ORCHARD STREET ORCHARD STREET _
I
a
i
CITY OF SALEM, MASSACHUSETTS
.j BOARD OF HEALTH
4 Y
" 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
— FAX 978-745-0343
STANLEY J. USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1/13/05
Ronald M Bovio
6 Orchard Street
Salem, MA 01970
PROPERTY LOCATED AT 6 Orchard Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to dq`anne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
. � CERT.# 773-00
FEE $25.00
s' . DATE: 12/06/2000
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 10 Orchard Street UNIT #: 1
OWNER/AGENT: Donald Leclerc
ADDRESS: 10 Orchard Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6580
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE, SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r✓MINB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 10 �./C V 1' SF UNIT#_j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERIG�)tILg�C-LAr-r--- MANAGER/AGENT
No P.O. Box ` , No P.O. Box
ADDRESS 110 C" ktyW_� cS ADDRESS
CITY "-MAr�. CITY
RESIDENCE PHONE J$F-IoST__90 _BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1.ki+LkA.w 2. 1111114 f 3. 4. 10.4,4
-v
5. f-d 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. ��QQ.
APPLICANTS SIGNATURE _aQzt Lkax, DATE 4a-b(w-c;b
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ,)- DATE FEE PAID:
TYPE OF UNIT: DWELLING �&HER_ CHECK# CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
o CITY OF SALEM, MASSACHUSETTS
.s BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
�Psa SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
November 6, 2003
Norma James
75 Orchard Street
Salem, MA 01970
PROPERTY LOCATED 75 Orchard Street
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax:(978)740-9705
04/04/2001
Julian Dunlop c/o Dunlop Equipment Inc.
45 Stumpfield Road
Kensington, NH 03827
PROPERTY LOCATED AT 77 Orchard Street UNIT #
Dear Sir/Madam: -
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the CityofSalem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected andcertified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation. -
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD A TH HEREPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
IMPORTANT MESSAGE
FOR G-�. fe; qU-%
DATE R/-17'o TIME -�O P.
M
OF
PHONE
AREA CODENU BER EXTENSION
LI FAX
O MOBILE
AREA CODE NUMBER TIME TO CALL
TELEPHONED PLEASE CALL
CAME TO SEE,YOU WILL CALL AGAIN
i
WANTS TO SE YOU RUSH
RETURNED YO�JR ALL WILL FAX TO YOU
MESSAGE r
SIGNED
FORM 4009
MADE IN U.S.A.
R�OTES ___
` _ _ _
__-
_ . _ _ . _ I
_ ,
SII
I
.. _ _ _ -
I _ - -
I '.
k
--- � _ �
� {
._
t J
i
Ari .7 2001 DUKW
April 9, 2001 HIEA TH DEPT Mastclimbers L.L.C.
Joanne Scott, Health Agent
City of Salem Board of Health
9 North Street
Salem, Ma 01970-3928
Re: 77 Orchard Street, Salem Ma
Dear Joanne,
I am writing to you in regards to the above referenced house. The property
was sold back in March of 2001. I have enclosed for your files the forms in
which you have sent me.
Thank you
CDWk-
Caren Rossi
For Julian C Dunlop
Tel: 1 800 995 1020 Tel: 603 778 2426 • Fax: 603 778 0230 email: jchdunlop@aol.com
1 Pine Road, Exeter, NH 03833 • www.dunlopmastclimbers.com
Ce .
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax: (978) 740-9705
04/04/2001
Julian Dunlop c/o Dunlop Equipment Inc.
45 Stumpfield Road
Kensington, NH 03827
PROPERTY LOCATED AT 77 Orchard Street UNIT #
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be
inspected and certified prior to allowing occupancy. . The inspection will be conducted
in acc6rdance -with" 105' CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and„105CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
-Fitness for Human Habitation.
