HomeMy WebLinkAbout0068 YARMOUTH ROAD - Health L
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68 Yarmouth Road ER
Hyannis
A= 327— 166 SE
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COMPLETE •N COMPLETE THIS SECTIONON•
■ Complete items 1,2,and 3.Also complete A. Sign�ta
item 4 if Restricted Delivery is desired. ��. , gent
■ Print your name and address on the reverse X Addressee
so that we can return the card to you. B. RAived by(Printed Name) C. ate of elivery
■ Attach this dard to the back of the mailpiece,
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rvice Type
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2..Article Number ;;4 i x i :+ a %s ► r —x ,
(feasts.frorrr servrce�abelj11 GO 3 i 16 8'.0 1.0 a'o 4:t 5A 5 8 !
PS Form 3811,February 2004. Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
LISPS e&Fees Paid. -
Permit No..GG10
' Sender: Pleas print;your name,address, and ZIP+4:in this boz,• I
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,ay I
wn of Barnstable
l�ealt:i Division I
190 Main Street
! �? tHvannis,MA 02601
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Certified Mail#7003 1680 0004 5458 5293
I Town of Barnstable
Regulatory Services
• BARN SUABLE,
9� MA ,erg Thomas F. Geiler,Director
Arf°""A�° Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 20, 2007
Joan & Philip Ellsworth
257 South Sea Avenue
West Yarmouth, MA 02673
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 68 Yarmouth Road (rear apt.), was inspected
on August 14, 2007 by Meredith Morgan, Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the Town of Barnstable Code were observed:
1� 70-10—Smoke Detectors and Carbon Monoxide Alarms. Inoperable smoke
detector on second floor; no CO alarm on second floor.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by repairing smoke detector and by installing CO
alarm on second floor in accordance with Mass State Fire Codes.
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.
QAOrder letters\Housing violations\Rental ordinance\68 Yarmouth Road rear apt-doe
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF TH BOARD OF HEALTH
. cKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Meredith Morgan, Health Inspector
QAOrder letters\Housing violations\Rental ordinance\68 Yarmouth Road rear apt..doc
FORM30 C&w HOBBS&WARREN'm THE COMMONWEALTH OF MASSACHUSETTS
` B��D OF E L T H
CITY/T WN
61 OF
ARTMENT
A ESS
G,,M SVey`0W
TT EPHO E
Address WN _ — Occupant_A ✓ ���
Floor Apartme o.0 No. of Occu nts-0�k Q � K
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units No.Stories
Name and address of owner
W, U0 VMWA 7 H fl' 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 Chimne s
Central ❑ Y ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats,Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR. (See Over)
"THIS IN ECTI PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTI F U
INSPECTOR TITLE
L DATE TIME /4 15 P•
A.M.
THE NEXT SCHEDULED REINSPECTION� P.M.
:1
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.
( ) Failure to provide rovide 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
`t 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.
Town of Barnstable
TMF Tp��
o� Regulatory Services
B► 6,E. Thomas F. Geiler,Director
9 MA&Q-
�bSq. Public Health Division
ArFD µA'�s
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 14, 2007
Attn: Hyannis Fire
Health Inspector Meredith E. Morgan conducted a rental inspection in accordance with
Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary
Code, 105 CMR 410.482, the Health Department is required to notify the Fire
Department if there is a smoke detector violation, or possible smoke detector violation.
The following property had possible smoke detector(and\or CO detector) violation(s):
68 Yarmouth Rd. Rear Apt. Assessors Map-Parcel: (327-166):
Smoke detector on second floor not operable and CO detector lacking on second floor.
Meredith E. Morgan-HeaYh Inspector
Q:\Order letters\Housing violations\Rental ordinance\\Fire ViolationsTIRE TEMPLATE.doc
l
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FORM 30 C&W HOBBS&WARREN
TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CiT�Y TOW
a PARTMENTuu 11
LAI
Ards
NI �
G„M SVOy`0W
TE PHONE
Address {� Occupant-
Floor artmeDLUQ. hL No. of Occup s
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units_ No.Stories
Name an d address of owne �4 (,1�� 1
_ WA Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage " u
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.:
11110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.:
Stacks, lue- nts,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS IN PECTI PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALT t TT
INSPECTOR TITLE
A.M.
DATE '`7 TIME / / .�� M•
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
.
'
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shall be ddemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This lis tingiu composed ofthose
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||. 105CIVIR41O.1OO through 41O.020 state minimum requirements of fitness for
human habitation, any other violation has the potential iofall within this category in any given specific ituaUion but may not d000
in every case and therefore io not ino|udod in this listing. Failure to include o�g| in no way be construed aaad�orminahonthat
other vio|a1ionooruondihonomayn��bof' undko fa||�within this oa�gory. Noroha||fai|unoto include u#ect the duty��the local
� health official to order epai,oroonoution of such violation(s) pursuant to 105 CIVIR 410.830through 410.833 nor shall failure to
�
� include affect the legal obligation of the person to whom the order iu issued 0»comply with such order.
