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HomeMy WebLinkAbout0156 MAIN STREET (HYANNIS) - HYANNIS CONDOS FHya '-MAIN STREET. —Park Square Village nnis J.A CAPACITY: 19 OUTDOOR POOL PERMIT FEE 99 THE COMMONWEALTH OF MASSACHUSETTS v .......TOWN................. of........ STABLE $75.00 ......... .............................................. Board of Health This is to Certify that ............RICHARD ARENSTRUP D/B/A PARK SQUARE VILLAGE .............................................................................................................. NAME ...............................................................156 MAIN STREET, HYANN....... ­­IS MA.'?.. ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public swimming or Wading Pool At .............. .. .............**........."-------**....... ------------------------------------ OOL - ----- AIjt�p SWIMMER . ... ... .. ....... ..PQQ..L.. I..s.......o...p..F...... ------- -MET ENT. CHLORINE -AUTOMATICALLY . ................... This permit is granted in conformity with Title of the Sanitary Code of The Common- wealth of Massachusetts, and expires ----------------------I-2- -94------------------------------------------------unless sooner suspended or revoked. ............. ---Bft-R:-GMdr,-R:S.,VWm=................... -------JANUARY-1....................19....94 -------*­...Sman-GAsk-R.S..................................... Board C . ----------'Muph' .-Shb waND.................................. of ........................................ .......................................... Health ................. FORM 1712 HOBBS WARREN, INC. By ----------------------------------- ...... .......... e� o. it OL9� `j THE COMMONWEALTH OF MASSACHUSETTS �,✓ ,�j�_ i TOWN of BARNSTABLE HEALTH DEPARTMENT SWIMMING POOL INSPECTION�REPORT 0i/ / POOL CAPACITY — la� `-'�� gal. NAME �� u U ��� d DATE r /� L� N ADDRESS 1� ,7 L1� �� f i � ,V ,, �V TEL. NO. �J OPERATOR %I ]�IIV NAX. BATHING LOAD_ PERMIT POSTED Regulations of the Massachusetts Sanitary Codes Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD 12. STRUCTURE, 14. XNSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on he construction plan are of permanent nature and need not be checked at each inspection, HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, Health spitting prohibited, no glass or dangerous objects. H eal and Shower signsposted. g LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling, 5• SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft, water surface, C %011 16. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local not a station). police, state police, fire dept., and several available physicians. Telephone available ( pay ) 7, BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructioni and light color. One shower and one toilet per 40 bathers (min, 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities, �. CLOSURE: Operator to close pool when water does not meet the requirements of this code. 0. PERMIT - RECORDS: Permit posted, Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. _13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. it atio Orate.2-3 gal. per min, per sq. ft. filter. Disinfection equipment finely adjustable. a" C� 19. DEPTH MAR eked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or \0cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. 3. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. \f 24. BACTERIOLOGICAL QUALITY: Health Dept, shall cause water samples to be analyzed as considered necessary. q � Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. / 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. Y2 . TESTING EQUIPMENT: Testi.Lg equipment provided, in good repair and complece with fresh reagents. 7. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. WADING POOLS: Quality of the ter shall be the same as swimming pools. Turnover 4 hours or less. �tEMARKS: too L � -9),6511,U) a A 161-) M L n --CPk:-f-Gq,2; A/Z 6A Ll if f f 1/ a t)611 PERS09 INTERVIEWED-- SANITARIAN - ,9�� i � � 1` ra CAPACITY: 19 OUTDOOR POOL PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 25 75.00 TOWN of ._...BARNSTABLE••...............•••--.......--.... Board of Health This is to Certify that .....RICHARD. ARENSTRUP_D/B/A PARK S.........UARE VILLAGE • ..........-- •• ... ............. - NAME 156 MAIN STREET, HYANNIS -•---•--•--------------•-----•----•-•----------••--••---•---............-•-------•--•....-••.......••••••.... ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At .-......... --------QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. ......--•-•-- .... ..... ............ ..... ......... . .. .. . . METHOD OF WATER TREATMENT: CHLORINE—AUTOMATICALLY FE ................................... This permit is granted in conformity with Title 2 of the Sanitary Code of The Common- wealth of Massachusetts, and expires .-.-_----__----___--___DECEMBER_ 31-----1993--------_-----------------unless sooner suspended or revoked. ........... !$k`j' '9i1.. ........... 93 BjjW.j ....•------•--------------- Board ..........JANUARY... -'-- ------------19.- .3-. of �i�l�e 11{�% -------- = : -:?:'.._.. Health By AGE1V ..... FORM 1712 HOBBB$ WARREN. INC. 0 AA THE COMMONWEALTH OF MASSACHUSETTS TOWN of BARNSTABLE_ x EALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT POOL CAPACITY - gal. NAME Of L� 2 DATE ADDRESS /..J� TEL. NO. OPERATOR /r1 Ajg L;G h fi'V MAX. BATHING LOAD_ PERMIT POSTED Regulations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD, 12. STRUCTURE, 14. ;ONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. ' t4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance apcording to Health Dept. ruling. V5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. _ 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated. impervious constructioni and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water. soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. 