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260 (Leeds Village) Apt 1E Complaint with Correction Orders 2017 CITY OF NORTHAMPTON BOARD OF HEALTH o� ,o MEMBERS MASSACHUSETTS 01060 ��),' JOANNE LEVIN,M.D.,Chair S �. DONNA C.SALLOOM SUZANNE SMITH,M.D. CYNTHIA SUOPIS.PhD iA WIHARGRAVES OFFICE OF THEIj,610"�.L� STAFF BOARD OF HEALTH Merridith O'Leary,RS.,Director Daniel Wasiuk,Health Inspector 212 MAIN STREET Christopher Bishop,Health Inspector NORTHAMPTON,MA 01060 NOTICE OF COMPLIANCE Mount Holyoke Management LLC Attn: Julia Clinton, Property Mgr. 5 Gerard Way Holyoke, MA 01040 Re: COMPLIANCE WITH ORDERS Dear Homeowner(s): On 6/16/17, an initial Housing Inspection was made at the property located at 260 Main Street (Unit 1 E), Leeds, owned or operated by you. Violations were observed and an enforcement letter with correction orders was mailed to you on 7/5/17. Extermination reports submitted by a licensed pest control operator indicated no activity of bed bugs. All violations noted in the 7/5117 enforcement letter have been deemed to be corrected and therefore, please note that you have complied with all of the correction orders issued in the inspection report. This letter was signed under the pains and penalties of perjury. If you have any questions regarding this matter, please contact me at my office. Sincerely, Daniel Wasiuk, Health Insp- : / I Ole D.O.A Exterminating Matt Kirby/Owner 29 Connolly Street Indian Orchard, MA 01151 413-330-7499 www.doaextenninating.coin Mass. License #23413 Re ort For: Bed Bug Treatment Roaches Ants Spiders Other f S / ° 3 U l s /T S Tenant Name: Job Location eS vi/ Date: (+Ill t 1 . Unit #: 1 Start Time: qi End Time: Ji Unit Occupy?: Yes o Pet(s)?: Dog(s) Cat(s) Bird(s) Other: Sanitation: Very Clean(!ean Clutter'' Insanitary Other: Tenant(s) In Compliance With "Preparation List for Bed Bugs"? (YNo If No, Why? U_Li22y a/c4r,c,( _ c,4 // Areas Treated Bedroom . .3_edroom Closet /Living roo )other: _ 1/ Did Pest Control Technician Post "Re-Entry Time"( eJNo If no, Why? Infestation Level: None Note• Light) Moderate Heavy Comments: T3en fju� S /-0 v c( iti DeLn-bM rC 4.v- hy A -h . no t Pr ih `� Technician Signature(s) Date ' 1/ 2 D.O.A Exterminating Matt ICirby/Owner 29 Connolly Street Indian Orchard, MA 01151 413-330-7499 www.doaexterminating.com Mass. License #23413 Report For: .11 Bed Bug Treatment o,►'v L J t,S Roaches Ants Spiders Other **************************************µ*****r**µyr*************************************** Tenant Name: Job Location L eos' V i kUci e— Date: ]is b 1 Unit #: I L Start Time: End Time: Unit Occupy?: al No Pet(s)?: Dogs) Cat(s) Bird(s) Other: Sanitation: Very Cleanan !utter nsanitary Other: Tenant(s) In Compliance With "Preparation List for Bed Bugs"? Yes' o If No, Why? __ _ Areas Treate edroon] Bedroom Closets wing room ther: Did Pest Control Technician Post "Re-Entry Time" Yes No If no, Why? Infestation Lev�t:�None�Joted Light Moderate Heavy Comments: 7)0 1.eA`c,--- o 7e /1 i.,z 0 3v f rciJ it 4 -rim G /1 qt f�cc 1--c&f °- Nrx u a PIO '11- '4 bee vi ' -ta I- ` Technician Signature(s) �� /�' `' Date '7LSi I 1 D.O.A Exterminating Matt Kirby/Owner 29 Connolly Street Indian Orchard, MA 01151 413-330-7499 www.doaexterminating.co1n Mass. License 423413 Rort For: e Bed Bug Treatment 72 f2. 