Please,,notify us if ,you do not, intend to rent the. unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas- use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their .tenants'- entire utility bills retroactive .to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD_ HEA TH . -REPLY TO -
oanne� Scott, . MPH,RS.,CHO _ PABLO VALDEZ
Health Agent . . CODE ENFORCEMENT INSPECTOR
yy .g0 T
H�
s m
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tei:(978)741-1800
Fu: (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT#_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.Q.Bax
ADDRESS ADDRESS
CITY -------CITY-
RESIDENCE
ITYRESIDENCE PHONE BUSINESS PHONE (24 NRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING_OTHER_ CHECK#— CHECK DATE
NOTES:--,--
CODE
OTES: ,CODE ENFORCEMENT INSPECTOR 9/28/98
i
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with ttie
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence, I/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatevernatureand description occasioned
by my/our absence during said inspection.
TENANT/LESSEE OWNER/LESSOR
ADDRESS -- --- ADDRESS -- --
C
ADDRESS OF UNIT TO BE INSPECTED
DATE
re
� � e
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH;RS,CHO _ NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
October 10, 2000
Dear Property Owner, Property Manager, or Real Estate Agents:
As you'may know, landlords, sellers and agents are now required to disclose known
Information on lead-based paint and/or lead-based paint hazards in virtually all rent, lease, and sales
transactions in dwellings built before 1978 to enable parents to protect their children. The required
Tenant Notification Form is enclosed.
The United States Department of Housing and Urban Development along with the State of
Massachusetts Childhood Lead Poisoning Prevention Program has asked the City of
Salem Board of Health to help in ensuring the disclosure process is working.
The Federal Residential Lead-Base Paint Hazard Reduction Act, 42 U.S.C. 4852d, requires sellers and
landlords of most residential housing built before 1978 to disclose all available records and reports concerning
lead-based paint and/or lead-based paint hazards, including the test results contained in this notice to
purchases and tenants at the time of sale or lease or upon lease renewal. This disclosure must
occur even if hazard reduction or abatement has been completed. Failure to disclose these test
results is a violation of the U.S. Department of Housing and Urban Development and the U.S.
Environmental Protection Agency regulations at 24 CFR Part 35 and 40 CFR Part 745 and can
result in a fine:of up to $11,000 per violation. To find out more information about your obligations
under federal lead-based paint requirements, call 1-800-424-LEAD.
Thank you in advance for your assistance. If we can be of any assistance, please call the Salem Board
of Health (978-741-1800) and ask for a Lead Paint Determinator.
For the Board of Health
oanne Scott
Health Agent
JS/sjk
Tenant Certification Form
Required Federal Lead Warning Statement
Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips,and dust can pose health hazards if not
managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978
housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees
must also receive a federally approved pamphlet on lead poisoning prevention. The Massachusetts Tenant Lead Law
Notification and Certification Form is for compliance with state and federal lead notification requirements.
Owner's Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards(check(i)or(ii) below):
(i) Known lead-based paint and/or lead-based paint hazards are present in the housing(explain).
(ii)_Owner/Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.
(b) Records and reports available to the owner/lessor(Check(i)or(ii)below):
(i)_Owner/Lessor has provided the tenant with all available records and reports pertaining to lead-based
paint and/or lead-based paint hazards in the housing(circle documents below).
Lead Inspection Report; Risk Assessment Report; Letter of Interim Control; Letter of Compliance
(ii) Owner/Lessor .has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the
housing.
Tenant's Acknowledgment(initial)
(c)_Tenant has received copies of all documents circled above. (d)_Tenant has received no documents listed above.
(e)_Tenant has received the Massachusetts Tenant Lead Law Notification.
Agent's Acknowledgment(initial)
(f)_Agent has informed the owner/lessor of the owners/lessor's obligations under federal and state law for lead-based paint
disclosure and notification and is aware of his/her responsibility to ensure compliance.
Certification of Accuracy
The following parties have reviewed the_information above and certify,to the best of their knowledge,that the information they
have provided is true and accurate.
Owner/Lessor Date Owner/Lessor Date`
Tenant Date Tenant Date
Agent Date Agent Date
Owner/Managing Agent Information for Tenant(Please Print):
Name Street
Apt.
City/Town Zip Telephone
I (owner/managing agent)certify that I provided the Tenant Lead Law Notification/Tenant Certification Form and any
existing Lead Law documents to the tenant, but the tenant refused to sign this certification.
The tenant gave the following reason:
The Massachusetts Lead Law prohibits rental discrimination, including refusing to rent to families with children or evicting
families with children because of lead paint.
