HomeMy WebLinkAbout15 Tam-O-Shanter Way inspectionTHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451
Telephone (508) 398-2231 E\t. 1240 _ Fax i5OB) 398_2365
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Floor
No. Sleeping Rooms z-
Name and Address of Owner r3.1
Type Annua Seasonal D Weekly
Inspection chedu ed
Basement: E Finished
No Dwelling or Rooming Units_No. Storiesia ll
----------------Unrt
Presenl
.1b) r|a i
d,,r0tI1o/1
Apadment No._Max. Occupanls No. of Habrtable Roo ^,
' /
6
Oetectors:
nC,",r,
mokeG
A Cei
a fu.ot lo Occugancy D Complaint
G'(Jnfrnished
ot Present ! Carbon l,4onoxide Not present
P.Cafeiy Concerns
Dr{itchen Slove
!S )N
oor ng
rs
Doo
llfipearance
\t+hfeslalta.,
l)<Garbage ana
O{xlgiot Yar(i
ing Systern: Z4as, Oi. Etect.ic, propane
u bing
ectrica ll panel Not Labe ed d{anet Labeea
Electric I Gas
ol Mold
0 Rars, Mice, Roaches or Other ZtrGne Obsewed
RLrbbish 7dontai\es/covets {Area ctean
#xr:rbr o! tlouse
lflocks on Doo
y'lnrm/screen
ld'Eatess
r llloor Closure
izf Kilche
E Bemove/Fleseal Sealant Base of Shower E Top of Tub D Base of Tub (Ftoo4
Q.{enerat Appearance
Bedroom [1 D2 D3 tr4 O5 D6
COMMENTS
t/a t< //t
a_
OBScAw/<-b
o N4-< e r2-\/ €' rz
b ,Le-*z-
f A Copy ol "Tenants Rights' Has Been lssued to Tenant.
One or more of the violations checked above is a condit on whdeterrnined by 105CMR 410.750 of the code or the authorized
This inspection eport is
ich may materially impair the heallh or satetv and we _being of the occupani asir,specior (see over)
Tite
a
lnspector
Date 5-/
The next scheduled reinspectlon
23
rlitied Under the Pa,ns and penatties ot perjury
Trme 2 :OO
J4a Pt<
A,M
PM
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