HomeMy WebLinkAbout67 Mattakese Road InspectionTHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUS$TS 02664.4451
Telephone (508) 398-2231, Ex't. 1240 - Fax (508) 398-2365
Address b <-nit
Ftoor- -1 epartment No.-Max. occupants No. of Habitable Roo ^" I
No. Sleeping Rooms Z-No. Dwelling or Rooming Units-No. Stories /
Name and Address ol Mi t--l \p, fiouo8z
24"".n'r
Finding
4
Type: D Annual tr Seasonal ffeekly
lnspection: Bscheduled D Prior lo Occupancy ! Complaint
Basem€nt: E Finished Efunfinished
OePl6rs: a Smo,rglg Nol Present E Carbon Monoxide Nol Present
fl wattslFtoor ,6 ceiting-./,.D-rFating System: Z Gas, oil, Eleclric, Propane
delusblns
ffior,. , D Panet Not Lab€ted Z/Panel tatelea
D Sfety Concerns
E/Kitchen Stove tr Etearic dGas
I Appearance oI Mold
D-(#ooservean lnf€station E Rats, Mice, Roaches or Other
EdarbageandRubbish El'6ontainerVCovers Z.frirea Clean
tr.Exdior Yard
Q(ocxs on oo
=drnoo*"
! ?g6r'ovelFeseal Sealant Base ot Shower El Top ol Tub ! Baso of Tub (Floo.)
dGeneral Appearance
Bedroom !1 !2 !3 !4 tr5 tr6
Kitchen
t1
NoNE rtBc<, o-y'2. tt
Narq- n6qz-r', t>
t'r/+-
AP rw<./
g
{A l\-t
E A Copy ot "Tenants Rights' Has Been lssu€d to Tenant.
One or more of the violations checked above is a condition which may materially impair the health or salety and well-being o, the occupant as
determined by 105CMR 410.750 of the code or the authorized inspector (see over).
This inspection and itied Under the Pains and Penalties ol Periury.
lnspector Ti e 1.6 t t2
Date ,f-5--23 Time ,o:iD
bx
)co
The nexl scheduled reinspestion PM
PM
COMi/ENTS:
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