2 Howard Street Inspection 5-17-2005 CITY OF SALEM9, MASSACHUSETTS
BOARD OF HEALTH
# 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO
MAYOR HEALTH AGENT
June 2, 2005
2-4 Howard Street Trust
John Lenzi, Tr
99 Lafayette Street
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 2 Howard Street occupied by(Rooming House)
conducted by David Greenbaum, Sanitarians on Tuesday May 17, 2005.
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 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modified or withdrawn.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 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.
Fp the Boa dd4f Health Reply to:
anne Scott David Greenbaum
Health Agent Sanitarians
cc: Licensing Building Inspector Fire Prevention
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CITY OF SALEM, MASSACHUSETTS
LICENSING BOARD
1, f� 120 Washington Street
°= Salem, MA 01970
978-745-9595 ext. 421
Stanley J. Usovicz,Jr. Chairman,Harold R Blake,Jr.
Mayor John H.Casey
Ann K.Laaff
Barbara A.Sirois
Clerk of the Board
RELEASE
IN ACCORDANCE WITH MASSACHUSETTS GENERAL LAWS, CHAPTER 140, SECTION 25,
INSPECTION OF PREMISES, UNDERSIGNED OWNER/LESSOR AND TENANT/LESSEE OF A UNIT
OF RESIDENTIAL PROPERTY, HEREBY AUTHORIZE THE SALEM LICENSING BOARD OR ITS
AUTHORIZED AGENTS TO INSPECT THE RESIDENCE IDENTIFIED BELOW, IN ACCORDANCE
WITH THE AFOREMENTIONED STATUES.
IN THE EVENT IT IS NECESSARY THAT SAID INSPECTION BE DONE IN MY/OUR ABSENCE, I/WE
EXPRESSLY AUTHORIZE THE SAME AND FOR MY/OUR SUCCESSORS AND ASSIGNS HEREBY
RELEASE AND DISCHARGE THE CITY OF SALEM, SALEM LICENSING BOARD AND ITS
AUTHORIZED AGENTS FROM ANY LOSS OR INJURY SUSTAINED OF WHATEVER NATURE AND
DESCRIPTION OCCAISIONED BY MY/OUR ABSENCE DURING SAID INSPECTION.
NAME OF LODGING HOUSE:
ADDRESS OF LODGING HOUSE:
UNIT#TO BE INSPECTED:
TENANT/LESSEE:c-- � � �, OWNER/LESSOR:
SIGNATURE SIGNATURE
PRINT NAME PRINT NAME
ADDRESS: ADDRESS:
release
CITY OF SALEM, MASSACHUSETTS
LICENSING BOARD
120 Washington Street
��_ Salem, MA 01970
978-745-9595 ext. 421
Stanley J. Usovicz,Jr. Chairman,Harold F. Blake,Jr.
Mayor John H.Casey
Ann K.Laaff
Barbara A.Sirois
Clerk of the Board
RELEASE
IN ACCORDANCE WITH MASSACHUSETTS GENERAL LAWS, CHAPTER 140, SECTION 25,
INSPECTION OF PREMISES, UNDERSIGNED OWNER/LESSOR AND TENANT/LESSEE OF A UNIT
OF RESIDENTIAL PROPERTY, HEREBY AUTHORIZE THE SALEM LICENSING BOARD OR ITS
AUTHORIZED AGENTS TO INSPECT THE RESIDENCE IDENTIFIED BELOW, IN ACCORDANCE
WITH THE AFOREMENTIONED STATUES.
IN THE EVENT IT IS NECESSARY THAT SAID INSPECTION BE DONE IN MY/OUR ABSENCE, I/WE
EXPRESSLY AUTHORIZE THE SAME AND FOR MY/OUR SUCCESSORS AND ASSIGNS HEREBY
RELEASE AND DISCHARGE THE CITY OF SALEM, SALEM LICENSING BOARD AND ITS
AUTHORIZED AGENTS FROM ANY LOSS OR INJURY SUSTAINED OF WHATEVER NATURE AND
DESCRIPTION OCCAISIONED BY MY/OUR ABSENCE DURING SAID INSPECTION.
NAME OF LODGING HOUSE:
ADDRESS OF LODGING HOUSE:
UNIT#TO BE INSPECTED:
TENANT/LESSEE: OWNER/LESSOR:
SIGNATURE SIGNATURE
PRINT NAME PRINT NAME
ADDRESS: ADDRESS:
release