14 Park Street #2 Inspection 4-7-2017 � il�#ss#tt ##�#si:tit�its # s as ts�s#i — i
First-Class Mail �
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 1861 6104 1207 34
United States •Sender.Please print your name,address,and ZIP+4®in this box*
Postal Service
City of Salem
RECEIVED Board of Health
Washington Street 4th Floor
APR 2'42017 Salem, MA 01970
CITY OF SALEM - - -- -- -
BOARD OF HEA'U.S. Postal ServiceT11
CERTIFIED MAILT. RECEIPT
(Domestic Mail Only,No Insurance Coverage Provided)
For delivery information visit our website at www.usps.come
r
M Postage $
m
nJ Certified Fee
C3 Return Receipt Fee Postmark
C3 (Endorsement Required) Here
Restricted Delivery Fee
O (Endorsement Required)
..3 Total Postage&Fees
r-q
ru Sent To
r=1
-----------------------------------------------------------------------
O Street,Apt.No.;
r%- or PO Box No.
---------------------------------------------------------------------
G�;State,Z/P+4
-P5 Form
:rr August 2006 See Reverse for Instructions
SECTIONSENDER: COMPLETE THIS COMPLETE THIS SECTIONON DELIVERY
a Complete items 1,2,and 3. A. Signature - _ Agent �
t Print your name and address on the reverse X� Addressee
so that we can'return the card to you.
ni Attach this card to the back of the mailpiece, B. Re ' eWbv , d Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
"I Tan L UCH.) je Ino
ti,tfy,MV0, J oaq S�
II I'I1I'I IIII I'I I II I II I II I II I i ii I I I I II II I I III El Adult❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
ted
9590 9402 1861 6104 1207 34 Rf Certified WHO Delivery
❑Certified Mail Restricted Delivery ❑Return Recelpt for
❑Collect on Delivery Merchandise
❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*"r
2. Article NumhPr ffransfer from service label) _. ❑Signature Confirmation
7 012 1640 0002 3 313 1413 ery Restricted Delivery
#77 Domestic Return Receipt
PS Form 3811,July 2015 PSN 7530-02-DUt .,_,;" _
Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece r
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
obtaindelive Receipt
ai lete a attach a Return Receipt(PS Form 3811)to the article and add applicease able postage to cover
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate
uped to return receipt,a USPSe postmark on your Certified Mail receipt is
requ■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted %livery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present It when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047
109 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4m FLOOR Pub.PCHe h
� Prevent,Promote.Protest,
TEL..(978) 741-1.800 FAx(978) 745-0343
KIMBERLEY DRISCOLL lramdin@salem.com
I,ARRY RAMIDIN,RS/REHS,CHO,CP-FS
MAYOR HEALTI I AGENT
April 13,2017
Frank Valentino
PO Box 540473
Waltham, MA 02454
VIA CERTIFIED MAIL: 7012 1640 0002 33131413
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 14 Park Street#2 permitted by occupant Kelsey Vasquez,conducted by Elizabeth
Gagakis, Senior Sanitarian on April 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 the Board of Health Reply to:
Larry Ramdin Elizabeth Gagakis
Health Agent Senior Sanitarian
cc: Tenant
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH ���.�
120 WASHINGTON STREET,417H FLOOR PubHcPrey He.Protect.
TEL. (978) 741-1800 FAQ(978) 745-0343
KIMBERLEY DRISCOLL lramdinQsalem.com
MAYOR LARRY RAMDIN,RS/BENS,CHO,CP-FS
HEALTH AGENT
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant: Kelsey Vasquez Owner: Frank Valentino
Phone number: 978 210-3206
Address: 14 Park Street#2 Address: PO Box 540473
Salem, MA 01970 Waltham, MA 02454
Inspection Date:April 7, 2017 Time: 10:00am
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 .482 1. There are smoke detectors in the unit which have been removed from the ceiling.
Tenant and owner to ensure smoke and CO detectors are installed in proper
locations and have functioning batteries. Owner and tenant to correct this violation
within 24-48 hours.
24-48 hours .550 2. There were mouse droppings and traps observed in the kitchen and a dead mouse
found in the basement. Owner to hire services of a licensed exterminator to inspect
the entire building and come up with a treatment plan for all units; treatments must
continue until problem is abated. Please forward copies of invoices for service and
copy of the treatment plan to the Board of Health for our records. Owner to correct
this violation within 24-48 hours.
7 days .500 3. There is a broken window in the child's bedroom. Repair window so it is intact and
in good condition. Owner to correct this violation within 7 days.
7 days .351 4. Bathroom light is missing a cover. Provide a cover/globe for this light. Owner to
correct this violation within 7 days.
I
7 days .500 5. There is staining on several of the ceiling tiles outside front bedroom on the second
floor. Investigate for source of any leaks and make necessary repairs: replace tiles
so ceiling is in good condition. Owner to correct this violation within 7 days.
7 days .480 6. There is no locking mechanism on the front entry door to the building. Dwellings
containing three or more units must have main entry doors which close and lock
automatically. Owner to correct this violation within 7 days.
7 days .351 7. There is an outlet with a broken cover in the dining area. Repair/replace cover so it
is intact and in good condition. Owner to correct this violation within 7 days.
7 days .351 8. Light in the back hall going to the third floor does not work. Repair light so it is in
working order. Owner to correct this violation within 7 days.
7 days .351 9. Light on the third floor outside the bedrooms does not work. Repair light so it is in
working order. Owner to correct this violation within 7 days.
7 days .500 10. There is chipping and peeling paint in the front bedroom on the third floor. Scrape
and repaint any areas of damaged paint so walls/ceilings are intact and in good
condition.
7 days .351 11. Light in the front bedroom on the third floor is missing a cover. Provide a
cover/globe for this light. Owner to correct this violation within 7 days.
7 days .500 12. Skylight in back bedroom on third floor is missing the handle to open it. Provide
handle so window is able to be opened and is in good condition. Owner to correct
this violation within 7 days.
7 days .551 13. Skylight in back bedroom on third floor is missing a screen. Provide a screen for
this window; screens must be installed between April 1 and October 30 each year.
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
Este es un document legal importante. Puede que afecte sus derechos. Puede adquirir una traduccion de esta forma.