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HomeMy WebLinkAbout0057 SCHOOL STREET - Health 57 :.�vil ;3l.YCcL � Hyannis A= 327— 144—001 r' !o 0 e � ° c p 4 l 1 o o o 7 -UNITED STATES POSTAL SERVICE411.. ........ 1%17•.<��.:�; -7 gQiy'. :..S..T .Fa .';i ,�,f.•er-•-r+a..W_'•9ry , an Sender: Please print your name, address, and ZIP1407& is box' pC L N ot Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 I i I SENDER: COMPLETE'THIS SE� Tim COMPLETE,THIS SECTION ON,DELIVERY ■ Complete items 1,2,and 3.Also complete A Si u e NHS PORT item 4 if Restricted Delivery is desired. Q� p2 $A�jent2j I ■ Print your name and address on the reverse X r ❑Addressee,I so that.we can return the card.to you. B. Re c ' ed by rinted Name) C. Date of Dglivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address belo�inr ❑No . LISPS PO Box 611 3. Servi Type r MA 0264� ertified Mail® E3 Priority Mail Express- Hy annisport, p Registered 0 Return Receipt for Merchandise I f ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) p Yes 2. Article Number 3 " ; a t !I (rransfer from service iabeo 4 (j7,0 1'4 112 10 '0 0 01, f3 3 5 8 112 Q' � � ��j Vr PS Form 3811,July 2013 Domestic Return Receipt r" �=-Town of Barnstable U.S.POSTAGE»Pir�aEx eowEs . ^ ..i ; Public Health DivisionHARN�A LE. MASS. 0 ,'?00 Main$tceet • „ 't Toren+"�0 Hyann s;MA 02601 ' ,. R ZIP 02601 $ oob`.480 4 i 'M1 I 0001383424 MAY. 22. 2015 71114 1200 0001 0358' 1083 Jeff Lyon TO Box 611 fo 4 7 � Hyannisport., MA ,. 7205 I' •. l R.E T U'Rhl TO .SENDER e NO MAIL RECEPTACLE l �. . .4 UNABLE TO P OR WA"R D � l 0 :72;1.Cl x l��w�==�C� ;B'C. 0a{26,0 �#0W200, t *-02:69 106'2'0-ZZ-,42 sSEI • ON • ■ Complete items 1,2,and 3.Also complete A. Signature item 4-if Restricted Delivery is desired. O Agent ■ Print your name and address on the reverse X 0 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. D. Is delivery address different from item 1? 0 Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑ No I I I Jeff Lyon PO Box 611 3. Se ice Type W�Sfi 14%annlSport, MA 02672 O RegisteredaGICertified ll® 0 Return Re E3 Priority ceipt for sMerchandise 0 Insured Mail ❑Collect on Delivery y 4. Restricted Delivery?(Extra Fee) 0 Yes 2: Atticle.Number 7014 1200 0001 0358 / (transfer from service label) V I 11t It III / PS Form-38f!,July.2013 ":.. Domestic Return Receipt ^ s� r r• Certified Mail#7014 1200 0001 0358 1083 �� rati Town of Barnstable o� Regulatory Services BARNSrABI.E, v� MASS. ,�$ Richard Scali, Director µAAA Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ay 20, 2015 Jeff Lyon PO Box 611 West Hyannisport, MA 02672 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 57 School Street(Apt 1) Hyannis, MA was inspected on May 20, 2015 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received at The Town of Barnstable Health Division. The following violations of the State Sanitary Code were observed: 105 CMR 410.500 - Owner's Responsibility to Maintain Structural Elements. Observed large holes in the ceilings within the common hallway areas on both first and second floors. Cracking plaster within bedroom closet. 105 CMR 410.500 - Owner's Responsibility to Maintain Structural Elements. Exterior main entrance has rotten and displaced trim. All structural elements must be weather proof and rodent proof. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by correcting all above violations. 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. 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 Comf ORDER F THE BOARD OF HEALTH as A McKean, Director of Public Health ` Town of Barnstable Cc: Jonathan Smith QAOrder letters\Housing violations\Rental ordinance\5-20-1.5.doc F - Town of Barnstable Barn Regulatory Services Department ;edcaC j + BARNSCABLE, 639. Public Health Division i639. ,�� • 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO. CERTIFIED MAIL 7014 1200 0001 0358 1076 May 26, 2015 Jeff Lyon PO Box 611 West Hyannisport,MA 02672 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 519 (#14) Main Street, Hyannis, MA was inspected on May 26, 2015 by Timothy B. O'Connell, R.S., Health Inspector because of a complaint. The following violations of the State Sanitary Code were observed: 105CMR 410.550-Extermination of insects, rodents and Skunks- Observed large amount of dead and live cockroaches within the kitchen. You are directed to correct the violations listed above within ten (10) days of your receipt of this notice by hiring a Massachusetts Licensed Exterminator to exterminate cockroaches. hearing before the Board of Health if written petition requesting same You may request a e g p q g 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. 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 TH BOARD OF HEALTH omas A. McKean, R.S., HO Director of Public Health Town of Barnstable � , .� TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date r N 2-- Time: In Out Owner r Tenant _ Y Address 6 S Address S r J -77r 4�= CompIla a Remarks or Regulation# Yes YNO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply { troVe�. 5. Hot Water Facilities 'l.L?00;11�.. 