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3 Unit #308 Inspection Form 2013 iy 15,2013 CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT BOARD OF HEALTH MEMBERS:Donna Salloom, Chair—Joanne Levin, MD—Suzanne Smith, MD STAFF:Merridith O'Leary, RS Director—Damel Wasiuk Inspector—Edmund Smith, Inspector—Jennifer Brown, RN.Nurse tn: Robin Paradis-Stern rvicenet :9 King Street,Northampton,MA 01060 :ar Property Owner/Manager: ease consider this a letter of compliance for an inspection at your request conducted by the Northampton Health apartment dated 5/15/2013 for property located at#3 North Main Street,Unit#308,Florence, MA 01062. »i are the owner/manager of record and are therefore responsible for maintaining the property in accordance ith state and local law. This office will continue to monitor the property to ensure it continues to be cleaned, aintained and does not represent any public health and safety threat. You are mandated to do the same. hank you for your cooperation. ncerely, dmund Smith ealth Inspector, Northampton Health Department 212 Main Street,Northampton,MA 01060 Ph (413)587-1214 Fax(413)587-1221 > •I* Northamp 7t f A fc s?tt4 - I s TI frj Ir id 0411 eaear re TO Sea-- Health Department 2 Main Street ampton,MA 01060 (413)597-1214 Inspection Form State Sanitary Code 105 CMR 410.000: n rector cnaprerll, l mm,mn aspn,.o,....... .....�__._. .._..._..___.. / e cij rip Time gin) a pm O Occupants (1 ) N Children<6 Years 0 upa tNa a •IRO Phone U Cradat11Er(fit)03 5-,/m Tress a flied -3 �%_ City/Town 4 04(�Apt it 6./ �� ner Name i D � rer° Phonep �s � / ✓!¢1tT C 9rp ner Address a/ i/ / Zip Code Cy/Town �-.. !?. .ester r rector Type of Violation Possible o Code nlsl /if Violation observed Responsible P rip Description owner oropant Locks,striker mechanism(4 or more units) 480 Posting,ID,Exit signs/emergency lights / 481,483,484 Handrails,steps,doors,windows,roof-maintenance 50O 503 Weather tight elements ✓501 Rubbish-storage and collection 600,601 Yard maintenance-trash,debris,vegetation si 602 Maintenance of area 500 Doors,lights,windows—weather tight,maintenance e/ �50},500 Egress—means,obstructed,safe ✓/44550, 451,452 Handrails—provided,maintenance NJ 503,500 Lights k54 Floor,walls,ceiling-maintenance A° Railings,stairs //03,500 Doors,windows—weather tight,maintenance pu 1.500 Location(circle): Front Rear Middle Floor el of Unit Refrigerator,sink,stove,oven-good repair,impervious 100 and smooth Floor,walls,ceiling-maintenance 5;a Outlets,lights 251 Windows,screens—weather tight,lock,maintenance, 01,480,500, 551 provided Non-absorbent floor 504 am Floor,walls,ceilings 500 250 Outlets,lights Windows,screens-lock,weather tight,maintenance, 01,480,500, 551 provided ype of Violation Possible Code setrcr4s) • f violation Observed Responsible Party Occupant Floors,walls,ceiling Outlets,lights Windows,screens—weather tight,locks,maintenance provided Floors,walls,ceiling Outlets,light 501,480, 500, 551 500 Windows,screen provided eather tight,locks,maintenance, Floors,walls,ceiling Outlets,lights 501,480, 500, 551 500 Windows,screens—weather tight,locks,maintenance, provided Sink,shower,tub—impervious,maintenance nation- 9. ,480, 500, 51 150,500 Floors,walls,ceiling—maintenance 00,504 Maintenance,weathertight Lighting Fuel Type(circle): 500,501 Private 180,354 Saell Fuel Type(circle): Natural Gas Oil Other 1' *110°f min-130 max°f 200,201 Bathroom °f "Habitable room and every room with toilet,shower, • Min 68°f 7:OOam-10:59pm Min 64 if 11:00-6:59am Cooper TM99A-U - gital Thertrlpmeter used to take tempera ;e readings �`ianet_ p Type(circle Amperage,temporary wiring,metering Required&operational 250,255,256,354 Note:CO detector not needed for all electric! rral: ❑ Electric ❑ Fire ❑ Plumbing ❑ Building ❑ Other / ba inspection report is signed and certified under the pains and penalties of perjury. / SSitey actor Signature 1 tl"`� ,.,422 'pant or Occupa ' epresentative Signature !Y.//. TIMP q• 2.l tspection VOTE: *indicates that this housing inspection has revealed conditions which may endanger or materially impair the health,safety,and well-being of any person(s)occupying the premises .ea/Element Code Citation and Description of Violation �a 119Cek. CD-OF 6fli8> 1�� p v'o s/s1iO3 (DICE 7, 2013 CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT BOARD OF HEALTH MEMBERS: Donna Sal loam, Chair—Joanne Levin, MD—Suzanne Smith, MPH, MD William Hargraves—Cynthia Supply, PhD STAFF:Merridith O'Leary. RS, Director Daniel Wasiuk Inspector—Edmund Smith, Inspector Jennifer Brown, RN,Nurse tenet ;ing Street ampton, MA 01060 Robin Paradis-Stem, On May 15, 2103, Health Inspector Edmund Smith performed a Housing inspection, at your request,for property sd at 3 North Main Street, Unit#306. The fee for this inspection is$75.00. Please make the check in the amount of$75.00 payable to the City of Northampton and mail it to Northampton th Department, 212 Main Street, Northampton, MA 01060. 'rely, her McBride hampton Health Department 4i179�7 O j 2 U GIiItiQI 212 Main Street,Northampton,MA 01060 Ph (413)587-1214 Fax(413)587-1221