10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. /13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. filtration rate 2-3 gal, per min, per sq. ft. filter. Disinfection equipment finely adjustable. V19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). f%--2'2. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. _23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. V24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. V25. CHEMICAL STANDARDS: Treated with) chlorire or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. �26. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complete with fresh reagents. E� �t , 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. 2. WADING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. REMARK 7--7 r� 00, 01 � a T PERSON INTERVIEWED SANITARIAN �� JYA U"•' sa BARNSTABLE ,COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT r SUPERIOR COURT HOUSE ; f v� BARNSTABLE, MASSACHUSETTS 02.630 DATE: July 1, .19 9 3 1y�55 ° SWIMMING POOL. and/or WHIRLPOOL ANAI_YST_S FORM PHONE:362.2511 EXT.330 LAB 337 Park Square Mgt. Mark E. Sheehan CLIENT: q g COLLECTOR: r MAILING ADDRESS: 156 Main Street AFFILIATION• Manager B Hyannis, MA. 02601 TIPiE & DATE OF 6/29/93 10:30 a.m. P COLLECTION: ' DATE" OF TELEPHONE • 775-5611 ANALYSIS• 6/29/93 3:00 p.m. t TOTAL COLIFORM HETEROTROPHIC PLATE COUNT MEETS LIMITS PSEUDOMONAS COUNT per. SAMPLE LOCATION per 100 ml . CFU/ml . @ 35°C for 48 hrs. FOR SWIMMING LQ.O'�ml@ 41 °C for 48 hrs. Limit: 2 Limit: 200 YES NO RESULTS ONLY t , i ,i 156 Main St. , Hyannis 0 . 52 XXXX 1 i ' 4 i REMARKS: ' :j CC: ,BOH CC: ANALYST.-7, 1?,J- CC: PERMIT r FEE 44 THE COMMONWEALTH OF MASSACHUSETTS..............TOWN........... o f....BARNSTABLE $75.00 Board of Health This is to Certify that .........j ..SQUARE VILLAGE ................ NAME , HYANNIS ............................................................15....................................MAIN STREET ....................................•---.................--•---........... ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At __...QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. .................. ---------------•----------•-- ........ METHOD OF WATER TREATMENT. CHLORINE..AUTOMATICALLY FED. -••-•-•--••-----•..................••--••-- ..... ... ........................................... This permit is granted in conformity with Title 2 of the Sanitary Code of The Common. wealth of Massachusetts, and expires .__ —-----DECEMBER__31_,___1992__ __ sooner suspended or revoked. - unless ... JANUARY 1, 19. 92. .........` 09eph--0.-►Sll�-M.�.-(i�IdrrU II---- Board r5`llf3$II G.Rok*,*_..--•---••--•---------------•-••-------- of ------... - --.- Health B� R:-Grady.............................•-------- .......................... y .... ...--• G�FORM 1712 HOBBS& WARREN, INC. AGENT ................. c� ®SENDER:Complete items 1,2,3,and 4. Add your address in the"RETURN TO"space on reverse. (CONSULT POSTMASTER FOR FEES) i.The following service is requested(check one). XBShow to whom and date delivered.................... —0 ❑ Show to whom,date,and address of delivery.. —� 2.❑ RESTRICTED DELIVERY (The restricted delivery fee is charged in addition to the return receipt fee.) TOTAL $ 3.ARTICLE ADDRESSED TO: M Mr. Peter Johnson c 156 Main Street z HYANNIS MA 02601 4. TYPE OF SERVICE: ARTICLE NUMBER m ❑REGISTERED ❑INSURED M Xp EPRESSDMAIL❑COD P522 462 793 m (Always obtain signature of addressee or agent) I have received the article descri a ve. M SIGNATURE Addressee •uthorized agent v C5. D O LIVE POSTAIAji� Y 8 ADDR SSEE'S DDRESS(Only ijreq..ted)I_ 'l��� M ;° m 1 .r, T -EMPLOYEE--'S- 7.UNABLE TO DELIVER BECAUSE: 7a. ® INITIALS UNITED STATES`POST4(.,SERVI Et OFFICIAL BUSINES',S~ L�!'rj PENALTY FOR PRIVATE SENDER INSTRUC ONS„ USE TO AVOID PAYMENT 9 • C ''`! OF POSTAGE,$300 Print our name,address,and ZIP Code n,jhe spate below. • Complete Items 1,Z,9,end 4 on tlterergrse...• 11.S.MAIE • Attaoh to front of ankle If space perilNts .._._ othewlso affix to back of ankle. • Endo=oft"Return Recelpt Requester' adjacent to number. RETURN TO BOARD OF HEALTH` (Name of Sender) TOWN OF BARNSTABLE P. O.Box 534 (Street or P.O. Box) HYANNIS MA 02601 0534 (City,State, and ZIP Code) 't; w P 522 462 793 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL. (See Reverse) Sent to Mr. Peter Johnson v Street and No. c) a P.O.,State and ZIP Code O d d Postage $ ui * Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered N Return receipt showing to whom, Go m Date,and Address of Delivery m TOTAL Postage and Fees $1.55 LL c Postmark or Date A E mailed 1/23/85 0 U. 0 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERYIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. Y(no extra charge) r 2. If you do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,date,detach and retain the receipt,and mail the article. ' •3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article. Endorse front of artile RETURN RECEIPT REQUESTED adjacent to the number. 4. It you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5 Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is re- quested,check the applicable blocks in item 1 of Form 3811. 6. 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J ,a' ' *t o art located at 4 a .x & � ,,e4t ,,. *. ,.4 The -proper y owned bY`,yoo'x 1 Park oats V 4 i i -` ' t" f Q.- t„ ] , Sq !page; Hyanriia, waw` , napected t E �� b r a-�.