Loading...
15 & 17 Housing Inspections CITY/TOWN DEPARTMENT ADDRESS TELEPHONE This is an important legal document. It may affect your rights. You may obtain a translation of this form at: Isto a urn documento legal muito importante que podera afectar os seus direitos. Podem adquirir uma tradupao deste documento de: Le suivante est un important document legal. II pourrait affecter vas droits. Vous pouvez obtenir une traduction de cette forme a: Questo a un documento legate importante. Potrebbe avere effetto sui suoi diritti. Lei pub ottenere una traduzione di questo modulo a: Este es un documento legal importante. Puede que afecte sus derechos. Ud. Puede adquirir una traduccidn de esta forma en: Auto ELVO.L EV0. OTIf1CVT LxO VO}lLxO EYYPa.cpO. MTLOPEL V0. 1 1 I 1 EttfpSO.OEL TO VOULXO. 00.; 5Lx0.LwUCTO. MUOPELTE VO TCCPETE f1ETO(ppacm CUTOU TOU EYYPCNOU CO, 11 CI_ ft .4 9 41 s=1 sfi n aC 6, T- 4/ r'73LA o i )I-1 �= 12_Vf1. . 4 CEO TO [WRITE IN BOARD OF HEALTH ADDRESS AND TELEPHONE NUMBER ABOVE[ ARTICLE II %?STATE SANITARY CODE ADDRESS:_—_ /9 1—fe"si `'-7E (r). __ NO OCCUPANTS ___ � (JP C� ,y( OCCUPANT: C"""�- t�1 R 1 FLOOR: __ ___APT. NO.: NO. DWELLING UNITS: ___------NO. ROOMING UNITS: NO.STORIES: _— BASEMENT: _- TYPE STRUCTURE: __ FRAME:_-_ BRICK; _SEMIDETACHED:___ DETACHED:_ NO. OF HABITABLE ROOMS: (T__ NO. OF SLEEPING ROOMS: _- OWNER: )2Efe , ADDRESS: _ ___ -I V L� REGULATION BATHROOM X=VIOLATION YES 3.1A(a) 3.16(a) 3.1AIb) 3J8(b) 3.1A(c) 3.12(c) 3.10 3.2 4.1 (9.1 & 9.2) 5.1 19.1 & 9.2) 9.1 & 9.2 7.3& 9.3 7.4 & 9.3 13.1 & 13.1A 13.1 Is toilet with seat available? NO Is washbasin available? Is shower or bathtub available? Are the facilities in a clean, smooth, impervious and sanitary condition? Is cold water for facilities available (with sufficient quantity)? Is hot water for facilities available (120 F . 140 F) Are the facilities properly connected to drain line? Is there at least one light fixture in good repair? Is there an electrical outlet in good repair at washbasin? Are the windows in good repair weathertignt and fit for the use intended? 1 3.1 & 13.6 Are the doors in good recalr and fit for the use intended? Are the walls in good repair and fit for the use intended? 13.1 & 13.6 8.1A&8.18 13.6 14.5 Are the floors in good repair and fit for the use intended? I s there proper ventilation? Are the floors and walls of nonabsorbent material REGULATION 2.1 2.1(a) 41(9.1 &9.2) 5.1 (9.1 &9.2) 9.1 &9.2 2.1(b) 9.3 2.2 7.2(a) 7.2(b) 7.2(c1 13.1 & 13.1A 14.5 13.1 13.1 3.1 13.1 13.6 2.1(c) 8.1A. 8.16(a) 9.3(a) 9.31b1 9.4 Are the exterior openings properly screened? KITCHEN Is the room suitable? Is sink available and of sufficient size and capacity? Is cold water for the sink available with sufficient quantity and pressure)? Is hot water for sink available 1120 F - 140 F)? Is sink properly connected to drain lines? Is there a working stove and oven? Is the stove and oven oroperly connected ana vented? Are the facilities clean, smooth, impervious, nonabsorbent? Is there one light fixture in good repair? Are there two electrical outlets in good repair? Are the windows (if kitchen exceeds 70 sq. ft.) equal to at feat 10%of the floor area Are the windows in good repair,weathertight and fit for the use intended? Are he exterior openings properly screened? Are the doors in good repair and fit for the use intended? Are the walls in good repair and fit for the use intended? Are the ceilings in good repair and it for the use intended? ',sir Are the floors in good repair and fit for the use intended? Is the floor imoervious and easily cleanable? Is there adequate space and facilities for inhaling of Refrigerator? Is there sufficient yen flat on Are all owner installed appliances properly installed? Are all occupant installed appliances properly installed? n X- VIOLATION YES NO EGULATION I LIVING ROOM 1a ? -- ncal outlets in good rep 3 13 1 1 14.5 REGULATION 7.1(81 7.1(b) 7.11b) 8.1A, 8.1BIe 13.1A 13.1 13.1 13.1 14.5 11 REGULATION 7.1(a) 7.1(b) 7.11b1 8.1A, 8.18(e) 13.1A 13.1 13.1 13.1 Are all exterior openings screened? a i�li17R1 �14�.5 II Are Is here two separate eiec here one outlet and one light Is there proper ventilation ? ixture in good repa ight and fit for the use intended? e use intended? Are the windows in good repzir, weathers Are the walls i n good repair and `it i�to --��- size Are the floors In good repair and fit for the use Intended Are all exterior openings screened SLEEPING ROOM = 1 (Identify) Is there sufficient natural light? Are there two separate electrical outlets in good repair? Is there one outlet and one light fixture in good repair? Is there proper ventilation? Are the