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HomeMy WebLinkAbout0209 MAIN STREET (HYANNIS) - Health 209 MAIN ST. , gA ICY A= r _ I 1, Health Complaints 02-Dec-05 Time: 10:30:00 AM Date: 12/2/2005 Complaint Number: 18563 Referred To: DAVID STANTON Taken By: ELLEN WADLINGTON Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 209 Street: MAIN STREET Village: HYANNIS Assessors Map_Parcel: Complainant's Name: Anonymous (frightened) Address: (I��— Telephone Number: ` Complaint Description: Dumpster always overflows and people have been seen eating out of dumpster. Mounds of mattresses and box springs piled next to dumpster and higher than dumpster. There is a mental health care giver(day) in the complex, mentally impaired persons are seen smoking in this area, afraid there will be a fire. Actions Taken/Results: Investigation Date: Investigation Time: 1 F f a I CIO ; Ln 4 CU I � F ,AE\ AP",ii y ' 41 tA s q 5 Y k � y 4 y M �hWtf >♦ - _' �: g Z �"T ��� �`}d� 5 Jam. �4il • zIk.` d>. go, it Yl E f 1 t p ah Health Complaints 22-Dec-05 Time: 8:30:00 AM Date: 12/21/2005 Complaint Number: 18587 Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: GENERAL Article X Detail: Business Name: HABILITATION Number: 209 ',Street: MAIN STREET Village: HYANNIS Assessors Map_Parcel: 327-151 Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH LT. KENNEY OF HYANNIS FIRE. THEY WERE THERE ON A CALL OF GAS ODORS (SEVERAL CALLS ALL WEEK LONG RESPONDED TO) THEY HAD A GAS METER AND CO METER. NO PROBLEMS OBSERVED. SLIGHT ODORS OBSERVED OCCASSIONALLY, MAY BE FROM LAUNDRY VENTS, ETC. BUT DID NOT SPIKE THE GAS METER. BOURQUE HEATING CAME IN TO CHECK ON HEATING SYSTEM. THE HEATING SYSTEM WASN'T FIRING PROPERLY, AND MAY BE THE CAUSE OF ODOR. HEATING SYSTEM BEING REPAIRED. CONCERN OF ASBESTOS IN THE BASEMENT. OLD GALVANIZED WATER TANK(APROX. 200 GALLONS) PRESENT, WITH A PARTIAL COATING OF WHAT COULD BE ASBESTOS ON IT. ALSO OBSERVED WAS AN OLD FURNACE, COVERED IN THE CORNER, ALMOST HIDDEN UNDER DIRT OVER THE YEARS. 1 f R*• Health Complaints 22-Dec-05 SEVERAL PHOTOS ON FILE. DS SPOKE WITH OWNER OF THE BUILDING (MR. BURKE) ON 12/22/05 IN THE AM REGARDING IT, AS HE WAS IN FOR A FOOD PERMIT PLAN APPROVAL. MR, BURKE SAID HE WOULD LOOK INTO IT AND TAKE CARE OF IT. HE ALSO SAID HE WOULD REMOVE THE OLD HOT WATER HEATERS LEFT IN THE BASEMENT. Investigation Date: 12/21/2005 Investigation Time: 8:35:00 AM 2 • 1 , i ,J4 �'h+E Y*trr t �vim- .~r • � r y t s. r a • s 3 f �, ,:�Y. r +Ir Q;d' - 4 7i•` «, Y,e, L#. '•� N p(J'i`�?t Y ( " .F, 1 .n ��. _ f, O, lk f 4 ''~iRy,,«.'G t.+. • IV n,` tic ',try:• lr �' - f >✓ ,�' • l it 'a. R y • �y L+ 2 nky3 re. �z yeti fi�ddns s 4 ll . "' 1 oo • roTj .. ki 94 r- cl , * �.�F , f s� f K �1� �� # 4) �`n ICI • y r P 1 Q t � .. r 40 a 4. _ yyt ` 'f V' .6" F4 ©o •e tA t � �r, 4 1 - a§} , tic.•. yF'a uz - '' i � - g �` �►� }fit,=', � � � Ixyt IV r �� d® r . �74iL sA r � +,gam, a -. N "�.. r y� r",",�., t.. �• �i���.Y-K '� tpr#f .E. -C"� �w5�`rr- .?r{�1. '.. r_. f J r w r a x y 4 .;+ fit:. y, x �r ti F e 4 N5 1�f � �• i "�a� c �`: � � ,�`� �r� 'g *'�' gib • r �'. . �' � �"3 ,,3�, `��'�• ?dab �''�` y , 5 F • u � 4? ke• v oa if14 ' � ���r � � ., � _ ������ tea,• �. - _ a� # �'O CD If a 4a �1 3,. r ,1 I �a 1 tv a IV w i �3 G - - *i - AI �y re f 3 • 1r1';�i' ]` yea ��., �. n F _ 1 � # j•� I�j III. M •+ �✓ - � .P t t' . W y ^a f _ t * Y .r r r .. � � 41 e4 }LmF a , 47 ry e v � ; , M „�r• :��R 0 v x de ,yt •�'* r t f 4 " „tom::-. • • • I • I I • • • I ! • I — — • r TOWN OF BARNSTABLE PAGE__OF `oF"'E'alti PUBLIC HEALTH DIVISION HEALTH INSPECTOR'S «P ° 200 MAIN STREET OFFICE HOURS ELAMSPAHM ' HYANNIS,MA 02601 8:00-9:30 A.M. y� `em4 3:30-4:30 P.M. FOOD ESTABLISHMENT INSPECTION REPORT 508862-4644 Name of Establishment Address Phone Owner/Operator Type of Inspection Date VIOLATION REMARKS NUMBER da ,M,Sn,. ►, 9 .. Gti � Y o DIVISION -WHITE PERSON IN CHARGE -YELLOW A. "A" Rating 1. An "A" rating is achieved when/if a food establishment has zero critical violations and no more than three (3) non-critical violations. If four (4) or more non-critical violations are observed, a B or lower rating shall be issued depending upon the total number of violations observed (see details below). B. "B" Rating 1. "B" rating is achieved when/if a food establishment has one critical violation and less than four (4) non-critical violations. 