19 Compaint Record 8/16/83 BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Da ir /-_ Time__
Name of
Complainant --Re-40-41,- c-s±4-c-;,
Address-14 a 4/tii-4t,zi- Tel Cri-eet,3
Nature of Complaint .a...a.M6t01- .fiat._G-4-4stai 44-1-1._. ,t,
Location of Premises /f
Owner
Address °IS. Oit-t" S.Ie•
Occupant _
Ph4e-
Taken Referred to._
Date of inspection __ Time_2;r19—'-
INSPECTOR'S REPORT raS.
/ 44L10151°
olf)±..Q ottaSalt,". ILCA4
Action Taken se)24/1._ Qt
Inspector
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CHAPTER II STATE SANITARY CODE
Address 19 (-)1/Vipta-/-1•V)&. Occupant's Name
No. of Occupants Apt. # # of Dwelling Units II of Stories
Type of Structure B F N # Habitable Rooms # Bedrooms
Owner
Bathroom 410.150
Address of Owner
Regulation
Violations
Hot water between 1200 & 1406
.19Q
Toilet and seat
.150 A(1)
j,nirpe ^i II� 4 �!JAA nn
Wash basin
.150 A(2)
e4/-4..„
I A 4
Shower or tub
.150 A(3)
/ I I
Sufficient cold water
.350 A
Floor
.500
Walls
500 {
•
Ceiling
poor
�Q•.� -j67 LI o
Light
.252
.252 A
Ventilation
.280 A or B
Plumbing connection & drains
.350
Kitchen 410.100
Regulation
Violations
Kitchen sink sufficient size
.1QQ A(1)
Stove and oven
.100 A(2)
Space for refrigerator
.100 A(3)
2 Outlets (electrical)
.251 B
One electrical light fixture
.251 A
Walls -
.500
Ceiling
.500
Floor
.500
Ventilation (window) (mechanical)
.251.6
Cold water (sufficient pressures)
,350 A
Hot water
.190
Windows
.500
Doors
.500
Screens (door & window)
.551 & .552
Plumbing connection & drains
.350
Living Room
Regulation
Violations
Outlets (2 or one with light)
.251 B
Lighting
.251 A
#ali
.500
Celli
.500
jj/• _ __/ ,/
-FTbOr
.500
Windows
.500
Screens
.551
Locks (windows)
.480 E
Pantry or Dining Room
Regulation
Violations
Outlets (2 or one with light)
.251 B
Lighting
.251 A
Walls
.500
Ceiling
.500
Floor
.500
Window
.500
Screens
.551
Locks
.480 E
Rezulat
on
V
olat
ons
Sufficient natural .11 'n
.250 A
out ets or 1
•251 B
Light with 1 outlet
251 A
Walls
.500
Ceilin:
.500
Floor
.500
Windows
.500
Screens
.551
Door
.500
Is there adequate
space for occupant?
.400
Slee•in: Room #2
•
Sufficient natural light n:
.250 A
2 outlets or 1
.251 B
Light with outlet
.251 A
Walls
.500
Ceilin:
.500
Floor
.500
Windows
.500
Screens
.551
Door
.500
Is there adequate
space for occu•ant?
.400
Sleeping Room #3
Sufficient natural lightin:
.250 A
.251 B
2 outlets or 1
Light with outlet
.251 A
Walls
.500
Ceilin:
.500
Floor
.500
Windows
.500
Screens
.551
Door
.500
Is there adequate
space for occupant?
.400
Common Area & Exit (Interior
Interior area illuminated •ro•erl
.253 A & B
Windows
.500
Screens
.551
IS
�!!� '/ t. ran'
Doors
.500
Ceilin:
1111MICrLr
Walls
.500
.500
0 0 1,_„ ,
Floors
Stairwa s
.042
Common bathroom clean
Common Area & Exit (Exterior
Chimne
.151
.500
Porches
.500
Foundation
.500
Stairs
.500
Garba•e & rubbish
.601
Private wa s
.600
Gutters and down s•outs
.500
Roof
.500
Lead paint
.502
Entry lights _
.253 B
General
R
All services working and available
670
Are heating facilities in good
repair?
.200
Heat 680 and
200
A F H
Hot water 120° to 140°
790
Facilities vented
702
Space heater - proper
200
A
Temporary wiring
756
Electrical service adequate
755
Insects and rodents
550
Dwelling sanitary
607
F 452
Miscellaneous
Inspector
Date
The next scheduled reinspection is:
Title
a.m.
p.m.
Time
a.m.
p.m.
Date Time
BOARD OF HEALTH
JOHN T. JOYCE,Chairman
PETER C. KENNY, Y.D.
KATHLEEN O'CONNELL, RN.
