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13 PALMER STREET HOUSING Salem Housing Authority Inspection Form General Information Head of Household Tenant ID/SSN Annual Inspection Date Linda McDermott xxx-xx-9880 4/27/2022 Inspector Actual Date and Time of Inspection Date of Last Inspection Sean Monahan 10116/2023 2:00 PM 2115/2023 Program Project Building(Public units only) Section 8 Voucher Voucher ACC#001 N/A Inspection Status Is a reinspection required? Number of Days Until Reinspection ❑ Pass OFail ❑ Incomplete ❑ Inconclusive ❑Yes No N/A Type Of Inspection Scheduled Date and Time of Inspection PHA Salem Housing Authority ❑Initial ❑Interim ❑Annual ❑Move Out ❑✓ Complaint ❑Change Unit ❑ Quality Control El Compliance Tenant Secondary Phone Number Number of Children Under 6 Tenant Phone Number 0 (978)332-4875 Type of Inspection is a Reinspection? n Yes ❑ No Inspected Unit Full Address(Including Street,City,County,State,Zip) Housing Type 13 Palmer St.,#1 Section 8 Housing Types Salem,MA 01970 ❑ Single Family Detached ❑ Semi Detached Number of Bedrooms Number of Sleeping Rooms Year Constructed 0 Row House or Town House 3 0 1917 ❑ Low Rise/Multiplex Owner ❑ High Rise with elevator Name of Owner or Agent Authorized to Lease Unit Inspected Phone Number ❑ Manufactured Home Salem Palmer 1315,LLC 1(978)290-8190 Public Housing Types Address of Owner or Agent ❑ Family 37 Midridge Circle Londonderry,NH 03053 ❑ Elderly ❑ Non-Dwelling ❑ Merged Rooms/Inspection Items, Questions, and Failures 1 Living Room Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 1.01 Living Room Present x 10/9/2023 1.02 Electricity x 10/9/2023 1.03 Electrical Hazards x 10/9/2023 1.04 Security x 10/9/2023 WwW.phe-Web.com Page 1 of 10/17/2023 12:19:58 PM ©2o23 Management computer services,Inc.(MCs) Printed by:Jacqui Guzman pictures are on 10/9 inspection form. unit is in deplorable condition. approximately 8 people in unit,smoking, unit needs to be rehabbed. smoke detectors taken down by tenant,needles and syringes throw-out the unit and property. major wall damage and window damage caused by tenant. Graffiti on walls. Hording conditions in bedroom excessive items in kitchen.cabinets damaged. Landlord can not make any repairs with the condition of the unit. no access to areas due to tenants items. I Living Room Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date MWallCondition w Condition X No access to window,unblock. 10/9/2023 Condition X 10l9/2023 ondition X Condition X excessive items in Livingroom. Blocking egress 1.09 Lead-Based Paint X 10/9l2023 10/9/2023 1.09A Paint surfaces free of X deteriorated paint 1.09B Deteriorated surfaces 10l9/2023 exceed two sq.ft.or X 10%of a component 2 Kitchen Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 2.01 Kitchen Area Present X 1019/2023 2.02 Electricity X 10/9l2023 10/9/2023 2.03 Electrical Hazards X 10/9/2023 2.04 Security X 2.05 Window Condition X 10/9/2023 2.06 Ceiling Condition X 10/9l2023 2.07 Wall Condition X 10l9/2023 2.08 Floor Condition X 10/9l2023 10/9/2023 2.09 Lead-Based Paint X 2.09A Paint surfaces free of 10l912023 X deteriorated paint 10/9l2023 2.09B Deteriorated surfaces exceed two sq.ft.or X 10%of a component 10/9/2023 2.10 Stove or Range with X Oven 10l9/2023 2.11 Refrigerator X 10/9/2023 2.12 Sink X 10/9/2023 2,13 Space for Storage, Preparation,and X Serving of Food 3 Bathroom Floor Location Comment 1 In- Approval Pass I Fail I Conc. Comment Date 3.01 Bathroom Present X 10/9/2023 10/9/2023 3.02 Electricity X 10/17/2023 12:19:58 PM www,ptta-web.com Printed by:Jecqui Guzman 02023 Management computer services,Inc.