103 Complaint Records & Order to Correct BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Date -. Time""
Name of
Complainant fi-.-i--r7;%:7 -
Address - Te1J.. -
Nature of Complaint - C.
Location of Premises /0'4,9 • "
Owner
Address _...t.C.:■ .:.-L.
Occupant
Taken by - Referred to
Date of inspection - - Time
INSPECTOR'S REPORT
Action Taken
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Pr
Inspector
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BOARD OF HEALTH
JOHN T. JOYCE,Chairman
PETER C. KENNY, 11».
KATHLEEN O'CONNELL, RN.
PETER J. S1cERLAIN, Health Agent
CITY OF NORTHAMPTON
SJASSACHUSETT$
OFFICE 07 THE
BOARD OF HEALTH
110 MAIN trust
e10a0
Ta.mmit on
556-6950 Ext.
ORDER TO CORRECT VIOLATIONS OF CHAPTER 1I OF TIE STATE SANITARY CODE "MINIMUM STANDARDS 01
FITNESS FOR HUMAN HABITATION" AT 1'3 Mate Street
ORDER ADDRESSED TO:
Robert D. & John T. Lolling DATE Sept. 29, 19'1
113 State Street
Northampton, I.A 21960
COPIES OF INSPECTION REPORTS ISSUED TO:
Jane Leslie Kreisman
n3 State Street (3r1 floor apt. )
Northampton, MA 0160
This is an important legal document. It may affect your rights. You may obtain • translat
of this form at.
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Le auivante est un important document legal. 11 pourrait effecter vos droita. Vous pouvez
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Questo 8 un documento legale importante. Potrebbe ffetto sui auoi diritti\ Lei pu!
ottenere una traduzione di questo modulo •:
Este es un documento legal importcate. Puede que afecte sus derechoa. Ud. Puede adgoirir
una traduction de esta Lorna
To jest wine legalny dokument. T., mole mice stpTyu Ira tmoje upraunienia. Motes: uzyskac
ttumaczenie tego dokumentu w ofiaie:
Board of Health
210 Mein Street
Northampton, Mass.
Tel. No. (4131 586-6950 Est. 214
The Northampton Board of Health has inspected the premises at
123 'hate bt, eet , Northampton (assessor's map 313
parcel 1"' . ), for compliance with Chapter II of The State Sanitary Code.
This letter will certify that the inspections revealed violations, listed
below, which are serious enough as to endanger or materially impair the health,
safety, and well-being of the occupants.
•
Under authority of Chapter 111, Section 127 of the Mass. General Laws,
and Chapter II of The State Sanitary Code, you are hereby ordered to make a good
faith effort to correct the following violations within twenty-four (24) hours
from the date of receipt of this order.
REGULATION
110.522 X h10. 501(A)
VIOLATION REMEDY
am/
Glass w' n ow pane n'.ssin g
Replace missing glass
pane so as to make
window weather tight.
Ir you have any questions regardi nr this ahaterent order, please contact we at the
Soar' or Health orrice.
Very truly yours,
0av" 'd, Kochan
jan' tary Inspector
(526-(950, ext. 2F')
Certi°ie' nail No. P20 311121:2
Name of -
Complainant
Address
BOARD OF HEALTH
. CITY HALL
COMPLAINT RECORD
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