windows in good repair,weathertight and fit tor the use intended Are the walk in good repair and tit far the use intended? Are the ceilings in good repair and ft for the use intended? Are the floors in good repair and fit for the use intended? Are all exterior openings screened? Is there adequate space for the number of occupants? SLEEPING ROOM -^t-2 (Identify) Is there sufficient natural li grit? Are there two separate electrical outlets in good repair? Is there one outlet and one Ilgnt fixture In good repair? Is there proper ventilation? Are the windows in good repair, weethertight and fit for the use intended? Are the walls in good repair and fit far the use intended? Are the ceilings in good repair and fit for the use intended? Are the floors in good repair and fit for the use intended? REGULATION SLEEPING ROOM 3 (Identify) 7 1(a) Is there sufficient natural light? 7 1(b) I Are there two separate electrical outlets in good repair? 7.1(b) Is mere one outlet and one light fixture in good repair? _ th rt ght d fit for the 13.1 A Are the windows in good 13 1 Are the walls in good repair and fit for the use intended? 13 1 Are the ceilings in good repair and for the use intended? Are all exterior openings screened? Is there adequate space for the number of occupants? 14.5 11 ULATIONS COMMON AREA AND EXITS Are interior common area properly illuminated at all times- Are there operational and sufficient and prooerly located lignt switches and fixtures? Are the windows in good repair, weathertight and fit for the use intended? A Are the doors in good repair, weathertignt and fit for the use intended. X'VIOLATIONS YES iI NO 5 1 1 .8 & 15.9 Are all common areas clean? 1 Are the stairways n good repair and fit for the use intended? 1.3&13.4 Are handrails in good repair and fit for the use intended? Are all required balusters or other devices m place? 3.4 entry 5 ro er lack? 8.3 ( Is every eny door of a dwelling unit fined wish a p F 8 3 Does the main entry door of a dwelling close and lock automatically. 8.6 1 Is the building properly posted with the name of owner? 12 I Are the common bathroom facilities clean? 12.1 & 12.2 Are there sufficient and properly maintained exits? I I REGULATIONS EXTERIOR _____..mm.=••••••••••or Are tals Are the structural elements in good repair. Are all required hand railings and balusters in place and in good repair? Are there walls or protective railings as required? Is the storage of rubbish and garbage proper (occupants)? 3.1 13.1 13.1 13.1 13.1 13.3.13.4 & 13.5 13.4 15.4 15.3 15.10 13.1 Are the sufficient and prooerly located receptacles? Are the private passageways or rignts of way clean and sanitary? Are the gutters and down spouts In good repair and fit for the use intended? LATI ONS GENERAL X•VIOLATIONS YES NO Are all required services are available and working? Is heat being supplied at proper terperatures. 68 F -78 Fl? Are hot water heating facilities in o 'god repair?air? Are all required facilities pro p y rd and vented? ve ve All space heaters in use meet the proper Location? Ping in use? en? Is there no temporary Is the electrical service safe and adequate? 14 2& 14.3 The dwelling is free of insectlrodent presence? cond rc maintained in a clean and sanitary Is the dwelling un the occupants? ion by GULATION ONE tIATERIALLY )ETERMIP IN EC OR DATE THE NEXT SCHEDULED REINSPECTION IS: OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY AND WELL—BEING OF THE OCCUPANT AS IMPAIR THE HEALTH THE CODE 0 R THE AUTHO IZED INSPECTOR. BY REGU�AT10� 29.2 OF THE / ! ' �— —___ TITLE _ cr TIME DATE A.M. P.M. TIME LOWING IS A BRIEF SUMMARY OF SOME OF THE LEGAL REMEDIES TENANTS MAY USE IN TO GET HOUSING CODE VIOLATIONS CORRECTED. snt Withholding (General Laws Chapter 239 Section 8A) ode Violations Are Not Being Corrected you may be entitled to hold back your rent payments.You can do tout being evicted if'. our dwelling unit or common areas contain code your collations which hic about re serious s enough violations You can P rove that V air your health or safety and that Y b ore your or behinds our rent. a building. before you wcre betied in Y f the rent into court'iif a judge orders you to pay it. (For this it is You did not cause the violations and they can be repaired while you continue to live in You are prepared to pay any portion ° best to put the rent-money aside in a safe place.) Chapter 111 Section 127L). ourself. If your local code Repair and Deduct (General Laws Cusp make the repairs y your your local safety ei ce allows that you to use code v rent money to Oendanger or materially impair y The law tom violations,you may be able to use this remedy_ It made)within