6 1:7‘`'`k hk (-- U AS L Ants Spiders Other Tenant Name: Job Location ( e -t°OS v 11fa e-�- Date: i II ( () Unit #: / S Start Time: End Time: Unit Occupy?. Yes o Pet(s)?: Dog(s) Cat(s) Bird(s) Other: Sanitation: Very Clean Clea ;alutter)nsanitary Other: Tenant(s) In Compliance With "Preparation List for Bed Bugs"? Yes o If No, Why? Areas Treate�( Bedroo s Bedroom Close Living room they: _ Did Pest Control Technician Post "Re-Entry Time' . Yes No If no, Why? Ue b c k Infestation Leve . one Noted Light Moderate Heavy Comments: /)p Ai 4, ‘(- Pu..n, - r /e 1 u 4--s SP,? rvt 146,70d1 .c//P4 i f .6 ( i c (2- r!h I P Alf ' Technician Signature(s) ���GN"C/ Date f4i ).l1.i.V Is I-I 1..IG FITS APAJ.ZTMEN'1'S ASSOCIATES MA Nil CE NU.i:NT OPF7Ch.' 0 5 Gerard Way Holyoke. Mass 01040 Telephone(413)532-0379 a n( �S� �C/.(Lh(� 1'1'Y to Voice 1800-439-2370 • FAX(4 13)536-0459 6A--e- 23 U ���3�J dejuniode2017 C'/'jnce //A_ J`I -o !-:stinladjl Sonia; l;til(l C:a1'ta CS para Illlor'rrlarle sloe S11 ilpartanierlto sera extetnlir1a(10 para ' C1.11N('IIAN ci Ma ries 27 de Junio de: 2017 entre las 9:00an1 y 12:00pm. I'ILEI'AIZACION IZU'I'INA)ZIA 11., INS'1'UUCC1ONES /1nles de ISI exlerrllinacion 11 SaCair !os articulus de: c) I.os gabineacs de la cocirla donde ha vislo infestation 0 Sabarias de la Cama, I'opa de his I civetas, incluyendo closets y tarrlbic n las coI'tlll;Is de las ventanas, lavar y Serial' to(do en agua Caliente/ terrlperatura hien C;Il,enle y pnngalo en bolsas plast.icas bie11 serradas. 11Nulas: I.os jui;l(raes los cleberan Iirrlpiar y gi.uardarlos los zapalos los sleben de li11111iilr eon Lusa aspiradora (vacuum). Por pavor de hater esto antes clue llegue el exit:r11111;0ur. listed debt; de saber que puede clue se haga rrlas de on tr•alarnienlo para clilninar el problcrrla. ***I as_ a so.ltlti y ITIS IIr:ISCAli1S (I(;l)Crl (IC it:tie dei are:! (l(Ira ale el _ r:II:1111j('nlu lour a (a.e.(l[,.ti 3 Iluras ElFec,lucicin a su salad (lc los eii iluico . * Su c:onlplct;I cooperaciciil es rlecesaria. Necesitalnl)s de',Irle saber c uc. si 11611:11.11() cNaL 11•(: 1:11'ada )s!1•}1 la extertillll'.Ieien1 ell;lndo 11el.sse el cxl(:1'llllltil or sc: Ir.. hal_:i un cotr1•u_�c.aszus sic externs isiacaoll}.** — - --- - Por favor (-:sl(: prchilril(lo a seguir (()(ITIS las ii ISIriiccioi)P.S Para ellll'llnar eslos II Ise(:I I)ti. Cm•acias por s1.1 cooperac1AiI, f1(Ilnirlislrcicion ; M4111111 Ifni yoke:M:uoarr_ .... , I._ ____not ___ -- - ____._-____._._._.... ______—_._�--__.__----..._. _ aloe aSiS Wei.led ift dna b Boon the oppor inn dy to r r.ascl Iononalrlc aiT1/1nmolallir•bard providesy c Ian,I,i,:c s in lice IIIs firs so . 0 Lomita! En glia 4 1'111111.11.11cy. In ordrr 10 apply nr par licy pair in its piogra HIS or it you rccl you 114 ye (brit discs it b 1 •1Uisl:uu.c 'ICI SI) ',rr,�•-,;:,,, against,pleas':call thr SIIdLI UA (:o11rdi11alnr at{d 1.{)S34-OM (EX- _..I JAIZV IS HEIGHTS APARTMENTS ASSOCIATES MA NACl.:A'LN:r° °I/a: S Gerard Way Holyoke, Mass 01040 Telephone (41:3) 532-0379 'I-t'Y to Voice 1-800-439-2370 FAX (413) 536--0454 LISTA 1.11; PRI±:1'Al2ACION DFCI:1INCI IAS • i CColil IOdu la I•opa que este en el 1)150, sabarias u Olros articulos CIL la Caina y laveloS en agua catICnle. No Vista la Cama Ilasta 4-6 lioras dcspt.Ie5 (lel II•nlaitiiciito. • l'or favor porter to(las las corlinas en Ia SFCA DOR A CA1,IF1\11T... • 'l'odos los articulos personales coin() Topa, juguetes, zapatos, etc. Nccesitarl remover (le los closets y el area del pilo y de enzima del ropero. • 'ludas las ga veins del (iorm•itorio necesitall cslar vacias para tram iii lento. • Cilalquier pellicle que sea de Iola tendril que ponerlo en la secadora en Ic ii1)dr,Ilura bier, alta) por tin ininiinn de 20 minuIos y mantengalo en balsas scI•radas y mnevalo para un cuarta (iilcrente. • Past: la aspiradolil (vacuum) a las allbrnbi'as, a Ia earth, al frame de Ia calm, detras de los retratos y cuadros, los muebics y otras areas que: se I1;Illan visto his cliln(:Ilas y Vote