HomeMy WebLinkAboutfire cert of inspection 2007In accordance with the requirements olMassachusetts General Laws, Chapter I l l, Section 51,
this Fire certificate oflnspection issued by the head ofthe local Fire Department certifying
compliance with local ordinances is a prerequisite for an original or renewal license.
0t'
NAME OF FACILITY
57q butk.rsloil l,l u/.fatnoaflt
ADDRESS OF FACILTIY
was inspected on 3 o7 by
te ame Inspeclor
I HEREBY CERTITT THAT THIS INSTITUTION COMPLIES WITII THE LOCAL ORDINAIICES.
1-YES,,T NO
If answer is "NO", indicate violations and recommendations.
Violations:
Recommendations
ISSUED BY:ur4 i11 D"
Signature
Head of Local Fire Depanrn€nt
INSTRUCTIONS:
FIRE DEPARTMENT TO RETURN TWO COMPLETED COPIES TO FACILITY
NURSING HOME TO RETL'RN ONE COPY TO:
Department of Public Health
Drvrsion of Health Care Quality
99 Chauncy Street, 2nd floor
Boston, MA 021I I
FIRE CERTIFICATE OF INSPECTION
Rev. l-38-06
Fire.l
o
H
YARMOUTH FIRE DEPARTMENT
96 OLD MAIN STREET SOUTH YARMOUTH MASSACHUSETTS 02664
TELEPHONE (508)-3e8-2212 _ FAX (50S)_760_48s8
FIRE AND SAFETY INSPECTION REPORT
DATE:3 o/TIME: I l ott
Address of Inspection '1 VC L v0vGd
Business Name
Contacl Person
Insurance Co.
lv Tel.No So tgs 1 700
Home
Celt
Building Owners Name
Owners Address:
-Tel.No
Elect. Panel
UTILITIES LOCATION
Gas meter OS&Y Valve Water meter
An inspection of the above captioned property was conducted by the undersigned, duringwhich the following fire or ruiety defi;ie;cie; (D) or violations (v) were observed andnoted for correction:
You are hereby ordered to abate or correct the deficiencies or violations immediately. Failure todo so may result
VIOLATION ISS
Signed:
Copy Received By
in civil andlor criminal complaints being
UE :_ (lfYES, see back)
/t
filed.
Title:
O.iginal - O\anerff cnant Yellow Cop)7 Fire Depannrenl FPB O5.I
f
1)(
Section 30. Violation of any lawful rule. order or regulation of the board or of any
lawful order of the marshal or lawfirl rule or order of the head of a fire department,
punishment whereof is not otherwise provided for, shall be punished by a fine ofnot
more than fifty dollars for each day during which such violation continues after actual
notice ofthe regulation. rule or order. Such notice may be given by personal service or by
posting the same in a conspicuous place on the premises affected thereby. The superior
court shall have jurisdiction in equity to enforce any lallfrl rule, order or regulation of
the board, or any lawful order of the marshal or rule or order of the head of a fire
department, upon application respectively ofthe marshal or the head of the fire
department.
527 CMR l:06;
(l)Fire Code Violations. Whenever the marshal. the head of the fire
department or any person to whom the marshal or head of the fire
department has delegated h|r authority in writing, finds in any building or
upon any premises a violation of 527 CMR or any condition likely to cause
fire or any obstacle to easy ingress or egress from such building, they shall,
in writing, order the same to remedied. Notice of the violation shall be
served in accordance with the provisions of M.G.L. c. 148. $ 5. including,
but not limited to the following:
(a) Dangerous conditions which are liable to cause or contribute to the
spread of fre or explosion in or on said premises, building or structure or
endanger the occupants thereof;(b) Conditions which interfere with the efficiency and use of any fire
protection equipment;(c) obstructions to or on fire escapes, stairs. passageways, doors or
windows, liable to interfere with the egress of occupants or the operation
ofthe fire department in case offire;
(d) Accumulations of dust or waste material in air conditioning or
ventilating systems or grease in kitchen or other exhaust ducts;(e) Accumulations of grease on kitchen cooking equipment, or oil,
grease or dirt upon, under or around any mechanical equipment;(0 Accumulations of rubbish, waste, paper, boxes, shavings, or other
combustible materials, or excessive storage of any combustible material;(g) Hazardous conditions arising from defective or improperly used or
installed electrical wiring, equipment or appliances;(h) Hazardous conditions arising from defective or improperly installed
equipment for handling or using combustible, explosive or otherwise
hazardous materialsl(i) Dangerous or unlawfirl amounts of combustible, explosive or
otherwise hazardous materials;
CI) All equipment. materials, processes or operations which are in
violation of the provisions and intent of 527 CMR.
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Chapter l4E: Section 30 Violations; notice and enforcement of orders or regulations