255 Jefferson Ave #1 Inspection 7-7-2017 Postal
CERTIFIED MAILT. RECEIPT
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1Wcou-r CITY OF SALEM, MASSACHUSETTS IV
B0.-1RD OF HE.�LTH
120 W ASHINGTON STREET,4"'FLOOR Prevent,ptent.PCH��1
Promote.Protect.
TEL. (978) 741-1800 F,-ax(978)745-0343
KIMBERLEY DRISCOLL ]ramclinasalem.com
LARItY IL:\I\4DIN,RS/Rl?IIS,CF[O,(:))-FS
MAYOR H I AL;n-i A :ENT
July 14,2017
Jean Budrow
209 Rice Avenue
Revere, MA 02151
VIA CERTIFIED MAIL: 7012 1640 0002 3313 1680
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 255 Jefferson Ave#1 permitted by occupant Nancy Anzalone,conducted by
Elizabeth Gagakis, Senior Sanitarian on July 7, 2017 @ 10:00 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be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn.You may be represented by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 inspection report form.
For ft Board of Heal h Reply to:
Larry Ram n Elizabeth Gagakis
Health Agent Senior Sanitarian
cc: Tenant
Q�'�3
� CITY OF SALEM, MASSACHUSETTS
BOARD C)F HEALTH
120 WASHINGTON STREET 4 FLOOR pllbliCHe..a1tl
, Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL lramdin salem.com
MAYOR LAR.RY RXN%TDIN,RS/REI IS,CHO,CP-FS
HF.-1I XI-i A(G NT
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant: Nancy Anzalone Owner: Jean Budrow
Phone number: 978 530-8637 Address: 209 Rice Avenue
Address: 255 Jefferson Ave#1 Revere, MA 02151
Salem, MA 01970
Inspection Date:July 7, 2017 Time: 10:00am
Conducted by: Elizabeth Gagakis Accompanied By: Tenant
Specified Time Rea_. #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:
14 days 550 1. Tenant had complaint of leaks in the bathroom. At the time of inspection, it was
noted that the ceiling tile over the toilet was warped and stained, indicating a
possible leak. Owner to investigate for the source of the leak and repair so it does
not reoccur; replace ceiling the so ceiling is intact and in good condition. Owner to
correct this violation within 7 days.
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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