HomeMy WebLinkAbout235A STEVENS STREET - Health 23SA Stevens St.Hyannis
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MRVP #
Assessor's office (1st Floor)
Assessor's Map and Parcel # � �
Building Department (4th Floor)
Zoning —
INSPECTION $50.00
7 RE—INSPECTION FEE $15.00
Request For A Housing Inspection For Certification Under the
MA Rental Voucher Program
j
Your Name
Affiliation (Circle One) Owner Real Estate A e Tena t
Your Addres
* 2D �)(D
Telephone Number (Day) ^ J (Night)
Address of Property Where Inspection is Requested
Unit/Apt. # c4ZO n
Name of Owner �i C
r
Addresses
Mailing Address (if different)
Telephone Number (Day) (Night)
Will there be any children under the age of six (6) w ' l1
be occupying the rental unit? (circle one) Yes No
Was the dwelling constructed prior to 1979? Yes ( No
FOR OFFICE USE ONLY:
Certification
The dwelling, dwelling unit, or rooming _unit located at
,5' -Vas inspected on
Z--t - 6 ; .� .a
by to 44,oA .A_ -7� cr M�Z Health
Inspector for the Town of Barnstable and was found to be in
compliance with the provisions contained within 105 CMR
410.00, State Sanitary Code II: Minimum Standards of Fitness
for Human Habitation. However, this certification does not
include a determination as to whether this unit contains any
lead paint because under 760 CMR 49.02 Massachusetts Rental
Voucher Program, a separate lead paint inspection must be
conducted.
Inspector's Signatur
L
Date �1 —Q�
� �x..;.y,1 .. s, .. tx ,�y. ... .rr '-+d. .. . ,.v .. , ,.. ., .. �++Ni a ...y,ry.,,.,,'�i2`.`ywrrC.vM�y.`v]VSi+-ih`':'w+".•... s'm�..r^.^„n,7".^,R- ., ".�T'�.M1y'.w..w.-...11r...w ...q'�.:.s. r.°y
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MRVP # e�7�
Assessor's Office (lst Floor)
Assessor's Map and Parcel #
Building Department (4th Floor)
Zonings
INSPECTION $50.06,
RE-INSPECTION FEE $15.00
-e%,- Request For A Housing Inspection For Certification Under the
MA Rental Voucher Program
p l _
Your Name G�QgALEQV C4 I ow
Affiliation (Circle One) Owner Real Estate A Tena t
Your. AddresA r� v (/
r 10 (Night)
VTelephone Number (Day) �
Address of Property Where Inspection is Requested- '
Unit/Apt.# J �"' f1A✓X1'65
Name of Owner
Address �r
Mailing Address (if dif erent) 'kp,
Telephone Number (Day) / • � (Night)
i
Will there be any children under the age of s'ix (6) wnNol
1be occupying the rental unit? (circle one) Yes
5
Was the dwelling constructed prior to 1979? Yes,- ---,`
CE)
------------------------------------------------------------
FOR OFFICE USE ONLY:
Certification
The dwelling, dwelling unit, or . rooming unit located at
3 ✓�"fq s vim ,-.�I�v�. i -Vas inspected on
tby BLS use f3,d_ 1:5r tj c7 T2)1 Health
Inspector for the Town of Barnstable and was found to be fin
compliance with t o provisions contained within . 105 CMR,
410:00, State Sani;', ary; Code II: Minimum Standards of Fitness
for. Human Habitation: However, this Certification does not
include a determination as to whether this unit., contains any
lead paint because under 760 CMR 49.02 MassachusettsRental
F Voucher Program, a separatef lead paint inspection, must be
conducted. ,•
F
Inspector's Signatur ,
Date
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION
Date •� r - �i
'1�/�' 9Tenant T.G�PG� 4"?" �l
Owner
Address Address er's � f� 1��7 10
Compliance Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities � �
3. Bathroom Facilities
4. Water Supply t�
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 I
Elements !/
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal ;
17. Temporary Housing
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
a-
Person(s)Interviewed. I n s p e c t o
If Public Building such as Store or Hotel/Motel specify here
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