Contact the Childhood Lead Poisoning Prevention Program for information on the availability of this form in other languages.
Tenant and owner must each keep a completed and signed copy of this form.
c:\wp50\lead 1995\forms\clp95-17.wp Rev.5/98
home is checked for the most serious lead hazards,which must be fixed right away. The risk assessor would
give the landlord and you a written report of the areas with too much lead and the serious lead hazards. Lead
inspectors and risk assessors have been trained, licensed bythe Department of Public:Health, and have
experience using the state-approved methods for testing for lead paint. These methods are use of a sodium
sulfide solution,a portable x-ray fluorescence machine or Lab tests of paint samples You can get a Iist of
licensed lead inspectors and risk assessors'from CLPPP.,
In Massachusetts,what must' he owner of a home built before 1978 do.if wchild under six years_old
lives there?
An owner of a home in Massachusetts built before 1978 must have the home inspected for lead if a child
under six years old lives there. If lead hazards are found, the home must be deleaded or brought under
interim control. Only a licensed deleader may do high-risk deleading work,such as removing lead paint or
repairing chipping and peeling lead paint.You can get a list of licensed deleaders from the state Department of
Labor and Workforce Development. Deleaders are trained to use safe methods to prepare to work, do the
deleading, and clean up. Either a deleader, the owner or someone whi) works.for the owner who is not a
licensed deleader can do certain other.deleading and interim control work. Owners and workers must have
special training to perform the deleading tasks they may do. After the work is done, the lead inspector or risk
assessor checks the home. He or she may take dust samples to test for lead, to make sure the home has been
properly cleaned up. If everything is fine, he or-she gives the owner a Letter of Compliance or Letter of
Interim Control. After getting one of these letters, the owner must take care of the home and make sure there
is no peeling paint.
What is a Letter of Compliance?
Ir is'a legal letter understate law that says either that there are no,lead pamt.hazards"or that the.home,has been
X ..
deleaded Ttielmer is signed and
{dated by a Itcensed lead utspector
What is a Letter of Interim Control?
It is a legal letter under state law that says work necessary to make the home temporarily safe from serious
lead hazards has been done. The letter is signed and dated by a licensed risk assessor. It is good for one year,
but can be renewed for another year. The.owner must fully delead the home and get a Letter of Compliance
before the end of the second year. 'b"
Where can I learn more aboutlead poisoning? _ .
Massachusetts Department of Public Health Your local lead poisoning prevention program
Childhood Lead Poisoning Prevention Program (CEPPP) ,'or'yotir local Board of Health
(For more copies of this form, as well as a full range of
information on lead poisoning prevention, tenants' rights U.S. Consumer Product Safety Commission
and responsibilities under the MA Lead Law, how to (Information about lead in consumer products)
clean lead dust and chips, healthy foods to protect your 1-800-638-2772
children, financial help for owners, safe deleading and
renovation work, and soil testing.) U.S. Environmental Protection Agency, Region I
617-753-8400, 1-8001-532-9571 (Information about federal laws onaead)
;.:,. ..617-565-3420 . .
Massachusetts Department of Lahor and
Workforce DevelopmentNational Lead,InformatiomCenter,'. ;J
(List of licensed deleaders) (General lead poisoning information)'
617-969-7177, 1-800-425-0004 1-800-LEAD-FYI
Tenant Lead Law Notification
What lead paint forms must owners of rental homes give to new tenants?
Before renting ahome built before`I978'the'property,owner and the new tenant mustsign two copies of,this
Tenant Lead Law Notification and Tenant Certification Form. and the property owner must give the
tenant one of the signed copies to keep. If any of the following forms exist for the unit, tenants must also be
sivena copy of them:`lead inspectio17'n orr risk assessment report. Letter of Compliance,or Letter of Interim
Control. This form is for compliance with both Massachusetts and federal lead notification
requirements.
What is lead poisoning and who is at risk of becoming lead poisoned?
