HomeMy WebLinkAbout0081 SEABOARD LANE - Health 81 SEABOARD LA , 3w
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MRVP #
Assessors office (1st Floor) ? 0 ZS
Assessors Map and Parcel #
Building Department (4th F1 r)
Zoning
INSPOCTION FEE
RE-INSPECTION FEE $15.00
Request For A Housing Inspection For Certification Under the
MA Rental Voucher Program
Your Name %)W14 AJAk, J�-
Affiliation (Circle One) Owner Real Estate Agent Tenant
f.
Your Address -5 S ty—�
Telephone Number (Day) �5U�-I?F 23JL(Night)
Address of Property Where Inspection is Requested
Unit/Apt.# 1 8�� _- �S H�{ �+5. Wf1SS 8cbn
Name of Owner -PAV=d /47.)frv1 _b N51'FLOC
Address 'jS7S' -Pik&" CAYl.ee V
Mailing Address (if different)
Telephone Number (Day) 6b )3 L1-y SLJ (Night) CE62)7-6 22 F
Will there be any children under the age of six (6) who will
be occupying the rental unit? (circle one) Yes N�o
Was the dwelling constructed prior to 1979? Yes No
------------------------------------------------------------
FOR OFFICE USE ONLY:
Certification
The dwelling, dwelling unit, or rooming unit located at
Z/ _Pca 60 A4d L�11C- , WYQ".;E, W,4 was inspected on
1;7!�2 3 , /Y f by G/� ,coo.rr rh9 0P7, Q , S, , Health
Inspector for the Town of Barnstable and was found to be in
compliance with the provisions contained within 105 CMR
410.00, State Sanitary Code II: Minimum Standards of Fitness
for Human Habitation. However, this certification does not
include a determination as to whether this unit contains any
lead paint because under 760 CMR 49.02 Massachusetts Rental
Voucher Program, a separate lead paint inspection must be
conducted. �'
Inspector's Signature (� 2,
Date -3 /
FORM30 Caw Hoses&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
P-/✓3-Ts916G 4 E-
CITY/TOWN
DEPARTMENT
ADDRESS C �U
GSM V l`l J Y / /
TELEPHONE p
Address �1 G`�d Lk'%_ /T HH%5 Occupant ` kQA-e5� �®ev-T
Floor Apartment No. No.of Occupants
No. of Habitable Rooms_ No.Sleeping Rooms Z
No.dwelling or rooming units__No.Stories 362, SG�j
Name and address of owner �aa:b cl �QCG�fac D� ��liy� 5�� �✓< 3a�'l�t.
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage 1/
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 : 9PvVJ 4.. 644&Cv1
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling: ( Q r�
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central Fo� ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents.-
PLUMBING: Supply Line: V'c
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels,Meters,Cir.: 3-e /"&I S
110 b(-220 Fusing,Grnd.: r-C OL 46( to y
AMP: (0j10 Gen.Cond. Distrib. Box: U
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. Su .Ten., as il, Elect.: d
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink O-(.. kl?1 _ --ovr -
Stove r
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: -
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other: 1;yk.4 Jpsr
Egress Dual and Obst'n:
General Building Posted ".o
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIE F PERJUR ."
INSPECTO TITLE
DATE tuv TIME 1 C
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.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage cisposal system in operable condition as required by 105 CMR
410.150(A)(1)an
d 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 cr 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 requireo 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 anc 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.
`"+r,,,....,.?�..n-.•Y y'�' .99 �...i^...c w.. t.-c..,',{l.-�.,,.-.:r` 1Y"'' r ^'h^,�.4 s
r � t
FoRM 304 HOB BS&WARREN TM THE COMM0NWEA.LTH OF MASSACHUS,ETTS
. ► BOARD OF HEALTH
41
CITY/TOWN
W �
DEPARTMENT
SVC
10,
41 )
T TELEPHONE
Address 'E"ro`�ODt ( �H /�yeta"r��� Occupant—f ✓�jC�' �}OQr �Fiv:
Floor_:__Apartment No. w No of Occupants
No. of Habitable Rooms_.__N,o Sleeping Rooms
No dwelling;or rooming units No:Stories
Name.andaddressofowne. w A,
Remarks, Reg. Vio.
YARD Out Bld s.: Fences;
Garba e and Rubbish
Containers: . +014- • i
Oraina e
Infestation'Rats or other: "
STRUCTURE EXT. Steps,Stairs, Porches: + ,
Dual Egress:and Obst n..': ::
El B ElF ElM Doors,Windows; ;
Roof.
