HomeMy WebLinkAbout11 Doherty InspectionTHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451
Telephone {508) 398-2231 , Exl. 1240 - Fax {508) 398-2365
aooress l-1
nual -l Seasonal
/a"n"or,"o o
Unilb-"5,l--
F oor Aparlment No.-Max. Occupants No. of Habitable Room
No. Sleeping Rooms
/1\)No. Dwel ng or Rooft'rlng Units-No. Stories
Name and Address of Owner Aobert 8u@, nq N E Vio
Type: ! An
lnspectioni Prior
Weekly
to Occupancy ! Complaint
DelFctors: C Smo/e(s) Not Present ! Carbon Monoxide Nol Present
flwattstFtou d celns
d/ueating System: J Gas, Oil, Etecrric. Propane
d ey.uins I
&gllectrrcal E Panel Nol Labeted fyPanel Labeteo
dp"t"ty con""rn" N Oo €-
q/ritcrren Stove tr Etectric /Gas
Basement: ! Finished ! Unfinished -CcaOL.SpCe s
Appearance of Motd ti ft\e
at on E Rats Mice, Roaches or Other
arbage and RLrbb f Containers/Covers
xterior Yard !-or of House
cks on Doors
4r"""n
E
!
tr
SS
lorm/Screen Door Door Closure
Kitchen
COMMENTS
! Bemove/Reseal Sea,anl Baserf Shower
al General Appearan "" hf/
Bedroom D 1 a2 d3 !4 f]5
ndows
! Top of Tub E Base of Tub (Floor)
:6
s(z
J*,
F,!*+roD\,\
A: hil.nn r','l \7.Lt L\'ZrD*-
2N)r,A \
a A Copy o, "Tenants Rights' Has Been lssued to Tenant-
One or more of the violations checked above is a condition which may materially impair the health or safety and well-being of the occupant as
determined by 105Ct!4R 410.750 ol the code or the authorized inspector (see over).
This ins nRe ned and Certilied Under the Pai.s and Penallies of Periury
lns Title
Da M
The next sch uled reinspection
Time
A,M
PM
on" OAt"*"d
JA,.a ctean