HomeMy WebLinkAbout0053 SCHOOL STREET - Health 53 ' STRUT
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UNITED STATE PO$T.L$Ef?V E {
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13 JUL 2— '49 PM
•Sender: Please print your name, address, and ZIP+ 1 is box •
Town of Barnstable
Health Division
200 Main Street
I Hyannis,MA 02601
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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY
em Complete f Restricted Del ery is des desired.
A ig tureA
■ Print our name and address on the.reverse �fi ❑Addressee
JJI
I so that we can return the card to you. eceived by(Printed Na e) C. o ery�I
I ■ Attach this card to the back of the mailpiece, n II
or on the front f space permits. ,l
sN- "
eli ry address different from item 1? ❑Yes
1. Article Addressed to: If YE nter delivery address below: ❑No
'I '.t Alan Granby t
Janice Hyland a.= fiype
PO Box 457
A Certtiified Mail ❑Epress Mail
Hyannis Port, MA ❑Registered Netum Receipt for Merchandise
�_.n?_647—_r y ,l ❑Insured Mail ❑C.O.D.
_. 4. Restricted Delivery?(Extra Fee) Q Ye9
2. Article Number --�-i I;
(Transfer from service lal`' i 17 0 0 5 [116 0i► 0 0 0 0 MJ 19 0 l i912 ff i Td '
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
Certified Mail#7005 1160 0000 0190 9120
r Town of Barnstable
0� Regulatory Services
I3ARNSTr1Hu.
MASS
Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, A 02601
Office: 508462-4644 _ Fax: 508-790-6304
Z
June 30, 2009
Alan Granby
Janice Hyland a 7 ��
PO Box 457 -7 26
Hyannis Port, MA
02647
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY
CODE II = MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 53 School Street, (front left) Hyannis was
inspected on June 29, 2009 by Timothy B. O'Connell, R.S., Health Inspector for the
Town of Barnstable. This inspection was conducted on the basis of the rental registration
in accordance with Chapter 170 of the Town of Barnstable Code. The following
violations of the State Sanitary Code were observed:
105 CUR 410.500- Owner's Responsibility to Maintain Structural Elements. During
inspection it was observed that ceiling in the kitchen had water staining which was damp
to the touch. This must be caused by leaking pipe or leaking roof.
You are directed to correct the violations Iisted above within 30 days
of your receipt of this notice by fixing roof or pipe which is causing ceiling kitchen to
have water staining:
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served. Non-compliance will
result in a fine of$100.00 per violation. Each day's failure'to comply with an order shall
constitute a sep ate violation.Should you have any questions regarding the above
violations, please c tact the Town Health Division and ask to speak with the inspector
who pe ormed the i spection..
JAL ILI AN RD OF HE BOARD OF HEALTH
s . McKean, R.S., CHO
Q:\Order letters\Housing violations\Rental ordinanceMdress.doc
i
�
FORM30 C&w HOBBs&WARREN
'M THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H
� CI=/TOWN
o rvo�
D RTMENT
ADDRESS
f TE�L�,�HONE
Address — Occupant 7urr
Floor Apartment o. No.of Occupants If
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No S ries
Name and address of owne
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garba e 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:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall, Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line.-
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
11110 ❑ 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.:
s, jItAs, ei4,reties:
Kitchen Facilities Si
ve
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 C ECKED 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)
11
"THIS INSPECTION RT S SIGNED AND CERTIFIED UNDER TrIE PAINS AND
PENALTIES. E
INSPECTOR TITLE
A
L9
DATE TIME P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
A_
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 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.
`
.i
Date �5�a2a2�o 7
voluntarily grant permission-to the°Town=- — -
(Occupants name)
of Barnstable Board of Health(Agent or Health Inspector) to inspect my dwelling unit
located at J�f 7ci4,;vj �i-Y Are r' i dL: f in accordance
(House#,[Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on s"/2a�� 7 I hereby authorize and name
(Date of inspection)
,rqn b�j_ to be my tenant representative for the
(Occupant representative) •
purpose of this inspection. (Q.n C K-Arl btj is an adult person
(Occupant rep sentative)
designated.and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms, bathrooms, closets, etc.,)allowing the use of photographs and
answering.questions This authorization is only valid for the inspection date'specified
above,and`must be renewed for any future inspection(s.)
OQCUDants Si ature \ Date
2�a-7.