2. If no critical violations are observed, the establishment shall have four (4) to six (6) non-critical violations to obtain a "B" rating. C. "C" Rating 1. T" rating is achieved when/if an establishment has two (2) critical violations and less than four (4) non-critical violations. 2. If no critical violations are observed, the establishment shall have seven (7) to eight (8) non-critical violations to obtain a T" rating. F. "F" Rating 1. T" rating is issued when/if an establishment has three (3) or more critical violations and less than four(4) non-critical violations. 2. If no critical violations are observed, an establishment with nine (9) or more non- critical violations will be issued an T" rating. Seriously Critical Violations: Any critical violation considered as being "serious" such as sewage backup, no hot water, infestation of rodents or insects, PIC(s) not certified and/or not present, and/or lack of refrigeration with no immediate action taken to correct the serious violation automatically reduces the rating to a T "or no rating (failure). TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 134ctcstpe 5;AL.0a,4J Mail To: BUSINESS LOCATION:Aoq m4ly 5r/-- �a.V,4� /SIG oho/ Board of Health Town of Barnstable MAILING ADDRESS: S,r-+ P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 , CONTACT PERSON: 6d¢.r/Q,r/�� EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO _ s This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (Including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink . Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN`"OF BARNSTA 3LE BAR-W 410 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager �yt_ -f'�-P� Address of Offender � -��'1 � -P MV/MB Reg.# Village/State/Zip { �/,S-'. -�" Business Name 's,(J [ 6h.��Q � /ampm; on v`� �'" 19 S'..ST Business Address ( lit 94-x 8-ignature `of Enforcing Officer Villag e/State/Zi P Location of Offense Enforcin De t/Division . . g P Offense AjUpSQ " �a� 0Q)Y0Xa_-11G'P? Facts U°� 'G�lc,`!A-�r This will serve only as a warning. At this time no legal action has been taken. It is the goal of .Town agencies to . achieve voluntary' compliance of Town Ordinances, Rules and Regulations. Education efforts and warning, notices are attempts to gain voluntary . compliance. Subsequent violations will result in appropriate legal action bye the Town. TOWN bF BARNSTABLE BAR-W 410 Ordinance or Regulation , WARNING NOTICE . `t Name of Offender/Manager 90m_ t Address of Offender „1A)9 Ana.-".o MV/MB Reg.# Village/State/Zip' f� �o Business Name d S� }y"'E'.l` tam !pm; on a' 19 � Business Address Sgnature 'of Enforcing Of``ficer , P Village/State/Zip Location of Offense ^ ? AAa,-6&,Y Enforcing Dept/Division Offense �U:.Sn / � ✓ 1`'ash ' / Facts UU 46k;f - feifP i� fsr dam,/fir r.!" (�+,�✓t J �rrw, . This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary _ compliance. Subsequent violations will 'result in appropriate legal action by the Town. ' TOWN'OF BARNSTABLE BAR-W Ordinance or Regulation 410 WARNING NOTICE Name of Offender/Manager Address of Offender "1 r/ `_ °� .% MV/MB Reg.# Village/State/Zip .w Business Name ._ ! 'de am/pm, on , ' c• r 19 � Business Address ` . f 4 Signature of Enforcing Officer Village/State/Zip Location of Offense j(1 ' c!✓' ° �': rrr . /"� Enforcing Dept/Division Offense _ �.j > r Ld f+ r Facts £. U �'`f 7'cr+r 9 �r^. r 'V, :" V f ef. �f1'r +S l '1EA�^�/�{" jf / a 1 I'L.• .r^ / -•..✓. a� f f .�° J3'� � _-f7 C._..�C^..J •t r F'°ff ° This will serve only as a warning. At this time no legal action has been taken. ! It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. i SENDER: SECTION. DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signa item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. I eceived by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, 4� or on the front if space permits. D. Is delivery a different from item 1? ❑Yes 1. Article Addressed to: il.7 If YES,e er`� iv -atltlresress below: ❑No � 0� 0) I JUN 2820 Renaissance Trust PO Box,2427 -- 3. Se ice ype Hyannis, NIA 02601 ified�ni��p`❑.Express Mail I r ❑Registered eturn Receipt for Merchandise I ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee), ❑Yes l 2. Article Number 7008 3230 0002 5177 9138 T-(Transfer from service label) l 6 1 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I I I _ Town o't3arnstable Public Health Division �\Uo 200 Main Street Hyannis;MA 02601 r;. t J.r Certified Mail# 7008 3230 0002 5177 9138 Town of Barnstable � iHE_T \ • 'Regulatory Services IATINSIAB Thomas F. Geiler, Director \9t Yt.ASS. '4`:1 Public Health Division