la bolsi' de la aSpll•ndor•a (vacuum) al basurera (le aluera. • 1.os !amities (IC peCes tienerl que estal tapadas COil urla sabana y la pornpa apitl,ada Rasta que Listed vuelva a su apaltamento/hogar. • I'or favor este preparado para que Listed y sti mascota se vallarl de la tlnidad. Re-cnirada sera despues de II horns del tratalliienlo. Nota: I:l objetivo es remover y sanitar lo(lo lo posible que este en los cual-tos porn cvltar clue Ins cllincl)as regreseri despues del tratanlienlo. Mieniras mas acceso (ruga el lecnico tnejor seri' para •Irispecciol)nr y tlatar, ITICjol-es 1•esulti.tdos te'ndre:ll105. <)1)Ciouall: Sellar los colclaonts y illnloliadas coo 1)roteclores (IC vinyl (Iespues (Id trittan i cxtcrniiiiaciO11 (dcje:lo 5(:lla(lo par I afio). uc No de Munn( Ilolyulu• �'F.wagl:uu:nl, I.I.C. tines nut diary' _^—_-•---�_. ..—.._ ga dua,,,i iia 'OhI o r nlrlunll a1c no Ibr baaia of any plolcr led >lal Lia. II ill uvldca per>o 0 1 y lo rclines( Icastln:Ibir act.onrlIII d:1111m Intl pi Limited I'.i hi>l, 1'rol)IIIiit-y, In nuke lu apply or parriripart' in its programstorlii youree reelhavelbeenl'di�srril ! ,—. :tumli,pleaar call the SIYI/A PM Cour din:Uur al(,113)S3.l•l195S. l� nrraonnu,r `/ • J AR VES 1-I E1G-1'1'S APARTMENTS ASSOCIAI ES NIA NA G:MME:IVf•OFFICE 5 Gerard Way Holyoke, Mass 01040 •l•eleplione (413) 532-0379 •1-1 Y ro Voice 1-800-439-2370 FAX (413)536-0454 YO he recil)idu Lull Copia Ile la lista de hreharaciorl de chinchas y autorizo a D.O.A a cun(iucir lllla inspeccion y Iratilintelllo Si es IIecesarlo para Controlar Cualduier hroblenta (Ie. infesiaci(1r1. Uircccion ---- _____- - - ----- fi de API 7:- Firma Ilel Itrsillcnte e zt) Peeha ..(0_7_,_.--' /O _______ Firma del Adrnillislradc)r i 11.1,,,,,,1 Itulyul.c 1\1 aiiagc,ucut. 1.L(: dues 111,1 dl)rr-intitlale un (lie basis of ally prolc(Icd shins.dsab,hna the ul.lru,hrnuy 11, ,ct(ucst resun:rltic acrwn,wudalitur and provides ---e.-- ._._— la I.iutilcd t." lisb Prulicicin.y 111 order to apply or p:u-liripile in ils programs or it you feel you have rtbeco dist it e •""""•w,., agamsl,pleas:call Ilse SI14UA 1)A ('ourdi,talttr•al (4 13)53d-(1955. I des lrec LUIgnn6e ssiskutre In lotus() )rr,,u,1,14n r JARVIS HEIGHTS APARTMENTS ASSOCIATES MANAGEMENT OFFICE 5 Gerard Way daci. Holyoke, Mass 01040 t-C1' Telephone(413) 532-0379 c-^ cik,-.Q. TTY to Voice 1-800-439-2370 6/93/ /7 FAX(413)536-0454 A 0� ,/ FAX ,23, o)7 Dear Jon,c, C (CP,._. This letter is to inform you that your apartment will be exterminated for YD.e� t�3L)rs__ ___on ��,,,,P a 7 2017 between the hours of y'on 0.4 4,0 ia.:oo P„„- ROUTINE PEST CONTROL PREPARATION INSTRUCTIONS Before extermination Drake items out of: o Kitchen cabinets where you've seen infestation. o Linens from bed, clothes from dressers, closets as well as all window curtains, wash/dry everything in hot water/hot temperature and put aside on plastic bags, tightly close. Take notes: Toys should also be cleaned and put away and shoes should be vacuums thoroughly. Please, we urge to do this before the day of extermination. You need to be aware that more than one treatment might be necessary to be successfully eliminating this problem. ***Peoples and pets must leave the area during and after the treatment for at least 3 hours for health precaution to the chemicals.** Your full cooperation is extremely necessary. ***We need to make you aware that if you are not prepare by the time the exterminator gets to your unite you will be charged a fee (Extermination charges).