134 #3B Housing Inspection 1982 BOARD OF HEALTH
JOHN T. JOYCE,Chairmen
PETER C. KENNY M D
KATHLEEN O'CONNELL, R.N.
PETER J. McERLAIN, Health Agent
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE OF THE
BOARD OF HEALTH
HEALTH INSPECTION REPORT
_ SANITARY CODE CHAPTER II CERTIFICATION
This is to certify that #5B LEEDs \ lance Ph9e77/2:N%
210 MAIN STREET
01060
(413) 5866950 Est.313
name of facility
located at 131f timid SYHEET, L.EED< , (YIH . 0/053
address 7��1 city ,r/ zip
was inspected on FEf1ROI / 26/ /184 by .(1,9Y/D E /6"0/W/I
date inspector
/y0 4'?7149/fin4y 8OR&D O/%M.-;4477// Z/ONJA/N -,Rc',an//7Aaa
inspecting board, agency, or department
Housing inspection requested by /nee. ( OHANNE 13-6RA50005KI
The above facility complies with Article II regulations, including but not
limited to the following:
Water Supply
Sewage System
Disposal of Garbage and Refuse
no
no
no
Lighting and Ventilation e no
Laundry
no
Kitchen Facilities and Food Storage es no
Bathroom Facilities
no
Heating Facilities C no
Exits and Security
no
Insects and Other Vermin no
47,7". and Use Requiremen messtseoelSkt r-wort) yes no
rvnn" (WY/6/RLf
Maintenance of Facilities yes no
Oi�he prt1c II are s of co eel • APA,ert eg:Ni C0A9P1 jLS W/TN MIAI/Jafl etoz,1n ryrs
6F7pNE CO�t� /IOSin?_ka1 � Q /. Qfl ,/9 r " 5110040//9✓C F SCPP,.49'E
Reco dations: SLEEP/ R ZNTN/5 CASE ATN�E5 5E4foorn Ot✓r2NN6 UN/T u.MYILb
QE RFC0A7MfNDcA . /
Approv . YES NO
a A TRANSFEif Is eKolting DFD pea✓iDeD T}/AT/r4.1.772 A 7,V4°CE 5EAfo9o1
on- Gt/NE.eEEACH CN/iD ev/tL f/5✓£///S/S/L O/ W 5425 G UN/r.
I]DITZOt7
Signature of insp r or representa-
tive of inspect g authority