Lead poisoning is a disease. It i o
s most dangerous for children P .. en under six years old.
o It can cause permanent
harm to young children's e '
� dren's brain, kidneys. nervous syst_m and red blood cels. Even at low levels, lead in
children's bodiesw
can slow growth and cause letiming and behavior problems. Young children are more easily
and more seriouslypoisoned than others but older
p children and adults can become lead
poisoned too. Lead in
the body of a pregnant woman can hurt her baby before birth and cause problems with theP .. Yregnant . Adults
who become lead poisoned,can have problems having children, and can have high blood pressure, stomach
problems, nerve problems, memory problems and muscle and joint pain.
How do children and adults become lead poisoned?
Lead is often found in paint on the inside and outside of homes built before 1978. The lead paint in these
homes causes almost all lead poisoning,in young children. The main way children get lead poisoning.is,from.
E),.ttswallowing'.16d'paiht"dusfari&chips Lead i'sso harmful that even a small amount.can potson;a c'hdd, Lead
paint•under;layers of nonleaded paint'can'still poison children,`especially, when it is disturbed,such as through
normal wear and tear and home repair work.
Lead paint dust and chips in the home most often come from peeling or chipping lead painted surfaces; lead
paint on moving parts of windows or on window parts that are rubbed by moving parts; lead paint on surfaces
that get bumped or walked on, such as floors, porches, stairs, and woodwork; and lead paint on surfaces that
stick out which a child maybe able to mouth such as window sills.
Most lead poisoning is.caused:by children's normal behavior of putting their hands or other things in their
mouths. If their hands or these objects have touched lead dust, this may add lead to their bodies. A child can
also get lead from other sources, such as soil and water, but these rarely cause lead poisoning by themselves.
Lead can be found in soil near old, lead-painted homes. If children play in bare, leaded soil, or eat vegetables
+ orfruits grown in such soil;or if leaded soil is tracked into the home from outside and gets on children's
hands or.toys, lead may enter their bodies. Most adult lead poisoning is caused by adults breathing in or
swallowing lead dust at work, or, if they live in older homes with lead paint,through home repairs.
How can you find out if someone is lead poisoned?
_Most people-who are lead poisoned do not have any special symptoms.The only way to find'out,if a child or
adult is lead poisoned is to have his or her b'lood tested. Children in Massachusetts must be tested at least once
a year from the time they are between nine months and one year old until they are four years old. Your doctor,
other health care providee.or'Board of Health can do this. A lead poisoned child will need medical care. A
home with lead paint must be deleaded for a lead poisoned child to get well.
What kind of homes are more likely to have lead paint?
In 1978, the United States government banned lead from house paint. Lead paint can be found in all types of
homes built before 1978: single-family and multi-family; homes in cities, suburbs or the countryside: private
housing or state or federal public housing. The older the home, the more likely it is to have lead paint. The
older the paint,the higher its lead content is likely to be.
Can regular home repairs cause lead poisoning?
There is a danger of lead poisoning any time painted surfaces inside or outside the home are scraped for
repainting, or woodwork is stripped or removed,or windows or walls are removed. This is because lead paint
is found in almost all Massachusetts homes built before 1978,and so many of Massachusetts' homes are old.
Special care must be taken whenever home repair work is done. No one should use power sanders, open flame
torches,or heat guns to remove lead paint, since these methods create a lot of lead dust and fumes. Ask the
owner of your home if a lead inspection has been done. The inspection report will tell you which surfaces
have lead paint and need extra care in setting up for repair'work, doing the repairs, and cleaning up
afterwards. Temporarily move your family (especially children and pregnant women) out of the home while
home repair work is being done and cleaned up. if this is not possible,tape up plastic sheets to completely
seal off the area where the work is going on. No one should do repair work in older homes without learning
about safe ways to do the work to reduce the danger of lead dust. Hundreds of cases of childhood and adult
lead poisoning happen each year from home repair work.
What can you do to prevent lead poisoning?
• Talk to your child's doctor about lead.
• Have your child tested for lead at least once a year until he/she is four years old.
• Ask the owner if your home has been deleaded or call the state Childhood Lead Poisoning Prevention
Program (CLPPP)at 1-800-532-9571, or your local Board of Health.
• Tell the owner if you have a new baby,or if a new child under six years old lives with you.
• If your home was deleaded, but has peeling paint, tell and write the owner. If he/she does not respond,
calf CLPPP or your local Board of Health.
