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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
�Y 120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREESNBAuynSALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
2010 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT
NAME OF ESTABLISHMENT TEL#
ADDRESS OF ESTABLISHMENT FAX#
MAILING ADDRESS(if different)
EMAIL- Business': Website:
OWNER'S NAME TEL#
ADDRESS
STREET CITY STATE ZIP
CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S)
(Required in an establishment where potentially hazardous food is prepared)
EMERGENCY RESPONSE PERSON HOME TEL#
DAYS OF OPERATION Monday Tuesday Wednesday Thursday- i. Fdday I Saturday Sunday
HOURS OF OPERATION j
Please write in time of day.
For example 11 am-1I pm
TYPE OF ESTABLISHMENT FEE (check only)
RETAIL STORE YES NO less than 1000sq.ft. =$70
1000-10,000sq.ft. =$280
more than 10,000sq.ft. =$420
- - ----------------------------------------------------------------------------------------le------------------- -...----------------------
RESTAURANT YES NO less than 25 seats =$140
(Outdoor Stationary Food Cart$210) 25-99 seats =$280
more than 99 seats =$420
-------------------------------------------------ES--------------------------------------------------------------------------------------------------------
BED/BREAKFAST/ YES NO $100
CHILDCARE SERVICES/NURSING HOM----------------------------------------------------------------------------------------------------------------------------
ADDITIONAL PERMITS
MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE YES NO $25
TOBACCO VENDOR YES NO $135
ALL NON-PROFIT(such as church kitchens) YES NO $25
'Please pay total with one check payable to the City of Salem.
This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location
in the Establishment.
In accordance with the State Sanitary Code, before any renovations,improvements,or equipment changes are made,all plans for
such must be submitted to and approved by the Salem Board of Health.
Pursuant to MGL Chapter 62C,Section 49A, I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have fled all state tax
returns and paid all state taxes required under the law.
Signature Date Social Security or Federal Identification Number
------------------ ----------------'----------------------------------------------------------
Revised 424/07 FOODAP2008.adm Check#&Date $
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y CITY OF SALEM, MASSACHUSETTS
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LICENSING BOARD
120 Washington Street
� Salem, MA 01970
978-745-9595 ext. 421
Chairman,Harold F.Blake,Jr.
Stanley J.Usovicz,Jr. James M.Fleming
Mayor _ John H.Casey
Clerk,Judy Davenport
June 11, 2003 I�
JUN 12 2003 �J
Mr. Bob Shea Cl I Y OF SALEM
Morning Glory B & B BOARD OF HEALTH
22 Hardy Street
Salem, MAO!970
Dear Mr. Shea:
At a meeting of the Licensing Board held on Monday, June 9, 2003, your letter
dated May 30, 2003, was presented to the Board.
Due to your downsizing from four to three rooms the licensing Board
extinguished your lodging house license effective immediately, as you are not
required to have a license for three rooms.
Sincerely,
SAI EM LICENSING BOARD
Judy kba enport
/ Clerlti
cc: Health v
Fire
Building
33
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO
MAYOR HEALTH AGENT
April 11, 2003
Morning Glory Bed & Breakfast
C/o Robert M. Shea, Jr.
22 Hardy Street
Salem, MA. 01970
Dear Mr. Shea:
In accordance with Chapter III, Sections I27A and I27B of the Massachusetts General Laws, 105 CMR 400.00 State
Sanitary Cade, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11
Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property 22 Hardy Street(4
room bed&breakfast)conducted by Virginia Moustakis, Sanitarian on Tuesday,April 8, 2003 at 10:30 A.M..
Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owners responsibility
to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460.000:
Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the
Salem Health Department at 741-1800.
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report.
Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being
sought against you in Salem District Court. Time for compliance begins with receipt of this Order.
Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for
said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said
hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this
Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary
information in the possession of this Board, and that any adverse parry has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies
available to them as outlined in the enclosed inspection report form.
