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HomeMy WebLinkAbout0076 SOUTH STREET - Health 76 South Street s Hyannis l r w s 5 r. A= 327138 r 0 � I �, TOWN OF BARNSTABLE BOARD OF HEALTH {" ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date ((� I Time: In Out 'J%� Owner /- Tenant T��, Address Address Compliance Remarks or Regulation# Yes 1160 Recommendations 2. Kitchen Facilities _� 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 C: 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. Disposal Sewage Dis P 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition ON Number of Bedrooms Number of Vehi/clesAllowe ax) Number of Persons Allowed (max) 3 — / Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here .1 � FORM 30 C&w HOBBSS WARRENrm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 CITY/TOW _ a DEPARTM T p 'p ADDRESS _ .�(14 GSM �7 [�"l"t pTELEp HONE .¢.� Address Occupant f G�nJc. eYV�u�. Floor Apartment No. No.of Occupants 1 No.of Habitable Rooms ;I— No.Sleeping Rooms _ — No.dwelling or rooming units _ No.Stories_ p Name and address of owner w+�'�� "�g A PXG31- Remarks Reg. Vio. YARD Out Bld .: 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: Sup ly 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.: 160 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: C�L�"lJ 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 REPORTA SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." 3 �y7 INSPECTOR TITLE A.M. DATE —6 TIME , �' P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. -a �.. w + .f,P.4 n.:�i..., ..u,c.tt.}:x•,T..:Yr :;ro:A. .:3"'" Iry ..,�,^ :r.;r� h. � H;Yri ;.•apr°',r.N.. t 410.750: Conditions Deemed to Endanger or lmpai�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. 1 (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)r.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 lead based 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. (IN) 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 f required b 105 CMR 410.503 A and 410.503(B). q Y O (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. • - t r , � +. ter. ._.— 1 ^t FORM(30! &w HOBBS&WARRENTn THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CIT /TO W o DEPARTME T 2 �►^�- ' - A o col ADDRESS TELEPHONE Address -7 Occupant Floor Apartment No. No.of Occupants___ No. of Habitable Rooms >- No.Sleeping Rooms t No.dwelling or rooming units I No.Stories Name and address of owner -I e MM Remarks Reg. Vio. YARD Out Blda .: 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: F Li htin : _ STRUCTURE INT. Hall,Stairway: , ', _ 61✓ Obst'n.: , 41 _eo Hall, Floor,Wall,Ceiling: / A K.0_Q T - , Hall Lighting: Ui Hall Windows.- HEATING Chimneys: Central----✓]-Y_—❑_N -—Equip.-Re air-TYPE: -._ --4'Stacks, Flues,-Vents: ` PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: El110 ❑ 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 .f Bedroom 4 Hot Water Facil. t'F Sup.Ten.,Gas, Oil, Elect.: p(g 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: 1)TM /11 General Building Posted F^�� 1�. 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 S SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." INSPECTOR TITLE—Lit, - r A.M. DATE1�l '"' a 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, shali 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 i 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. L TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. Z PARCEL NO. ADDRESS,OF TANK: 77 b s®v7-til S /? C f' VILLAGE• RXAIV,v1 f Number Otr��t � - ,MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: A'"O 2 t;A M oAA PHONE: { r •� � INSTALLATION DATE: I'?2,0 BY: T A/ C • ' NO. ^�STALLER ADDRESS: CERT. r3 *TANK LOCATION: At, �N 11rt. ES% ��i7 6 (OKWORZWK TANK LOCATION WITH MKORGCT TO WUILDINm)t CAPACITY 5700 TYPE OF TANK ;1 