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Home My WebLink About1983 Rental Inspection and Floor Plan� F + �� ``l �--�/��,' /�� . . 4�.�� ` � 3 , . .:... grZ ,rz r s� . . __ �I-fC�kt _ ____._.�___.. _. ._ .�_ . . ..�.... ..__ _ .. l Z��`�x�5/tV �� _ . _ .__;. �i � ... � _, . . , ...�__. _ _ ._ ..`. . . ._ . .,. .. aJ� �` �•5"� ._ . _ ....�...��_ � ��'�Lx 3'�2 _�,�, . .: � ��•s�7 . / _ L 1 �l �--b� � �� 2 � x ��z . . .._ 14•s x l4�?5 uae�" ?" / �st5� / _ rr-�� '� ._ _ ..... . __. o rcJ : _ .�. C�,�a�) .. � a , sa �+ . , � . . _ . _ . �� 6E°' - . $E� �,o ;� � . x,o ► (7�;l( � `�Z,r ,(� . q.yLx�l�"'t �'' . . � �, �� - _ � �� jzx�N 3 � �,lni N��1/�8L ---: �� i'') r�Z 9llV k � �� h`a qx�y�� ' '.'�l�j�y _ V --_3 j � '; g'yi•r/�� _ g�i s 9� '. _ .. - _._ _ . Q tT� : _ i , THE COMMONWEALTH ��F AlXSSACHUSETTS F BOA�� ;o� HEA�.TH . _ � � . , � ,�.. _ �„�Ro,�►� � = rt Z _ . �� Y , D ME : ° _ 7 - t A R SS � ,. °,M '��y TELEPHONE Address � �� . L 11 y ,.� 1l�Occupanf Ffoor Apartment No.� No. Occupants . - r� � No. of H�bitable Rooms �_ No.Sle�ping Room� �� No.dwelling�or rooming units,.,_:,,,.�.,_,_ No. St i Name and address of owner ma s" Reg'. Vio. f 1lAR� Out Bid s.: Fence : .I Garba e a d b is : t � Contai er : ' � ; � rama e 1,,, � I fest i Rats or ath : �• �STRUCT E t s, Stairs, Porch • ual ress: an ' • � �❑ B ❑ L� Doors Wind w . �j floof �� Gutters, Drai s: � _`� a��s � Foundation: t i� `Chimne : 3 - ASEMENT � Gen. Sanitation: � Dampness � , � � Stairs: , � Li htin ; STRUCTURE NT. Hall, Stairway: '� Obst'n.: � Hall, Floor,Watl,Ceiling: Nall Lighting: ' _ , Hall Windows: .: � ATING — Chimneys: � . Central O Y G N Equip.Repair � TYPE: Stacks, Flues,Ven p ,�-- : � � PLUMBING: SuPPIy Line: . . .. , ,� - , ,. �, : ❑ P Waste Line: - ; __"` � ' H:W.Tank s Safet and Vent(s - : � �.' �� ELECTRICAL Panels, MeterS,Cir.: � +� � ❑ 110 ❑ 220 Fusin ,Grnd.: . � ;" t. � AMP: Gen.Cand. Distrib.Box: ; 1 . � en.�Bas ment:Wi�inc�:"; �`' o �� , ;;, , , � f3V1iELUNQ� UNtT � VentiL Lgtng: Outlets' Walls Ceils. Wind. Doors F :ors Locks � Kitchen // : . ` Bathroom Pantry Den LiVing Room Bedroom 1 Bedroom (2) S/ ✓` s � � Bedroom (3) - Bedroom (4) i/ , , Hofi'Water Facil. 5u :Ten,, Gas;Oil, Elect.: , , �__ Stacks Flues Vents Sa#eties: Kitchen Facitities Sink ' ` Stove : . . , Ba�hing, Toilet FaciL Vent, Plumb.,SanPYn.: Mr.`,��1� wasn �asin,Shower or 7u4: — Infestation ats, Mice, Roaches or Oth.er: ` - Egress Dual and bsYn° General Building Posted: Locks bn doors: � � OIYE OR MORE OF THE VIOLATIONS CHEGKED ABOVE IS A CONQITION WH1CH MAY MATERIALLY IMPAIR THE HEALTW OR SAFETY AND WEL�-BEING OF THE OCCUPANT AS DETEF�MINED BY 10SCMR 410.750 OE TH'E CODE OR tHE' 4UTHORI2ED iNSPECTOR. (See Over) , ' : � ` I NSPECTOR TITLE A.M. '. DATE . � TIME � P.M. A.M. THE NEXT SCHEDU�ED REINSPECTION P.M.