17 FOREST AVENUE - STREET FILE CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"FLOOR PubUcHean
Prevent,Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL 1ramdin@sa1em.com
L.�RRY RAMDIN,RS/REf IS,CI-I(),(.:P-FS
MAYOR HEA],TI I AG13NT
November 2,2016
I
17 Forest Avenue, LLC
20C Delcarmine Street
Wakefield, MA 01880
VIA CERTIFIED MAIL: 7012 1640 0002 3313 4971
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 17 Forest Avenue#2 permitted by occupant Sarah Allen, conducted by
Elizabeth Gagakis,Senior Sanitarian on October 25,2016 @ 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 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and documentary evidence as to why this Order should be modified or withdrawn.You may be represented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 inspectior report form.
For the Board of Health Reply to:
Larry Ramdin Elizabeth Gagakis
Health Agent Senior Sanitarian
cc: Tenant
-94 00
CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR rblicHe pa th
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL 1ramdin&salem.com
MAYOR e L,1RRY 12,aMI)IN,RS/REHS,C.H.O,CP-FS
HI ALT.H AGENT
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant: Sarah Allen Owner: 17 Forest Avenue LLC
Phone number: 978-751-0266 Address: 20C Delcarmine Street
Address: 17 Forest Ave#2 Wakefield, MA 01880
Salem, MA 01970
Date of complaint: October 24, 2016
Inspection Date: October 25, 2016 Time: 9:30am
Conducted by: Elizabeth Gagakis Accompanied By: Tenant
Specified Time Reg. #410. Violation(s)
Based upon a tenant complaint a permitted inspection was conducted in accordance with
Article II of the State Sanitary Code, 105 CMR 410.000. Upon inspection, the following
were noted:
24-48 hours .500 1. There is a hole in the wall at the top of the front stairs on the second floor. Repair
wall so it is intact and in good condition. Owner to correct this violation within 7
days.
7 days .351 2. Electrical outlet in child's bedroom next to the bed has a loose face plate. Secure
the plate so outlet is secure and in safe condition. Owner to correct this violation
within 7 days.
7 days .351 3. Tenant states upper plug in electrical outlet next to front window in child's bedroom
does not work properly. Hire services of a licensed electrician to check outlet and
make any necessary repairs so it is intact and in safe,working condition. Please
forward copies if invoice for service to the Board of Health for our records. Owner
to correct this violation within 7 days.
7 days .351 4. Fan in child's bedroom appears to be mounted unevenly on the ceiling. Secure fan
as evenly as possible to ceiling to minimize shaking when fan is turned on. Owner
to correct this violation within 7 days.
7 days .351 5. There are what appear to be old telephone wires loose in the closet in child's
bedroom. Remove/secure wires so they are not hanging loose in the closet. Owner
to correct this violation within 7 days.
- - - --- 1
7 days .351 6. Dishwasher has been removed from the unit and has not been replaced; unit was
rented with dishwasher in place, so one must be maintained in the unit. Provide a
working dishwasher for the unit. Owner to correct this violation within 7 days.
7 days .500 7. Backsplash behind the kitchen sink is loose. Repair/secure backsplash so
walls/counters behind the sink are intact and in good condition. Owner to correct
this violation within 7 days.
7 days .351 8. There is an open junction box in the living room wall. Provide a cover for this box
so wires inside are secured. Owner to correct this violation within 7 days.
7 days .500 9. There are stains on the ceiling in the front bedroom next to the living room.
Investigate for source of leaks and ensure it is repaired: scrape and repaint the
ceiling so it is intact and in good condition. Owner to correct this violation within 7
days.
7 days .500 10. Tiles at the top of the back stairs on the second floor are damaged and peeling up.
Repair tiles so floor is intact and in good condition. Owner to correct this violation
within 7 days.
3 days .602 11. The basement has an accumulation of what appears to be trash,junk and some
construction debris in it. These items must be cleaned up and basement must be
maintained in a clean, sanitary manner at all times.
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
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