•;on 3r► tnar '22, 1985,'-'b `# T ..: .. �. 4 i 1 'e ,, ;, t t '4 t.. y x3'homas,McK�nti, A�$''lth laspector�:, .or the Toi,�n4,gf ;Barnet b ' ,+I � ". ;` o ''a 'c :, le` '^ ,'-4j, � eciauset� iaaplafutEby;}th@ "tenant;, Cha .lee'R'Melcolm 'Seri th. f';Thd-'fdll�o`i-" '';i`_ ` •. .i' ` ;`' ,�, fi`' �� }atfonss of Orffik,�10.000,' mum^rSt►ndards=of"'.Funs s + r'; : 1, :- s a for Human `Habitat3ozi, were ;'a ,, Ly ' ,� �... _ ,,! yr r.' 1 k. �'` -', ay p^n •{'Pt , iY + sQ s r,:,-noted.-at. the finis of:Che r "-J . . t '' t ., s �k ..� ,. ,, i nspect ion.t v. Y,� n } w 3r� a t ?,^;^ ,�., yt . �� h x f-„ �-. 4 ele' ,. ' . 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'I ao--1 a t a.y.yr e ..�+ '�-.i. a.'n�.`,{, fi' t _e 'a 1i',;__ i,1, st ''`'y1'•G�` Y,W YM,.^yi, k .^�y.,c}', 'r r� r4'a.,:l't- l - r„�..73 � ,`J ',;. r. ,�:'� A ` a , jam, " J ,{, �, 4 r` , •r +, c <_f, , ,� t a #,,Y °.: 4 a° S+;"` ` 4� a Y .?it ♦>t'. i , U "y.. .H l . y,41 Y' n•1:, � ti ry., _ � �} _¢r� , A' .{ ..J''�5.:. Y..,h ,T2.. ...l�U'.„.Y R. a. ��,♦ .'�.1'• - :,a. �... TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Dote '-='f _5---------- Owner - - -' - ------------------------ Tenant --------�- � _ -�_Ir-s------I--�-.r-./-'--�- fP.ti• , r Address ---------------------------------------------------------------------------- Address - Ut- --J- �- -- Compliance i� Remarks or Reaulotion - ,Yes No Recommendations 2. Kitchen Facilities Eth 3. Bathroom Facilities - 1.1 A. Water Supply I I) v 5. Hot Water Focilities 6. Heating Facilities 7. Lighting and Elecirial Facilities z 8. Ventilation 9. Installation and Maintenance of Facilities +I 10. . Curtailment of. Service 1 I 1 I r ;. 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural r 1 4t Elements \f` k) 14. Insects and Rodents I -vi- 15. Garbage and Rubbish Storage and Disposal I 16. Sewage Disposal 17. Temporary Housing (I _PART II 37. Plocarding of Condemned Dwelling; Removal of Occupants; Demolition &j�e�v'sons) Inter sewed \ ,� �l � Inspector Per _ ��,r,-,�.. € I fi� ,_ t•,_�,�-t__ If Public Building such as Store or Hotel/Motel specify here t Q 0 GUEST ROOMS ■VACATION EFFICIENCIES ■ APARTMENTS 156 Main St. Hyannis, Ma. 02601 Telephone 617-775-5611 FEATURED IN "COUNTRY NEW ENGLAND INNS" January 25 , 1985 Mr . Thomas McKean Town of Barnstable Board of Health 367 Main St . Hyannis , MA 02601 Dear Mr . McKean , In response to your letter dated January 23 , 1985 regarding 11 Park Square Village , Hyannis , tenant Charles Malcolm-Smith: The refrigerator was replaced on Wednesday , January 23rd and the heat was checked that day . The thermostat in the adjoining unit (#10) was raised 5 degrees . The tenant in #10 was instructed to ventilate her kitchen when cooking so as not to raise the temperature-in the room where the thermostat ( that controls the building) is located . I checked the adjoining unit #10 on Wednesday and noticed that it was excessively warm in the room where the thermostat is located causing the thermostat not to call for heat . This was the second time that I had requested these tenants to monitor the heat/)so that the adjoining unit (#11 ) would be com- fo 1 . V y rul y , Peter M . John on V o, t "THE Taw .TOWN OF BARNSTABLE Q OFFICE OF i BAH MASS.. L, BOARD OF HEALTH MASS.. `i639. �e� 367 MAIN STREET HYANNIS, MASS.02601 August 7, 1986 . John P. Madden General Delivery So. Harwich, MA. 02661 Dear Mr. Madden, Receipt of your letter dated June 24, 1986 is acknowledged. All violations observed in apartment 10 and 11 have been corrected. No complaints have been filed since the dwelling was re-inspected and deemed suitable for human habitation in accordance with 310 CMR 410.000 of the State Sanitary Code II, Minimum Standards of Fitness for Human Habitation. Very truly yours, James B. Conlon Health Inspecter Town of Barnstable Health Department 1,171 A1491 �' -Z w t G�o,004 { � t , r'5� �5�� d � i T t 1� ��_ FORM30 Caw HOBBSB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS S ARD OF HEALTH /J_ CITY/TOWN DEPARTMENT - - s 0y0 ADDRESS � `S 4 �4 4 J M y9 v"J� � TELEPHONE Address / � ��^" ��� — Occupant_�f �"' Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units No.Stories_ Name and address of owner AV Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish LWV, Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: -o`l- Dual Egress:and Obst'n.: _ov, ❑ B ❑ F ❑ M Doors,Windows: �0 Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: �I�QZS 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.: C;T ��. Cvw�v,,-•� (r t �-/ ❑ 110 ❑ 220 Fusing,Grnd.: d C l i v►S 4-1- , d 0.x¢v i AMP: Gen.Cond. Distrib. Box: ft, 8 e. 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.,Oas, il, Elect.: // S Stacks, Flues, ents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: O .4Zof6"0 Wash Basin,Shower or Tub: r, cbl-k-e-4 ) 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 r AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY ' INSPECTOR TITLE A.M. DATE 1 rl b d TIME 3 D P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. � 410.750: Conditions Deemed to Endanger or Impair Health or � Safety The following onndWono, when found to exist in residential pmmioon, shall be deemed conditions which may endanger o/ impair the health, or safety and wel|'b&ing of u person or persons occupying the pmmiso�. This listing is composed of those items which are deemed to u|wuyx have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. B6oauoo^Chuotor ||. 