Loading...
39 Housing Inspection 2003 CHAPTER H HOUSING CODE CERTIFICATION FORM • r COPY HOUSING CODE INSPECTION REPORT This is to certify that P/?-/ i'ING S//rli//i'LT /alt 4//ii'6 (Name of Facility) located at 3 9 Pi-//y(E Sim (Street) /YOPT,,/2>/W/-(i#/)24 O/OG O (City) (Zip) was inspected on r9/767./ /ij, Zoo's by David E. Kochan ' (Date) (Name of Inspector) of Northampton Board of Health, City Hall, 210 Main Street, Northampton, MA 01060 (Inspecting Board,Agency or Department) Zsne%„nrl KFQv ; > &Y H»2IG AY-,NEON orfr7 //..>NC The above facility complies with Chapter II of the State Sanitary Code and other regulations pertinent to the following areas' Kitchen Facilities Yes ✓ No Food Storage and Preparation Yes ✓ No Water Supply Yes ✓ No Hot Water Temperature Yes ✓ No Bathroom Areas " "" - " Yes ✓ No Sewage System Yes � No Lighting and Electrical Operations Yes ✓ No Heat Yes ✓ No Ventilation Yes ✓ No s. a, Smoke Detectors Yes No w//. X IJi.J _ :ik '/ .,. Exits Asbestos NSA Garbage and Rubbish Disposal & Storage 0/2r2/ Yc=l2ov/c g/ ,'/m& (7tr Control of Insects, Rodents &Skunks Yes ✓ Yes ✓ Yes ✓ Yes ✓ No No No No f ViWA--..n \\N Z\\vv._ 2J=-'A VpgLAv1.e CoO� 2 'a4cc\ \n.s 2VAonvc> 1;:F l4A`t _<<^ b2 _SWQA 6.,«wt`s..\ V`—"� ooa`C M \\ '€ t' V -- - NVSc VAA'_ _1q ZSz 2�Cc�O n' &4 O`�h^M�= Wv4 Cr R ���V�1 .}Sc)\\A 1^X\ OOOK `012 b CAvLC: VvV CVO VC'w: 1\h. 1c . .. \bv-' t\cM-A.@ Ct Sir., e v -- `- \:e t \A�? -A.�ce V�,Al nt aV\-e‘ 3cyvAC SV�J\t‘aCS w AUv cc @C2 cvvc� y_ov�A hoc aVvi- . Ajut Fti IV,a c h CHAPTER II HOUSING CODE CERTIFICATION FORM Location: 37 P4241Ci " s-iiffit7 4JDfiT14,717e/✓/mA O/OGo Approved: Yes ✓ No *Conditionally Recommendations: fthit//fl/iP7/1/ Pi/PE DE/7 51100.0.6).E- Cca-r29rTE„D AND AN .TNsPECi/cN /17A4z of 7t f P/fE. ,914,97 -SY-57M2 To /NS//Rf 71/9r /r/S FU/L`/OparM1.4.27L Q zbo,rQvo4 8,CP,fooM !"/Ai env' mots roeo AT/AM/NC Q./At-LW 2ND FroO,i Ca'fcom oh-tap r;,579.fs(/G/r/J I/9s.9 sms 4[ ,SCE, OL 7//£CE/4No 6v»I/ PEt419'6 6ND Amt/9'' Sv eP)9It! - 4fr /YI9//Y Etn,ey ODOR Ms a LAR&E A/, 0AP ArONG 7927 roi°. .. - NFa9s 70 St `...�' AGEP S,pr( oT//EKeost //JSDS Lvs9TJJEKT/6,67 . tr� BAcr. 0.09W r4oxY DPoi( h//l// ■/.P 6AP_s" .-- -A[so 4/EEDS7o CEE /22,942E Au 37E/k79 No7Eo /2S0VE SHor2o BE ro/PFEcTEio AS Sooty ASYPss/6tr" %%/IS 10 4-L4z,4/C (VEE riric M/N//17L/ry/ STANPSDS SETFC?R711 /N 7,iIP S7/97Z /%//_rlrnc Cop" David E. Ko an (413 -587- 1217) Signed(Inspector or epresentative of Inspecting Authority) * Conditional approval may be given only when, in the opinion of the inspecting authority, the occupant(s) health would not be endangered in the dwelling prior to the correction of the noted non-compliance items. Conditional approval will satisfy occupancy requirements, but violations noted must be corrected by the specified time and a re-inspection made to insure compliance. 2