31 Salem Street - Street File (34) CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
r RIJ 120 WASHINGTON STREET, 4TH FLOOR
,�3a'��l SALEM, MA 01970
`moo" TEL. 978-741-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
Tim Klotz August 22, 2003
9 Tompson Circle
Lynn, MA. 01902
Dear Mr. Klotz:
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 II
Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property 31 Salem Street#4
occupied by Glenny Calix, conducted by Jose Diaz, Sanitarian, on Thursday August 21,2003.
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Order should be modified or withdrawn.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.
For the Board of Health: Reply to:
J anne Sco Jose Diaz
Health Agent Sanitarian
Certified Mail: 7099 3400 0009 4079 0641
CC: Electrical Inspector
CITY OF SAL.EM, MASSACHUSETTS
BOARD OF HEALTH
+ t 120 WASHINGTON STREET, 4TH FLOOR
+ SALEM. MA 01970
TEL. 978-74 1-1 800
� FAx 978-745-0343
STANLEY USOVICZ. JP Page 1 of l
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 : Phone(� s�,�
Address: I ,s�►-e Apt.#. �Z' Floor Z
owner: Address:_
inspection Date: C-,, eg1Time: -
Conducted By: Accompanied By:
Anticipated Reinspection Date:
Specified Time Reg.#410.. Vlolabon(s)
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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 ��� Z Y r �J
Este es documento legal importante. Puede que afecte sus derechos.
Puede adquirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800. /� "