(A) Failure to provide a supply of water s6fficient in quantity, pressure and temperat ure, both hot and cold, to meetthe ordinary
needs of the occupant in accordance with 1O5CIVIR41O.18O and 41O.1SO for u period of24 hours orlonger.
.
� (B) Failure to provide heat as required by 105 CWR 410.201 or improper venting or use ofaspace heater or water heater as
^ pmhibhedby 1O5CIVIR41O.2OU(B)and 41O.2O2.
(C) Shutoff and/or failure Vz restore electricity orgas.
� (D) Failure Vz provide the electrical facilities required by1O5CIVIR410.25O(B). 41U.251(/). 41O.253 and the lighting in com-
mon arearequired by 105CIVIR410i254.
(E) Failure to provide a safe supply c4water.
(F) Failure Vo provide a toilet and maintain a sewage disposal system in operable condition uo required by1O5CMR
41O15O(A)(1)and 41O3O0.
(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 ofun emergency 105CMR41U45O. 41O.451 and 41O.452.
`
(H) Failure V»comply with the security requirements of1O5CMR41O.480(D).
(|) Failure to comply with any provisions of 105 CIVIR 410.600. 410.001 or410.GO2which results in any accumulation ofgar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute 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, 105CMR400.000. (See M.G.Lo. 111 @@ 19O through 18S.)
(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 Vo health orsafety.
(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,
ooaoVz expose the occupant or anyone else tofire, burna,ohock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used on insulation or covering on o pipo, boiler or furnace which may result in the release
of asbestos dust orwhich may result in the release of pmwdeved, crumbled or pulverized asbestos material in violation of 105
CIVIR 410.353.
(N) Failure to provide o smoke detector required by1O5CMR410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge/d the owner of said condition orconditions:
(1) Lack ofa kitchen sink/d sufficient size and capaohy for wash ing dishes and kitchen utensils or lack��aa�vo and oven
or any d�eutthat rondomeither inoponuNo. �
� (2) Failure to provide uwashbasin and shower o/bathtub uorequired in 1O5CMR41O.15O(A)(2)and 41O.15O(A)(3)orany
defect which renders them inoperable. �-' - \
� (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereofin violation of
� generally accepted p|umbing, hooking, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain uo�e handrail or protective mi|ingfor ovory�ainway. porch Ua|oony, moforsimilar place as
� (
required by 1O5CIVIR41O.503KVand 410.503(8).
� (5) Failure 1oeliminate mdents,000kmuohoo, insect infestations and other pests as required by 105 CIVIR 410.550.
�
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CWR 410750<AVUhmugh (0)shall be deemed to bea con-
dition whichmayondungo/ovmatehu||yimpair1hohoahho/aafetyandweU'beingofanocoupontuponthohai|ueof0homwnor
Vo remedy said condition within the time uo ordered by the Board ofHealth.
,
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Certified Mail#7006 0810 0000 3525 2957
Town of Barnstable
O,*
Regulatory Services
•nxrrsrasta.
Thomas F. Geiler,Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 13, 2007
Philip Ellsworth
257 South Sea Avenue
West Yarmouth, MA 02673
f_.
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 68 Yarmouth Road Hyannis,was inspected
on August 13, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code.
The following violations of the State Sanitary Code were observed:
105 CMR 410.482—Smoke Detectors. No smoke detector observed on second floor
170-10—Smoke Detectors and Carbon Monoxide Alarms.No CO within unit.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by installing operable CO detectors on both floors in
unit and by installing smoke detector on 2nd floor.
*Note: Hyannis Fire Department has been notified of these violations.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result in a fine of $100.00 per violation. Each days failure to
comply with an order shall constitute a separate violation.
QAOrder letters\Housing violations\Rental ordinance\68 Yarmouth rd.doc
f
i
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ER OF THE
BOAAID OF HEALTH
homas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Timothy O'Connell, Health Inspector
QAOrder letters\Housing violations\Rental ordinance\68 Yarmouth rd.doc
\ ►�ee-0(-) bn
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1
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Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
MAMMSTASss.
1639. Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 13, 2007
Attn: Hyannis Fire
Health Inspector Timothy B. O'Connell conducted a rental inspection in accordance with
Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary
Code, 105 CMR 410.482, the Health Department is required to notify the Fire.
Department if there is.a smoke detector violation, or possible smoke detector violation.