five days rnement agency certifies that there are code violations which to four them rent within any year to and your the enter into a written contract to have them m ielhbeing cur landlord has received written notice ° you can use up begin necessary repairs (or to after notice Y owner fails to beg 14 days a �,r notice or to completerepairs within 1 and Chapter 239 se the repairs. ter 186,Section 18 a Retaliatory Rent Increases or Evictions Prohibited (General Laws Chap a complaint to your local code Section 2A). months after your rent or evict you in retaliation for making co e which not increase o y our rent or tries to evictewithin n eviction hs The owner may good reason for the�forcement agency about code violations. If the owner raises if he or she tries this. the complaint he Cr she able have toe landlord for damages DU have made ally to sue th nrelated to your complaint.You may be Receivership (General Laws Chapter 1111 Sections 127C-H). District or Superior Court to allow rent to be paid I Rent R spend to much of the rant f health may Peen a the D may p four months'rent The occupants ineeded ato/co the board Th The court may then appoint a"receiver''who ding limitation of into court rather than to the ow receiver is not subject to a spending money as is needed to correct the violation. The rent. You may be entitled to sue your landlord to have all or some of your your dwelling unit does Breach of Warranty of Habitability our rent returned if y B not meet minimum standards of habitability. fi. Unfair and Deceptive Practices (General Laws Chapter 93A).violation of the consumer protection act and regulations for THE P Renting an apartment with coda violations is a BEFORE YOU DECIDE TO which you may sue an owner. - IT 1S ADVISABLE THAT YOU PRESENTED ABOVE IS ONLY A SUMMARY OF THE LAW, YOU SHOULD WITHHOLD RENT OR TAKE ANY OTHER LEGAL ACTION, ATTORNEY. IF YOU CANNOT AFFORD TO CONSULT AN ATTORNEY. WITHHOLD CONSULT AN CONTACT THE NEAREST LEGAL SERVICES OFFICE WHICH I (NAME) (ADDRESS) (TELEPHONE NUMBER) CHAPTER II oom 410.150 120° between seat tub t cold STATE SANITARY Occupant's Name_ it of Dwelling Units M lk llabitable Rooms Address of Owner Regulation of Stories_ 0 Bedrooms Violations ater ion connection Violations :chen 410.100 is ien ad or is �igerato ectrical ctrical li ht fixture at a ion er (suffic to rs indow) ( (door & windo n_ connection & Violati Livin Room or one is (2 r 0 ens ndo Pantr ets (2 hting s ling or ido eens Violations Din one n_ Room 4th ligh .4S0 E R ation Violations In Roam #1 natural lt.ht Or 1 outlet adequate r occupant? ing Room ik2 nt natural lighten s or 1 .th outle .250 A .251 B 951 A .500 .500 .500 :e adequate 9 for occupant. lee in Room 4k3 frlAdti lent natural lightin_ .ets or th outlet ^_r.ecrw n -"ere adequate e for °coup_ C nor area lows rs lin Is lotS a s anon bathroom clean Common Area imne aches t (Exterior ar r iv rubbish ate wa 5 utters and do Loaf mad am ?ntr li_hts :rat xking and available ngng facilities good and 64 120 to 1400 •s vented ter wirin al and rodents sanitar Regulation Violations service :cellaneous ade uate pector text scheduled reinspection is: Date a.m. Time a.m. o.m. CHAPTER II ccupants_ Structure / throom 410. er bet Apt. a_ g F STATE SANITARY CODE Occupant's Name a of Dwelling Units__ N 4 Habitable Rooms_ Address of Owner 150 Regulation Violations .150A and seat sin tub en t cold or a Violations 1itchen 410.100 n sink sufficient size and oven for refrigerato _ets electrical lectrical light fixture Ln i lotion window) (mechanical) water (sufficient •ressures ater 0 tens nb i Violations Living Room lets (2 or one with light) hting is li ,or tdo reens cks Panty or Dinin: Room itlets (2 or one with light) ghting ills loor indo creens ocks .500 .480 E Re:ulation Violations it i th 1 outlet z adequate or occu•ant? •ing Room #2 .ent natural li:hti ee !ts or 1 h outlet 250 A 251 B .251 A .500 .500 .500 .500 L5 ere adequate for occupant Slee in Room #3 cient natural lighting lets or 1 ith outlet in r ows ens here adequate :e for occupant? Common Area & Exit (Interior erior area Illuminated properl dow eens irs Li in LI s JOTS airwa s bathroom clean mmon Common Area & Exit (Exterio limn aches oundation tairs se & rubbish vate wa s Cers and down arb alt too ead paint En .253 B s General ervices working and available eating facilities in good r? 68° and 64 ater 120° to 140° ities vented Regulation Violations .200 heater ira - ro.er i 11 gni Mad 1 MIECINIMINIallairanala 1 I ttass �. tanTe :rical sery :ts and rodents Lin_ sanitar ce ad uate Miscellaneous nspector Date next scheduled reinspection is: i Titl chi a.m. p.m. Date Time