• Make sure only safe methods are used to paint or make repairs to your home. and to clean up afterwards.
• If your home has not been deleaded, you can do some things to temporarily reduce the chances of your
child becoming lead poisoned. You can clean your home regularly with paper towels and any household
detergent and warm water to wipe up dust and loose paint chips. Rub hard to get rid of more lead. When
you are done,put the dirty paper towels in a plastic bag and throw thern`rw,,The areas to clean most often,
are window wells, sills,and floors. Wash your child's hands often (especially before eating or sleeping)
and wash your child's toys,bottles and pacifiers often. Make sure your child eats foods with lots of
calcium and iron,and avoid foods and snacks that are high in fat. If you think your soil may have lead in
it, have it tested. Use a door mat to help prevent dirt from getting into your home. Cover bare leaded dirt
by planting grass or bushes,and use mats,bark mulch or other ground covers under swings and slides.
Plant gardens away from old homes, or in pots using new soil. Remember, the only way to permanently
lower the risk of your child getting lead poisoned is to have your home deleaded if it contains lead paint.
How do you find out where lead paint hazards may be in a home?
The only way to know for sure is to have a lead inspection or risk assessment done_The lead inspector will
test the surfaces of your home and give the landlord and you a written report that tells you where there is lead
in amounts that are a hazard by state law. For interim control, a temporary way to have your home made safe
from lead hazards, a risk assessor does a lead inspection plus a risk assessment. During a risk assessment, the
i
��callo T
CERT.# 221-01
FEE $25.00
qgC' DATE: 05/07/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 17 Phelps Street UNIT #: Third
OWNER/AGENT: Joseph Callahan
ADDRESS: 17 Phelps Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-1431
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUMIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
qJOANNECOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i . _
� MAY 7 - 2001
CITY OF SALEM
CITY OF SALEM BOARD OF HEALTH HEALTH DEPT.
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED ATl� 2NC c104s S7� UNIT#-3
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER./ G..AC4.9WA&O' MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /7 AWA&_,oX � ADDRESS
CITY -s LE.yI CITY
RESIDENCE PHONE 9;W 9WIVAI BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: X�
ROOM USE: 1.XdrWtAo2.7uwwve. fAI 4.4AZ)4*of
5. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _DATE el/d1
INSPECTORS USE ONLY
PATE OF INITIAL INSPECTION 3 - 4 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-6--7-// 01 DATE FEE PAID:S -
TYPE OF UNIT: DWELLIN/OTHER_ CHECK# 7 6 CHECK DATE-:5--3 -D/
NOTES:
t
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 ° 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MAO]970
CERT.# 304-02
TEL. 978-741-1800 FEE $25.00
�4M1f� FAX 978-745-0343 DATE: 05/24/2002
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 78 Orchard Street UNIT #: 1
OWNER/AGENT: Blair Consoli
ADDRESS: 80 Orchard Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6166
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 10S CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH - Q /
(eft//J
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'. CITY OF SALEM, MASSACHUSETTS 0d-
BOARD OF HEALTH
u 120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 7U OYG'h .V vM�UNIT#
IS THIS UNIT OESIGNA.�,T��E��D AS R1RI/IGHT LEFT RONT BACK PLEASE CIRCLE ONE
OWNER/LESSER IGL1� L Wh�I�b MANAGER/AGENT
No P.O. Boxj� 11 __� ) / No P.O. Box
ADDRESS & l/V�i IA/O�c�i� ADDRESS
CITY 5/A inn // CITY
RESIDENCE PHONE -1l 7 0116 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE I !(� ( S 6 411
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. ( ntr. 2. 3. L II VI bir 4.
5. 6. 7. J 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE 6711
INSPECTORS USE ONLY .