1O5CIVIR41O.10O through 41O.02O state minimum requirements of fitness for human habikatmn, any other violation has the potential mfall within this category in any given specific situation but may not do»n in every case and therefore is not included in this listing. Failure to include shall in noway be construed aoa determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the|oou| � health official to order repair orcorrection of such violation(s) pursuant to 105 CIVIR 410.830thmugh 410.833 nor shall failure to � include affect the legal obligation of the person k»whom the order io issued\o comply with such order. � (\) Failure to provide usupply cd water sufficient in quantity, pressure and tempommio, both hot and oold. to meet the ordinary n6edacd the occupant in accordance with 105CIVIR41O.18O and 41O.18O for a period od24 hours orlonger. � (B) Fai|�oVz provide heatan required by 105 C�R 410.201 or improper venting or use ofuspace hea�rorwa�r heater as � prohibited 1O5CIVIR41U.20O(B) and 41O.2U2. � (C) Shutoff and/or failure Vu restore electricity mgas. � (D) Failure to provide the electrical facilities required by 105CIVIR 410.250(B), 410.251(A). 410.253und the lighting ln com- mon areamquired by 105CIVIR410.254 ' � (E) Failure vo provide a safe supply ofwater. � (F) Failure to provide a toilet and maintain a»ewago disposal system in operable condition an required by 105 CMR � 41O15O(A)(1)and 41O.3OO. � � (G� Failure k/ provide adequate exits, or the obstruction of any exit, passageway m common area caused by any object, including garbage or trash, which prevents egress in case ofanemergency 105CIVIR410.450. 410.451 und41U.452. (H) Failure tocomply with the security requirements of 105 CIVIR 410.480(D). (|) Failure to comply with any provisions of 105 CIVIR 410.000. 410.001 or418.002 which results in any accumulation ofgar- bage, rubbish,filth or other causes of sickness which may provide a food source or'harborage for rodents, insects or other pests � or otherwise contribute to accidents ortothe creation or spread of disease. � � U> . e pewenoo��|eadbuuod paint on adwe||ing or dwelling unit in violation of the Massachusetts Department of Public Hea|th Regulations for Lead Poisoning Prevention and Control, 105CIVIR400.000. (See M.Gl. o. 111 8D6D 190thmugh 199j (K) Roof,foundadon, ov other structural defects that may expose the occupant or anyone else tofire, buma, ohook, accident or other dangers or impairment to health or safety. (L)' Failure to install o|ookioai p|umUing, heating and gas-burning facilities in accordance with accepted p|umbing, hoaUng, gas-fitting and electrical wiring standards or fail m10 maintain such hmihioeao are required by 105 CIVIR41U.351 and 410.352. so aoto expose the occupant oranyono'o|uoVnfire, bumo, ohouk, accident or other danger or impairment to health myafet�- (M) Any defect in asbestos material used as insulation or covering on a pipo, boiler m furnace which may result in the release of asbestos dust orwhich may result inthe release of powderod, crumbled or pulverized asbestos material in violation of 105 CMR41U.353. (N) Failure to provide a smoke detector required by 105CIVIR410.482. (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 ofsaid condition orconditions: <1> Lack ofa kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack ofu stove and oven o/any defect that renders either inoperable. . , . , . (2) Failure to provide a washbasin and shower m bathtub ao required in 105CIVIR41O.15O(\)(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 thereof in violation of generally accepted p|umbing, heating, gasfVtting. ore|eotr'o�wihng�andanjo that du m�oma�an immediate hazard. (4) Failure to maintain uo�e handmi|orpm�ohve/ai|ing for every stairway, porch bu|oony, roof o/similar place uo required by 185CIVIR41U.5O3(A)and 410.503(B). <5> Failure toeliminate mdonts, 000kmaohoo, insect infestations and other pests as required by 105 CIVIR 410.550. (P) Any oth&violation of 105CWR41O.000 not�numiomted in 105CIVIR41CiT50(A)through (0)shall be deemed tobeucon- dition which may endanger or materially impair the health or safety and Well-being of an occupant upon the failure ofthe owner to remedy said condition within the time onordered by the Board of.Moahh. . . ' � � . � � ` . . ^ ` | � •i' ri,r +.t `i`ae.. y'..�.,;add•Y'* ,' - .. .ti p r •. •,,,,,,.,r.s ..,�•r. ,•r' 5.!w"+r ur' F , Y.,. ,..,,,, •..}'n ;,Fr.Sr...1'-r.-v� r,:t'., FORM'30 CI&w . HOBBS&WARREN M THE COMMONWEALTH OF MASSACHUSETTS -� BQARD OF HEALTH CITY/TOWN DEPARTMENT - --36 7 94 -- 6� ,, y� ADDRESS �- M `/1 _FZ�4 64 w f' /TELEPHONE � If Address MGu"^ �^ _Occupant- Floor-Apartment No. No.of Occupants_- No.No.of Habitable Rooms __No.Sleeping Rooms--_ ____ _ No. dwelling or rooming units_____- No.Stories Name and address of owner_ 4&_,,1 . Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Acuw Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: -ak- Dual Egress: and Obst'n.: _0- ❑ B ❑ F ❑ M Doors,Windows: O Roof Gutters, Drains.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: &A t (NGl V/b°3r�S'tft� 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.: &rCG_' c. G vAto%_rt' (,Px t �r0 ❑ 110 ❑ 220 Fusin ,Grnd.: Al o (; 44 C i 4 5&ns Covwc�1/ 0,4vy f y,A-- Q 4�P3 AMP: Gen.Cond. Distrib. Box: PaP-1n 4 5 r-efJ 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, ' il, Elect.: Stacks, Flues, ents,Safeties: Kitchen Facilities Sink Stove , Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: y S $rrti-V ►v- C01- 61 Infestation Rats, Mice, Roaches or Other: d• ,' I Jra,/AA_ Egress Dual and Obst'n: General Building Posted L ( af,4ero 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 PENALTIES OF PERJURY ' � 1 INSPECTOR LTITLE (.