Gutters Drains:a s
Walls:
Foundation.:,
Chimney:
BASEMENT" Gen.Sanitation V t�tr -rp�,,�;;� dz2 wc .ls filiw c�
Dam ness` . '¢ t�iw� ✓trts .*
Stairs: p
Lighting: lM t7 fiL t�'t%.6✓1 O GC. ,
STRUCTURE INT. Hall;Sfairwa
.Obst'n.
Hall; Floor,Wall,Ceiling: Lu:'s?(�[ , A Cs.Y
Hall Lighting:'
Hall Windows:
HEATING Chimneys,
Central -.90Y ❑ N E ui . Repair
TYPE: Stacks,'Flu'es,Vents:
PLUMBING: S'u I Line: '1GY.,v� �` , vL
❑ MS. ❑ ST ..[ P Waste .Line:.,. - -
N.W.Tanks Safety and Vent(s)
ELECTRICAL Panels;Meters Cir:` sy}
'9110 fOC220L Fusin ,;Grnd _ r C IAA) -tCC
AMP: hrd Gen.Cond. Distrib'. Box i .: &rlMS`
Gen. Basement Wirin ::
DWELLING UNIT
Ve.ntil. Lqtn'q. Outlets Walls Cells. Wind:. DoorsFloors Locks
Kitchen
Bathroom"
antij-
Den .n
Living Room'
Bedroom 1.), C►%O^Irl .
Bedroom 2 �v--, St
Bedroom 3'
-
Bedroom 4.
Hot Water Facil. Su .Ten.,Gas Oil,.Elect.:"
'Siacks, Flues,Vents,Safeties:
Kitchen Facilities Sink. Ov.Wl otii " .r r _5 rK Gt
Stove v o :@ :bw�►':. hPit.:. '
i
Bathing,ToiletFacil. Vent.,Plumb.,Sanit'n.: w+"
.Wash Basin,Shower or Tub
Infestation Rats,-M:ice;Roaches or Otl er:"" tcvr. 7J450ie Zt„u5
Egress.. Dual and.Obst'h: .
General.: Buildin 'Posted 4e•Y/t y S' Z11 C>♦v .4 lr
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.
I 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
PENALTIE PERJU
INSPECTOR TITLE
A.M.
DATE
A.M.
THE NEXT SCHEDULED REINSPECTI.ON' P.M.
r�
tv
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 ll, 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).
with an provisions of 105 CMR 410.600 410.601 or 410.602 which results in an accumulation of gar-
bage,Failure to comply y p y g
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 ��w HOBBS&WARRENrm THE COMMONWEALTH OFMASSACHUSETTS jrws�
BOARD_OF HEALTH -la
CITY/TOWN
o DEPARTMENT
ADDRESS 6 Z r C16 q- `,
L/ TELEPHONE
Address Cc" Zli /Ta kv4,S Occupant_:7 "�S�deWit'14-t.
Floor_�_Apartment No. No. of Occupants
No.of Habitable Rooms------.-.,-- No.Sleeping Rooms _z_
No. dwelling or rooming units— No,Stories
Name and address of Owner (�u.�.i cl �IQ(a�cc D" 3.SS �lri� 5 � (,mot �3a,k, 5�S 36-2 SIC
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers: ;
Drainage 1/
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches: ✓-
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls: L__
Foundation:
Chimney:
BASEMENT Gen.Sanitation: — S 4
Dampness: ,c•� irv- u>M
Stairs: el V,
Li htin : f S' :) �. 640,tr c✓t— p
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall, Ceiling: 0 6C4 C CA,
r(sI1 - a
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central � ❑ N Equip. Re air
TYPE: A4A, Stacks, Flues,Vents:
PLUMBING: Su ply Line: (lL
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.: ic/0,-r 4-1 3
x110 f(220 Fusing,Grnd.: re Pa -ea
AMP: (0-1t) 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 C�
Bedroom 2 S
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten., as il, Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink 0-1,- ka"_
Stove _ c.j
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
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: S ,t;
Dampness:
Stairs:
Li htin : f 9[vZo 4. c a k oq— p
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling: FL 0 (,Ct a
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central 2 ❑ N Equip. Repair
TYPE: ea Stacks, Flues,Vents:
PLUMBING: Supply Line: (/L
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.: y1 JC I�r 6y
110 1 220 Fusin ,Grnd.: r<PeL
AMP: (CT-CD Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom ti/ ✓
Pant
Den
Living Room
Bedroom 1
Bedroom 2 S
Bedroom 3
Bedroom 4
Hot Water Facil. Sup. en., as il, Elect.:
rjE
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink fir kak_ -rvr` � 2
Stove c,aa.•
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin, Shower or Tub:
Infestation Rats, Mice, Roaches or Other: 7t4 r-,j NS e c ` Zwt�S
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIE F PERJURY." _
INSPECTO TITLE
DATE u /� � TIME__ Z 1 C
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.