DATE OF INITIAL INSPECTION S - D 2-_DATE OF REINSPECTION3 Z
DATE OF ISSUANCE OF CERTIFICATES l Ll. ` 0 DATE FEE PAID: 5--/ Lf-
TYPE
OF UNIT: DWELLING I�OTHER_dCHECK#CHECK DATES /`t -u z-
NOTES: / ` i /le - ww— sN o ee/� ✓Lz .,�✓
�
CODE ENFORCEMENT INSPECTOR 9/28/98
2
fl� �o o til • (2 c e
lV Sc W'I
f v r1/5 P avl\ ova- w s ke w - r4 w d
ons �W CIL
i
_\J;I iv CIO r,AJ �-� G6 ✓L d 9/90/`&r- '
��o 61-\ vcS C�/�z e A� ✓Lo `1 e w
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Dornestic Mail Only; No Insurance Coverage Provided)
�M
IAL USS
ru
a Postage $
M
t` Certified Fee
I_n
Posunerk
Forum Receipt Fee O (Endorsement Required) Here
O Restricted Delivery Fee
O (Endorsement Required) @
�� Total Postage&Fees $
C3
�� qnt To
_•-: --- --------------------------------------------------------------------------------
Stre, pi.No.;
0 -or P-- ox No.
CCity,State,Z7Fi 4
, l -
tl -
Certified Mail Provides:
■A mailing receipt
A uni a identifier for your mailpiece
■Asi lure upon delivery
■A rt of delivery kept by the Postal Service for two years
Important Reminders:
■Cdrtified Mail may ONLY be combined with First-Class Mail or Priority Mail.
■Certified Mail Is not available for any class of international mall.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Rearm Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt Is
required.
■For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
II, ■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,January 2001 (Reverse) 102595.01-M-1829
aCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR /
SALEM, MA 01970 J� /
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
L-
MAYOR HEALTH AGENT
May 20, 2002
Blair L. Consoli
80 Orchard Street
Salem, MA 01970
Dear Sir/Madam:
111 Sections 127A and 1276
In accordance with Chapter , of the Massachusetts General Laws,
105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 78 Orchard Street#1 conducted by
Pablo Valdez, Code Enforcement Inspection of the Salem Board of Health, on May 17, 2002.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter 11: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Board of Health and the unit may not be rented or occupied until the noted violations have
been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS.
Please note that some of the necessary repair may require permits for the Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FOR THE BOARD OF HEALTH REPLY TO
4
Joanne Scott Pablo Valdez
Health Agent Code Enforcement Inspector
Este es un documento legal importante. Puede que afecte sus derechos.
Enclosure
CERTIFIED MAIL 7001 1140 0000 6731 2537
JS/mfp
•1
CITY OF SALEM HEALTH DEPARTMENT
Salem, Massachusetts 01970
Enclosure
Blair L. Consoli
78 Orchard Street#1
May 20, 2002
Bathroom Replace ceiling tile, scrape &repaint window.(�
Living Room Repair broken window sashcord and replace loc
Bed Room Repair broken window sashcord and replace loc
Front Bedroom Repair broken screen.
V
Q)V(
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4:m FLOOR Ptib�1CHC81th
>. Prevent Promote:Protect.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL ltamdin e salem.COm
LARRY RAb1DIN,Rti/REf-IS,CHO,CP-F5
MAYOR HFJv.Tr--[AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#389-13
DATE ISSUED: 10/30/2013
Property Located at: 94 Orchard Street UNIT# 1
Owner/Agent: Randy White
Address: 94 Orchard Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-590-4119
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum.Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
OR THE BOARD OF HEALTH
LARRY RAMDIN -eta
HEALTH AGENT SANI
CI'T'Y OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4".FLOOR PublicHealth
> Prevent.Promote.Protect.
TEI_. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
MAYOR _ LARRY RMIDIN,RS/KEH
PIS,CO,CP—FS
HCV:AI:rr-I AGENT .
\ E��
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT `I ()AA A u j S I SA ICA �I A • d/0&_UNIT#_J--
THIS UNIT DI�SIGNATTED AS RIGtff LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER — MANAGER/AGENT�—
NO P.O. BOX
AD X1
ADDRESS
CITY, STATE,ZIP CITY, STATE, ZIP I(
RESIDENCE PHONE l 0 / y7— '/9J�/BUSINESS PHONE(24HRS) 9 9Y —M 9/d
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FELE AT THE E F INSPECTION ,l
M
APPLICANT'S SIGNATURE DATE v -3 —L-26/3
Inspectors use only
Date on initial inspection: �� � Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_ Check date:
Notes:
'1
Cod orcement Inspector