*** Please be prepared and follow all instructions to successfully eliminate these bugs. Thank you for your cooperation, Management ® Mount Holyoke Management, LLC.does not discriminate on the basis of any protected status. It provides perso • disabilities the opportunity to request reasonable accommodation and provides free language assistance to perso Limited English !Proficiency. In order to apply or participate in its programs or if you feel you have been discris IQUM 11WHNo against,please call the 504/ADA Coordinator at(413)534-0955. \��J OPPORTUNITY • JARVIS HEIGHTS APARTMENTS ASSOCIATES MANAGEMENT OFFICE 5 Gerard Way Holyoke,Mass 01040 Telephone (413)532-0379 TTY to Voice 1-800-439-2370 FAX(413)536-0454 PREPARATION LIST FOR BED BUGS • Remove all clothing left on the floor, sheets, covers, or any other bedding cover from your mattress and wash them in hot water. Do not replace the bed linen until 4-6 hours after treatment. • Please put all your curtains in the HOT DRYER. • All personal items including clothes, toys, shoes, stored materials, etc. need to be removed from the furniture and floor area including from the floor and top of closet. • All drawers in the bedroom need to be empty for treatment. • Any stuff toys or other fabric based items can be run through the dryer ( high heat) for the minimum of 20 minutes and placed in sealed bags and move to a separate room. • Thoroughly vacuum all carpeting, bedding, and bed frame, back of pictures, closets, perimeter of bedroom, couches or other areas where bed bugs are seen and immediately empty vacuum cleaner bags and dispose of it in the dumpster outside. • Cover fish tanks with sheet and turn off pumps until reoccupying home/ apartment. • Please be prepared to leave and remove all pets from the unit. Re-entry time is 4 hours after treatment is done. Note: The objective is to remove and sanitize everything possible that are kept in the bedroom(s) to avoid the reintroduction of bed bugs back into the treated area. In addition, the more access out technician has to inspect and treat, the better results will be. OPCIONAL: Seal mattresses and pillow in a zippered vinyl covering after the treatment (leave sealed for I year). A Mount Hutyokc Management,LLC.does slot discriminate on the basis of any protected status. It provides perso • disabilities the opportunity to request reasonable accommodation and provides free language assistance to perso ited English Proficiency. In order to apply or participate in its programs or if you feel you have been discrit!Al6. to AL nousrw against,please call the 504/ADA Coordinator at(413)534-0955. OPPORIUNnY THAMp CITY of NORTHAMPTON '3". PUBLIC HEALTH DEPARTMENT '' Public Health Director'Merridith O'Leary Vii"% Municipal Building—212 Main Street- Northampton,MA 01060 Phone (413)587-1215—Fax(413)587-1221 http://www.northamptonma.gov/245/Health CORRECTION ORDER Issued under the provisions of The State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation 105 CMR 410.0o Date: July 5,2017 To:Owner/Agent of Record: Property Location: Mount Holyoke Management LLC 260 Main Street,Unit 1E(Leeds Village Apartments) Attn:Julia Clinton,Property Manager Leeds,MA 01053 5 Gerard Wav Holyoke,MA 01040 An authorized inspection was made of your property at the above address on June 16,2017 This inspection revealed violations of the State Sanitary Code,Chapter II,as listed below: Violation 105 CMR 410 Regulation 550 B,C&D-The owner of a dwelling containing two or more dwelling units shall maintain it and its premises free from insect infestation,and shall be responsible for exterminating them. Evidence of what appears to be Cimex Lectularius(Bedbugs)infestation. Correction:Contract a licensed pest control applicator(PCO)to identify the insect,determine the extent