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0042 SCHOOL STREET - Health
42-46 SCHOOL S s NI A=327-236 � EE R 1 ° ° o it r- Z `273 502 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse or to mbe � S Pos ice,Stat , IP Cbde Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Ln Return Receipt Showing to, Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ 24 M Postmark or Date l d I Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 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). I � I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a1 return address of the article,date,detach,and retain the receipt,and mail the article. cc LO 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the I gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article Q 1, RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C i addressee,endorse RESTRICTED DELIVERY on the front of the article. aD i 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`0L 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 Town of Barnstable Regulatory Services �oFt"E rO�ti Thomas F. Geiler, Director Public Health Division • BARNSTABLE, + 039 `0� Thomas McKean, Director ArED1A°�A 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 27, 2000 Warren Chandler Bosworth P.O. Box 685 Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE H, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN bF BARNSTABLE RENTAL ORDINANCE, ARTICLE 51 The property owned by you located at 42-46 School Street, Hyannis, was inspected on July 24, 2000 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 H, Minimum Standards of Fitness for Human Habitation were observed: 410.254: No light was provided at egresses to #42 and#44 Schol Street apartments. 410.351: Exposed wires were observed at the second floor entrance to #44 School Street. 410.351: The water shut-off valve and cold water control to the bathroom sink in#42 School Street was observed leaking/operable. 410.351: The sink in#44 School Street was observed backing up into tub/shower. 410.351: Insufficient cold water to second floor bathroom. Mixing valve necessary for anti- scalding. 410.452: Staircase to rear entrance to #44 School Street is lool'se and considered unsafe. 410.500: Exterior siding was removed with nails left exposed on entire east side of structure. 410.500: The chimney bricks were observed to be loose, cracked and without mortar. 410.560: The linoleum floor in the kitchen of#42 School Street was observed to be peeling up. bosworth/wp/gns You are directed to correct the violation of 410.254 within twenty-four (24) hours of receipt of this notice. You are also 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, 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 T E BOARD OF HEALTH Thomas A. McKean Director of Public Health bosworth/wp/g/ls •c s THE Tp� BARNSTABM Town of Barnstable MAss. �p i639. Board of Health TFD MA'S A 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Brian R.Grady,R.S. �eeo P. 0 . LSa )c (v 8 S JrICC , o 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 L( ,was inspected on 712-4( ,2000 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: /v o 1 g k t- j p rw i e&d C+ e q e j1-e S IT #q2 ol~.oC 4 �(� . �S� I ��CPo i-•e� G�i r�� �,�.,�. � �S�f✓e d tat � �-ecv��"�c�-e�,�-<�,-e,� � #�u y �Qn. •S iw �'—0• cf Z c. G [ S —e��. W G-� ()IiJe,—i u (�r S c �Je�.eC• �c iG. 4•� /' 'y/ P v f vi.•t U .S�„�3 Cv..�.�, t!v J E✓YvL12?ti'1, f t f JL i 4 to''3� 1 ..L�s���� (=.�(cQ i.�z,:4� � ,1�e�� `7 '7�('.�.:5�. ��rcC�� �/l�^'�''r""'CR- �TJ �'�� �Ci6.R,`p 1 �U�`�''� (�- ('C G d-4 L::ti.S r~�^✓tll�� You are directed to correct this violation of 410 ''�within twenty-four(24)hours of receipt of this notice. qSZ V,,-t 0/0.'z � (3 e� You are also directed to correct the remaining above listed violations within sue)days of receipt of this notice. y� ' �f�(7,SGI� �JC�,,;t,,,.S i� ��s�'-�-� f�tu) ✓,(�.�i„��P% c.�� K-[°I �� �`7`-� �xja'J�e� l to 5-0 0 13 r i Gtej —"_ 4 (ftjd e_j C_rCtL uP4 ow.(k c T�tL vi' �/`® � Soy (c l.a�li;,, tn,� 1. ✓ r 0 `tL Li� �7 `F,4 Z 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. Renting the above property with uncorrected violations is a violation of the State Sanitary Code and the Town of Barnstable Rental Ordinance,Article 51,section 6-2. PER ORDER OF THE BOARD OF HEALTH Thomas A.McKean Director of Public Health l J/Enclosure: Copy of Inspection Report ,r ZGi /7�oz r> lY-e d-� � 6 �� 7� 1 FORM30 CIW HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH vo 4 6 &_ CITY/T WN W a DEPARTMENT ADDRESS TELEPHONE Address 1-L I�C14_10 S` � J�4 tt- Occupant Floor Apartment No. �T No.of Occupants Tim No.of Habitable Rooms _No.Sleeping Rooms No.dwelling or rooming units No.Stories.' Z- Name and address of owner W�'"✓ r� _d ��r Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: _ STRUCTURE EXT. Steps,Stairs, Porches: _4/0 d" C vi-,_034" u Dual Egress.and Obst'n.: _ cs�s © � ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: V 4a' i V1 fri_& /S e. rid otn eAA+-)'e Pew o Foundation: Qk,'Q fir/ Chimney: . zdo C maQ tmc_ IA BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin va LyoIvy e//t� 52,E Hall Lighting: ( a 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.: c �:t tee) c ,fu9G .0 d� IGA 35 i ❑ 110 ❑ 220 Fusing,Grnd.: Ale fq 9/0 ? L j 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.: �. 