1—r, b AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS [ J FAIL DATE LEAK DETECTION [Pa] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [>-:53 NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES C ] NO DATE CONSERVATION [ J CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ �! t f 5 ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD FORM30 CIW HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT ` ADDRESS c s q /V /y` y GSM SyO� TELEPHONE Address 6 ��v°� S --.Occupant- a- 1'ef f e %f Floor Apartment No. No. of Occupants No.of Habitable Rooms_ No.Sleeping Rooms No.dwelling or rooming units 7- No.Stories Name and address of owner_ __(�& 44oc&L o ::�I S _ Cc s-r a1 !S Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish no s1,( 6-4 R ut-I¢ Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Ok Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: S' o-L, a"Of a, Roof ✓ Gutters, Drains: L.,- Walls: 4,e._,:._ Si Foundation: Chimney: BASEMENT Gen.Sanitation: c.,i!> lticd -(Ce Dampness: A-o Stairs: a k Li htin : <4/ to 1 z .S i- STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: cl HEATING Chimneys: Q c Central ❑ Y ❑ N E ui . Repair 7 -t yS f4/9 fQed l TYPE: /-I( Stacks, Flues,Vents: L' �aSZ �t4e� PLUMBING: Supply Line: Lv — ❑ MS ❑ ST ❑ P Waste Line: O H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: P 0 ® G JIB` 110 K2220 Fusing,Grnd.: !t kelf AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks— Kitchen Bathroom SCt Pantry Den T 1a ze-d Living Room Sta �c Bedroom(1).. Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, lect. 770" Stacks, Flues,Vents, a eties: Kitchen Facilities Sink -L x t k r- Stove e v tc .s' ® � e 1 ec Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: ✓ Infestation Rats, Mice, Roaches or Other: .ifiov­c. O&S o:v4d Egress Dual and Obst'n: General Building Posted it/ Locks on Doors: -e5 c ize-S ; 6-1. ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE ..j j a '^ OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) �) Aw "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PERJURY." PINSPECTORfit d i TITLE DATE TIME ` ' � P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. `e' _ 44 410.750: 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 noway 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. l (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. THE COMMONWEALTH OF MAS.SACHUSETT.S FORM 30 CAW\ HOBBS&WARREN'" BOARD OF HEALTH. CITY/TOWN "- DEPARTMENT ' -ADDRESS `f 6 7 7 iG 'M TELEPHONE Address"�!b �Q�`�'� S'� ' _�O.ecupant—C Q r rPl C' d l w, Floor Apartment No. No.of Occupants No.of Habitable Rooms— No.Sleeping Rooms No.dwelling or rooming units G No..Stories - - Name and address of owner_ k } Remarks Reg. Vio. YARD t, _ Out Bld s.: Fences:" Garbage and Rubbish (t f 4&C-A, Containers: Drainage Infestation Rats or other: ' STRUCTURE EXT. Steps,Stairs, Porches: .Ge DualEgress:and.Obst'n.: ❑ B . ❑ F 0 M Doors,Windows: S w+S o k a f/ ojA lam, O�dtrY Roof. ✓ ' Gutters, Drains:V Walls: Sc I: Foundation: Chimney: BASEMENT. Gen.Sanitation; . e_�-f "i f/:t v.4 40-,e .c:(ce(J Dampness:. /r.- p Stairs: . o +tic STRUCTURE INT. Hall,Stairway:* 0bst'n.: Half, Floor,-Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimne s::0 f' e{-r.r•P.d Central r❑ Y ❑ N Equip. Repair " 'L-1 N'S. +4� � � //-'/5 fttd f++�k T,&S TYPE: Stacks, Flues,Vents: CITA rff't PLUMBING: Supply Line` ,170u,L, Gvo.. "^ ❑ MS .❑ ST. q P Waste Line: ' _01 lt,�a H.W.Tanks"Safety and'Vent s ELECTRICAL Panels, Meters,Cir:: . ry ,y(! 0 4 ca r k,01 C re I .-pot vs., 79 110 220 Fusing,Grnd.: L�%.ar ' ft , y✓�C �Q`kt��'" " AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring:'. yt -DWELLING UNIT `! Ventil.