HomeMy WebLinkAbout25 Doherty Lane InspectionTHE COMi,4ONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664'4451
Tetephone (508) 398'2231 Ext 124A - Fax (508) 398'2365
Address --2-511---hc-aD-a-
Name and Addressloro
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Flcor Apartment No.- Max. occupants b No. of Habrtable Rooms
No. Sleeping Rooms No Dwelllng or Rooming Unrts No Stones
lnspection: ! Scheduled
Baseme.t: I Frn]shed
Detectors: ! Smoke(s) Not Presenl l
Unfrnisheo
Ceiling
Gas.Or , Eleclric
Pane Not LabeleC Pane Labeled
Eleckic L: Gas
rior to Occupancy ! ComPanl
Carbon Monoxide Not Presenl /Present
, Propal]e
NA^]E O4tL,a'/ --)
old -fe fi-t tL
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Type : Annual C Seasonal kly I
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fiayiFroo,
fiar,nssys
Z6inanq
{uctricat
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Q/Apoeat ance ol Mold
2-6iGlrtrcn ! Rats M'ce. Roaches o
Rubbish e4aon:,ra,ners
r Other I t(o/n" oo."*"d
tcouers li4{ Ctean
6;9vt conce,n,
Z-Krtchen Slove
')9$6eana
Q{xleaor Yard
{ornts
ydra.en
Exte.l r ol House
)-+:6d on oao,s Eg
creen Door Door Ctosure
i] Remove/Beseal Sealant Base ol Shower E Top of Tub ! Base of Tub (Floo4
EzGeneral Appearance
Bedroom O1 !2 D3 tr4 D5 I6
COfu' V E NTS
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a A Copy ol "Tenants Rights' Has Eeen lssued to Tenanl.
One or more of the violalions checked above is a condrt oh which rnay rnateria y impair the heallh or Safety and weLl,being of the occupant asdeterrhined by 105CMR 410.750 of the code or lhe authorized inspecto. (see over).
This inspection Report is Si
lnspector
ertified Under lhe Pains and Penalties ol perjury
T tle .g.a
Dale
The next scheduled reinspection
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