PETER J. McERLAIN, Health Agent
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE OF THE
BOARD OF HEALTH
210 MAIN STREET
01060
Tel. 01311x
586-6950 Ext. 214
ORDER TO CORRECT VIOLATIONS OF CHAPTER II OF THE STATE SANITARY CODE "MINIMUM STANDARDS OF
FITNESS FOR HUMAN HABITATION" AT 19 Arnold Avenue, Northampton, MA
ORDER ADDRESSED TO:
Charles W. Kulikowski
25 Main Street
Northampton, NA 01060
COPIES OF INSPECTION REPORTS ISSUED TO:
Richard Fontein
DATE August 17, 1981
Rm. 9, 19 Arnold Avenue
Northampton, MA 01060
This is an important legal document. It may affect your rights. You may obtain a translati,.
of this form at:
Isto a um documento legal muito importante que podera afectar os seus direitos. Podem adqui,
uma tradusao deste documento de:
Le suivante est un important document legal. II pourrait effecter vos droits. Vous pouvez
obtenir une traduction de cette forme a:
Questo a un documento legale importante. Potrebbe avere effetto sui suoi diritti. Lei pug
ottenere una traduzione di questo modulo a:
Este es un documento legal importante. Puede que afecte sus derechos. Ud. Puede adquirir
una traduction de esta forma. en:
To jest wain legalny dokument. To maze miec wplyw na twoje uprawnienia. Mozesz uzyskac.
tlumaczenie tego dokumentu w ofisie:
Board of Health
210 Main Street
Northampton, Mass.
Tel. No. (413) 586-6950 Ext. 214
The Northampton Board of health has inspected the premises at
19 Arnold Avenue Northampton (assessor's map 31D
parcel 57 . ), 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 VIOLATION REMEDY
410.151 Toilet, bathtub and sink in second V" Rooming house bathroom
floor bathroom and the bathroom floor fixtures and floor
are very dirty. must be cleaned and
sanitized daily.
410.500
Water leaking from third floor
bathroom has resulted in heavy
damage to the ceiling in Room 9.
Locate and repair
leak: repair ceiling
in Room 9.
The violation listed below must be corrected within fourteen (14) days of the
receipt of this notice.
410.500 Paint peeling from large section
of first floor hallway ceiling.
Scrape and repaint
ceiling.
If you have any questions regarding this notice, please contact the Board of
Health Office.
Very truly ,c
Peter J. McErlain
Health Agent
PJMc/ec
Certified mail #P33 0983736
UNITED STATES Po'd ELa •
OFFICIAL eU-^ S
1. P M AA
ENDER TIONS Print your name,address,INST.,. e
• Complete items 1,2, uPE on the• Attach to front an ier mw
affix to back of ankle • N'H4�m,. S ThcU Ik
• Endorse article"Return Receipt Requestee adja.
En
ra number-
RETURN I
TO
Board of nealth
INUme or Snider,
210 Main St. , Northampton, MA 01060
(Shen or P.O.Box)
ny.Snec and ZIP Coda
SENDER- Complete Items I,2.and 3_
Add your address In the RETURN TO"space on
Thdfallowing s'er.Ile15 requested (check one).
Show to whom and date delivered
Show to whom,dam.and add ess )f fell Fry —_
l RESTRICTED DELIVERY -
Show to whom and date delivered
D RESTRICTED DELIVERY.
Show to whom,date,and address of delivery-
(CONSULT POSTMASTER FOR FEES)
2, ARTICLE ADDRESSED TO'.
Charles W. Kullkowski
25 Main St.
3. ARTICLE ESC
CERTIFIED NO.
330983736
Pewees obtain signature of edemas or agent)
I have received ved the article described above,
SIGNATURE ❑ Addressee ❑ A dhort etLa4.
INSURED NO.
ATE OF DELIVERY
6 UNABLE TO DELIVER BECAUSE'.
b
CERTIFIED MAILPOSTAGE EE AND CHARGES ARTICLE SELECTED OPTIONAL SERVICESG(see front)
t Ii you war leaving the pasta-irked.stick the gummed stub on the left portion of the address side of
Ithe article.c your ing the ,and present the article at a
Y Carrier.(no extra charge peg office service WpdeW Of
2. IT you uf loo noti want this cuplh ostmarked.stick the gummed stub on the left portion of the address
3.
side
deuf tearelernr ,detach
hi and
the receipt,and mail the article.
If you want Form 3 receipt. number and your name and address on a return
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adjacent Ot the number
article means RN the ECgummed IT EQUESTEDpaaa
4. endorse you o RESTRICTED nliery estrtmed to the addressee_or to an authorized agent of the addressee.
ED DELIVERY on the front of the article.
5. Enter fees tor the services requested in the appropriate spaces on the front of this receipt If return
receipt is requested,check me applicable blocks in Item 1 o Form 3811.
6. Save this receipt and present ll ff you make inquiry
`C CPO;1979302478
P33 0983736
RECEIPT'FOR CERTIFIED MAIL
NO NOT FORrINTERNAT INTERNATIONAL MAILEO
—
(See Reverse)
SENT TO
Charles !'. FulihoTTSLi
STREET AND NO.
25 T`ain St.
P o.STATE AND nP CODE 01CFI
'To rthamnton,
POSTAGE
CERTIFIED FEE
RESTRICTED DELIVERY
SNOW TO?MOM AND
LIJ La DATE DELVE FD
a ' B SNOW TO WHOM DA-F
Fg '� -TTIATiPK�T
Oi' DEOVER WIl RESIFRO I
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