` L to . Outlets Walls Ceils. Wind: Doors Floors. Locks Kitchen Bathroom SIG/ Pantry C ( I ` Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 - P Hot Water Facil. Su .Ten.,Gas,:Oil, Elec ..Stacks, Flues,Vents,Safeties:. l Kitchen Facilities Sink 'Z 907 J-il%#- Stove Gv o Y`"4 S o k . e t e.c: Bathing,Toilet Facil. Vent,, Flumb.,'Sanit`n.: Wash Basin,Shower or.Tub:✓' Infestation Rats, Mice, Roaches or Other: 4 , 0(is tr�tcl. F Egress Dual and Obst'n:; - General Building Posted Locks on Doors:: Ne 4 j PtA 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) Aj "THIS INSPECTION REPORT IS`SIGNED AND CERTIFIED UNDER.THE_PAINS AND PENALTIES F PERJUA 011 INSPECTOR TITLE l ,C : AIM. -DATE U" /. / 7 TIME ' y P.M. A.M. THE NEXT SCHEDULED REWSPECTION'�+�� M :f; 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 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. MRVP # Assessors Of (1st Floor) 7 q Assessors ap and Parcel # t, ,w / �.3p Buildin Depart t (4t loor Zoning INSPECTION FEE $ 0.00 RE-INSPECTION FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name P 4a 114oda. Affiliation (Circle One) wne Real Estate Agent Tenant Your Address 7b .So v e-f , tty& i s Telephone Number (Day) 7 -1 S--9 q/® (Night) Addres of Pro erty Where Inspection is Requested t. � Unit/ �.A SOL.,-r _C7-P-6FT Name of Owner 5�n �e_ Address 'Z S-4ree't' Mailing Address (if different) Telephone Number (Day)���-- T�(Night) Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) Yes ®° Was the dwelling constructed prior to 1979? ------------------------------------------------------------ FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at -76 A S o,4-h S'it;­e e-t- Maift&I S was inspected on 6 - /w 9 by e" E - ff4rHik9 fp- y S'o > Health Inspector for the Town of Barnstable aha 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. Y' Inspector's Signature _,�T /,z t-2- Date /— � oFEry Town of Barnstable sum Department of Health, Safety, and Environmental Services Public Health Division pTFD MAi�` 367 Main Strut, Hyannis MA 02601 FAX Date: Number of pages to Follow: To: From: Phone: Phone: 503-790-6265 Fax phone: Fax phone: 503-7 90-6304 CC: REAkRKS: Q Ur-ent Far your,eview ❑ Reply ASAP [ Please comment F9RM30 HAW HossssWARREN`m THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 C/v5TA-6G JI-- CITY/TOWN W C. DEPARTMENT ADDRESS TELEPHONE Address 6 ��v S _ OccupanL—� Q'"l�°f �� V Floor Apartment No. No. of Occupants No.of Habitable Rooms__No.Sleeping Rooms No.dwelling or rooming units No.Stqries Name and address of owner =-Y"` soda �o��r S _ �`A-" H �S Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish t �P Sl^ (�,t y (�) 40 UL i•F Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: w li Ole- Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: S i,r. o k q(t L,i ldcs-. a-�,/ Cce, 4-dev_wl Roof ✓ Gutters, Drains: L.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: !' i„;(! k.v4 f1 x_,t ce Dampness: /U a Stairs: e k Li htin : ,ti 6 _& i r (,.r Z(I ZS STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: 4 ` -r-Q Central ❑ Y Eui . Repair t .jg P ed l ks ic-S TYPE: ry G✓ Stacks, Flues,Vents: l��diL'r4tL�r PLUMBING: Su I Line: Gv�l � ❑ MS ❑ ST ❑ P Waste Line: of C H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters, Cir.: Li o Cc - ,x r{ . :ea $__110 W220 Fusin ,Grnd.: f�e S AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom s(3 Pant Den r i Ce.G( Living Room Sc3 �c Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, led O" Stacks, Flues,Vents, a eties: Kitchen Facilities Sink -L 9 Ica.�- Stove 6v rv-4 T o Lc e l e c Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: 1A/,,k Doom Ql, .,., — Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbishy Containers: ` Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Q-t, afl L inn ctt-S ct� Gar, clavY Roof ✓ Gutters, Drains: V Walls: C ( t , LX r S i Foundation: Chimney: BASEMENT Gen.Sanitation: i,,;(I I Ce Dampness: /�o Stairs: o k Li htin : 0 4- i r G.r�ll ZS" STRUCTURE INT. Hall, Stairway: Obst'n..- Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: 4 r 4"1 Central ❑ Y ❑ N Equip. Repair 7 ^-1 S :� /y � Qed t;is `` _5 TYPE: Stacks, Flues,Vents: Z c.e&er PLUMBING: Supply Line: cvc�4- 0 MS ❑ ST ❑ P Waste Line: 0 H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: (.! e L - o c K .r{ ren 39110 $�220 Fusing, Grnd.: f�e ?Qkelf AMP: Gen.Cond. Distrib. Box.- Gen. Basement Wirin : z/( i. DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Si$ Pantry re C C Den Living Room SC3 yc Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, lect. 0 Stacks, Flues,Vents, a eties: Kitchen Facilities Sink 2 9 s i w h Stove G.rr-ti-4 I a tc 2 {ec Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub.- Infestation Rats, Mice, Roaches or Other. X.,ev,c ©G�,, :,4 c Egress Dual and Obst'n: General Building Posted ,,/ Locks on Doors: -3 kv-4,._ jac,40 G ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND.CERTIFIED UNDER THE PAINS AND PENALTIES F PERJURY." _ INSPECTO - TITLE_�Gi DATE U ✓� / / TIME / ' 7 P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. : -: �,-.��x 'S ,r wY ••-'.' •.A a�C.�i'�'s& 'eA���'_'�'�•}£?:?A+d+ *1� e ��� a''�r�SsY , J r aY—*-4-::- - TOWN OF BFdRNSTABLE' = UNDERG'ROUND FUEL AND CHEM I GAL BTORAGE RE.G I ST,'RAT MAP NU. jr Z, PARCEL NO r AD•DRESS'.OF TANK: - �+ Ov��J ST2 r /�+elt✓/• r f V-I LLAGE ! dwds MAILING ADDRESS ( IF DIFFERENT FROM AgOVE) e A OWNER NAME cTJ Niv A 2 PHONE,:;: ) I�'NT A LAATE Al S _ ION Da I , L TS d I'"lSTALLER AbbRESS a ' C RT. . *TANK LOCAT I ON a '. / �AckP a o7*rA C '1 .. C.eiR Et E ' ,... 4 0*0014 X aR T,. NIG, L OCAT i ON W i TN.I�4��4CT TO BU i LD �'). r CAPACITY �� TYPE .OF TANK • _ AGE; RS U CHEM'I C'AL {h. _. Y TEST I NO C-ERT.I F I CAT I ON }. G 7 PASS :. C` IT FAIL DATE r._ } LEAK' DETECTION CM07 CHECK :.IF WA TYPE BRAND" 7.ONE OF CONTRIBUTION ,C 7 YES r. C NQ DATE TO HE 'REMOVED IRE :QEPT: PERMIT .i S9Ut?D YE ti 1 F C ]` DATE . b 9 NO . : d r ' F N/A,CONEERVAT.ION C .] ' CHECK DATE " BOARD OF HEALTH TAO DATE to ' THE TANK. 1s ;; PLEASIz' PROVIDE A° SKETCH •SHOW INr� LOCATION QN THE SACK _OF THI5fCAR0 _, "HYANN;S FIRE PREY€NTION PURLS �v" HYANNIS FIRE DEPARTP0EN-1 95 HIGH SCHOOL RD. CXT HYANNIS, MA 02601 li . OC dAEN;f F,Ei�E TOWN OF` DE PT HEALTH f t HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Harold S. Brunelle ' BUSINESS: 775-1300 „,EP SAwife Oetwtoed Save s vea EMERGENCY: 911 FAX: 778-6448 To Town of Barnstable, Board of Health - T. McKean Town of Barnstable, Conservation Commission From ; Fire Prevention Bureau, Hyannis Fire Department Subject ; The installation of above ground storage tanks. Date 4/26/00 Persuant to the applicable sections of 527 CMR Fire Prevention Regulations, this Department has inspected the following location for above ground storage. 3 ADDRESS : 76 South' Street Hyannis OWNER/OCCUPANT Rita Moda PHONE 775-9410 SIZE OF TANK(S) :. (1) 275 eal. Steel Outside Tank COMMODITY STORED :_ # 2 fuel oil PDRrOSE FOR STORAGE : Heatin THIS INSTALLATION IS : PRE-EXISTING A REPLACEMENT NEW This installation complies does not comply with the required installation re ation listed below. FIRE PREVENTION OFFICE For: HAROLD S.BRUNELLE,CHIEF HYANNIS FIRE DEPARTMENT '►hl I BF RPyS f�►,BLE �}Nt ERGF t]kJN1 a lJ t f V[ k 1�tIC -TO RAP k �I�Rf�T i(34rk , , r .-. -.� l _: �, I�A.{�Y2�r �:7 ! � •. s fit,r�'li.'rtR.{§.�` � "�` .� � nt`1 ter' $ v'{3 i� t ,� ,U '; (7WN F�. NAMe' � �^. rr . , r 4 d._e.• �7 aa. 4 1 • Ifi�""'' .i..l�', r5' ,� �� {,rA � � � ? i �) ' "INST/�k�A'f ON QAT ;+ I W lfa w rrM- . ', _� ,..5. r t�'r �� - �t ,: r:�. r� l 4 J � ,rY � 4:'4k � � t�ia''f#a7� .,�Y r��� ,•:y;, �:: �' V I.',i *_TRf1 1"` k k ►JC s �At R?A `w may' y. '.`bw- •'..�--Q .� ".i ar #� ..'r A 18 � wino1�t�. k-2,01 kTf;t Y��].:TT T ' �T U"i cj 3`C� •f d CF:IPAC I T TrYi' ff fink tQ t `� y � t' e � -."dal s .