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART 11 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here � .. TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date cJ P— 0 1 Time: In Q :2-6 Out �U Owner Tenant 1 Address 5 Address <Y l Compliance Remarks or Regulation# Yes XNO Recommendations 2. Kitchen Facilities V Approved: 3^3 I B - 3. Bathroom Facilities MLD Cert 4. Water Supply 5. Hot Water Facilities Fp 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing N 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of.Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) -Ti Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here � _ TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION �) Date �j ' I— Time: In /0 ' l Out Owner Tenant Address C 5 Address S '� Compliange Remarks or Regulation# Yes A0 Recommendations 2. Kitchen Facilities 3. Bathroom Facilities MLD Ceti. 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities r 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed i ov PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms ` Number of Vehicles Allowed ATax) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here f r Lb.Gb.dMb b-48HM BHHNS I HBLE BORRD OF HERLTH NO.790 P.1i1 voluntarily grant permission to the Town (Occup nts naWY of B rnstable Board of Health(Agent or Health laspector) to inspect my dwelling unit located in accordance (House##,(Apt\Unit#if applicable],stleet,village) with the Town of Barnstable Code (Chapters 59 and 170)and the State Sanitary Code (105 CMR 410.000) on 3i D? �:'I hereby authorize and name ffi—ato of inspection) E'�CN rLEY to be my tenant representative for the (Occupant representative purpose of this inspection. (�oL-D /Atq is axe adult person (Owup t 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 f aturo inspection(s.) 07 111(fic pants Sjgnature 1 ate 13 �-30 � Occupants Representative S gnature bate Q:`Rental OrdinneceNinspoction permission Moe TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date '3 i `7 t 01 Time: In 0" Out ��w Owner Tenant Address Address S-7 compliange Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities APPMVW ' 3. Bathroom Facilities - -- 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation «' 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed Ile PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition n Number of Bedrooms l Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here - rtb.Gb.edJb b;4UHM BHHNSIHbLE BURRD OF HERLTH NO.790 P.1i1 Date voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health(Agent or Health Inspector) to inspect my dwelling unit located at 5 7 c 4 0o r s-r AP T y t,1✓jww,s in accordance (House#,[AptlUnit#if applicable],street,village) with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 C1V]R 410.000) on 3 3/ 0_?l� �.'I hereby authorize and name ato of inspection) / to be my tenant representative for the (Occupant representative purpose of this inspection. n h IS CC- Y4 V, is an adult person (Occupant repres tative) 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.) Zr J 1 /Z1 oe Occupants 4gnatde 1 Date . 1 Occupants Representative Signature \ Date Q:`Rental OrdinamceVrtAy aion permission Moe TOWN OF BARNSTABLE BOARD OF HEALTH 2 ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION j Date J © � Time: in Out ( � ` Owner Tenant Address Address Compli ce Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities r 4. Water Supply MLD Cert,,,-.- =aC3 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed IWit PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms ` Number of Vehicles Allowed (max) '" Number of Persons Allowed (max) Person(s) Interviewed ^"' Inspector If Public Building such as Store or Hotel/Motel specify here arvard , R E A LTO R® Realty Assoc■ 17 High School Road Hyannis, Massachusetts 02601 Telephone (508) 771-1778 • Fax (508) 775-1803 November 8, 2007 TO: Meredith Morgan, Health Inspector FROM: Dennis M. Carey, HyannisPort, Massachusetts RE: Inspection Of Apartment #4, 57 School Street, Hyannis, Ma. Dear Ms. Morgan: As noted on the Inspection form all corrections have been made as per the request of the Board of Health. The mold issue has been corrected in the bathroom as our contractor has installed a new tub surround the the bath tub area. Also, the peeling paint issue has been corrected. The tenant is very happy with the corrections. Please feel. free to contact the tenant, Jim Tregonig at at 508-728-6602' for confirmation. S nc ely, Dennis M. Carey K01S1 10 3 2V1cN1, VG 4�a �dls s Certified Mail#7003 1680 0004 5458 5514 IKE r � Town of Barnstable P Regulatory Services BARNSTABLE, 9 NASS. Thomas F. Geiler,Director i63q. prE°""A�p Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 -` September 5, 2007 Dennis Carey P.O. Box 1 Hyannisport, 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 57 School Street Apt. 4 Hyannis, was inspected on September 5, 2007 by Meredith Morgan, 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 410.500— Owner's Responsibility to Maintain Structural Elements. Peeling paint in bedroom, bathroom & living room; mold-like growth due to chronic dampness on bathroom wall in tub. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by removing peeling paint and re-painting in bedroom, living room & bathroom; by removing mold-like growth and preventing source of chronic dampness. 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. Q:\Order letters\Housing violations\Rental ordinance\57 School Street Apt.4.doc 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. 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 E BOARD OF HEALTH C A. McKean, R.S., CHO Director of Public Health Town of Barnstable - - Cc: Meredith Morgan,Health Inspector - Q:\Order letters\Housing violations\Rental ordinance\57 School Street Apt.4.doc i I it FORM 30 CAW HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF E- IT H �\ CITY/T N W r, a DEPARTMENT ADDRESS �G,M SVey`0w TELEP ONE r Address a 7 L�Yt' P Occu an Floor Apartment No. No.of Occupants No. of Habitable Rooms_No.Sleeping Rooms No. dwelling or rooming units No.Stories Name and address of ow rwkrft Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish p 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: 7 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 Bedroom 2 Bedroom 3 + Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: S ks, Flues V. ts,Safeties: Kitchen Facilities - in ove 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 S ED AND CERTIFIED UNDE E PAINS AND PENALTIES 0 URY." INSPECTOR TITLE DATE_ TIME .15 .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 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 Ieadbased 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 FORM30 C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BO D� OF�HEALTH I Y/TOWN 4 W DEPARTMENT o �. c, A S TELEPHONE 01 Address9 56koe — Occupa r + •t Floor Apartme o. No.of Occu p,,ayts _ \6o No.of Habitable Rooms_ No.Sleeping Rooms �•J Cl No. dwelling or rooming un' - No. tories n Name and address of owner 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.: on Ij ❑ 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 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 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink - Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS IN PECTI EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENAL F RJ Y " INSPECTO TITLE-��AXX.Afl �_ Aar A.M DATE TIME � M A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of 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 416.830 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. ` FORM30 C&w HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAD, H CITY/TOWN w � I IMPARTMENT r„ ESS 4�.N SVO"`eW TELEPHONE Address Occupant Floor Apartment No. No.of Occupants No.of Habitable Rooms.— o.Sleeping Rooms _�__ No.dwelling or rooming units .Storie Name and address of owner 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: Lol STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair I 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 Water Facil. Sup.Ten.,Gas,Oil, Elect.: S ks, Fluff ,Ve afeties: Kitchen Facilities ink 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 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 9115PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OVER INSPECTOR TITLE— A.M. DATE TIME l ' 1 P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. . ` . 0750 Conditions Deemed — _Endanger � The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the heu8h,or safety and well-being of person or persons occupying the premises. This listing is composed of those � items which are deemed|o always have the potential\o endanger or materially impair mehealth oroa��. and wmU'beingofthe M oouupusorthepub|io. BeouuoaCha�or ||. 1O5C�R41[�10O through 410.82Oo��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 noway be construed aoa 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 orcorrection of such violation(s) pursuant to 105 CIVIR 410.830thmugh 410.833 nor shall failure tm include affect the legal obligation of the pomon10 whom the order i»issued Vu comply with such order. . - , ' - (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, 0» meet the ordinary needs nf the occupant in accordance with 105 CIVIR 410.180and 41O.18O for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CIVIR 410.201 or improper venting o/use ofaspace heater or water heater as prohibited by 105CIVIR41O.2O0(B) and 41O.202. (C) Shutoff and/or failure Vn restore electricity orgas. (D) Failure\o provide the electrical facilities required by105CMR41O250(B). 41O251(A). 41U.253 and the lighting in com- mon areamquiredby1O5CIVIR410.254. ^ (B Failure to provide a safe supply ofwoter. (F) Failure to provide a toilet and'maintain a sewage disposal system in operable condition as required by 105 CMR 41O.15O(A)(1)and 41O.300. ' (G) Failure Vo 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 ofan emergency 1O5CIVIR410.450. 41U.451 and 41O.452. ` - )' Failure to co p|ywi1h1h0000uri1y roquimpnents.of 105 `MR 410.480(D). (|) Failure Vz comply with any provisions of1O5CMR410.0O0. 