12 FIRST STREET - STREET FILE (2) CITY OF SALEM, MASSACHUSETTS lu
.� BOARD OF HEALTH
120 WASHINGTON STREET 4t"FLOOR PublicHWth
7 Prevent.Promote.Protect.
TEL. (978)741-1800 F.Ax(978)745-0343
KIMBERLEY DRISCOLL hamdin(W,,salein.com
L.\RRY R,\MDIN,KS/RI?[IS,CFIO,C;I'4S
MAYOR H1..,\]:ri I A(;1 W 1'
June 23,2014
Pequot Highlands
12 First Street
Salem,MA 01970
VIA CERTIFIED MAIL: 70121640 0002 3313 2922
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 12 First Street#N802,permitted by occupant Maria Cruz-Lugo,conducted by
Elizabeth Gagakis,Sanitarian on June 12,2014 @ 5:30 p.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 and to take all positive action to prevent these violations from occurring again in the future.
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 Trial 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and documentary evidence as to why this Order should be modified or withdrawn.You may be represented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 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:
0-44-A__
Larry Ramdin Elizabeth Gagakis
Health Agent Sanitarian
cc: Tenant
w
o
T
m
r � N C
'Q W
N
TVV'� L
'.°0 3 U c
ti
C .0
U z mqh $ 0 3
cc 0
v1 3� ° po
N
� Sa a E oo y a o
�i o _
0
U �.
!0 O� {may c
O N cc
o z _
Ec ° !`C
-00
U) a�i v o
_ y E E EE m 4
o c M g
vi !p ` r, n
,++ m r-U00
N 0 m J � p r-
�1� a 2 Y
CL W c$ O
ID p C N a N C
O O O [rw
Y/ O CD
w y v o
Z Z 'c Ea) co o co !nm
C a) a) O N U Q -4O -OO Go
o o co m Q
8 ma N
TT L = N'pO.'p- t fn p �^ N S O
i C N N O U a
O �
U. N c
E 5 0 c o c o c
o m w w o 3 0 8 E 3 $ m
o o gg g —
CL c
E Ncc ° cc p c a
• a - s° 2a s � 8� 2Sw
rwA� g `
co) N'p _ g G o v !p >0 pA) 8 '0Q L°
ou FL
Y/ !/1 U p c 8 N U v
ol�
O N O S O f0 O S.9 N 5 N U
G p D p O 0 0 O L.
U 5 Z m Q O v 5 Z E O > Z m O 3
un
a °
L
3
❑ ❑ ❑ N
O u
■r
!d or
C
N f7
-rl !2
x 4-) 0
W cairn D �
w 0P
34 O O N O r o
O "
� *k m u N O J N L.
OD
N C. O d Q Z a
(L) G4 O C N. p �+ .:E N N p A
r-1 ca A N N m L 0 m
p fA _ p Im O d ~ ,F U LL N 5N
U Q N d � w .c LA C 0 r LL N
Q — (0 Q. fa — t0 O c
0a aT � WU) O ❑ m ❑ � � � f- Z f� �cn v
SENDER: •MPLETE T17;S SEG 7ION COMPLETE • ON DELIVERY
■ Complete items 1, o complete A. Sign ture
item 4 if RestriG � ❑ M(9� eerseXPrint your name aTess ❑Addres
see
so that we can retz i�R e4aiki to you. B. Received by(Printed Name) C. nate f Delivery 1
■ Attach this card to the back of the mailpiece, I
or on the front if space permits.
— - D. Is delivery address different from item 1? ❑ I
1. Article Addressed to: If YES,enter delivery address below: ❑ No
JaftCt
I
7 o 3. Service Type
�•`�'yL O q jd Certified Mail ❑.Express Mail
❑Registered ❑Return Receipt for Merchandise I
❑Insured Mail ❑C.O.D. I
4. Restricted Delivery?(Extra Fee) ❑Yes
2, Article Number 7 012 1640 0002 3 313 2922
(transfer from service lab l)
PS Form 3911,February 2004 Domestic Return Receipt 102595-02-M-1540 I
I
First-Class Mail
I
postage&Fees Paid
UNITED STATES FtVICE USIPS
O Permit No.G'10 i
�3 DZIP
i
i
i
• Sender: Please print your name, address, aI
rr,-BQAf1D'0F'HMrrl
:SALEM. MA 01