� t`"F`' rh r � hC t_F c +k � � }� 1 •-,�-Y.f�1d '4 y� .� > fir+y (� � ('�Q� . .� u s .� f.,� r.-'� N •�� P � s '.a �r�, ?e�,aer a, t�o t ,r-• `S'`''� "Ty+ii •" Mh' T �� Lca 'L KAX Ei'#T 4�"..F#' 1'� I � 4!1�4TrS-!!1 � I`I/. 5'13�y ` ( �1 ya s'krF-'` -: a.,.'.'11. ! ' �SI •N�L,y: ` �+ Q j •"L ?'� ir�y� ° li.ri -5¢ �3 +� i t`)'dV � �!w ., i Y .f 3t ��} p �-� 1'v . Mx � ��.+v�e` � „iF.f' r t e.s 1 �r i ;J .,� .; t i" i�' •_ ­44� o.r, k V „i t.. S;r f •` t -' �,•h',{,� (wy,+, [., { e f '.; '..p��'�' p�•+k ,y�.j'. jam: a a.w a, X,-Ez (�l� M j i� �S4}1 t' 'S ;yn4�tf71jMl. �pP.t� �/'F•vr'` 1 Si 4f ti` _ir�r Fy r7C•'+', t�$MY 4� r s �, r,.r •. - f. � r �; � �-V•+ �,,y.� '�r 3f ,� e)° 'w^- S +y '_1. t � ,:F �� ,y+ L - �. • �G .� � _I .� � f;ty.�k ,�` :'�}"1 IA14 .DF TF r NO 4 TA vo� t �.f� * ,.i �+';• ��• '�' �1. � _ ? v�{i�,�r- d� _ '�.,�,��,�3�" u�:r(� Y yS, '� (n� �r -fir �$'�t3j-} �yey s^.5"y,�f'j��r.°�y; r{tw�;a��F aj�� 'q� li.•., ..d � �'+� �`Myti u;� ., "� 1�'� NI ;:IY�'�t�i"� y,� 'Fj�:i"1PlYE rr ;?�� TL #�MylfeC �s'i:' �'°f FORM30 C&w HOBBSB WARREN TM THE COMMONWEALTH.OFMASSACHUSETTS BOARD OF HEALTH Satz u 5zA6!3�� CITY/TOWN a DEPARTMENT 2Gc� VI rt,�t!k S k, N /AUtJ S • M p ADDRES G 9/J�0-- [� - 41M S�y0 \SO e, , VCO l TELEPHOhE Address -7 6 Sv u'[►1 v A�s�_i OccupanL__? Floor Z Apartment No. I No. of Occupants No. of Habitable Rooms Z No.Sleeping Rooms No.dwelling or rooming units b57 No.Stories 2 Name and address of owner 77 G A M (, �j� LA tv'- C.C— t,1 V,(L\f t LL<_ 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: IN Walls: Foundation: L Chimney: BASEMENT Gen.Sanitation: / Dampness: V Stairs: Lighting: N. STRUCTURE INT. Hall,Stairway: Hall, Floor,Wall,Ceiling: U- Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y .C�N Equip. Repair TYPE: v 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: V DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room S Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: s, Flue , ts,Safeties: Kitchen Facilities Sink tove 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 O W VPj i L N 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 PINALTIESERJURY INSPE TITLE 1-4 E A L T �-tiS G7d�[L A.M. DATEZ— L� � TIME 0 0 A.M. THE NEXT SCHEDULED REINSPECTION / P.M. • ... `�`. .'w . r...y 2°, .. ..i a:, .. ... _ ..1f,1 ',...i. .. .t .:.i c. Vic,r:. n r. 410.750: Conditions Deemed to Endanger or,Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of 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- dage, 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. i (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. (F) 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 I FORM 30 C&W HOBBS&WARREN T" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF MHLTH CrW DEPARTMENT 'c 0��/•✓ a ADDRESS /CD I g 62 c/IO l TELEPHONE p Address Occupant < Floor Apartment No. No.of Occupants_ No. of Habitable Rooms o.Sleeping Rooms 2— No.dwelling or rooming units No.Stories Name and address of owner C- � l © O`Y'T Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers:Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: ' Roof Gutters;Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: �- Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ 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.: ks, Flues,Vents, ties: Kitchen Facilities4tow 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 BuildingPosted 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 R O T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PER R ' INSPECTOR TITLE A. DATE TIME P. 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. material used as insulation or covering on a pipe, boiler or furnace h';M) Any defect in asbestosg p p ace 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. 