212 Housing Inspection Request 2011 ? p
WARD OF HEALTH
CITY HALL
COMPLAINT RECORD
>;
Date
INni
Time:
GEO Ol
ntai,
Name of
Com
lainant:
Address:
Tel:
\Q _ /N;ATUREyOF COMPLAINT:
Location: 04\ �J Clct-\ c P.
±1-2'; �0LLJt,,)
Owner:
Address:
I Tel:
Taken �
I Date of Inspection:
I Time:
INSPECTOR'S REPORT:
.htiao,. s ....., - q ea A.H -
No Ieitsx 1PQCMnv.}j *r T+t% TINE,
om!t.i POOw4.J Tf' CMPaaIyEt
Total#of Inspections: (J Orders Issued?: t-D
Date of Final Inspection: %/l%/tO 4 Notice of Compliance?: t*
Inspector Signature
August 4, 2011
Daniel and Michelle Prindle
212 South St.
Northampton, MA 01060
Northampton Board of Health
212 Main St., #101
Northampton, MA 01060
Re: 212 South St., Northampton, MA
Dear Sir/Madam:
We are writing to request that you conduct an inspection of our apartment and the
common areas of the building in which it is located for violations of the State of
Massachusetts sanitary code. Our name,address,and telephone number are as follows:
Daniel & Michelle Prindle
212 South St.,Northampton, MA
413-727-8243
Our landlords' names and address are as follows:
Paul &Laura Facteau
43 Pine Island Lake
Westhampton, MA 01027
We would appreciate it if you would please call us as soon as possible to schedule a time
for this inspection, so we may be home at the time of your visit.
Thank you for your prompt attention to this request.
•
' 'y rely your
/ D,ai�tel Prind Michelle Prindle
cc: Brian E. Prindle, Esq.
Inspection Form
Northampton Board of Health, 212 Main St., Northampton,MA 01060, 413-587-1214
SSC 105 CMR 410.000: Chapter Il, Minimum Standards of Fitness for Human Habitation
Date: 8/z®hL vt Time:08:30 #Occupants: #Children<6 Years I 7:92C-4)Arf
Address: 2it Secrn Sn&GEr Unit# 4- City/Town: Northampton
Occupant Name:9Ar' E� r+lwsal.� °`t Phone# 413- .- t.rl- R`V)
�ne .
L�1/rA
Owner Name: phone# 0S014ry o r+-1
Owner Address: y? ?...St-%ir 'Cifyfown: Zip Code: o+Q 1.-7
#Dwelling/Rooming Units in Dwelling: #Stories: Z, Floor Level of
Unit:
1I
#Sleeping Rooms: #Habitable Rooms:
",- Title: _. ",k. Iras3g c.n `
Inspector: cam. Ja 1r-�
Area or
Element
Type of Violation
Use blank boxes for ones not listed
Possible
Code
Section(s)
/if
Violation
Observed
Responsible
Party
Owner
Occupa
nt
Yard h
Yard
Porch
Locks
480
Posting, ID, Exit signs/emergency lights
481,483,484
oors dows, roof
Handrails, steps, doors windows, ro
500,501,503
Rubbish—storage and collection
o9,601
s 60z
Maintenance of Area
Common
Areas &
Entry
Light, windows
253,254,501
Egress
E
450,451,452
Handrails
503
Door
501
Interior Halls
Stairs
Floors, walls ceilings
500
Hallways, railings, stairs
503
Light,windows
253.254,501
Level
Bedroom 1
Location(circle): Front Rear Middle Left Middle Right
Unit
Floor
of
Ventilation
299
Ceiling height
401,402
Windows, screen
501.551
Wall
500
Level
Bedroom 2
Location(circle): Front Rear Middle Left Middle Right
Unit
F
oor
of
Ventilation
280
Ceiling height
401,402
401,402
Windows, screen
Bathroom
tub, door
150
Toilet, sink, shower,
Smooth, impervious surfaces
150
Lights, outlets, ventilations
150,280
3
Area or
Element
Type of Violation
Use blank boxes for ones not listed
Possible
Section(s)
.cif
Observed
Responsible
Party
Owner
Occupa
nt
Floors/walls
504
Kitchen
Kitchen,
COAL
Sink, stove, oven; good repair, impervious and
smooth, space refriq
100
Lights, outlets, ventilation windows, scree
Y (4./V.C✓dAJoFp
251,280,501.
551
Ceiling height
401.402
Floor
504
Floors/Walls
500
_lying room
and Dining
Room
Lights, outlets, ventilation
250,280
Ceiling height
401,402
Windows/screens
501,551
Ceiling condition
Sink
Basement
Maintenance
500
Watertight
500
Lighting
253
Water
Source(circle): Public Private
Must be potable
180
Quantity, pressure
180
Responsible for paying MGL ch 186 s 22, metering
354
°f
Hot Water
Fuel Type(circle): Natural Gas Oil Electric Other Temp.: 56 Location
taken: Kitchen
Quantity, pressure, 110 F min, 130 max
190
Venting
202
Heating
Type(circle): Forced Hot Water Forced Hot Air Steam Electric
No units
200
portable
"Habitable room and every room with toilet, shower,
tub"
201
• 68F 7 am to 11 pm,64 F 11:01 pm to 6:59 am,
except 6/15-9/15
• 78 F max in heating season/measure 5 feet wall,5
feet floor
Venting, metering
202,354,355
Electrical
Type(circle): 110 220 Amp:
Amperage, temporary wiring, metering
250,255,zs6,
254
Drainage,
Plumbing
Type(circle): Public Private
Sanitary drainage required and maintained
300,351
Smoke &CO
Detectors
Required 8 operational
482
Emergency lights
Pests
Free of pests (rodents, skunks, cockroaches, insects)
550
Area or
Element
Type of Violation
Use blank boxes for ones not listed
Possible
Code
Section(s)
✓if
Violation
Observed
Responsible Party
Owner
Occupa
nt
Structural maintenance and elimination of harborage
550
(sbestos or
Paint
353,502
.ead
:urtailment
620
1ccess
810
kher
Referral:
0 Electric 0 Fire 0 Plumbing 0 Building 0 Other
This inspection report is signed and certified u der the pains and penalties of perjury.
Inspector
Signature: /nr�.47
Occupant or Occupant's Representative ignature:
Reinspection Date: — Time:
Notes:
etA EtC Ha✓s'E — l ErJRNS CaJGE.cr-)S ASSD*st:
rNGW
Sna1E es F<-✓G4N4 Aid t_S .Th r.m_ are/ liJ r 71+r5 5
�1t 6 er+r 8t )Strz ,ti; urt-
Brlta'ari -Pq...PNHSS
U5a axsto+ater
F <, : pLi ett}cl JFn/E EtC(EP% JrJxWJ^IJEO
r-r-Er
,� Sn 0 fsh •e-S 13 ?Vitt (Fee_os re-.1) .4
- rt<csE
'jE.J,'`�y5 !.rro-✓cS7 &Pitt. 75.7 h' .
GiRG aa&Ir G
✓;p.t..-"ci; rtrSEcnD roc.
yEty o T"rLF r%rstiJT/ E. LadOn4EO 71.4.Eu-r TO
.j,J as.•S (H4✓6 rccEFVS\ Tb «T At
flt» am t
—"KC (.Ed E._ Oi '7.an1Grt.c
-rear &r€4-r- z u5.r+"ASSep b.j
^/el /'SE 7D
,V HEffr_rbc.