of the infestation, exterminate to eliminate the infestation and remove all places of harborage. An Integrated Pest Management Plan(IPM)must be submitted within the below time frame. All effected occupants must be provided with 48hour advance notice of exterminations along with a preparation checklist. After a successful extermination program afinal report must be submitted by the licensed pest control operator. Infested materials being discarded must be handled with precautionary measures to prevent further infestation. For assistance please call the Housing Inspector listed below. You have a right to request a hearing before the Board of Health/Health Director. This request must be made by you,in writing,and filed within seven days after the day this order was served. If you request a hearing,all affected parties will be informed of the date,time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. The petitioner has the right to represented at the hearing. Conditions exist which may permit the occupant of the dwelling to exercise one or more statutory remedies. HEREOF FAIL NOT,under penalty of law to comply with Sanitary Code,within 14 days (Signed under the pains and penalties of perjury) 10 #9, IOW • Christopher Bishop, REHS Merridith •' •. ',S. 110 Health Inspector Public Heal I• . or City of Northampton Health Department City of Northampton Health Department Cc:Sonia Garcia CITY of NORTHAMPTON kt, i,t PUBLIC HEALTH DEPARTMENT stki)l l -�► Public Health Director—Merridith O'Leary Municipal Building—212 Main Street—Northampton,MA 01060 Phone (413)587-1215- Fax(413)587-1221 http://www.northamptonma.gov/245/Health CORRECTION ORDER Issued under the provisions of The State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation 105 CMR 410.00 Date: July s,2017 To:Owner/Agent of Record: Property Location: Mount Holyoke Management LLC 260 Main Street,Unit 1E(Leeds Village Apartments) Attn:Julia Clinton,Property Manager Leeds,MA 01053 5 Gerard Way Holyoke,MA 01040 An authorized inspection was made of your property at the above address on June 16,2017 This inspection revealed violations of the State Sanitary Code,Chapter II,as listed below: Violation 105 CMR 410 Regulation 550 B,C&D-The owner of a dwelling containing two or more dwelling units shall maintain it and its premises free from insect infestation,and shall be responsible for exterminating them. Evidence of what appears to be Cimex Lectularius(Bedbugs)infestation. Correction:Contract a Iicensed pest control applicator(PCO)to identify the insect,determine the extent of the infestation, exterminate to eliminate the infestation and remove all places of harborage. An Integrated Pest Management Plan(IPM)must be submitted within the below time frame. All effected occupants must be provided with 48hour advance notice of exterminations along with a preparation checklist. After a successful extermination program a final report must be submitted by the licensed pest control operator. Infested materials being discarded must be handled with precautionary measures to prevent further infestation. For assistance please call the Housing Inspector listed below. You have a right to request a hearing before the Board of Health/Health Director. This request must be made by you,in writing,and filed within seven days after the day this order was served. If you request a hearing,all affected parties will be informed of the date,time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. The petitioner has the right to represented at the hearing. Conditions exist which may permit the occupant of the dwelling to exercise one or more statutory remedies. HEREOF FAIL NOT,under penalty of law to comply with Sanitary Code,within 14 days (Signed under the pains and penalties of perjury) 4111. ‘k, Christopher Bishop,REHS Merridith •. ' S. Health Inspector Public Heal.