HomeMy WebLinkAbout20 Hemeon Rental InspectionTHE COMMONWEALTH OF MASSACHUSEITS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451
Telephone (508) 398-2231 Ext t24A _ Far (SOB) 398_2365
eaaress --29-LtA c2ra
F oor Apadme.t No ax. Occupanls_No of Habitable Rooms
No. Stories LNo. Sleeping Rooms 3 No Dwehng or Roorlring Unils
Narhe and Address ol Owner
Type: Z A.nuat ./D Seasonat D Weekly
lnspection: dsctreouted !Pt r to OccLipancy I Comp arnt
Basement: ! Finjshed Unf nisheo
F.d,rg Vc
Oel2tl,6: a Smoke(s) Nol Present D Carbon Monoxide Not present U{"""^
dwaltslFtaat A.6eil1nd
#eat,ng sys"- CdiO,,. Eteck,c propane
SPlumbing
W'ecirical D Panel Not Labeted Pane Labeled
h-afety Concerns
}{rchen Stove l]-€iectric C Gas
Q'{'ppearance ot Motd
ffislat on ! Rats,
^,4
ce Roaches or Other
-J-G6rbage and Rubbjsh traontainers/Covers
jlrEfrior Yara {Exterrl ot Rouse
ffocks on Doors dEgress
-bA,t rL oa !rr-6
None Obse.ved
Area C eaa
drm/Screen Do or 6oq ctosure E-ffindows
;-K(ahen
E Remov€/Reseal Seatant Base of Shower O Top ot Tub
jdeierat Appearance
Bedroom D1 D2 !3 !4 c5 c6
COMI,,iENTS
I Base ol Tub (Ftoor)
Aq)C-qnr4or{f'
6t LE)/4\
tu_,tLt
cow <-/2-- (> La1+LOa
I c*a-.Shrz4x Sooot-;"-.'l--L-,t1* 1>'z-x 7<,
t,{Z-,) ^ fr P.e-
*l oo q--
k-o o v1^-
I A Copy of "Tenanls Righls' Has Been lssued to Tenant
One or more ol the violations checked above is a
determined by 105CMR 410 750 of the code or
This inspection Re rt is Sig and
cond tion which may materia y inrpair the heaLlti or safety and welt-berng ol the occupanr ase authorized inspeclor (see over).
Under the Pains and Penalties ot perjury
lnspector
Date
The next sched!led reinspection
if
45
T e
Time
u.3 /5 Zz-7-.2<-
PM
I
1
1
'4t*/)
0\'i'L'lr
L,bi, 1,1
!,q*J'J.
€'ol-l'f'b
N'
6\1, '7a
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