0 (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 HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ALTH ; L CITY/TOW i W '= � VV /► DPA9TMENT � ADDRESS '4�M SyOy`0W ELEPHONE I � Address7k� �� --Occupantt Floor Apartmen No. No. of Occupa s No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming unit No.Stories C Name and address of owner `p O Remarks Reg. Vio. YARD Out Bld s.: Fen s: Garbage and Rubbish Containers: Drainage ru Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: In/ tb4— 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 LIST ❑ 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 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Slar,ks, Flues,Vet afeties: 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: Lof 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 REPO IS SIGNED AND CERTIFIED UNDER T E PAINS AND PENALTIES OF PERJU ' INSPECTOR TITLE 2 A.M. DATE �— 7� ®� TIME I P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. ` y 7 410.750: 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'4.10.200(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 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. a t Date y , voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit 11 r --_ located at � �—�' " > � �n accordance ` Mouse#, [Apt\Unit#if applicable],street,village with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code (105 CMR 4 10.000) on 0 ,7 I hereby authorize and name (Date of inspection) "PL/ to be my tenant representative for the (Occupant representative) purpose of this inspection. '4'/ 1.�1V?q ���� 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.) \ S 01107 Occupants ignatu e \ Date \ -/-0 7 it Occup t eprese ive Signature \ Date Q:\Rental Ordinance\inspection permission 2.doc I� HOBBS&WARREN'm THE COMMONWEALTH OF MASSACHUSETTS FORM 30 =-I BOARD OF ALTH CITY/TOWN c DEPARTMENT ,M a ° `7 v aITJT �� I � TELE.,PHO N E Address 7 -- Occupant-- "V Floor Apartment No. � _ No. of Occupants 1 No. of Habitable Rooms_ No.Sleeping Rooms_; No. dwelling or rooming unit //✓_ A-_No.Stories Name and address of owner a Remarks Reg. Vio. YARD Out Bld .: 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: v 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 f Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: Sta k , FI s,Vqf4s,Safeties: Kitchen Facilities S nk 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 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 I AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF P Y., INSPECTOR ' TITLE —141& T_� DATE - TIME 1 A.M. THE NEXT SCHEDULED REINSPECTION P.M. .5. .�,... .� `"' � .Rx�'+1,.'�4..-.x+ ,;.'.i. ,.}.. �rti.y,.t,weW.;.� ^+'i`:.1y. Yk,Y*v'r�..^.6'�V7pt �a ,t�'a *` c"',, �••��,NW,.. f.'�c'� ..r.:.pF, �.,,o, .} "` 4 410.750: 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. � '' 'F 1 1 • • • DELIVERY .I Complete items 1,2 and:3.Also complete'' A. Sign ture item.4 if Restricted Delivery is desired. 4,' ❑Agent e Print your name and address on the reverse i4 R X �A.J- 10'413 Addressee so that we can refUn`1 the'eafd to ryou. eceived b (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 drfrererK from item 1? ❑Yes 1. Article Addressed to: ! If YE%enter delivery address below: ❑No XA N%M4 IN i� CA N 9 '3 �S§06e Type Certified Mail ❑Express Mail ❑Registered III Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee). ❑Yes 2..Article Number i. . i (Tiar►ster tram seMce rebel' i •7 0'0 6 0 810 ' 0 0'0 0 3'5 2`4 7571 ' PS Form 3811;February 2004 Domestic Return Receipt 102595-02-M-1e40 UNITED STATES 5 • •tmm:e^.rr..::.-:rrn-::!5�.1::.:.--^.-r.,r,.aetYer.^_^.rrt:.-m:r.r:Taee.^e:ireiN • Sender: Please print your name,address, and ZIP+4.in this box.