For the Board of Health: Reply to:
Joanne Scott Virginia Moustakis
Health Agent Sanitarian
Cc: Councillor Chuber, Licensing Board, Fire Prevention, Building Department
violet
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• t 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 Page 1 of
STANLEY USOVICZ. JR JOANNE SCOTT. MPH, RS, CHO
MAYOR HEALTH AGENT
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant r Phone: 7V- 1703
Address: -2a 4Ltgd„ �,I;t Apt.#__y_ Floor ag- 3
Owner:1,pert , sR- Address: as2 ,ke4 Sl--
7>2a
Inspection Date: el 8=o 3 Time: a�
Conducted By: tlZ-&5 kis Accompanied By.�Y/V°" 'Cc
Anticipated Reinspection Date:
f� �P,.I�PiSCIt'N2.`3`'� Gc�GVZ,r` 0�
ASa2 '�s E-
ecl-eFiP6mC'Jr�t040
Specified Time Reg.#410.. Violation(s) � BP�fS/leu
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/c',E P C c ZVIWIIV v
FAVZ6ESJI-xly� Ileo z a
One or more of the above violations may endanger or materially impair the health
safety, and well being of the occupant(s)
Code Enforcement Inspector %711
Este es documento legal importante. Puede que afecte sus derechos.
Puede adouirir una traduccion de esta forma sies necesario Ilamar all telefono 741-1800.
a
Appendix 11 (14)
Legal Remedies for Tenants of Residential Housing
The following is a brief summary of some of the legal remedies tenants may use in order to get
housing code violations corrected :
1. Rent Withholding(Massachusetts General Laws,Chapter 239,section 8A): If Code Violations Are Not
Being Corrected you may be entitled to hold back your rent payments. You can do this without being evicted if:
You can prove that your dwelling unit or common areas contain code violations which are serious
enough to endanger or materially impair your health of safety and that your landlord knew about the
violations before you were behind in your rent.
You did not cause the violations and they can be repaired while you continue to live in the
building.
You are prepared to pay any portion of the rent into court if a judge orders you to pay it.( For this.
it is best to put the rent money aside in a safe place)
2. Repair and Deduct(Massachusetts General Laws,Chapter III,section 127L):The law sometimes allows
you to use your rent money to make the repairs yourself.If your local code enforcement agency certifies that
there are code violations which.mayendanger or materially impair your health,safety,or well-being,and
your landlord has received written notice of the violations,you may be able to use this remedy, if the owner
fails to begin necessary repairs(or to enter into a written contract to have them made)within five days after
the notice or to complete repairs within 14 days after notice,you can use up to four months rent in any year
to make repairs.
3. Retaliatory Rent Increases or Evictions Prohibited(Massachusetts General Laws,Chapter 186,section
18, and Chapter 239,Section 2A):The owner may not increase your rent or evict you in retaliation for
making a complaint to your local code enforcement agency about code violations. If the owner raises your
rent to try to evict within six months after you have made the complaint, he or she will have to show a good
reason for the increase or eviction which is unrelated to your complaint. You may be able to sue the landlord
for damages or if he or she tries this.
4. Rent Receivership (Massachusetts General Laws Chapter II, section 127 C-H): The occupants and/or the
Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to
the owner.The court may then appoint a"receiver" who may spend as much of the rent money as is needed
to correct the violation. The receiver is not subject to a spending limitation of four months'rent.
5. Breach of Warranty of Habitability: You may be entitled to sue your landlord to have all or some of your
rent returned if your dwelling tout does not meet minimum standards of habitability.
6. Unfair& Deceptive Practices (Massachusetts General Laws, Chapter 93A) : Renting an apartment with
code violations is a violation of the consumer protection act and regulations, for which you may sue an
owner.
The information presented above is only a summary of the law. Before you decide to withhold rent or take an-
other legal action, it is advisable that you consult an attorney. if you can not afford to consult an attorney, you
should contact the nearest legal services office,which is
i
North Shore Community Action Northeast Housing Court
Programs Inc. 2 Appleton Street
98 Main Street Lawrence, MA. 01840
Peabody, MA. 01960 (978) 689-7833
(978) 531-0767
CITY OF SALEM, MASSACHUSETTS
3�6 '� - BOARD OF HEALTH
e 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
If
COMMONWEALTH OF MASSACHUSETTS
PERMIT TO OPERATE A FOOD ESTABLISHMENT
In accordance with regulations promulgated under authority of Chapter
94 , Section 305A and Chapter III , Section 5 of the General Laws, to operate
a Food Establishment in the City of Salem is hereby granted to:
Owner ' s Name : Robert M. Shea, Jr.
