31 Salem Street - Street File (32) CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
r TEL. 978-741-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
April 22, 2005
Timothy Klotz
P.O. Box 1341
Marblehead, MA 01945
Dear Sir/Madam:
In accordance with Chapter III, Sections 127A and 127B 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,
an inspection was conducted of the property at 31 Salem Street Apt. #4 occupied by Santiago
Santos conducted by Janet Dionne, Senior Sanitarian on Friday April 15, 2005 @ 10:45 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 978-741-1800.
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 fhe enclosed inspection report will
result in a complaint being sought against you in Salem TDfstr'ict.,Court. Time for compliance
begins with receipt of this Order. {
Should you be aggrieved by this Order, you have the right reque$t=a hearing before the Board
of Health. A request for said hearing must be received in w fang.in tire-effice 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modified or withdrawn. An attorney may represent you. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection in 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:
ne Scott Janet Dionne
Health Agent Senior Sanitarian
cc:tenant
III.
Sent certified mail-7003 3110 0005 1992 1240
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CITY OF SALEM, MASSACHUSE I a S
BOARD OF HEALTH
• i 120 WASHINGTON STREEY: 4TH FLOOR
' SALEM, MA 01970
r TEL. 978-74 1-1 800
FAX 978-745-0343 Page 1 of
STANLEY USOVICZ. Jf' JOANNE SCOTT. MPH, R5, CHO
MAYOR HEALTH AGENT
State Sanitary Code, Chapter 11: 105 CMR 410.000i
Minimum Standards of Fitness for Human Habitation ocq
Occupant :- y xl4la _ Phone:9c� -75
Address: :' _ _ Apt.# �; Floor_
Owner:`-l;�p 11 Address: Qit Ajar _
Inspection Date: _l Time: A0,'Z/6!PP
Conducted By: Accompanied By:-
Anticipated Reinspection Date:Le/�2rn
eat T�ehanv i `
Specified Time Reg.#410.. Violations)
Based on a tenant complaint an jns�peon was conducted in accordancewith Article II of the State Sanitarye 105 CMR,410.000.
Upon inspection the following were noted:
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One or more of the above violations may endanger or materially impair the NMI Go%� �
safety, and well being of the occupant(s) L
Code Enforcement Inspector ossibL�._
Este es documento legal importante. Puede que afecte sus derechos. /� hQ
CITY OF SALEM HEALTH DEPARTMENT
Salem, Massachusetts 01970 Page a-? of,5
Date: 4'/5`yS7�
Name: G Y'I fc "7� _Address: a e/'Yt�
Specified Time Reg.#410.. Violation(s)
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,. Salem, Massachusetts 01970 Page Of
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