Oc s Representative Sign e \ Date
Q:\Rental Ordinance\inspection permission 2.doc
�
I
FORM 30 C&W HOBBSS WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H A H
Ci crow
W
EPARTM
ADDRESS
M svaJ
TELEPHONE r
Address r _ Occupant L"""'
Floor Apartment No. No.of Occupants
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units_ No. ries
Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish (►j�v
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: r
Dampness:
Stairs: 4 °
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
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 ,
Bedroom 2
Bedroom 3
Bedroom 4
Hot Waterfacil. Sup.Ten.,Gas,Oil, Elect.:
Stgsk,s, Flue Ve ts, es:
Kitchen Facilities 6 i k
Move
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.(Se ver)
"THIS INSPECTION REPO SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES ERJI-
INSPECTOR � TITLE
DATE T7 0 TIME
A.M.
THE NEXT SCHEDULED REINSPECTION Al P.M.
yf '.y►
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 betfound 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.
i
(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 iri case of an emergency 105 CMR 410.450, 410.451 and 410.452.
J
(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
Date
I, GIG FO-S nq / , voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health (Agent or Health Inspector)to inspect my dwelling unit
located at �3 So�iaa�S�' � in accordance
(House#,[Apt\Unit 9 if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) onaa-off I hereby authorize and name
(Date of inspection)
C--).r CILn b to be my tenant representative for the
(Occupant repr ntative)
purpose of this inspection. ( r is an adult person
(Occupant re esentative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms,bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
'qpcupants gnature \ Date
c ants Re resentative Si tore \ Date
I
Q:\Rental Ordinance\inspection permission 2.doc
�
ttrnr�.avkv.,
UNITED STATRS..�RQW.L,@EMAO " -� tool
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• Sender: Please print your name, address, and ZIP+4 in this box •
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�ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTI I ON ON DELIVERY
IN Complete items 1,2,and 3.Also complete 5AMture
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you.. B, Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits!+�► t �p�
D. Is delivery address different from Rem 1? ❑Yes
'1. Article Addressed to: fir_ ` � If YES,enter delivery address below: ❑ No
\Jani(,e
3. S rvice Type
G I�'S �O ❑ ❑Certified Mail ❑Express Mail
o 1 r� Registered Return Receipt for Merchandise
U ❑Insured Mail ❑C.O.D.
o CO' 1 l 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 'r r" ! L ?r ? '-
(Transfer from service label) �} 0 6 r 2�1`5�''f 0 0 2 1 4'2 �
I
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
p
f7l r • r • . . .-.
ru
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E3 Postage $
r-q
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E3 Return Receipt Fee Pos nark
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( ndorsement Required) Aare
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Restricted Delivery Fee CO
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Ln
ru Total Postage&Fees 5.3 109-6a
Sent To
............ lA�_(wAnh � hic 1_an ..............
E3 Street,Apt.No", r
r� or PO Box No.
-----------------
City,State,ZIP+4 ---��--�---����----��---�'-�--
A VI
J 0 Y
Certified Mail Provides:
a A mailing receipt
a A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
0 For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
0 For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Defivery".
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If:a_postmark on;the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.,Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02.000-9047
Certified Mail#70062150000210421238
��s Tati Town of Barnstable kt�_,
Regulatory Services
BARNSrABLE.
y MASS. g Thomas F. Geiler,Director
i639.
plE°M"r° Public Health Division
Thomas McKean,Director / v
200 Main Street, Hyannis, MA 02601 r l —d d
Office: 508-862-4644 Fax: 508-790-6304
July, 14, 2008
Alan Granby
Janice Hyland
PO Box 457
Hyannis Port MA
02647
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 53 School Street,Hyannis was inspected
on 07/07/2008 by Tim O'Connell, Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.484—Building Identification
Needs apartment number on door
I
You are directed to correct the violations listed above within 30 days
of your receipt of this notice by placing apartment number on door.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Q:\Order letterMousing violations\Rental ordinance\Address.doc
f
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection..
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Health Inspector
Q:\Order letterMousing violations\Rental ordinance\Address.doc
f
FORM30 C&w HOBBS&WARREN TM THE COMMONWEALTH.OFMASSACHUSETTS
BOARD OF HE:4 TH
CITY TOWN �6
4 W
DEPARTMENT
ADDRESS
GSM SyOyW
ELEPHONE
Address Occupant
Floor Apartment No. No. of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No. dwelling or rooming units--No.St
Name and address of owner �1
Remarks Reg. Vio.