Name of Establishment : Morning Glory Bed & Breakfast
Address of Establishment : 22 Hardy Street
Type of Establishment : Bed & Breakfast
Application Date : 12/10/2002
Restrictions:
Permit for Food Establishment 45-03
Frozen Desserts/Ice Cream
Permit for the Sale of Tobacco Products
These Permits Expire December 31, 2003
This permit is not transferable and must be reissued upon change of
ownership or location. The permit must be posted in a prominent location
in the Establishment.
In accordance with the State Sanitary Code, before any renovations,
improvements, or equipment changes are made, all plans for such must be
submitted to and approved by the Salem Board of Health.
HEALTH AGENT
u,. r
t• MF. ,
- Afi,
o" CITY OF SALEM, MASSACHUSETTS
9
' v� BOARD OF HEALTH I`IJI1
120 WASHINGTON STREET, 4TH FLOOR DEC 9 2002
SALEM, MA 01970
,�' ^m TEL. 978-741-1800
p'� FAX 978-745-0343 BOAR,) .Z','EA T
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO H
MAYOR HEALTH AGENT
2003 APPLICATION FOR PERMIT TO OPERATE A/FFOOD ESTABLISHMENT
NAME OF ESTABLISHMENT/'�//�7�t 1 ��� ( s/ �`� Z TEL# ��c-`� 7����/'/ U
ADDRESS OF ESTABLISHMENT ZZ A41 2Z) `/
MAILING ADDRESS (if different)
OWNER'S NAME 1j7 �7 //// Gc,�/i�C TEL#4/10)
ADDRESS
CITY STATE�_
CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(s)
(required in an establishment where potentially hazardous food is prepared.)
EMERGENCY RESPONSE PERSON ./�/�7�/�7 /Y�_ylfG�HOME TEL#27e-) -7-Y/ 3
HOURS OF OPERATION: Mon. –�Tue. —Wed. —Thu. —Fri. —Sat. Sun. —
TYPE OF ESTABLISHMENT _ FEE check only
RETAIL STORE YES NO less than 1000sq.ft. =$ 50
1000-10,000sq.ft. =$100
more than 10,000sq.ft. =$250
RESTAURANT YES MO 1 less than 25 seats =$100
25-99 seats =$150
more than 99 seats =$200
BED/BREAKFAST ES NO Y $100
ADDITIONAL PERMITS
MAKE ICE CREAM, YOGURT, SOFT SERVE YES tN $5
TOBACCO VENDOR YES $50
ALL NON-PROFIT(such as church kitchens) YES
$25
Please pay total with one check
payable to the City of Salem
This Permit is not transferable and must be reissued upon change of ownership. The Permit must
be posted in a prominent location in the Establishment.
In accordance with the State Sanitary Code, before any renovations, improvements, or equipment
changes are made, all plans for such must be submitted to and approved by the Salem Board of
Health.
Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I, to my
best ow edge and b lief h ye filed all state tax returns and paid allstate taxes required under the law.
Signature Date Social Security or Federal Identification Number
Revised 11/25/02 FOODAP2.adm Check#&Dale
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j
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,TEL: 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
COMMONWEALTH OF MASSACHUSETTS
PERMIT TO OPERATE A FOOD ESTABLISHMENT
In accordance with regulations promulgated under authority of Chapter
94, Section 305A and Chapter III, Section 5 of the General Laws, to operate
a Food Establishment in the City of Salem is hereby granted to:
Owner' s Name : Robert M. Shea, Jr.
Name of Establishment : Morning Glory Bed & Breakfast
Address of Establishment : 22 Hardy Street
Type of Establishment : Bed & Breakfast
Application Date: 01/18/2002
Restrictions:
Permit for Food Establishment 254-02
Frozen Desserts/Ice Cream
Permit for the Sale of Tobacco Products
These Permits Expire December 31, 2002
This permit is not transferable and must be reissued upon change of
ownership or location. The permit must be posted in a prominent location
in the Establishment.
In accordance with the State Sanitary Code, before any renovations,
improvements, or equipment changes are made, all plans for such must be
submitted to and approved by the Salem Board of Health.
