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HomeMy WebLinkAbout32, 22 SCHOOL STREET - Health _ o . 32 Schoo Hyarmis ° a ' Y O a a n G a ° ° o o F 0 Op SHF Tp� Town of Barnstable Barnstable Regulatory Services Department ;sicaC-j > BARNSCABLE, D " . Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7006 2150-0002-1-1-1.5-----, C' K aC September18,2008 John Kilroy P.O. Box 601 ��,s Barnstable, MA 02630 � Lag ��5, � i 3� 66A NOTICE TO ABATE VIOLATIONS O 05 CMR 410.000 STATE SANITARY CODE II—MINIMUM STANDARDS F FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABU CODE CHAPTER 170. The property owned by you located at 17 School Street,Hyannis, unit 2 was inspected on 09/018/2008 by Jaime Cabot, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.4827 Smoke Detectors Smoke detectors not provided for bedrooms You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes. You may request a hearing before the Board 6f Health if written petition requesting same is received within ten (10) days after tlia =he order is served. Non-compliance will result in a fine o�f,$1"�0. 0 p 0er violation. Each day's failure to comply with an order shall consti Ye " �' parate violation. Should you have any questio e .and g the above violations, please contact the Town Health Division and ask to s eak w'tlthe inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable / Town of Barnstable pQ SHF TQ� P ti Regulatory Services nARNSTABLE. Thomas F. Geiler, Director MASKS. 04 9`�Arf0 39. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 18, 2008 Attn: Hyannis Fire Health Inspector Jaime A. Cabot conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire . p q Y Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector)violation(s): 32 School St.-Hyannis, Assessors Map- Parcel: (327/234) 6 -Carbon Monoxide detector missing first floor bedroom Smo detectors not pro 'ded on first and second floors Z 51 Ja' e A. Cabot, Health Inspector QAOrder letters\Housing violations\Rental ordinance\\Fire ViolationsTIRE TEMPLATE.doc i _, �V IG(G�. �� ��Vl�eV �° �. - � _ 1 - i5 � l 5��� _ -- �cn '' �-- � w��l-r%�-U� �v�V�iVQ�Y�V1 ��, �: a;,: W HOBBSRWARRENTM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 C& BOARD OF HEALTH z I13c�P� CITY/TOWN W p "- DEPARTMENT o , ADDRESS ` c GSM 6`ey /D 2 C-'P��`� ZZa %Z ��2/ TELEPHONE Address UCC 0 L y IJ Occupant /A2 . Floor Z Apartment No. Z- ' No.of Occupants A�?V Q /A/V U,S No. of Habitable Rooms No.Sleeping Rooms TA UA&J No.dwelling or rooming units 2 No.Stories 7— Name and address of owner -A coi A 1(5Zea 3o Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: mo IA Ov a 0 2-T exw-co x- Hall Windows: ,/1 0 J V3 OIZ- C 0 W.A Z HEATING Chimneys: 1 V 1 A.P_ A& 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. S n., Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Faciliti Sink Stove Bathing,Toilet Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress Dual and Obst'n: General Building Posted �V Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH g MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE S AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTI N REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF ERJURY " INSPECTOR TITLE P64 �IVS (L Q A.M. DATEA �CJ TIME �� Q A.M. THE NEXT SCHEDULED REINSPECTION 7 SA P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health,..or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are*deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of 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 307 C&W HOBBS&IwARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN DEPARTMENT ADDRESS GSM SVBy`e. TELEPHONE Address SC �.. Occupant`� �'�A UN A,Z i Floor_- Apartment.No. Z- No.of Occupants A4-1 v Atv tJ S/f A TA UA/V No.of Habitable Rooms__I No.Sleeping Rooms No. dwelling or rooming units 2 No.Stories 7- Name and address of owner_�j t \ t_ Qul 6 Ems►So Remarks ; Reg. Vio. YARD Out Bld s.: Fences: r Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n.: I ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: f STRUCTURE INT.