�4 W_4� 1,4 v. A.M. DATE I 'b 0 TIME -_-! ' d _ P.M. A.M. THE NEXT SCHEDULED REINSPECTION _ P.M. f 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 heaith, 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. FORM 30 CAW HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/T WN a � DEPARTMENT 1 U `v " ewAct, 'p ADDRESS 50� TELEPHONE Address_. �' 0, `¢'" C"'I"°' Occupant klf � Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms-- No.dwelling or rooming units No.Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: � -f Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Jcv-Aj,, w. w /0 3'"01 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 ❑ N Equip. Repair TYPE: tf P Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: cw vi H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 6<T :., "4 ❑ 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. Su .Ten. a ,Oil, Elect.: 1/ T Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink I 6- cr, Stove v 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 1a4-J.z-_- aS 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 PENALTIES OF PERJUR ." INSPECTO CI J TITLE "'�f � e'e4 DATE TIME ' P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. � � � � � 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or � impair the heaith, or safety and well-being of a person or persons occupying the premises.This listing is composed of those � items which are deemed io always�have the p�an�a|Vx endanger orm�oria||y impair the health or»af�Y. and wmU'boingofthe occupants orthe public. Because Chaptor||. 105 CIVIR 410.100Uhmugh 410.620otate minimum requirements of fknoaa for human habitatmn, any other violation has the potential to fall within this category in any given specific situation but may not d000 in every case and therefore is not included in this listing. Failure to include shall in noway be construed aaadetermination 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 vio|ahon(o) pursuant to105CIVIR41O.83U through 410.833 nor shall failure V» include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide asupp|y of water sufficient in quanhty, pressure and temporatuve, both hot and oo|d, to meet the ordinary needs o4 the occupant in accordance with 105CMR410.180 and 41U.19O for u period of24 hours orlonger. (B) Failure to provide heat as required by 105 SIVIR 410I01 or improper venting or use cdaspace heater mwater heater as � prohibited by 1O5CIVIR41O.200(B) and 410202. � (C) Shutoff and/or failure to restore electricity or gas. (D) Failure kz provide the electrical facilities required by1U5CMR41025O(B). 410.251(A). 410253 and the lighting in com- mon areurequired by 105CIVIR410.254 (B `Failure to provide a safe supply o4water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition an required by 105CMR 41O15OVQ(1)and 41O.3OO. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage ortrash, which prevents ogmoo in case ofun emergency 105 CIVIR 410.450. 410.451 and 410.452. (H) Failure 10 comply with the security requirements of 105 CIVIR 410.480(D). (|) Failure ko comply with any provisions of 105 CIVIR 410.600. 410.001 or 410.602whioh 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 o,otherwise contribute to accidents orto the creation or spread ofdisease. (J) The presence of paint on dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.Gl. o. 111 @VD 10O through 1QQj (K) Rmof, foundation, or other structural defects that may expose the occupant or anyone else\ofire, buma, ohook, accident or other dangers orimpairment to health orsafety. ' . . (L) Failure to install deotrioa|, p|umbing, heating and gas-burning'hmi|itieo in accordance with accepted p|umbing, houting, gas-fitting and o|ootrioa|wiring standards or failure to maintain such fuoi|deoaaare required by 105 CIVIR 410.351 and 410.352. so uoto expose the occupant o/anyone else Vofire, bumu.'ohook, aooidohtor other danger nr impairment to health or safety. (M) Any defect in asbestos material used as insulation orcovering on u pipe, boiler o/furnace which may result in the ve|0000 of asbestos dust o/which may result inthe release ofpowdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. � (N) Failure to provide a smoke detector required by 105CIVIR 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 orconditions: (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 awayhbauix and shower o,bathtub uo required in1O5CIVIR41015U(A)(2) and 41O.150(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, heaking, gmditting, 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 1U5CMR41U�5O3(A)and 410.503(B). (5) Fui|umVn�imin ^ ' 'ents. 'oo ' h*w. insect infestations and other | as required by 105CMR410.550. (P) Any other violation of105CIVIR41Ci0O0 not enumerated in 105CMR410.750(A)through (0)shall Ue deemed Voboa con- dition whichmayendango/o/matohal|yimpair/heheaUhoraufetyandwm||'b*ingofanmcnupun1upon#hetai|umnfthomwner to remedy said condition within the time so ordered by the Board of Health. � � � � � � � | . ',,.yy 1...1...<4.!' !. -r .. ,.- .-,. '- .... (• "sry.... ' •.x...'.'F�. ...(1a 1=-'l..l'^C..w.M1�,w......,,rf...''�1..^"h't'�.�^"'ti- ,. w HOBBSB WARREN'm THE COMMONWEALTH OF MASSACHUSETTS FORM 30 �I BOARD OF HEALTH CITY/TOWN d 1 DEPARTMENT I ) 'o ADDRESS ,M sa�•° 6 y � /TELEPHONE Address 0 tnnvvW�t �f� (µ+I�w c / ho 2q_ � - — -� - - -_Occupant_—.__ _ _ Floor Apartment No.