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
' ° * 120 WASHINGTON STREET, 4TH FLOOR
t8 SALEM, MA 01970
TEL. 978-741-1800 � 'A44 Y
FAX 978-745-0343 .
STANLEY LISOVICZ, JR.
JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH AGENT
LEM
HEAL TH DEPS.
2002 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT
NAME OF ESTABLISHMENT_ b72Jt2fJfl/r>�7.! FEL# 7-7-b
ADDRESS OF ESTABLISHMENT
MAILING ADDRESS (if different) /�j�
OWNER'S NAME /c'lfc'34R7-I �-00 TEL7L//,1-74j
ADDRESS 22 V e-!:57-
CITY
!:57"CITYs4GtY STATE_ ZiP Ao�971J
CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(s)
(required in an establishment where potentially hazardous food is prepared.)
EMERGENCY RESPONSE PERSON HOME TEL#
DAYS/HOURS OF OPERATION: Mon.—Tue. Wed. —Thu. --Fri. * Sat ---Sun.^
TYPE OF ESTABLISHMENT / FEE check only
RETAIL STORE YES $40
RESTAURANT Y S $40
BED& BREAKFAST E NO $40
ADDITIONAL PERMITS
MAKE ICE CREAM, YOGURT
SOFT SERVE YES $5
TOBACCO VENDOR YES $10
NO CHARGE FOR NON-PROFIT(such as church kitchens) PLEASE INCLUDE COPY OF TAX
EXEMPTFORM
Please pay total with one check
payable to the City of Salem
This Permit is not transferable and must be reissued upon change of ownership. The Permit must
be posted in a prominent location in the Establishment.
In accordance with the State Sanitary Code, before any renovations, improvements, or equipment
changes are made, all plans for such must be submitted to and approved by the Salem Board of
Health.
Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that 1, to my
best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law.
Signature Date Social Security or Federal Identification number
Revised 11/1/01 foodapZadm Check#&Date
J
~ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
April 16, 2002
Robert M. Shea,Jr.
Morning Glory Bed&Breakfast
22 Hardy Street
Salem,Ma 01970
Dear Mr. Shea:
A routine inspection was conducted at your establishment in accordance with Chapter II, State Sanitary Code,
105 CMR 410.000.
No Health Code violations were observed at this time.
Thank you for your cooperation.
For The Board of Health Reply to:
oanne Scott Virginia Moustakis
Health Agent Sanitarian
cc: Licensing Board,Fire Prevention,Building Inspector
City Councillor
JS/vm c-h violet
CITY OF SALEM HEALTH DEPARTMENT
120 WASHINGTON STREET 4TH FLOOR
' Salem, Massacnusems 01970 Page 1 of
'lama
State Sanitary Code, Chapter II 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant (Qyeuz Aecl,�- Phone:670 7y/- 1,7o3
Address: ;2a _ pr1 Apt.#_ Floor6 a r3
Owner: yn..�xe' oe• Address: as / ov 4f
oigl,'o
-.
Inspection Date: 4- 16-a, Time: irs:�o
Conducted By. V&'k' tnkrs Accompanied By:
l ated` Rein 'E
AnticDate.", .
' s' Pl �ectn
_e.
Specified Time Reg.4410.. Violation(s)
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One or more of the above violations may endanger or ma teriallyuimpairthe health eC;�/CPnls
' va f70Y1
safety, and well being of the occupant(s) r
Code Enforcement Inspector ar� ��� ���`1Cd�Nci4/'cX
Este es documento legal importante. Puede que afecte sus derechos
Prada adnuirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800.
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CITY CLERK
CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
TEL.(508)745-9595 X 251
I HEREBY ELECT TO EXERCISE THE FIRST OPTION AS STATED OI
REVERSE, CONFESS TO THE OFFENSE CHARGED,AND ENCLOSI
PAYMENT IN THE AMOUNT OF
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SIGNATURE
SEE OTHER SIDE FOR FURTHER INFORMATION
ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL
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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
COMMONWEALTH OF MASSACHUSETTS
APERMIT-TO OPERATE A FOOD ESTABLISHMENT
Iri accordancewith regulations promulgated under authority of Chapter
94, Section 305A-'.and'Chapter, III, Section 5 of the General Laws, to operate
a Food Establishment in the City of Salem is hereby granted to :
Owner' s Name - Robert _Mi Shea, .Jr.