• e, •i or City of Northampton Health Department City of Northampton Health Department Cc:Sonia Garcia City of Northampton Mail - 260 Main Street, Unit 1 E Extermination Page 1 of 2 (, ? y1CHM of Christopher Bishop <cbishopnortham tonma. ov>N 260 Main Street, Unit 1 E Extermination 3 messages Christopher Bishop <cbishop@northamptonma.gov> Fri, Jul 7, 2017 at 10:42 AM To: Julia Clinton <juliacmhm@hotmail.com> Good morning Julia, I've attached Correction Orders regarding unit 1 E the inspection I conducted on June 16th which we spoke on the phone about at that point. My apologies for not getting this to you sooner. If you have any questions please let me know. Respectfully, -Chris Christopher Bishop. REHS Health Inspector Northampton Health Department 413-587-1339 �� 260 Main Street, Unit 1E,Correction Orders 07052017.pdf 34K Julia Clinton <JULIACMHM@hotmail.com> Mon, Jul 17, 2017 at 9:23 AM To: Christopher Bishop <cbishop@northamptonma.gov> Hi Chris, The three bed bug treatments for Sonia Garcia have been completed. I have attached the extermination reports. On the 3rd extermination the exterminator reported no activity found. I also attached a copy of one of the notices that Sonia received in Spanish and in English. Please let me know if you need anything else. Thank you, https://mail.google.com/mail/?ui=2&ik=23c55751e3&j suer=YLDmfj BKkgk.en.&view=pt... 7/17/2017 City of Northampton Mail - 260 Main Street, Unit 1E Extermination Page 2 of 2 Julia Julia Clinton, Property Manager Jarvis Heights Apartments 5 Gerard Way Holyoke, Massachusetts 01040 Telephone: (413) 532-3709 Ext. 104 Fax: (413) 536-0454 From: Christopher Bishop<cbishop@northamptonma.gov> Sent: Friday,July 7, 2017 10:42 AM To:Julia Clinton Subject:260 Main Street, Unit 1E Extermination 2 attachments I.. Sonia Garcia 3 Extermination Reports.pdf 132K l Extermination notice 1e spanish and english.pdf 267K Christopher Bishop<cbishop@northamptonma.gov> Mon, Jul 17, 2017 at 10:53 AM To: Julia Clinton <JULIACMHM@hotmail.com> Hi Julia, Thank you for sending these along. I'll let you know if we need anything else. Best, -Chris iii:, ',.. iC:uetec text hidden) https://mail.google.com/mail/?ui=2&ik=23c55751 e3&jsver=YLDmfjBKkgk.en.&view=pt... 7/17/2017 Northampton Health Department 212 Main Street Northampton, MA 01060 (413)597-1214 Inspection Form State Sanitary Code 105 CMR 410.000: Chapter II, Minimum Standards of Fitness for Human Habitation !Date .//6.711-7 Time am/pm #Occupants L #Children<6 Years Occupant Name joni �� Phone# ( 30.-� Address 16,6) ./l cti 9- a I City/Town Apt# 1 E Owner Name e Phone# Owner Address SGe,ca-rdl (-Oozy City/Town j&(yore ,44 4 Zip Code C .1j Inspector - ,S Loft Title - t4 (t I-w5P-c-d Area or Type of Violation l Possible Code hif Violation Responsible Description Element Section(s) Observed Party Owner Occupant Exterior, Locks,striker mechanism(4 or more units) 480 Yard& Porch Posting,ID,Exit signs/emergency lights 481,483,484 Handrails,steps,doors,windows,roof-maintenance 500,503 Weather tight elements 501 Rubbish-storage and collection 600,601 Yard maintenance-trash,debris,vegetation 602 Common Maintenance of area 500 Areas& Entry Doors,lights,windows—weather tight,maintenance 501,500 Egress—means,obstructed,safe 450,451,452 • Handrails—provided,maintenance 503,500 Interior Lights 254 Halls& Stairs Floor,walls,ceiling-maintenance 500 Railings,stairs 503,500 Doors,windows—weathertight,maintenance 501,500 