- , 'Hall,Stairway: Obst'n.: l Hall, Floor,Wall,Ceilin.:r . Mall Lighting: M U t-1 OvCf- 2-T sc;-c0 HallWindows: 0 r4,a,1 t tnvJ 'Fo2 il5q_0 9-caoVA e4in ZAZ ' HEATING . Chimneys: Jr l_ !V t w Cap A e A,S E F" Central ❑ Y ❑ N Equip. Re air s TYPE: Stacks, Flues,Vents: ' + PLUMBING: Supply Line: ❑ MS LIST ❑ P Waste Line: -- �< ' H.W.Tank s Safety and Vent(s) I •. ELECTRICAL Panels, Meters,Or.: iF ❑ 110 ❑_22d 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, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Faciilities- Sink S (~ Stove Toilet Facil- Vint, Piurnb.,_Sanit'n.: — �- Wash Basin;Shower or Tub - Infestation " Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted . a 1-/e S-T c Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH r MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE pG(-Id 6� OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE C` AUTHORIZED INSPECTOR.(See Over) S "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF ERJURY." INSPECTOR TITLE ��L7NS A71f C7Al� A.M. DATE TIME THE NEXT SCHEDULED REINSPECTION 7 P.M. ..M,,c-:-.-'...-. -.r+..-....}—. «+ ...:�..�K--r...- _ -�r:.,a ;e...:rr�.-..r.'"� is s��,t�.Y�...,r"rr-i*="'.v...T^.r+•,tdF-t{,�„'F!'.t{c r-n b.'iA'�. _- t 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such 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. UNITED STATE �egeu�:k .es� 23 "' .�2'..0'n...8. P'Y4'R:/,t-2 �a at"2 r� euwicw} !M • Sender: Please print your name, address, ZIP+4WthisEb�ox • -77 I _ � r�-to Town of Barnstable Health Division — 200 Main Street. Hyannis, MA 02601 I I I I C-1 k SENDER: COMPLf TE THIS SECTION COMPLETE THIS DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restrictej Delivery Is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we Can return the card to you. B. Receiv d by(Printed ame) C. f every ■ Attach this card to the back of the mailpiece, or on the front If space permits. 1. Article Addressed to: D. Is d ivery address different from kem 1? ❑ es If Y S,enter delivery address below: ❑No -TO � L �d- I I d, �O � I 3. S rvlce Type " Certifled Mall ❑Express Mall '! ❑Registered ❑Return Receipt for Merchandise B C.co?jU ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑yes 2 Article Number seivice1 } .� 7� 6 i i,215 Oy}G0 0 2 110142 1115- 4 kB? AI PS Form 3811,February 2004 Domestic Return Receipt 102595-02:M-1540 r4I r • r . :.- . .•. r� ry OFFICIAL �I E3 Postage $rq J�`S O ru Certified Fee Postmark Return Receipt Fee j c (Endorsement Required) Cat. LHQre.U1�0 O Restricted Delivery Fee p (Endorsement Required) Ln tiTotal Postage&Fees LISPS QSent To \0 Vc a _1 N ----------------------------------••--•---------------- Street,Apt.No.; P- PO Box No. --i "' i+cty,s zPd N SSA(5;1Y— M . :.. rr. Certified Mail Provides:p 10 a A mailing receipt o A unique identifier for your mailpiece o•A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Maile or Priority Mail,. o Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking..If a postmark.on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and"present it whdrnaking an inquiry. PS Form 3800,August 2006;"(Reverse)PSN 7530-02-000-9047 AIn�� �' l Town of Barnstable Barnstable oF��r� � yvP�' ti� Regulatory Services Department AI-AroedcaCity� 1 BARNSTABLE. O D MAss Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 7006 2150 0002 1115 Septemberl8,2008 John Kilroy P.O. Box 601 Barnstable, MA 02630 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 32 School Street, Hyannis, unit 1 was inspected on 09/018/2008 by Jaime Cabot, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.482- Smoke Detectors Smoke detectors not provided for bedrooms and Carbon Monoxide detector not provided for one bedroom 105 CMR 410.551 —Screens for Windows Screen not provided for one window and holes in screens. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes and by Correcting the violations listed above within 30 days of your receipt of this notice by: replacing the window screen and repairing the hole in the screen. 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 the above violations, please contact the Town Health Division and ask eak with the inspector who performed the inspection. PER ORDER OF THE B ARD OF HEALTH omas A. McKean,R.S., CHO Director of Public Health Town of Barnstable Town of Barnstable �Op SHF Tp�� Regulatory Services > IIARNSTABLE. Thomas F. Geiler, Director y MASS. 1639. Public Health Division ATFO MAC A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 18, 2008 Attn: Hyannis Fire Health Inspector Jaime A. Cabot conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 32 School St. Hyannis,Assessors Map- Parcel: (327/234) -Carbon Monoxide detector missing first floor bedroom - Smolra detectors not pro 'ded on first and second floors Ja' e A. Cabot, Health Inspector M Q:\Order letterMousing violations\Rental ordinance\\Fire ViolationsTIRE TEMPLATE.doc TM THE COMMONWEALTH OF MASSACHUSETTS GO FORM 30 C&w HOBBS&WARREN BOARD OF HEALTH 1i �/ a'Ci �1�2� S"„►abL� CITY/[T DOWN DEPARTMENT a00 Mp.