(Mcs) 3 Bathroom Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 3.03 Electrical Hazards X 10/9J2023 3.04 Security X 10/9/2023 3.05 Window Condition X 10/9/2023 3,06 Ceiling Condition X 10/9J2023 3.07 Wall Condition X 10/9/2023 3.08 Floor Condition X 10/9/2023 3.09 Lead-Based Paint X 10/9/2023 3.09A Paint surfaces free of X 10/9/2023 deteriorated paint 3.09B Deteriorated surfaces 10/9/2023 exceed two sq.ft.or X 10%of a component 3.10 Flush Toilet in X 10/9/2023 Enclosed Room in Unit 3.11 Fixed Wash Basin or X 10/9/2023 Lavatory in Unit 3.12 Tub or Shower in Unit X 10/9/2023 3.13 Ventilation X 10/9/2023 Other Room: Bedroom/Sleeping 4 Room Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 4.02 Electricity/Illumination X 10/9/2023 4.03 Electrical Hazards X 10/9J2023 4.04 Security X 10/9/2023 4,05A Window Condition X 10/9/2023 Bedroom 4.05E Window Condition X 10/9/2023 4.06 Ceiling Condition X 10/9/2023 4.07 Wail Condition X Landlord 4.07.01 Chipping/peeling/cracking paint.Scrape&repaint. Landlord 4.07,02 Hole In wall.Repair and repaint. Landlord 4.07.10 Repair smoke detector. Landlord 4,07.11 Repair soft spot in wall. 4.08 Floor Condition X 10/9/2023 4.09 Lead-Based Paint X 10/ei202s 4.09A Paint surfaces free of X 10/9/2023 deteriorated paint 4.09B Deteriorated surfaces 10/9/2023 exceed two sq.ft.or X 10%of a component 4.10 Smoke Detectors X 10/9/2023 www.pha-web.com age 3 of' 10/17/2023 12:19:58 PM 0 2023 Management Computer Services,Inc.(MCS) Printed by:Jacquf Guzman Other Room: Dining 4 Room Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 4.02 Electricity/Illumination X 10/9/2023 4.03 Electrical Hazards X Tenant 4.03.03 Remove wire running under rug. Landlord 4.03.05 Repair light fixture hanging from electric wires. 4.04 Security X 10/9/2023 4.05A Window Condition X 10/9/2023 Bedroom 4.05E Window Condition X Tenant 4.05.01 No access to window,unblock. 4.06 Ceiling Condition X 10/9/2023 4.07 Wall Condition X 10/9/2023 4.08 Floor Condition X 10/9/2023 4.09 Lead-Based Paint X 10/9/2023 4.09A Paint surfaces free of X 10/9/2023 deteriorated paint 4.09B Deteriorated surfaces 10/912023 exceed two sq.ft.or X 10%of a component 4.10 Smoke Detectors X Landlord 4.10.04 Smoke alarm hanging from wires. Other Room: 4 Hall/Stairway Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 4.02 Electricity/Illumination X 10/9/2023 4.03 Electrical Hazards X 10/9/2023 4.04 Security X 10/9/2023 4.05A Window Condition X 10/9/2023 Bedroom 4.05B Window Condition X 10/9/2023 4.06 Ceiling Condition X 10/9/2023 4.07 Wall Condition X 10/9/2023 4.08 Floor Condition X 10/9/2023 4.09 Lead-Based Paint X 10/9/2023 4.09A Paint surfaces free of X 10/9/2023 deteriorated paint 4.09B Deteriorated surfaces 10/9/2023 exceed two sq.ft.or X 10%of a component 4.10 Smoke Detectors X 1 0/912 0 23 www.pha-web.com Page 4 a'' — 10/17/2023 12:19:58 PM Punted by:Jacque Guzman 02023 Management Computer services,Inc.(MCS) Secondary Rooms 5 (Not used for living) Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 5.01 None X 10/9/2023 5.02 Security X 10/9/2023 5.03 Electrical Hazards X 10/9/2023 5.04 Other Potentially 10/9/2023 Hazardous Features in X these Rooms 6 Building Exterior Floor Location Comment 1 In- Approval Pass Fait Conc. Comment Date 6.01 Condition of X 10/9/2023 Foundation 6.02 Condition of Stairs, X Rails,and Porches Tenant trash on back porch 6.03 Condition of X 10/9/2023 Roof/Gutters 6.04 Condition of Exterior X 10/9/2023 Surfaces 6.05 Condition of Chimney X 10/9/2023 6.06 Lead Paint: Exterior X 10/9/2023 Surfaces 6.06A Paint surfaces free of X 10/9/2023 deteriorated paint 6.06B Deteriorated surfaces 10/9/2023 exceed 20 sq.ft.of X total exterior 6.07 Manufactured Home: X 10/9/2023 Tie Downs Heating and 7 Plumbing Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 7.01 Adequacy of Heating X 10/9/2023 Equipment 7.02 Safety of Heating X 10/9l2023 Equipment 7.03 Ventilation/Cooling X 10/9/2023 7,04 Water Heater X 1019/2023 7.05 Approvable Water x 10/912023 SuPP)Y 7.06 Plumbing X 10/9/2023 7.07 Sewer Connection X 10/9/2023 vAvw.pha-web,com Page 5 a I 1WIT12023 12:19:56 PM 0 2023 Management Computer Services.Inc.