATE OF 18% will be charged on all accounts remaining unpaid after 30 days. RECEIVED BY r t 1 )ACCOUNT NO 9441 ( 37)A/R BALANCE O.UCi ( 4)NAME COHEN/ELI ( 69 )CREDIT LIMIT 0. ( 5) STREET 71 ABC PINE STREET ( 44)LAST SERVICE 1/ 3/95 ( 6) C I I Y-ZIP HYA,NNIS 1, MA 02601 ( 7 ) 4,PHONE 617396--4645 { 21 )RrMARK 1 HSE IN REAR OF ( 22)71 PINE ( 491DRING BACK SLIP t 58)ADDL-INFO } ( 2)8ILLING TYPE ABT ( ' 50)DISCOUNT 0, 1000 ( 55)OFF. PRICE ' 0.0400 ( 17 )HOT WATER YES C 16)K--fiACTOR 3.OS ( 19)USABLE DD 1000 t 15)TANK SIZE 275 18)RESERVE 125 ( 14)GRADE OIL 2 r( S)OWNER ' ( 9 ) STREET 84, ROOSEVELT RD ( 10) CITY-ZIP MEDFOOD MA 02155 ( 11 ) PHONE 617438-8151W t 27)ROUTE NO 601 ( .;74)MAP PAGE 50A2 ( 30 )TICKET OUT 3/29/96 ( 4�)LAST DELIVER 3/23/96 ( 26)DEG DAY DUE 3858 t 76) INVOICE 3/17/ !5 ( 20)SALESMAN NO ( 61 )DELIVERY 4/ 9/96 t 41 )DIVISION 1 r( 52)START BUDGET 0 ( 53)BUD PAYMENTS 0 ( 54 )BUb PAY DUE 0 t 12)EQUIP 1 ( 13)EQUIP 2 ( 63)SERVICE PLAN DON ( 57)SALES FAX DATE COMMENT 2/26/96 DON CALLED O/O/OIL - BULKHEAD IS OPEN CN 2/26/96 DON REPORTED THAT HEAT WAS STET ON 80 AND WINDOWS -2/26/96 WERE LEFT OPEN WW t 3/12/96 MR COHEN CALLED WANTING TO KNOW WHY WE DEL ON'� 3/12/96 FEB 26 AND WHY DON WAS OUT THERE - EXPLAINED ,THAT 3/12/96 WE WERE UNABLE TO GET SYSTEM GOING AND DON HAD 3/12/96 TO BE CALLED.,-- AND REPORTED WHAT DON HAD STATED 3/12/96 TO US ABOUT THE HEAT AND THE WINDOWS CN 3/16/96 FAX MR COHENi,A COPY OF THE DEL THE DAY DEL IS . 3/16/96 MADE - FAX NUMBER IS 617-438-4638 1� �k , � y 45" �1,4 171� A ti `I P��� /t/�, fYI�'`'y/�� d�l��'�.q✓ /� /�j�2av Q�2��'ePf /oG�� e7`- A4 9 / /;IJlell 9� lst/ds, ` j Ai if ` 621c^ .set ��/.�/e i� h ���� ✓ - /���"� k� 74 /ohs E? />,� . td' fir�✓ m7 C Ce , D>j dG X / TG y� cU/// S ) 72j--1y,(T) �ZC G�i 71ell/� G� � Ycl AI�iii1J Uri � A012���//, may r � }'av C/ate d�- 24 Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 Office 308-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health April 4, 1996 Eli Cohen 84 Roosevelt Road Medford, MA 02155 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 71 Pine Ave., Apt. A, Hyannis was inspected on March 29,1996 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: 410.480: Locks on apartment door leading to common basement were not functioning. Linoleum covering in kitchen/living room had several worn spots and was 410.504: g g P no longer considered nonabsorbent. 410.482: Smoke detector in bedroom was not functioning. 410.201: Ambient air temperature in child's bedroom was 62 degrees fahrenheit at 11:00 a.m. Thermostat in apartment was set at 70 degrees fahrenheit when inspector arrived for inspection. You are directed to correct the above listed violations within seven (7) 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 THE BOARD OF HEALTH as A. McKean Director of Public Health cc: Kim Ryan, tenant i 3 i lM , c ` "(-I ;7/ P 1 m &P4 C)" o /' Mr./Mrs. 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 ' ��a¢ �—�f2f��i r The property owned by you located at 7 Pc 1 PV/ i was inspected on '13ft by L'► K ; (ZSI 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: Lllo L.oe L-f bv� a-Pa++rev yG4. 5'oy Ll v)o(��,r, coves//�� GGl GAG ► I/v/A voo t V/o- Yka ok�'O d v► lae�vrx�� w Hv� �/!o a 0 I -f� I� C� 1 e)S' f i r Se-� ?v You are directed to correct the violation of within 24 hours.of receipt of this notice by You Are also directed to correct the remaining Above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of I ealth 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 (lay'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 r.. M:.,T...:�.•-. � '........ —....:.,y;•,�y.. ,...,«,w,..,.:.... �.w-i+(�`..T' ,-trYJ�.. - w.:...r R Yn�Ni *..::e�,..,%�.,.:. ,,,, y}f, _ „` :.:yp,s;.-.,,....;�_ FORM30 Hosssa WARREN,INC.NOV.1979.1M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN W 1 5 DEPARTMENT 3 6 c - wti , °y ADDRESS / TELEPHONE Address Occupant 01 Floor Apartment No: r No.of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and addoess of owner f 2-0 L S- ,- f4 /C.l� _. `7'�z �J tRemarks Reg. Vlo. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTUREEXT. Steps,Stairs, Porches: -ffiaP__.(��z�c.-t Dual Egress:and Obst'n.: j iv, ( ;F-c)m, ❑ B ❑ F ❑ M Doors,Windows: Roof L..1 / ,�/L-tom Gutters, Drains: Walls: Foundation: " 7 Chimney: 1 (/�©�n BASEMENT " Gen.Sanitation: j n f 1 Dampness: (O !gyp Stairs: (/��,}( _ Lighting: STRUCTURE INT. Hall,Stairway: V 41)=�_ j Obst'n. Hall, Floor,Wall,Ceiling: S VN) tc2.:?`at,- Hall Lighting: / ll -P-C)Ve�y 7CD Hall Windows: HEATING Chimneys: Central ❑Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry- Don Living Room r 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 HLOUcks ildin Posted 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 TVLE DATE �01! �(� TIME THE NEXT SCHEDULED REINSPECTION P.M. i r_ r 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. (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 41-0.480(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. (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. .(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. ' � 548 .:651 �68 Receipt for Certified Mail e No Insurance Coverage Provided URREO STARES Do not use for International Mail VOST�L SERVICE (See Reverse) W Sent to < W Street d o. t0 ate an ZI Code O p Postage !9 E Certified Fee O � LL Special Delivery Fee 1- R�'stdl'ctecl'�d"el5ety RetUemRe2�ip'itShbwirfgT / /O to Whom&Date Delivered Return Race o hom, Date,an doss dd& ee APR $ Fee Q Post rDa w'�L STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). tY 1 2. If you.do not want this receipt postmarked,stick the gummed stub to the right of the return rn address of the.article,date,detach and retain the receipt,and mail the article. 0) v L 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3611,and attach it to the front of the article by means of the gummed � ends ifi space;perNts.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. O 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. r7i V 5. Enter fees for he services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3611, rn a 6. Save this receipt and present it if you make inquiry. 105603.93-B-0216 d SENDER: 1`7 I ■Complete items 1 and/or 2 for additional services. ` f also wish to receive the rn •Complete items 3,4a,and 4b. H� following services(for an d ■Print your name and address on the reverse of this form so that can r, m�this card to you. extra fee): 4) j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •2 permit. ■.Write'Return Receipt Re uested'on the mail piece below the article number. d m P 4 P 2. El Delivery u) ■The Return Receipt will show to whom the article was delivered and the date C d+livered. Consult postmaster for fee. 3.Article Address e to: 4a.Article Number 4b.Service Type «' n �z ❑ Registered f4, IN Certified '1(h ❑ Express Mail � Insured S �' ❑ Retum Receipt for D G 7 7.Date of Delive"YAK, w � r oZ/ S - � `� a a°. M ecejved By: (P'nt ame) 8.Addressee's A y tf requested he and fee is paid) 'y .Signature: (Addressee or Agent) PS Form 3811;December1994. Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid uSPs Permit No.G-10 • Print your name, address, and ZIP Code in this box• Health Depadm d Town of Barnstable P.O.Box 534 Hyannis,Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 e