—, ___ _. No.of Occupants_ No. of Habitable Rooms______No.Sleeping Rooms No.dwelling or rooming units_---- _ No. Stories _— Name and address of owner _______- Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 44NrM Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: ScvAA.A,,. w. V-uU4 _ Wo 3'"0� 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: F 0 W Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: � v1 H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: Ci ... F_� ❑ 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. Ga , Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink ( 6 fy � Stove (A 1 Bathing,Toilet Facil. Vent., Plumb., Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: S + v-w Egress Dual and Obst'n: General Building Posted LlG2,_jk_ of Locks on Doors: �] ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH Irl�`"�)v+ 1 MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR:(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.', INSPECTOR 0 TITLE 4k_! DATE � TIME / -�? _ P.M. P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. o 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 heaith, 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. FORM30 Caw Ho8Bs&WARREN 'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Gww� &i,1,�_ c f��S CITY/DOWN o DEPARTMENT k lat,�, 's a u b ADDRESS S `TELEPHONE f , Address ( l�il f'-�%�/T"/ Occupant" N�" '� Floor Apartment No. No. of Occupants No. of Habitable Rooms No.Sleeping Rooms _ No. dwelling or rooming units_ No.Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Wta 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 ❑ N Equip. Repair TYPE: 6111 Stacks, Flues,Vents: PLUMBIN : Supply Line: CSt.-�►� G�� ❑ 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. Su .Ten., as, )iI, Elect.: 0 Stacks, Flues, ents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: cc,v", vt_� '3 Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted i 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 PENALT7�17_Td= INSPECTO9TITLE �h, DATE�/�� e TIME /o'�`�_ P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. ri .;.K;.v.t"'rJ r..±� i�' MSI.t`6 v.i Madi� ',ts i''?'Sl' �'�' S:� l5.�.m,;P „4,•C.�r�a.n•-.p.N A.: ... 7t .,�. .r° ^" ,'Y,..r'G', .^k 'y :.,ral •CS, •�' l�.gp� ,F;: a:, .''ar ;74p��.'��f'+p �r 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 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 Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,. so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. FORM 30 HW Hoeess WaaaEN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Rio& (7 �s CITY/JOW DEPARTMENT 4 atil ADDRESS yf 416 Y-q TELEPHONE Address _ Occupant__'"��—/""' Floor Apartment No.__ __ _ ._ No.of Occupants__ _ No.of Habitable Rooms_ __— No.Sleeping Rooms__,___ No.dwelling or rooming units------- No..Stories Name and address of owner_ -_ Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish I Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs,Porches: kf4id 4 (O 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 ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBIN : Supply Line: W,r^ C" , ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: G i., 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) M . Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., as, il, Elect.: Stacks, Flues, ents,Safeties: Kitchen Facilities Sink 6 Stove L( VL,,mow• e L Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: "v- C.-V" v z- 3 ��A z' Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: f 0"rw Egress Dual and Obst'n: General Building Posted aeg Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE I' OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJ " INSPECTO� TITLE f 4 DATE�I IG/�/ TIME /d `yS—_ _ • ,.., A.M. THE NEXT SCHEDULED REINSPECTION " ' P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a.person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. FORM30 Caw HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH V0616 CQ CITY/TOWN o DEPARTMENT ADDRESS //TEELEPHONE Address C"' / G�►►v� Occupant_ 4104 � Floor Apartment No. No.of Occupants .7-76 _ 330 No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No. 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: S S Dual Egress:and Obst'n.: tx- ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: t•- 1, ov,,- — La-3 Id� 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., a ,Oil, Elect.: 4 ° - Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove L4 ►�.Z,v Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: J '- il-6-w t.a— E ress Dual and Obst'n: General Building Posted Locks on Doors: (j 0 tip 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." INSPECTOR—A'-- TITLES A.M. DATES �� r'JO TIME ' P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. T '! r' 6!'WIYy `:R'IF. •.2�..4 ;1 H " .. +*•,4- +' q.eh' iF .ir�.ar .;,,.. q. ,.7 ,r. �r 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 heaith, 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. �„ _r.�. '. r_}.. r � r t r�.,�,,y �. ^ .'7'. I^.•4•y..�ti�r•t- b'\. • .71-.i..:.e FORM 30kw HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH CITY/TOW N 6 oa DEPARTMENT Syev ADDRESS TELEPHONE Address 8 wWA_ GM►► ____Occupant �p Floor Apartment No.—_ __- .-__ No. of Occupants_ -7-76 _ $30 3 Ce— No.of Habitable Rooms_—___. No.Sleeping Rooms No.dwelling or rooming units_. __._ No.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: W 5 ' 1 S V1 V Dual Egress:and Obst'n.: - U V_ ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: 0 j,_ , 4 CN - 4-s tf' 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 f IiW Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks > Kitchen O Bathroom Pantry Den Living Room Bedr6om.(1) Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten., a ,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove U 0- KA".- ih,C. Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: S t ✓lyw WL- E ress Dual and Obst'n: General Building Posted Locks on Doors: - G [� ( ry fn^ FUU 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." UA 4 INSPECTOR TITLE A.M. DATE d/ TIME of _ 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 heaith, 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. FORM30 �_ HOBBSBWARREN'm THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/T WN I � DEPARTMENT 'o^ ADDRESS M SVBy`0r l! V L y�V TELEPHONE Address 16 GI (M Gwo 7� � Occupant Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units No.Stories_ Name and address of owner >� Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 43,I d.-L S A L11v y.S-Z Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: tA.-rVj(w4 v/ 4- IVC4,1 V i% ( wC_,Lr-wf Roof Gutters, Drains: Walls: -e, s i Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE IN Hall,Stairway: Obst'n.: (P��•-, 60?B Hall, Floor,Wall,Ceiling: , Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: 10-0 M t/ -k,(L LX. S t.v, ❑ 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.Tentgao, Oil, Elect.: 116 T Stacks, Flu s,Vents,Safeties: Kitchen Facilities Sink by Stove 0 iA- c. Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU Y ' nA ' k7 /a i INSPECTOR TITLE -��� `V* 41 V1 M DATE t/�/ f 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 Vo exist in residential premises, shall bo deemed conditions which may endanger or impair the heuith, or safety and well-being of person or p*umno 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||. 1O5CIVIR41O.100 through 41O.020 state minimum requirements of fitness for human habitatmn, any other violation has the poVandu|to fall within this category in any given specific situation but may not d000 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 Va order repair or correction of such vin|a1ion(o) pursuant to105CMR41U.83O through 410.833 nor shall failure 10 include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide asupply of water sufficient in quantity, pressure and Vemperaku/o, both hot and oo|d, to meet the ordinary needs uf the occupant in accordance with 105 CMR 410.180 and 410.19U for aperiod of24 hours o/longer. (B) Failure to provide heat as required by 105 CMR 410201 or improper venting o/ use ofaspace heater o/water heater as prohibited by 1O5CIVIR41O20O(B)and 41O2O2. (C) Shutoff and/or failure Vn restore electricity orgas. (D) Failure to provide the electrical facilities required by105CIVIR41O.25OB>. 410.251(A). 410.253 and the lighting in com- mon aeamquired by 105CIVIR410.254. (E) Failure to provide a safe supply cdwater. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CIVIR 410.15O(A)(1)and 41O3UU. (G) Failure to provide adequate oxits, or the obstruction of any exit, passageway orcommon area caused by any object, including garbage ortrash, which prevents egress in case ofan emergency 105 CIVIR 410.450. 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CIVIR 410.480(D). (|) Failure to comply with any provisions of1O5CMR41O.00O. 410.001or410.0U2 which results in any accumulation ofgax' bago, mUbinh, filth ur other causes of sickness which may provide afood 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 ofPublic Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.GLu. 111 6D@18U through 1Q9j (K) Root, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers orimpairment to health orsafety. � (L) Failure to install a|eotrica|, p|umbing, heating and gas-burning facilities in accordance with accepted p|umbing, heuhng, gas-fitting and electrical wiring standards or failure Vn maintain such faoi|Uooao are required by 105 CIVIR 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 unUootoo material used as insulation orcovering on a pipe, boiler ov furnace which may result in the release � of asbestos dust orwhich may result in the release ofpowdered, crumbled o/ pulverized uuUaotoo material in violation of 105 � CIVIR41O.353. (N) Failure to provide oomoko detector required by 105 CIVIR 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 orconditions: (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 aa required in1U5CMR41O.15O(A)(2)and 410.150(A)(3)orany | defect which renders them inoperable. (3) Any defect ln the electrical, plumbing o, 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 aoafo handrail or protective railing for every stairway, porch ba|oony, roof orsimilar place as required by 105CIVIR41U.5O3(A)and 41O.5O3(B). (5) Failure Voeliminate mdemo, 000hmaohex, insect infestations and other pests as required by 105 CIVIR 410.550. (P) Any other violation of1O5CIVIR41U.00O not enumerated in105CIVIR41O75O(A)through (0)shall bo deemed Vobea con- dition whiohmuyendungerormatoriaUyimpairthehoahhoroafetyandwo||'Uoingcdan000upantuponthofai|ureoftheownor to remedy said condition within the time 000rdered by the Board of Health. ^ | ... .,._ .. r .�- 'Y'4� .��.F� .. ri• , .'j:y.i Z.. .. * �r T. .ti. r -.iR ,.., .r ..;': ..r.-«r�-.-.sriti,.T..-.r 1r i^F�..-,..."k•*ww' �-..v«_.,r�-.. -. y FoRM30 .� w , HOBBSBWARREN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (3 Gl,✓t4 stwh U _ s CITY//T9nWN q V�'/d W l�`fit. o DEPARTMENT ADDRESS Z/ ` 46 f TELEPHONE Address 16 1 ��,1"1�u" t Q^"---------- Occupant Floor Apartment No.__ _— No.'of Occupants No. of Habitable Rooms___ No.Sleeping Rooms No. dwelling or rooming units _ _ No.Stories Name and address of owner -��a &Jjv, — Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: T3 ctk S4v s t /W_112A.r-, ys-Z Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Xl ,w W.,A 4 Ntw V i k/If tv,," Roof sv� S Itr tin o� I,�-w.t.� v. b A 1-6 Allo SS Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: 0bst'n.: 2 - Hv (0." — $ f Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Su I Line: V 1*4r_(-+— s-, VWv- ❑ 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. Ga Oil, Elect.: //6 F Stacks, Flu Vents,Safeties.