% -,A S C, '�A�j AAA "� I�' C Zf©d ADDRESS / Q�� �e�, � �M I (J Q rJ ^- 4 4,j) �c� r Z +EPHON�E7 v G (,L&OgGoco�l Addr ST, , Occupant -3A' Floor_ Apartment No. / No. of Occupants No.of Habitable Rooms q No.Sleeping Rooms Z No. dwelling or rooming units No.Stories Z Name and address of owner jae �J (' 1 '&0�< A,2 (� t')1Z(e:,% Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish / Containers: V Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: _ ❑ B ❑ F ❑ M Doors,Windows: Sc rEt-) > e_<1'AJr4 /O I P Roof J / Gutters, Drains: v Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: / Dampness: v Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: 'I e-c"T oft- © 6 Hall, Floor,Wall,Ceiling: L-.�C' X--+._i0 Q U ESL. Hall Lighting: ►-,> 1 'ice v `L-s Hall Windows: A5 um 0 KI CB cu P r-TE.C.-1©(f- HEATING Chimneys: 1 ti F(-'o c) R-oo Central ❑ Y ❑ N Equip. Repair G (rtA -T TYPE: Stacks, Flues,Vents: d�9 PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: - 1•� ftGc-VAC,r .4-_s H.W.Tanks Safet a Vent(s) ELECTRICAL Panels, Meters,Cir.: 1t� ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. BoxN 124hi Gen. Basement Wiring: <L..Ar.►cf— I S {�'� CA D LING UNI Ventil. L to . Outlets Walls CeiIs. ors Floors Lock Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 - -------- Hot Water Facil. Su .Ten., Gas, Oil, E ect:: Stacks, Flues,Vents,Safeties: Kitchen Facilitigg Sink 77 2 Stove Bathing,Toilet acil. Vent., Plumb.,Saps' '_. hower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted o 6 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 O ERJUR INSPECTOR TITLE LA N C, 0, DATE � TIME P.M. y� .M. THE NEXT SCHEDULED REINSPECTION _rU 17 P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water.sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201'or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (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'�.i'fy.':'y�i�.,�y¢"�,,.c�..,.-.,._._..--vim...-.y-.,'-�'4a. °' ,.t.•, .. .::.. _ ^P6.'��<S�m'�� ' ry,ro4 '+�-. 4 .1� * —4t THE COMMONWEALTH OF•MASSACHUSETTS FORM 30 C&w IMOBBS&WARRENM _ � S e. BOARD OF HEALTH ' / CITY/TOWN DEPARTMENT �zQD "N\ )A SZ • \,A!�r A-A,,A Ste" /� c �fo O ���� a•e` ADDRESS �J 0s 010 Z^' z lq EPHONE Addr.. .�2 �40L sjr. bAN�ui�Occu an���"" 1-1uL6��c?CJ�..•. FloorApartment No. / No.of Occupantp <No. of Habitable Rooms ZI No.Sleeping Rooms No.dwelling or rooming units—No.Stories Name and address of owner !-1 �� � MAI o7_,(,% Remarks Reg. Vio. YARD Ouf Bld s.: Fences: Garbage and Rubbish i / Containers: .f V Drainage ; Infestation Rats or other: t STRUCTURE EXT. Steps,Stairs, Porches: Dual E ress:.and Obst'n.: 0 B ❑ F ❑ M Doors,Windows:,, Sc Q ftJ V/ CC Ajr, r- . _A - - 3 57 Roof 9*41' A4 1 4.i/A, k)4,-I ` / Gutters, Drains: --� r,�,a6C_ /-/rJl,€ I ' ) V Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: ,...,,�. Dampness: f Stairs: Li htin : ` STRUCTURE INT. Hall,Stairway: obst'n.: , 'f et-?.V ti ca 4/6 W zz, -.._ HalI, Floor,Wall,Ceilin % . . XU,PfaL Hall Lighting: Hall Windows: s u-"o Ill -- !`JCb HEATING Chimneys: 1 : ti rrO A-0004 Central ❑ Y ❑ N E ui . Repair 6 �kf_ Oy-1 IF c--r - TYPE: Stacks, Flues,Vents: Q £fflf1,J Iff P-1 Oki PLUMBING: Supply Line: ____T=---- - ---�-- --__� ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and5Vent s ELECTRICAL Panels, Meters,Cir.: ten ` ❑ 110 ❑ 220 Fusing,Grnd.: 1✓Lr2.vC. N AMP: Gen.Cond..Distrib. Box: Gen. Basement Wirin RF10Aejc G DWELLING UNIT,'�Q et f_.NR� Ventil. Lqtnq. Outlets Walls Ceils._-Wind__Doors Floors Locks Kitchen Bathroom Pantry Den Living Roof Bedroom(1).. Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, El`ect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink ( Stove Bathing,Toilet Eaacil. Vent., Plumb.,Sajt .: Wash-Basiri Shower or Tub: Infestation Rats, Mice, Roaches or Other: _. Egress Dual and Obst'n:.' F General Building Posted to it ,f b S� I.D - F 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 ` GO OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE S AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF/PERJURYr." INSPECTOR. TITLE lfm�-�� •-��' G� F V � A.M. , II. DATE d TIME P.M. Q Q .M. THE NEXT SCHEDULED REINSPECTION •cd 77` s P.M. ,r?Z, _ y 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.