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26A Complaint 2012 Date: 7 ri ©� Name of Co Address:; plalnant: a„o oow e6 OEM �� InOM NA LIRE OF COMPLAINT/ /ec... aye /!t/ K• tz 1..L �% f/drn U%Sfu , �S - 4„--/e Ade e, / Map: Mn Location: >47 1 Owner: (j 7 /io�ows4c Address: Taken by: NM I Dale of Inepsation: 7/3/z c,Z ITime: j` INSPECTOR'S REPORT: �4 yrn S ; t`r F._aan . $,S& -ttJ— cc.accte1 tE4'C Poe /NPPcrEd Tel: Action Taken: ctor Slgnat6lse. O Inspection Form Northampton Board of Health,212 Main St., Northampton, MA 01060,413567-1214 SSC 105 CMR 410.000: Chapter II,Minimum Standards of Fitness for Human Habitation Date: 7(/5 toot— Time:/L 30 #Occupants:Ztt Children< 6 Years rS€a- Addres9: ' P Sting Sncezl"Unit# City/Town: Northampton Occupant Name: t (gPPEU .T) Phone it 3 tI — o&41 Owner Name: Phone# `413 4te t S'i D4{ Owner Address: Pp 3o)C $'7 City/Town: Zip Code: %A.-3V4 rR 01033 r #Dwelling/Rooming Units in Dwelling: Z #Stories: Floor Level of Unit: it Sleeping Rooms: it Habitable Rooms: Inspector: -go hjJr Cjw r-t-L1 Title: a or nent Type of Violation Use blank boxes for ones not listed Possible Code Section(s) hif Violation Observed Responsible Party Owner Occupa nt rrior, Locks 480 ld & rch Posting, ID, Exit signs/emergency lights 481,483,484 Handrails, steps, doors windows, roof 500,501,503 Rubbish—storage and collection 600,601 Maintenance of Area 602 Imon as & itry Light,windows 253,254,501 Egress 450,451,452 Handrails 503 Door — 1.3-e."...3"Peek- uS!IJO CF1 -O2-/Z1"501 x x .r Halls tairs Floors,walls ceilings -TO g-"b-soo Hallways, railings, stairs 503 Light,windows 253,254,501 oom 1 Location (circle): Front Rear Middle of Unit Left Middle Right Floor Level Ventilation 280 Ceiling height 401,402 Windows, screen 501,551 Wall 500 oom 2 Location (circle): Front Rear Middle of Unit Left Middle Right Floor Level Ventilation 280 Ceiling height 401,402 Windows, screen 501,551 room Toilet, sink, show tub oor 150 Smooth, impervious surfaces 150 Lights, outlets, ventilations 251,280 I or lent Type of Violation Use blank boxes for ones not listed Possible Code Section(s) ✓if Violation Observed Responsible Party Owner Occupa nt Floors/walls 504 hen hen, nt. Sink, stove, oven; good repair, impervious and smooth, space refrig 100 Lights, outlets, ventilation, windows, screens 251,280,501, 551 Ceiling height 401,402 Floor 504 FloorsM/alls 500 room lining Om Lights, outlets, ventilation 250,280 Ceiling height 401,402 Windows/screens 501,551 Ceiling condition Sink ment Maintenance 500 Watertight 500 Lighting 253 der Source(circle): Public Private Must be potable 180 Quantity, pressure 180 Responsible for paying MGL ch 186 s 22, metering 354 Water Fuel Type(circle): Natural Gas Oil Electric Other Temp.: 56 °f Location taken: Kitchen Quantity, pressure, 110 F min, 130 max 190 Venting 202 ding Type(circle): Forced Hot Water Forced Hot Air Steam Electric No portable units 200 "Habitable room and every room with toilet, shower, tub" 201 • 68F7 am to 11 pm,64F 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 :trical Type(circle): 110 220 Amp: Amperage, temporary wiring, metering 250 255,256, 354 inage, nbing Type(circle): Public Private Sanitary drainage required and maintained 300,351 ;e &CO actors Required &operational 482 Emergency lights gists Free of pests(rodents, skunks, cockroaches, insects) 550 or ent Type of Violation Use blank boxes for ones not listed Possible Code Section(s) lif Violation Observed Responsible Party Owner Occupa nt Structural maintenance and elimination of harborage 550 Da or aint 353,502 vent 620 BID Referral: ❑ Electric ❑ Fire ❑ Plumbing ❑ Building ❑ Other This inspection report is signed and certified under the pains and penalties of perjury. Inspector Signature: Occupant or Occupant's Representative Signature: Reinspection Date: Time: Notes: street northampotn ma-Google Maps http://maps.google.com/maps?Fq&source=s_q&hl=en&geocode=&q... Go, >gIe Address 26 Smith St Northampton, MA 01060 Get Google Maps on your phone STea the word"GMAPS"10466453 N▪▪ 'e Button SI la) FO F062. IliC' ry ro Cna,oe being Gwapf Ole*qve Je O Massachusetts Ro 5 wmwemm bN Oea N SOWS St fe y '"ewe t S Monty MeiObe it Farr ' tr * j 9se Map data 1II1112 Google • 7/5/2012 9:33 AM