- Kitchen Facilities Sink 8V- Stove o k c- 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 16ZA- S e 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 PENALTIES OF PERJURY,' V INSPECTORS ='_- TITLE OL /P)S DATE / 1 f TIME r ro +� 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 heaith, 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 416351 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. W HOBBS&WARRENTM THE COMMONWEALTH OF MASSACHUSETTS FORM 30c!�, ! ARD OF HEALTH W0,_V%_4Vb k CITY/ OWN DEPARTMENT 'o ADDRESS S�y`0 TELEPHONE Address �(.�'""`'�� � -cum OccupantN" �"�- Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units_ No.Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: '& .s s v - S --ol.L Dual Egress: and Obst'n.: u(.Z ❑ 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 Le( ❑ 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. Su .Ten.,Gas, il, Elect.: Stacks, Flu—es—Vents,Safeties.- Kitchen Facilities Sink `Z Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: —O Wash Basin,Shower or Tub: Infestation Rats, Mice,Roaches or Other: Egress Dual and Obst'n: General Building Posted /L¢� 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 PENALTIES F PERJU INSPECTO TITLE DATE V/�/d / TIME /0 P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. .>>:1t+, �.• w: N. tk i� l"Pj:StF��I'4i�'f .J: Yy� 44".Y.tTn} 4•.F.7P'C Rif.` 4M1 #.i ]`.rtr,ypp, 1 1;..� f t' at/1t-'t f✓.Tn. TP,^ : r." .Ff 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 heaith, 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 e inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through'(0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. ., .�'..r`i4."*. •?�.. } 'l.ylra.. '•y- .. .A �, ,•�'^tr ''4••,,'•,ll" .y,y.t#P!t-y„ , ,,.•.e.'1..,�,1.-..,...._7t:'_yi,t,,....•`.-.n-.r�ii`^.".., ,,r y w HOBBsBWARREN'. THE COMMONWEALTH OF MASSACHUSETTS FORM 30 �i BOARD OF HEALTH 7�V1� � CITY/TOWN o DEPARTMENT _ x _ _ G ADDRESS �L Z u 4 / 4 TELEPHONE I' -1 Address Gr wtiry {fit- 1-�� ycc �-- Occupant j"a Floor ._Apartment No.—_ ___ ___ No. of Occupants-- No.of Habitable Rooms__ No.Sleeping Rooms_—_ No. dwelling or rooming units___— No.Stories Name and address of owner_ -___. —_— Remarks Reg. Vio. YARD Out Bld s.: Fences: Garba e and Rubbish 6_(-OAM Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 't ^ 4 &:5 v S - OGc Dual Egress:and Obst'n.: S Ohc ❑ 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 NOY ❑ 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.: 6f CJ v. 14-4In ) ❑ 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 2 Bedroom 3 Bedroom 4 Hot Water Facil. Su .Ten.,Gas, iI, Elect.: a Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink "Z Stove Bathing,Toilet Facil. Vent., Plumb., Sanit'n.: 0 Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress . Dual and Obst'n: General Building Posted i(AA-j-e Locks on Doors: --� I 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 PERJU� t ((' / INSPECTOR TITLE C W A.M DATE � TIME �d' �Z� P.M. A.M. THE NEXT SCHEDULED REINSPECTION - P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the heaith, 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(8). (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 - BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner IVA a�J`-'1✓V- Tenant Address �1Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities P� b. Heating Facilities es 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal MAC-40N) 16. Sewage Disposal 17. Temporary Housing PART 11 37. Plocarding of Condemned Dwelling; Removal of Occupants; Demolition E3 Q Person(s) Interview-&cl`.�� _ Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN,INC. w V I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION I Date ' r Owner �-. ent Address9// J�' J�dress Compliance Remarks or Regulation# Ye No 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 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents IG6S &A&WAL 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART 11 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Person(s) Interviewed �711 Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN,INC. o V a • 5 ` TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date PA 5240 Owner Tenant UPS Address 'G j y Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 01 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 11C✓' 16. Sewage Disposal I I A 17. Temporary Housing PART 11 ! G0/51r., 37. Placarding of Condemned Dwelling; —f l Removal of Occupants; Demolition I' I Al r Person(s) Intervieweid. 'k/�, Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN,INC. \ TOWN OF BARNSTABLE4/ BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date ' Owner ant Address NAOMress Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply -V7- 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents (-�h � 15. Garbage and Rubbish Storage and DisposalM A 16. Sewage Disposal D 17. Temporary Housing PART II 1 K6 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Person(s) Interviewed°�'`�;% Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN.INC. TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner e t WL<r 1)'YA/ �J! Address VAkW ss Compllance Remarks or Regulation# Yes No 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 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents (/(j���� AAE 15. Garbage and Rubbish Storage and Disposal Aji 16. Sewage Disposal 17. Temporary Housing 0000�w PART II Nr 37. Plocarding of Condemned Dwelling; �NA Removal of Occupants; Demolition / Person(s)Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here Hoses&WARREN.INC.