13 Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove i t- Z Bathing,Toilet Facil. Vent., Plumb.,San it'n.: lw k Cot -d Ile faro 144 1114o 3,5,"/ Wash Basin, Shower or Tub:S 4. l ACO U i"�ft7 4 /0 351 Infestation Rats, Mice, Roaches or Other: 1", 61 Gv/A( 4-iA -5C&1 14_� 4//V 7351 Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICHG�" MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE y OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) v "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJ V INSPECTOta&1 �j��� TITLE � v �� �j A.M. DATE L TIME���l _ / 30 ! - re�./f( �,9l_cC "A.M. THE NEXT SCHEDULED REINSPECTION l � /✓�^^^ (1 P.M. 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 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. i (D) Failure to provide the electrical facilities required by 105 CMR 41 0.250(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. f UNITED STATES POSTAL SERVICE - First-Class Mail ��• c - Postage&Fees Paid LISPS {� Permit No. G-10 a G� J L' le� • Sender: Please print yourt namev, address, and ZIP+4 in this box • Division 7"')"OI&Wstable . , %X�3q Mas&-ouaft fill of oil 111119111 n 1141'111tlft]11111111111111111fill11111111 SENDER: comPLETE THIS SECTION COMPLI77ETHIS'SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. c;;�777e Cle rly) B. Date of Delivery item 4 if Restricted Delivery is desired. I)-DI ff'" ■ Print your name and address on the reverse so that we can return'the card to you. ig re ■ Attach this card to the back of the mailpiece, [I Agent or on the front if space permits. ❑Addressee 1. Article Addressed to: elivery ad ess different om 1? ❑Yes e If YES,ente delive dress below: ❑ No g16Z"AA� V 3. Service Type ❑ Certified Mail ❑ Express Mail dvn�, Registered ❑ Return Receipt for Merchandise o&ll ❑ Insured Mail ❑ C.O.D. �^ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number,(Copy from service label) :t PS Form 3811_,July 1999 4 l Domestic Return Receipt 102595-99-M-1789 FORM30 C&W HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN o DEPARTMENT ADDRESS 1 TELEPHONE Address__y__7__—A6 "wo 541__�_G-LA%41A occupant P05J Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units .3 No.Stories `? :S_ `E,5b Name and address of owner L a Aac) Q swo Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 410 ts v,de C2 Z� Dual Egress:and Obst'n.: - re&A IN a-0-u uj 410 %52- El B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: S e Foundation: Chimney: 1�c v- 1"K i&, iJ G,"(1-eJ BASEMENT Gen.Sanitation: v ✓w�`� . Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling-1 Hall Lighting: 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.: t;✓i o►,.. v-W 1,t @ #Ll e"J .... e e ❑ 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.: 'q,7Z-Cat( c,,w c 4A10! S'6�y�i Wash Basin,Shower or Tub:Co( vv Vjl .e 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 PERJUA ." INSPECTOR TITLE / DATE TIME 0 P.M. A.M. THE NEXT SCHEDULED REINSPECTION �'�' t�' 0 ci ✓� h+u'I ' P.M. e .� ,.. +� 'tit!, { `.<.er�n N 5 n F.. 4 ;S{- t: t .4. µ3'1� 1]r�1' S TI''�1�,h�.''�,t h:�` �<� Ty s! :':,i�;. .' '„��'-�`,5.4 ,p•-, "A" •r�`"',, i.� �.rs�4 . .%,. r:. �,",`'�,� t.t S,�T*AF s, �j 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. 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. (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(6)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. t a FORM30 i�w HOBBSSWARREN M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ &.Vto s c I,to CITY/TOWN DEPARTMENT, i c 93 36 7 A'c, ADDRESS e?G 2 — N d y TELEPHONE Address c 001 � a_ y�_!�_ Occupant R _. Floor--Apartment No,_ —____ No. of Occupants No. of Habitable Rooms _No.Sleeping s Rooms __ _ No. dwelling or rooming unit _— No.Stories._Z 5- ? - SN 310_C'R 0/u Name and address_of owner &.d(A,%- v Swo Remarks Reg. Vio. YARD Out Bld s.: Fences: -Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: W v Ii S� a�c.o e #.f'ZZ yJtU ZI Dual Egress:and Obst'n.: rec-A #q or.-t %AJsJt WO CL_ ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: SiSfy-' t� tWai 15 a A 'mot. ✓ta-k /O sw Foundation: it,' S Chimney: "igc1 Opt 1,6ck 6 ctc t Ge.d a.dL-%t- I 7 BASEMENT Gen.Sanitation: v 1A4 w¢o•-. Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Akj Up Hall Lighting: 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.: ct ❑ 110 ❑ 220 Fusing,Grnd.: ✓e,/� a C? 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. en.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:-PLI Z Co ( (,&4 (tW` ft-�b I w batu^ P hi�( YLQ 3S'/ Wash Basin,Shower or Tub:001d L,44,im 10 ra VA,, 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 _ �• TITLE ¢ r ✓ A.M. DATE s � TIME �0-' _ P.M. n� A.M. THE NEXT SCHEDULED REINSPECTION �/t S'c 'ti �Q.�` 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.