A \�rfD_WiA Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 22, 2010 Renaissance.Trust PO Box 2427 Hyannis, MA 02601 n NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170 . The property owned by you located at 209 Main Street (Unit # 10), Hyannis was inspected on June 21, 2010 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint. The,following violations of the State Sanitary Code were observed: 1 CMR 410.500 — Owner's Responsibility to Maintain Structural Elements: Three )1 bvindow panes in windows within living room were missing or broken. There is a hole Wall within bathroom. Kitchen drawers do not work as intended to. (not on tracks) 105 CMR 410.480(E) - Locks Loc on window within living room was broken ; a 106 CMR 410.351- Owner's installation and Maintenance responsibilities. lectrical switch missing face plate. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing new lock on window so that it is capable of , being secured from unlawful entry. You are ordered to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing or replacing the windows mentioned above so that it is weather tight and waterproof; by repairing the damaged wall within bathroom; by repairing kitchen drawers. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding above violations, please contact the Town Health Division and ask to speak with inspector who performed the insp ction. ER F HE BOARD OF HEALTH s . McKean,R.S., CHO Director of Public Health Town of Barnstable Q:\Order letters`Mousine violationsTental ordinance\209 main# I Odoc HOBBS&WARRENrnn FORM30 C&w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF I&TH Rd-ITY/TOWN W MENT p. �G,M Sv9 y`0W ADDRESS TEL Address01 Occupant Floor Apartment No. No.of Occupants. No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units Ng,—.,Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: r s Hall Windows: HEATING Chimneys: c Central '❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: -�— PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. sup.Ten.,Gas,Oil, Elect.: Stack_s, Flues,Vents,Safeties: �_ Kitchen Facilities Sink "'�-- Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION R RT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES�6�PE 11 INSPECTOR TITLE A.M. DATE �'� TIME _ "/ U J P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. I 410.750: Conditions Deemed to Endanger or Impair Health'or Safety The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety,and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise coritribute 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. ,. ....rt .,r � .. .+`r�..n.�r�4..:r+'iTl-'7:iY+�-.iifa.+•v.eta-'-�.- .;.....-n....K.Ia+.,�•.^;-�-`-'+�,., FORM30 C&w HOBBSBWARREN'" THE COMMONWEALTH OF MASSACHUSETTS V BOARD OF H TH C TirroWN r .. - W - C9 6 V DEPFR.TMENT ADDRE�SS 4 TELEP NE � w Address go — Occupant Floor Apartment No. D 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: Draina e Infestation Rats or°other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M -01 Doors,Windows: Roof Gutters, Drains:. 1 - Walls: Foundation: Chimne -_ .d BASEMENT Gen.Sanitation: o Dampness: Stairs: . Li tin .h STRUCTURE INT. Hall,Stairway: Obst'n.: -7 �► .� Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: ... .,F (.:t A} 'r r r --HEATING Chimneys: Central P❑ Y 0 N -Equip. Repair TYPE: Stacks, Flues;Vents: -3-- Ln PLUMBING: Supply Line:" 1 {MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: K tom_ , R.A 11110 11220 '' Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT l Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen '." Bathroom ✓ - Q ~'r v- +� %Atlh._ { Pantry Den _;",_ �f`'.a...t, ;S..�. Living Roo m__ rrr - 1 -Bedroom 2 Bedroom 3 {Bedroom 4 4 n ; Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties:, ' A � Kitchen Facilities - Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: "' F 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) Z� "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED`UNDER THE PAINS AND f PENALTIES O . ERJUAY." INSPECTOR / - TITLE A.M. DATE V TIME P.M. r a M THE NEXT SCHEDULED REINSPECTION P.M. r 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety,and well-being of the occupants or the public. Because Chapter ll, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). I Failure to comply with an provisions of 105 CMR 410.600 410.601 or 410.602 which results in an accumulation of gar- bage, PY YP � Y 9 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.