HomeMy WebLinkAbout21 misty lane inspectionTHE COMMONWEALTH OF MASSACHUSETIS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARTUOUTH MASSACHUSETTS 02664.4451
Telephone (508) 398-2231, Exl.1240 - Fax (508)398-2365
Aooress----?-L--4:*--L*--
Floor Apartment No.-Max. Occupants
No. Sleeping Rooms No. Owelling or Rooming Unils
Name and Address of Owner P
Type: E Annual ! Seasonal ekly
lnspeclion: ! Schedu,ed E-?rio. to Occupancy ! Complaint,/Basement: E Finished D,Unfinished
Detectors: ! Smoke(s) Not P.eseol E Carbon Monoxide Not Present,/p-Walls/Floor E"Cei|ng
! Heating System: DGas, Oil, Electric, Propane
D Plumbing
E Electrical D Panel Not Labeled E lanel Labeled
D Safety Concerns
dx,rcn"n Stove E Etecttic dacas
-Z Appearance ot Mold
D Inrestation ! Rats, Mice, Roaches or Olher Z-N9Oe Observed
E-Garbage and Rubbish ,E bontainers/Covers -. Area Clean
! Exlerior Yard E €xlerior of House
: Present
! Locks on Doors E-Egress
! Storm/Screen Door E Door Closure E-Windows
D Kitchen
: Remove/Reseal Sealant Base of Shower ! Top ot Tub
D General Appearance
Bedroom D1 D2 D3 tr4 tr5 n6
tr Base of Tub (Floo4
COt\,4MENTS
Unit
No. of Habitab e Rooms
No. Stories Z
Orrr b-T-rL$^o
Fnding Vlo
No t/€ O45/2/L D
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tL /3 /r7-/17/'7- 4!7tn /) 1 [=a/t
o)zs Ha A(*-1-, D/-/ /6h
o
\i,3 2t €
! A Copy ol "Tenants Rights' Has Been lssued to Tenant.
One or more of the violalions checked above is a condition which may materially impak the health or safety and well-being of the occupant as
determined by '105CMR 410.750 of the code or lhe authorized inspector (see over).
This in eport is rlified Under the Pains and Penalties ol Perjury
lnspeclo.Ti e /*r,,n Z;
Date .<-_ 2 -? ?/O: 3o
The next scheduled reinspection
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Time
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