YARD Out Bld s.: Fences: t
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.: Z o
❑ 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 ❑ N E ui . 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
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
ks,Fjues,,V s,Safeties:
Kitchen Facilities 4SinV
ove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or TO:
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 T, PAINS AND
PENALTIES OF PERJ AM."
INSPECTOR TITLE
.M.
DATE TIME-
/1--Al
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 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 41:0:600, 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.
facilities in r n wi h
L Failure to install electrical, plumbing, andgas-burning acco da ce t accepted plumbing, ,
( ) p 9 9 9 9
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.
`' �� �• FgRM 30' HOBBS a WARREN'M THE COMMONWEALTH OF MASSACHUSETTS
C&W +
BOARD OF HEAUTH
CITY/TOWN `
W I/flyc
x. R DEPARTMENT
b �!
�c ADDRESS
GSM yey`0
4ELE�PHONE
AddressJ..7 Occupan
Floor Apartment No. No.of Occupants
No.of Habitable Rooms No.Sleeping Rooms
No. dwelling or rooming units No.Stof/
Name and address of owner
9! r yam_ Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: A
Ij Dual Egress:and Obst'n.: , �f Lf
❑ B ❑ F ❑ M Doors,Windows:
Roof !
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
i� Dampness:
Stairs: ;
Li htin :
STRUCTURE INT. . Hall,Stairway:
4 Hall, Floor,Wall,Ceiling: ,#
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents.-
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
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 U
Bedroom 2 �!
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
St'a-t s, ues,V s rats,Safeties:
Kitchen Facilities (Sin V H v
7tove
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'TH PAINS AND
PENALTIES OF PERJURY.'
INSPECTOR TITLE
A�M:
DATE Z— TIME P'
A.M.
THE NEXT SCHEDULEDREINSPECTION' " "' P.M.
saeb:
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 II, 105 CM 4 10.100 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.
�
i
FORM 30 C&W HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H TH
CITY TOWN
151
DEPARTMENT �.
f (N
ADDRESS
G,M SVBy`0w
I TELEPHONE
Address — Occupar
Floor Apartment N No.of Occup nts C�
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No.Sto e
Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: ences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows: ly
Roof V A III �—
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs: i
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Su ply 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
Bedroom 2 �.
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
ks, Flu Ve ,Saf s:
Kitchen Facilities in
e
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 VIOLLATIONS HECKED 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 INSPECTI ORT IS SIGNED AND CERTIFIED UNDER THE AINS AND
PENALTIES O RJ "
INSPECTOR TITLE
r
DATE 6 TIME
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 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 CMRj410.480(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.
Date /
I, lov
novo 4WW tsa,'CA CJk�-voluntarily ant p ermission:to the Town
1
(Occupants name)
of Barnstable Board of Health(Agent or Health Inspector) to inspect rry dwelling unit
located at D SU/ &d19 in accordance
{House#,[Apt\Unit#if applicable],stfeet,village).:
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on Ihereby`'authorize and name
(Date of inspection)
to be my tenant representative for the
(Occupant representative)
purpose of this inspection. is an adult person
(Occupant representative)
designated and duly authorized to act on my behalf and will be accompanying the Town
of Barnstable Board of Health for the inspection, granting access to any and all locations
(including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and
answering questions. This authorization is only valid for the inspection date specified
above, and must be renewed for any future inspection(s.)
\ 1
cupants S` atur \ ate
Occupants resentative Signature \ e
7 .
Q:\Rental OrdinanceMnspection permission 2.doc
PAP ] ea ate Syste3i - iSaneral Property Inquiry] Help [ ]
Parcel Id 326 125- - Account No: 240965 Parent :
Location: ST HYANNIS Neighborhood: HY04 Fire Dist : HY
Devel Lot : Lot Size : . 56 Acres
Current Own: SHOESTRING PROPERTIES LP State Class : 390
297 NORTH ST No. Bldgs : Area:
Year Added:
HYANNIS MA 2601
Deed Date : 110196 Reference : 10473204
J-,anuary 1st : SHOESTRING PROPERTIES LP Deed MMDD: 1196 Deed Ref : 10473204
1 Comments :
� ;'� Values : Land: 171200 Buildings : Extra Features :
Rcad System: 53 Index: 1511 (SOUTH STREET ) Frntg: 97
Index: 1434 (SCHOOL STREET ) Frntg: 222
Control Info: Last Auto Upd: 020997 Status : C Last TACS Update : 010397
Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0000
'ax Title : Account : Taken: Account Status : Hold Status :
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