HomeMy WebLinkAbout9 Cleveland Way inspection reportTHE COMMONWEALTH OF N,IASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 BOUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451
Telephone (508) 398-2231, Exl. 1240 - Fax (508)398-2365
7 c/-u.-FAddress
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No. Sleeping Rooms
/-#rz
Annual ! Seasonal ! Weekly
n: E Scheduled E Prior to Occupancy E Complaint
Apartment No.-Uax. Occupanb B No. ol Habitable Rooms
No. Dwelling or Rooming Units No- Stories
Name and Address of Owner bS ar 5-o
Presenl
Unit
Flnding
RA
Vio
Type:
lnspe ctio
Basement: tr Finished D Untinished
Detectors: D Smoke(s) Not Present ! Carbon Monoxide Not Present,,,
[-]^valrs/Froor [l4eilinq
2] Heatrng System: D,6as, Oil, Eleclric, Propane
f,l Plumbing
tr Eleclrical D Panel Not Laboled f,l Panel Labeled
Z Salety Concerns /-E Krtchen Stove E Eleckic A Gas
Appearance oI Mold
! lnfestation E Rats, Mice,Roaches or Other one Observed
E Garbage and Rubbish Containers/Covers 6aaClean
D.-Exterior ot HouseE Exterior Yard
D-Locks on Doors Egresg
nlor closure Zt*tnoo*.Door
Kitchen
! Remove/Fleseal Sealant Base o, Shower ! Top ot Tub ! Base of Tub (Floor)
ElGeneral Appearance
Bedroom !1 tr2 !3 !4 !5 tr6
COI.IMENTS Rc-pa+a c,erx-v,?.b 1-^t raaLu 4*,.--L'v'y eooaa
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E A Copy ol *fenar*s Rlghts' Has Been lssued to Tenant.
One or more ol the violations checked above is a condition which may materially impair the health or salety and well-being of lhe occupant as
determined by 105CMB 410.750 ol the code or the authorizod inspector (see ov€r).
This in ts ned Under the Pains and Penalties ol Perlury.
lnspector
Dale
The nexl scheduled reinspection
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