Kitchen Location(circle): Front Rear Middle Floor Level of Unit Refrigerator,sink,stove,oven-good repair,impervious 100 and smooth Floor,walls,ceiling-maintenance 500 Outlets,lights 251 Windows,screens—weather tight,lock,maintenance, 501,480,500, provided 551 Non-absorbent floor 504 Living room Floor,walls,ceilings 500 Outlets,lights 250 Windows,screens-lock,weather tight,maintenance, 501,480,500, provided 551 Area or Type of Violation Possible Code ✓if Violation Responsible Description Element Section(s) Observed Party Owner Occupant Bedroom Floors,walls,ceiling 500 #1 Outlets,lights 250 Windows,screens—weathertight,locks,maintenance, 501,480, 500, provided 551 Bedroom Floors,walls,ceiling 500 #2 Outlets,lights 250 Windows,screens—weather tight,locks,maintenance, 501,480, 500, provided 551 Bedroom Floors,walls,ceiling 500 #3 Outlets,lights 250 Windows,screens—weather tight,locks,maintenance, 501,480, 500, provided 551 Bathroom Sink,shower,tub—impervious,maintenance 150,500 Lights,outlets 250 Ventilation—natural,mechanical 280 Floors,walls,ceiling—maintenance 500,504 Basement Maintenance,weathertight 500,501 Lighting 253 Water Fuel Type(circle): Public Private Potable,quantity,pressure 180.354 Responsible for paying MGL ch 186$22,metering Hot Water Fuel Type(circle): Natural Gas Oil Electric Other Temp.: °f Location taken: 190 •110°f min-130 max°f Heating Type(circle): Forced Hot Water Forced Hot Air 200,201 Steam Electric No portable units Bathroom °f "Habitable room and every room with toilet,shower, Kitchen °f tub" Living Room °f • Min 68°f 7:OOam-10:59pm Bedroom 1 °f Ot\C Min 64°f 11:00-6:59am Bedroom 2 °f • 78 F max in heating season/measure 5 feet wall,5 feet floor Cooper TM99A-UL Digital Thermometer used to take temperature readings Electrical Type(circle): 110 220 Amp: Amperage,temporary wiring,metering 250,255,256,354 SmokOe& Required&operational 482 Detectors Note:CO detector not needed for all electric! ''ll Pests Free of pests/harborage 550 07) / e�eifleCt Bedbugs/cockroaches/rodents-evidence 550 Other Referral: ❑ Electric 0 Fire ❑ Plumbing 0 Building 0 Other This inspection report is signed and certified under the pains and penalties of perjury. Inspector Signature Occupant or Occupant's Representative Signature Re-inspection Date Time NOTE: *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 Area/Element Code Citation and Description of Violation S sect 6 n- s 45a — 10 v° \c or, 6A0 c S t>eA �cik5Z v (\A Id\ clay be �. oeS8 CUC1 (\() eC)J N IDei- J Peri YVksfltft= P (DU4 C ro0/7- o&73 444.31 Geo Tracking #: Entered By: p d,4 Date Entered: �� / 7 BODYART FOOD HOARDING HOUSING x NAIL SALONS NUISANCE ODOR PESTS be1 moi.S)POOLS SEPTIC A SMOKE WATER/SEWER OTHER COMPLAINT_ANT' NFO MATION: Call Taker Initials: RiA7 y/3- F(-303/ °hau P Date of Complaint: / / 7 Complainant/Occupant's lame: C�"roVi l %G. ✓�' / Telephone# 67 303 C toil/) Mailing Address: Ae; e�MP//,ver dc?$ 1.072 4ernate� ) - Complaint Location: I `/_ , -J► , e/ eek // , f z Animals: Y/N Child Under 6: Y/N NATURE OF 0 COMPLAINT: 0e4 S / � 4, p tC 6 S . 45°/ /74 /74 1'eArevt. it)/AO le, kt_e/ recci crt.1/ 5 Sat( /•;) 0,/n/nc),t), .,1 e-Aac.4vel —Ie5,e5 OWNER'S INFORMATION: / / Owner's Name: Address: Telephone# ( ) - Property Mgr./LL: Address: Alternate # ( ) - Inspection Scheduled on: Wi-67/ Complaint Unfounded: Conditions Found: X c7 Te Q s ccDD td bu3s, Cb-Stsej s ACTION TAKEN: ,/r6i(� - l- p Ce /(L [ >1d( Ca- 37:5 e / l6_ % `? Signature of Inspecti fficer Date/Time of Inspection p9v A vitcp-> is)?11dJi - 1/ 04 . J v<pade.,-,i v ,n'. ; LSI p1 -aNi 05- tP54w),Y'V'R-( 70-=714; 24 , -Dvald 1p.IOSJccJAvU W Q �a O© ? c4