(MCS) Printed by:Jacqui Guzman General Health and 8 Safety Floor Location Comment 1 In- Approval Pass Fail Conc. Comment Date 8.01 Access to Unit X 10/9/2023 8.02 Fire Exits X 10/9/2023 8.03 Evidence of Infestation X 10/9/2023 8.04 Garbage and Debris X 10/9/2023 8.05 Refuse Disposal X 10/9/2023 8.06 Interior Stairs and 1E 101912123 Commom Halls X _7_ 8.07 Other Interior X Hazards Tenant trash and debrie on floors throughout unit 10/9/2023 8,08 Elevators X 8.09 Interior Air Quality X Tenant terrible oder of trash in unit and porch area evidence of rodents 8.10 Site and 10/9/2023 Neighborhood X Conditions 1019(2023 8.11 Lead-Based Paint: X Owner's Certification M ions escription Answer ving Room has high quality floors or wall coverings ving Room has working fireplace or stove ving Room has balcony,patio,deck,porch ving Room has special windows or doors ving Room has exceptional size relative to needs of family iving Room Other:(Specify) 2.01 Kitchen has dishwasher 2.02 Kitchen has separate freezer 2.03 Kitchen has garbage disposal 2.04 Kitchen has eating counter/breakfast nook 2.05 Kitchen has pantry or abundant shelving or cabinets 12.06 Kitchen has double oven/self cleaning oven,microwave 2.07 Kitchen has double sink 2.08 Kitchen has high quality cabinets 2.09 Kitchen has abundant counter-top space 2,10 Kitchen has modem appliance(s) 2.11 Kitchen has exceptional size relative to needs of family 2.12 Kllchen other:(Specify) 3.01 Other Room has high quality floors or wall coverings 3.02 Other Room has working fireplace or stove 3.03 Other Room has balcony,patio,deck,porch 3.04 Other Room has special windows or doors 3.05 Other Room has exceptional size relative to needs of family 3.05 Other Room Other:(Specify) 4.01 Bathroom has special feature shower head Page 6 01, 10/17/2023 12:19!58 PM wWw.pha-Web.com Printed by:Jacgw Guzman 02023 Managemam Computer Services,Inc.(MCS) — — 14.02 Bathroom has built-in heat lamp 4.03 Bathroom has large mirrors 14.04 Bathroom has glass door on showerltub 4.05 Bathroom has separate dressing room 4.06 Bathroom has double sink or special lavatory 4.07 Bathroom has exceptional size relative to needs of family 4.08 Bathroom Other:(Specify) 5.01 Unit has storm windows and doors 5.02 Unit has other forms of weatherization(e.g.,insulation,weather stripping) 5.03 Unit has screen doors or windows 1 5.04 Unit has good upkeep of grounds(i.e.,site cleanliness,landscaping,condition of lawn) 5.05 Unit has garage or parking facilities 5.06 Unit has driveway 6.07 Unit has large yard 5.08 Unit has good Maintenance of building exterior 5.09 Unit Other:(Specify) 6.01 Unit Is accessible to a particular disability(if yes,which disability) 7.01 Does the owner make repairs when asked? 7.02 How many people live there? 7.03 How much money do you pay the ownerlagent for rent? 7.04 Do you pay for anything else?(Specify) 7.05 Who owns the range?(O=Owner,T=Tenant) 7.06 Who owns the refrigerator?(O=Owner,T=Tenant) 7.07 Who owns the microwave?(O=Owner,T=Tenant) 7.08 Is there anything else you want to tell us?(Specify) Additional Information Tenant's Comments Tenant's Signature Landlord's Signature Inspector's Signature Inspector's Comments www.pha-web.com age 7 017 10/1712023 12:19:56 PM 0 2023 Management Computer Services,Inc.(MCS) Printed by:Jacqui Guzman v r. � I i AFW ..Owl L. -- 1 _ y t r r N Avg- -gm- 1 .k•..',r� - ' / . 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