Name of 'Establishment : Morning Glory, Bed & Breakfast
Address of, Establishment 22 : ,Hardy, Street
of
s
Establishment =Bede& Breakfast.
Type
ApplicationxwDate12/04"/2000
w
' Restrictions
Permit for. Food Establishment
32-01
Frozen Desserts/Ice,;Creat,?,,
Permit for. the .Sale, of;>Tobacco Products
a a
x -
These Permits Expire December 31; 2001
V'p!
This permit isnot transferable and must be reissued upon change of
' ownership .or location. The permit must be posted in a prominent location
in the Establishment -' -
In .accordance with�the" State Sanitary Code, before any renovations,
improvements', or:equipment changes are made, all plans for such must be
submitted to and,,approved by the Salem Board of Health.
HEALTH AGENT
s ,
g��oNDIT
9
DEC 4 2000
CITY OF SALEM BOARD OF HEALTH CITY T SALEM
HEALTH DEPT.
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
2001 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT
NAME OF ESTABLISHMENT/&2,4 /ALSZ�/ ����/ /5 STEL#l/
ADDRESS OF ESTABLISHMENT » .�9/2/S vl7 U<1C/slyl ///ff�L�7�
MAILING ADDRESS (if different)
OWNER'S NAME An6zE '
ADDRESS
CITY STATE IMA ZIP
CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(s)
(required in an establishment where potentially hazardous food is prepared.)
EMERGENCY RESPONSE PERSON �(� LST jin^ J/t- HOME TEL#Z �5� l�(�
TYPE OF ESTABLISHMENT �0� FEE check only
RETAIL STORE YES NO $40
RESTAURANT YES NO #seats_ # nonsmoking_ $40
BED & BREAKFASTYES NO $40
ADDITIONAL PERMITS
MAKE ICE CREAM, YOGURT
SOFT SERVE YES NO $5
TOBACCO VENDOR YES NO
NO CHARGE FOR NON-PROFIT(such as church kitchens) PLEASE INCLUDE COPY OF TAX
EXEMPTFORM
Please pay total with one check
payable to the City of Salem
This Permit is not transferable and must be reissued upon change of ownership. The Permit must
be posted in a prominent location in the Establishment.
In accordance with the State Sanitary Code, before any renovations, improvements,or equipment
changes are made, all plans for such must be submitted to and approved by the Salem Board of
Health.
Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that 1, to my
best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law.
Signature Date Social Security or Federal Identification Number
-------------------------------------------------------------------------------------------------------------------------------
Revised11/21/00foodap2.adm Check#&Date &W5- //i3Dz)Q
NU1
M. oy� �yu
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
April 17, 2001
Robert M. Shea, Jr
22 Hardy Street
Salem, MA 01970
Dear Mr. Shea:
In accordance with Chapter III, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00, State
Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11
Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property 22 Hardy Street
occupied by(Morning Glory Bed/Breakfast)conducted Virginia Moustakis, Sanitarian on Wednesday, April 11, 2001
at 9:30 A.M..
Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility
to notify tenants.of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460.000 :
Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the
Salem Health Department at 741-1800.
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report.
Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being
sought against you in Salem District Court. Time for compliance begins with receipt of this Order.
Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for
said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said
hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this
Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary
information in the possession of this Board, and that any adverse party has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies
available to them as outlined in the enclosed inspection report form.
Fo the Board of Health: Reply to:
oanne Scott Virginia Moustakis
Health Agent // Sanitarian
cc: Councillor Scott LaCava, Licensing Board, Fire Prevention, & Building Inspector
JS/sjk c-h-violet
CITY OF SALEM HEALTH DEPARTMENT
Nine North Street
• _ Salem, Massachusetts 01970
Page 1 of
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant /l ,ekovg r7irixy,4/ zpoeticsr Phone: 7yi- 7o s
Address: as /-lde SP, Apt.# v,�a Floor
Owner: M. �. qk, Address:
�! 6
Inspection Date: V-,#- moi Time: 9-,3a
Conducted By: y 22YW kic Accompanied 6'a�e
Anticipated Reinspection Date:
�.�eic;✓esl�G L,tG'�ic¢ Sril�p/�
Specified Time Reg.#410.. V101atll)rl(S)
is
Ala
s.