• 2.DD M o'r\1'�\s r\& Olt-go i cc)0'L fl�tlf}}li�ti!lffltt!ltil�fftfif�fll�litlfflflllE}l,�fflflt�il S� �\1 \9 Certified Mail#7006 0810 0000 3524 7571 Town of Barnstable Regulatory Services • BARNSraei.s. MAE& Thomas F. Geiler,Director A �AtfD PAA� � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 17, 2006 Joanne McMahon 360 Bay Lane Centerville, MA 02632 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 76 South Street(down)was inspected on November 16, 2006 by David Stanton, R.S. and Timothy O'Connell, Health Inspectors 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 violation(s) of the State Sanitary Code were observed: 105 CMR 410.500 : Owner's Responsibility to Maintain Structural Elements- Observed a small hole in kitchen wall above counter. 105 CMR 410.351 : Owner's Installation and Maintenance Responsibilities- Observed electrical box in bedroom without face plate. Observed electrical box in kitchen without face plate and is inoperable. Also observed outlet in kitchen that has hot and neutral reversed. 105 CMR 410.100(A)(2) : Kitchen Facilities-Only two (2) of four(4)burners operable on stove. 105 CMR 410.255 : Amperage-Problems with running multiple appliances in living room and bedrooms. QAOrder letters\Housing violations\Rental ordinance\76 South Street(down) .doc The following violation(s) of the Town of Barnstable Code were observed: §170-7 : Owner\Property Manager's name, address and telephone number were not posted inside the dwelling.* *Note: Once all the other violations have been corrected, you will be issued a certificate of registration for the rental property. The certificate of registration will have all the necessary information to satisfy the requirements of § 170-7 of the Town of Barnstable Code. You are directed to correct the violations listed above within thirty(30) days of your receipt of this notice by pulling any required building permits (if applicable); by installing face plates on electrical boxes in bedroom and kitchen; by restoring power to outlet in kitchen and correcting outlet that has hot and neutral reversed; by repairing the hole in the kitchen wall; by repairing the two (2) inoperable stove top burners; by supplying proper amperage in accordance to 105 CMR.255 which refers to 527 CMR 12:00 Massachusetts Electrical Code. 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. PER ORDER O THE BOARD OF HEALTH omas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Rachel Seifbert Cc: David W. Stanton,RS, Timothy B. O'Connell, Health Inspectors QAOrder letters\Housing violations\Rental ordinance\76 South Street(down) .doc V Certified Mail#7006 0810 0000 3524 7571 ��t rati Town of Barnstable ' as Regulatory Services r r � • BARN3rABM 9� 6& `erg Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 17,2006 Joanne McMahon 360 Bay Lane Centerville, MA 02632 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 76 South Street(down) was inspected on November 16, 2006 by David Stanton, R.S. and Timothy O'Connell, Health Inspectors 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 violation(s) of the State Sanitary Code were observed: 105 CMR 410.500 : Owner's Responsibility to Maintain Structural Elements- Observed a small hole in kitchen wall above counter. 105 CMR 410.351 : Owner's Installation and Maintenance Responsibilities- Observed electrical box in bedroom without face plate. Observed electrical box in kitchen without face plate and is inoperable. Also observed outlet in kitchen that has hot and neutral reversed. 105 CMR 410.100(A)(2) : Kitchen Facilities-Only two (2) of four(4)burners operable on stove. 105 CMR 410.255 : Amperage-Problems with running multiple appliances in living room and bedrooms. QAOrder letters\Housing violations\Rental ordinance\76 South Street(down) .doc The following violation(s) of the Town of Barnstable Code were observed: §170-7 : Owner\Property Manager's name, address and telephone number were not posted inside the dwelling.