41U.801m410.6O2 which results in any accumulation ofgar- 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 Vo accidents orVo the creation or spread ofdisease. (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, 105CMR460.000. (See M.G.Lo. 111 VD6D 19O through 1SSJ � (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else Vm fire, burns, shock, accident or � other dangers or impairment to health orsafety. (L) Failure to install e|ootrimd, p|umbing, heating and gas-burning facilities in accordance with accepted p|umbing, hoaUng, gas-fitting and o|ootriva|wiring�and�door failure Vzmaintyin such faoi|Uen as are required by 105 C�R 41O�351 and 41U�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 inthe ne|aaoo of asbestos dust orwhich may result inthe release of po*dor*d, crumbled or pulverized asbestos material in violation of 105 � CIVIR41O.353. � � (N) Failure to provide u smoke detector required by1O5CMR41O.482. � (0) Any oi the following conditions which remain uncorrected fora period of five o/more days following the notice toor � � knowledge of the owner of said condition o,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) Fai|une1opmvidoa�uohbauinandohmwerorbokh�ubaorequirodin1O5CMR41U150(A)(2) and41O15O(A)(3)orany � � � � 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 p|umbing, heating, gasfiffing. 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 1O5CIVIR41Ci503(A)and 410.503(B). � (5) Failure 1oeliminate mdonts, onokmauheo, insect infestations and other pests as required by 105 CIVIR 410.550. � (P) Any other violation of105CIVIR41O.0OO not enumerated in1U5CMR41OJ5OKV through (0)shall bo deemed toboa con- dition whiohmayondangormmaterial|yimpair1hohoaKhoroafetyandwel|'boingofannooupacAuponthofai|umofthamwnor � 10 remedy said condition within the time uoordered by the Board of Health. � � - .` I I HOBBSsWARREN'M THE COMMONWEALTH OF MASSACHUSETTS FORM30 C&W BOARD OF HEAL H CITY/TOWN 2. W DIEPARTIVIENT ADDRESS J °i,y SVey`e., TELEPHONE I'Address 7- Occupant_-'"b""`� Floor Apartmen o. No.of Occupants____ No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_ No.Stories Name and address of owner SRemarks 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: C. 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 11220 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.: ,Stkcks, I es,Ve feties: Kitchen Facilities Si 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 VIOLATIONS NECKED 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 ORT IS SIG ED AND CERTIFIED UNDE THE AINS AND PENALTIES OF PER R �j i v INSPECTOR TITLE A.M. DATE TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of 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. t (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. � ' - FORM 30 C&W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE A ,TH CITY/ OWN W I DEPARTMENT q � �c ADDRESS L6 �M 50y`0 TELEPHONE Address 7 Occupant_ ti Floor Apartment No. No.of Occupants __ _ No. of Habitable Rooms 9 No.Sleeping Rooms t No.dwelling or rooming units No.Stories Name and address of owner Re arks 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: 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 Water Facil. Sup.Ten.,Gas, Oil, Elect.: S s, Flues,Vents, feties: Kitchen Facilities S�k S 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 VIOLATIO S 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 RY." INSPECTOR TITLE n DATE — —oy 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 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. fl''1'+w°'s^"..'y"ni�!Yh`A.IY.�.•�r-r�3�fyY'..R s"-t^""�^.T�..^e��:,x+err++=+q.'t'r+r-v.si.,a^c"`^yo.4lT+snv"�"W` "�a�'T'1-a+#'d�'k�d�`fl'y;;xtZ't�'t�,�^i `'��C,r'+4�''Mi1Mqkip-,.1,..:#�`�....wx%e;�rw.a-c,�. I FORM 30 HOBBS 8 WARREN TM THE COMMONWEALTH OF MASSACHUSETTS ` ! Caw BOARD OF HEALTH i CITY/TOWN W � DEPARTMENT .. _ g ADDRESS �M 50y`o TELEPHONE Address �� — Occupant fl Floor Apartment No. No. of Occupants _ No.of Habitable Rooms No.Sleeping Rooms___._ No. dwelling or rooming units No.Stories Name and address of owner N� 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.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains.- Walls: Foundation: I\TV V •....� Chimney: ' BASEMENT Gen.Sanitation: "'jIL Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: 11 Hall, Floor;Wall,Ceiling f Hall Li htin Hall Windows: HEATING Chimneys: j 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 Water Facil. Sup.Ten.,Gas,Oil, Elect.: St Elks, Flues,Vents,Safeties: Kitchen Facilities Sink w SWe Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or.Tub: - -:F '"� Infestation F Rats., Mice, Roaches or Other: Egress Dual and Obst'n: General F Building Posted Locks on Doors- ONE OR MORE OF THE VIOLATIAS 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 PAR AY." INSPECTOR TITLE 9. : A: DATE — ` d TIME ` J ,.-., „ �` A.M. THE NEXT SCHEDULED REINSPECTION P.M. ' - - - - .at:��,`.�ro.::�`,+- ytb.= r•r-•w'•' r r"A-�.-i.!"Y7r..,,:w+ r r - '+.7• c�.a•�.,.a....d.-"" `^ '. _. r- . -' - .. ..L 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.