AaAC _t t
ry/C
One or more of the above violations may endanger or materially impair the health
yi,Pe
safety, and well being of the occupant(s)
Code Enforcement Inspector 1jj
S. dAC�va
Este es documento legal importante. Puede que afecte sus derechos.
Puede adquirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800.
THE COMMONWEALTH OF MASSACHUSETTS
City of Salem
BUILDING INSPECTOR
Establishment Name Date
01
Address Page_of_
In the space below describe all violations.
Time to Ain) inspection of this establishment was conducted in accordance with
Complete Massachusetts State Building Code 780 CMR.The following violations were observed:
C ' ill ;NU
i, r i
Discussion with Management/Owner
1 have read this report,have had the opportunity to ask questions and agree to correct all violations before the next inspection,to
observe all conditions as described.I understand that noncompliance may result in daily fines and/or legal action being taken against
you in Salem District Court.
Sign: Date:
CITY OF SALEM, MASSACHUSETTS
LICENSING BOARD
95 MARGIN STREET
P.O. BOX 1042
TEL.(978)744-0171 EXT.130
CLERK Chairman, Harold F. Blake,Jr.
JUDY DAVENPORT James M.Fleming
John H. Casey
March 14, 2001
Robert Shea
Morning Glory B &B
22 Hardy Street
Salem, MA 01970
LODGING HOUSE LOCATION: 22 Hardy St.
ALONG WITH THE BUILDING DEPARTMENT AND THE HEALTH
DEPARTMENT, THE LICENSING BOARD HAS SCHEDULED THE YEARLY
INSPECTION OF YOUR LODGING HOUSE FOR April 4, 2001,
THEY WILL ARRIVE AT 11:15 a.m. — 11:45 a.m.
ENCLOSED YOU WILL FIND RELEASE FORMS FOR YOUR TENANT TO SIGN
WHICH WILL ALLOW THE INSPECTORS ENTRANCE INTO THEIR AREA.
PLEASE MAKE EVERY EFFORT TO HAVE THESE RELEASE FORMS SIGNED
PRIOR TO INSPECTION TIME.
IF YOU HAVE ANY QUESTIONS PLEASE CONTACT THE LICENSING BOARD
AT THE NUMBER LISTED ABOVE.
SALEM LICENSING BOARD
cc: Health Dept. ✓
Bldg. Dept.
Fire Prev.
lodging insp notif
I CITY OF SALEM, MASSACHUSETTS RECERVED
�v a LICENSING BOARD
95 MARGIN STREET MAR Z `' 2001
P.O. BOX 1042
TEL.(978)744-0171 EXT.130 CITY OF
CLERK HEALT�Harold F. Blake,Jr.
JUDY DAVENPORT Ja es M. Fleming
John H.Casey
March 20, 2001
Mr. Robert Shea
Morning Glory B & B
22 Hardy Street
Salem, MA 01970
LOCATION: 22 Hardy Street
ALONG WITH THE BUILDING DEPARTMENT AND THE HEALTH
DEPARTMENT, THE LICENSING BOARD HAS RESCHEDULED THE YEARLY
INSPECTION OF YOUR LODGING HOUSE FOR April 11, 2001 .
AT 9:30 a.m.
ENCLOSED YOU WILL FIND RELEASE FORMS FOR YOUR TENANT TO SIGN
WHICH WILL ALLOW THE INSPECTORS ENTRANCE INTO THEIR AREA.
PLEASE MAKE EVERY EFFORT TO HAVE THESE RELEASE FORMS SIGNED
PRIOR TO INSPECTION TIME.
FULL WINDOW SCREENS ARE REQUIRED FOR ALL WINDOWS THAT OPEN.
EXPANDABLE SCREENS ARE NOT ACCEPTED.
IF YOU HAVE ANY QUESTIONS PLEASE CONTACT THE LICENSING BOARD
AT THE NUMBER LISTED ABOVE.
/ SALEM LICENSING BOARD
cc: Health Dept.
Bldg. Dept.