* *Note: Once all the other violations have been corrected, you will be issued a certificate of registration for the rental property. The certificate of registration will have all the necessary information to satisfy the requirements of§ 170-7 of the Town of Barnstable Code. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by pulling any required building permits (if applicable); by installing face plates on electrical boxes in bedroom and kitchen; by restoring power to outlet in kitchen and correcting outlet that has hot and neutral reversed; by repairing the hole in the kitchen wall; by repairing the two (2) inoperable stove top burners; by supplying proper amperage in accordance to 105 CMR.255 which refers to 527 CMR 12:00 Massachusetts Electrical Code. 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. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Rachel Seifbert Cc: David W. Stanton, RS, Timothy B. O'Connell, Health Inspectors I Q:\order letters\Housing violatiions\Rental ordinance\76 South Street(down) .doc Certified Mail#0000 0000 0000 0000 0000 Town of Barnstable Regulatory Services BARNSTA1314 MAS& Thomas F. Geiler, Director 1639• a�4+ ° Y Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 J ©�� r Kc- _Ak,� (Date) (Name) 360 F>f,rp?� Street Address) (City,State,Zip) 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 76 Sam- rvttzf was inspected i4y44%4Z6, (Address) 14A 07.60 on i1 /16 / ?oro(o by 'j d -'- T)-5 , Health Inspector for the Town (date) (Inspector's name) of Barnstable, because of '1 &;L� -e— (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number-violation description) 105 CMR 410. -p�(J1�7h.g,5 r Q 105 CMR 410. 3 51 j �UW QAOrder letters\Housing violations\Rental ordinance\template.doc A 105 CMR 410. 6 The following violation(s) of the Town of Barnstable Code were observed: Town code violation number-violation description §170-_Z- `` �� hT.w►�.e— §170-_- You are directed to correct the violations listed above within ( days written (#) of your receipt of this notice by I P� - a rbS cis L/ ro. zs S C rtI 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. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: P4.,r_a (Name,tenant,owner,Fire Dept., \lding Dept....) Cc: � ©lbw ��}s..,.� - (Health inspector's name) QAOrder letters\Housing violadons\Rental ordinance\template.doc FORM30 CII_W HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS tOAR �OF HEALTH CIT,Y//TOWWN�, a ^EPARTMENT ;M SVB �p A RD�C ESS —� ®C�S� $6� —q" qq F.� A�_ (-TELEPHONE Address W6 S Y� _ Occupant 9411 '� 4—o Floor Apartment No. No.of OccuWnts No.of Habitable Rooms_—No.Sleeping Rooms No. dwelling or rooming units —L No. torie Name and address of owner �i.�•-p__ _%0 %4494-,�_ t)) 6 S/" Remarks Reg. Vio. YARD Ou Id 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: ,S 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.: U-r_— AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . 0 ets W Its ils. Wind. Doors Flo s Locks Kitchen Bathroom Pant Den MA Living Room LA Bedroom(1), Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Faoiil . 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 INSPECTION R ORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PE R ." 14ag� INSPECTOR TITLE wall TIME d 1 l� � � A.M. [DATE , Oho TIME 1 W 1'� �i(r� A.M. THE NEXT SCHEDULED REINSPECTION � P.M. .v . . .. .. ., n•--�3"F., +M:S.«:.-x '.°%Y4u'. !. 4'. t,,' ,.YM,.,a,.,, rR'y. .Z �y c, , 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 viola on(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). �� N (1) a Failure to comply with any provisions'of 105 CMR'410.600 410'601�6r-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 defectIn.asbestos mater'ial'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. S-