HomeMy WebLinkAbout1 Broadcast Lane Inspection Report2/
Address
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
,I146 ROUTE 28 SOUIH YARMOUTH MASSACHUSETTS 02664.M51
Tslophone (508) 398-223'1, Ext- 1240 - Fax (508) 398-2365I B{o*Det+r /-t tJnit
noor-------Llpartment No.-Max. Occupants of Habirable Rooms y'
No. Sleeping Foom No. Dwelling or Rooming Units_No. Stories
ol Owner B O o,J AName and Add
Type: E Annual E S€asonal
lnspection: Zt*n our*
Basemerl: tr Finished Unfinished
to Occupancy D Complaint
COMMENTS:
Detgrors: tr Smolgds) Not Pr6€nt E Carbon Monoxtde Not present
dwattslFt*, d c.iting
B@ting s,yste,In: d-c"", Oit, Et*ta", e.p"n"
EI Pumolns
.6 y*icat E Pan€t Nor Labotod A{altet Larxina
Zfsafety Concems
E/Kn** stor" z/et*rn" auu
dl,ppearurr;eot uoto
8int""t"tion E Rats, Mice, Roach6 or Olher B-fo-one Oxerved
Edarbage and Rubbish ^El/OontainsrVCovers dea Ctean
E 6\'terior Yard 4/Extg)or ot uouse
E4iocks on Doors di.:gro"
*ffiorrtl*rerr,' Door i.atror ctosure A4\(adows
trl.fttc+|en
at .rZ- E ,h
/Wo
Pr€sent
4(24-- eon2, f-1./1
3 ,ea-,.rr
E Rgmove/Fleseal Sealant Base of Shower ! Top of Tub ! Bas€ ol Tub (Floor)
deneral Appearance
Bedroom !1 tr2 tr3 tr4 D5 tr6
NoNE Ots9oe,/wD
N>NE o ric,Lt/<-D
c /l)LE e n 714-
LF
aa-fn ++i(.).fYlt v
RE A"r', r r)i\4 l# 3 ll .t{ vr 1 1
E A Copy ol *Iena s Rlglils' Has Been lssuod lo Tanant,
On€ or more of the violations chscked above is a condition which may mal€rially impair tho h€alth or satety and well-being oflhe occupant asdet€rmined by 105CMR 410.750 ot the code or tho authorized insp€ctor (se€ over).
This inspection R6 ts Under tho Palos and Penaltlos ol Perlury.
lnspector
Date {- zs Title U,t11 J-/1 7
The next schsduled roinspec'tion
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Time z':oa
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