Fire Prev.
lodging insp notif
�mra
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
COMMONWEALTH OF MASSACHUSETTS
PERMIT TO OPERATE A FOOD ESTABLISHMENT
In accordance with regulations promulgated under authority of Chapter
94 , Section 305A and Chapter III , Section 5 of the General Laws, to operate
a Food Establishment in the City of Salem is hereby granted to:
Owner' s Name : Robert M. Shea, Jr.
Name of Establishment : Morning Glory Bed & Breakfast
Address of Establishment : 22 Hardy Street
Type of Establishment : Bed & Breakfast
Application Date : 03/30/2000
Restrictions:
Permit for Food Establishment 167-00
Frozen Desserts/Ice Cream
Permit for the Sale of Tobacco Products
These Permits Expire December 31, 2000
This permit is not transferable and must be reissued upon change of
ownership or location. In accordance with the State Sanitary Code, all
plans of renovations, improvements, equipment changes must be approved by
the Health Department.
HEALTH AGENT
PC
MAR 1 9 goon
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 Tel:(978)741-1800
Fax:(978)740.9705
2000 APPLICATION FOR PERMIT
�TOOOOPERATE A FOOD ESTABLISHMENT x
NAME OF ESTABLISHMENTz� ����`�// TEL# iaea2AZ�
ADDRESS OF ESTABLISHMENT �Z. .FJF'!�c/f`1T ��A�✓ 7L�/T��/`� G
MAILING ADDRESS (if different)
OWNER'S NAME��/Qt T/ / / y ,sem TEL# c614101Af—
ADDRESS
CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(s)
(required in an establishment where potentially hazardous food is prepared.)
EMERGENCY RESPONSE PERSON_/rIJ J ��f/ TEL#e msZO31
ESTABLISHMENT'S DAYS & HOURS OF OPERATION ,�ZZZZ— r
TYPE OF ESTABLISHMENT FEE check only
RETAIL STORE YES NO /P. $40
RESTAURANT YES NO #sats #nonsmoking_ $40
ADDITIONAL PERMITS
MAKE FROZEN DESSERTS YES NO $5
TOBACCO VENDOR YES NO $10
Please pay total with one check payable to the City of Salem
This permit is not transferable and must be reissued upon change of ownership.
In accordance with the State Sanitary Code, before any renovations, improvements,or equipment
changes are made, all plans for such must be submitted to and approved by the Salem Board of
Health.
Pursrrartt tb'MGh@tiapter63E Section�l9Fc I ify�7enertheTpams^antlT@ffiA es.ff eryury.that=l-t& y
best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law.
& ':vo� 3 �� Z�3
Signature Date Social Security or Federal Identification Number
--------------------------------------------------------------------------------------m yf---�—�---�-,----/----�-----------------------------
Revised 10/20/98 foodap2.adCheck#8 Date G)��� c3'C.� '-
1
CITY OF SALEM BOARD OF HEALTH
r
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
April 21, 2000
Morning Glory Bed & Breakfast
22 Hardy Street
Salem, MA 01970
Dear Owner/Manager:
The Board of Health, Building and Fire Departments are
scheduling yearly inspection of all establishments
licensed as rooming houses . The Salem Licensing Board
will review inspection and reinspection reports in
accordance with its license renewal procedures.
The inspection will include dwelling units and common
areas, therefore each tenant must be present or he/she
must sign the enclosed release form which will allow the
inspectors to enter the unit .
Your establishment at 22 Hardy Street has been scheduled
to be inspected on Wednesday May 10, 2000 at 10 : 00 am.
Thank you for your anticipated cooperation.
Sincerely,
For the Board of Health
oanne Scott
Health Agent
cc : Frank DiPaolo, Inspector of Buildings
Charles Latulippe, Fire Prevention
Harold Blake, Chairman, Salem Licensing Board
u �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO May 11, 2000 NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
Morning Glory
c/o Robert M. Shea, Jr.
22 Hardy Street
Salem, MA 01970
Dear Sir/Madam:
In accordance with Chapter 111 Sections 127A and 1278 of the Massachusetts General Laws, 105 CMR 400.00;
State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code,
Chapter 11: Minimum Standards of Fitness for Human Habitation, a inspection was conducted of your property
located at 22 Hardy Street(Bed/Breakfast)conducted Virginia Moustakis, Sanitarian on May 10, 2000 @
10:00 a.m.
Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's
responsibility to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105
CMR 460.000: Regulations for Lead Poisoning Prevention and Control. For further information or to request an
inspection, contact the Salem Board of Health at 741-1800.
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection
report.
Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint
being sought against you in Salem District Court. Time for compliance begins with receipt of this Order.
Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A
request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of
this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary
evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please
also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation
reports, orders and other documentary information in the possession of this Board, and that any adverse party
has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s) to use one or more of the statutory
remedies available to them as outlined in the enclosed inspection report form.
For the Board of Health Reply to
oann��"z���,
e Scott Virginia Moustakis
Health Agent Sanitarian
Enclosure
JS/mfp cc: Frank Preczewski,Fire Prevention Frank DiPaolo,Building Department Harold Blake,Chairman,
Licensing Board
I
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SALEM HEALTH DEPARTMENT
9 North StreeC
Salem. MA 01970
4�1 Slate Sanitary Code, Chapter It: 105 CMR 410.000
Minimum Standards of rdness for'Human Habitation
Occupant: ,Bed 9- /&e0_ktt.ST f Phone: 170-6
f(a >!L t'F]iFt } •£➢��i !�• • .£,it SL�v 7H�
Address`: 2 ��f AP . Floor
Owner. /Tal3e8Yl.S�/Pd, HiQ r Address:
Inspection Date: ✓ doD n,
Conducted By: 1� 6c yz/jr5 Accompanied By: A/AOP Avbtn�� 0f�/GCk
Anticipated Reinspection Date"'/I' e Sr 17e G �` �� 'k PiPaoGo Btdy
Specified Reg # _,.-Violation, ,S iin. ,.,.
Time .410. . . .. . , , -! !3 >.,.,:PJ 1.v , .,;,,it'v^7..`,'° •� fa. ti' 's - " ,
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One or more of the above violations may endanger or materially impair
the health, safely and well-being or the occupants(s)
/�
Code Enforcement Inspector
Este es un documento legal importante. Puede que afecle sus derechos.
Puede adquiriruna traduccion de esta forma.
;'
COURT DOCKET NO. Q CITATION NO.
CITY OF SALEM
VIOLATION NOTICE A17 9.8
NAME(LAST,FIRST,INITIAL)
a Pivrryeaf� st—
STREETADDRE S CITY/TOWN STATE ZIP
LICENSE NO. LIC.EXP.DATE DATE OF BIRTH
OWNER'S NAME(LAST,FIRST,INITIAL)
zi
STRErEtTADDRE S ciTyrroVVN STATE ZIP
/2 I
REGISTRATION NO. STATE P.DATE I MAK PE YEAR COLOR
DATE OF VIOLATION TIME DATE CITATION WRITTEN PERSONAL
❑AM Q INJURY_ jS
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A 07000?. !2 �` �?r2
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OFFICER I.D.NO. TOTAL p0
FINE $
DUE
OFFICER CERTIFIES COPY GIVEN TO VIOLATOR
❑ ANHAND
X BY MAIL
DO NOT MAIL CASH-PAY ONLY BY POSTAL NOTE,MONEY
ORDER OR BY CHECK MADE PAYABLE TO:
CITY CLERK
CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
TEL.(508)745-9595 X 251
1 HEREBY ELECT TO EXERCISE THE FIRST OPTION AS STATED ON
REVERSE, CONFESS TO THE OFFENSE CHARGED,AND ENCLOSE
PAYMENT IN THE AMOUNT OF
$ CASE A
SIGNATURE
SEE OTHER SIDE FOR FURTHER INFORMATION
ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL
Q Y f� ) NO.. �� CITATION NO -j
gggg - CITY OF SALEM p' <
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� 1»¢o� � � � x.. �-. tt? . SALEM.MA 01970
-.W w'Q ° .. TEL.(508).745-9595 X 251 '
m P p n rrl `t HEREBY ELECT.TO EXERCISE THE FIRST OPTION AS STATED ON `
} m¢ 0 o ' 'REVERSE,CONFESS TO THE OFFENSE CHARGED,AND ENCLOSE
O,O=a ¢ i W IO e ) PAYMENT IN THE AMOUNT OF ..
N m
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f % i
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