The following property had possible smoke detector(and\or CO detector) violation(s):
68 Yarmouth Road Hyannis,Assessors Map-Parcel: (327-166):
No smoke detector or CO o second Floor. No CO on first floor.
4
L���
Timothy B. O onnell-Health Inspector
Q:\Order letters\Housing violations\Rental ordinanceUire ViolationsTIRE TEMPLATE.doc
FORM30 C--_ HOBBs&WARREN iM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF TH
CITY/TOW �/
Z F `
DEPARTMEN
ADDRESS
GSM yvey�
TELEPHONE
Address Occupant
Floor Apartment No. No. of Occupants
No.of Habitable Rooms -1ro. Sleeping Room
No. dwelling or rooming units o.Stories
Name and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs,--Porches.-
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls: l
Foundation: C} ..��
Chimney:
BASEMENT Gen.Sanitation:
Dampness: C7 0 . .�
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ Y ❑ N E ui . Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 11220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.:
s,F e -V r!j-,Safeties:
Kitchen Facilities Sin
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
Locks on Doors:
ONE OR MORE OF THE VIOLATIO 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 INSPECTIO RT IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF P J
INSPECTOR L TITLE
DATE TIME CS P•
.M.
THE NEXT SCHEDULED REINSPECTION 5 `, P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
f
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.
�
Y �
,bdioi
Date 7- O
To Whom It May Concern:
I, V14 iegN )900 w , voluntarily grant permission to the Town
(Occupants name)
of Barnstable Board of Health (Agent or Health Inspector) to inspect my dwelling unit
located at YAe N!0 0 -Of iU• in accordance
( ouse#, [Apt\Unit#if applicable],street,village)
with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code
(105 CMR 410.000) on 7 7, I hereby authorize and name
jo
(Date of inspection)
n7 LG,S t,j 0(L7/1 to be my tenant representative for the
(Occupant representative)
purpose of this inspection. p,Q,y ,ELLS 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.)
Occupants Signatura Date
O cupants Representative Signature \ Date
Q:\Rental Ordinance\inspection permission 2.doc
FORM30 C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
p 2,N sU St-IL
CITY/TOWN
W N 1EAL7T H
a DEPARTMENT
2 O Q ��lA 4J S� • _14ti
ADDRESS
r�N N TELEPHONE
Addressv YA(z,-110uV r XO Occupant-1AACAV 00 N O /9�I
+ ,S[CL
Floor Z Apartment No.7_No.of Occupants 2
No.of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming units 7 No.Stories
Name and address of owner (p1r11U f j J0A N a"S L,0&-f N
CN , '�—DU-ni 4JQP • W I,j1 M �A►►6241% 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: p
Roof M
Gutters, Drains: (�
Walls: Q
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
/ Dampness:
v Stairs:
Lighting: 1
STRUCTURE INT. Hall,Stairway:
0 st'n.: Al
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.:
El110 Ejj6 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 14
Bedroom 1 (.b
Bedroom 2
Bedroom 3
Bedroom 4
Hot WaterFacil. 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 O 6 9 O ST to
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 REPO R IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF JURY
INSPECTOR TITLE '! #6 714 Zip.$ 702
G A.
DATE 7. TIME �Q � O P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
t:
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 violations) pursuant to 105 CMR 41.0.830 through 410.833 nor shall failure to
include affect the legal obligation of the,person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202. '
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable. 1
(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). I. .
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
i
i FORM30 C&W HosssaWARaENT" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A V_vA SZ A 1�1,�.
CITY/TOWN
a D ARTMENT
9 1
i•�,l A Ns! i S
ADDRESS /�V G•, �� U41
TELEPHONE
Address - O Vl Vi 0—p— Occupant_�_�A e-A,*-'?
Floor 7.o- Apartment No.. 0 No.of Occupants/
No.of Habitable Rooms S No.Sleeping Rooms
No. dwelling or rooming units 2-_ No.Stori s Z
Name and address of owner " 1� 6 AN LL S w0 y1�1�
7-� G-®vTH �m e�1/� • S� A R.v-wuvl 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:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central ❑ /E�l Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ S P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 7220 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 72x
Bedroom 1
Bedroom 2
Bedroom 3 /
Bedroom(4).
Hot Water Facil. Su
tacks, Flues,Vents,Safe ies:
Kitchen Facilities Sink 1300
Stove
Bathing,Toilet Facil.
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted _T eo S17le0
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 I SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES PERJURY."
I
INSPECTOR � TITLELZi �s'/ /�
�® �C3 O A.M
DATE ? Bg- TIME / P.M.
�I� 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 this
shall in noway be construed as,a determination that
other violations or conditions may riot 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 viblation(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.
r •
(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. Io
e
'I (G) Failure to provide adequate exits, or fhe 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 tie 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.f50(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