87 BRIDGE STREET - BUILDING INSPECTION 'r
BRIDGE STREET STREET
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR p
SALEM, MA 01970
v !Zr, PPA TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
September 12, 2003
Murray &Anna Wilensky
17a Heritage Drive#21
Salem, MA. 01970
Dear Mr. & Ms. Wilensky:
In accordance with Chapter III, Sections 127A and 1278 of the Massachusetts General Laws, 105 CMR 400.00, State
Sanitary Code, Chapter l: 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 87 Bridge Street#1
rear occupied by Bili Raby,conducted by Jeff Vaughan, Sr. Sanitarian, on Friday September 12, 2003 at 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 Health Department at 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Order should be modified or withdrawn.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 or 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:
inne Scott ' Jeff Vaughan
Health Agent Sr. Sanitarian
Certified Mail: 7099 3400 0009 4079 0740
CC: tenant, Bldg. inspector
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CITY OF SALEM, MASSACHUSETTS
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BOARD OF HEALTH
@• 120 WASHINGTON STREET, 4TH FLOOR
��� SALEM, MA 01970
Q/ar� TEL. 978-741-1600
FAX 978-745-0343
STANLEY LISOV cz. JR Page 1 of
JOANNE SCOTT, MPH, RS. CH0
MAYOR HEALTH AGENT
State Sanitary Code, Chapter It: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant : BILL RABY Phone:_t9 210-9189 _
Address: 87 BRIDGE STREET Apt.# 1 REAR Floor 1
1
Owner: MURRAY 6 ANNA WILENSKY Address: 17A HERITAGE DRIVE #21
SALEM, MA. 01970
Inspection Date: SEPT. 12, 2003 Time: 10:00 AM
Conducted By: JEFF VAUGHAN Accompanied BY: TENANT
Anticipated Reinspection Date: PRIOR To NEW TENANT
Specified Time Reg-#410.. Violation(s)
Based on a tenant complaint an inspection was conducted in accordance
with Article ii of the State Sanitary Code 105 CMR,410.000:
Upon inspection the following were noted:
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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 SR. Sanitarian
Este es documento legal importante. Puede que afecte sus derechos.
. . . ,. -_._ T--- _;-- -_.,..---;,, n . ,i fnlafnnn 7d1_1Rnn
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Appendix II (14)
Legal Remedies for Tenants of Residential Housing
The following is a brief surnmary of some of the legal remedies tenants may use in order to get
housing code violations corrected
1. Rent Withholding (Massachusetts General Laws, Chapter 239, section 8A): If Code Violations Are Not
Being Corrected you may be entitled to hold back your rent payments. You can do this without being evicted if
You can prove that your dwelling unit or conunon areas contain code violations which are serious
enough to endanger or materially impair your health of safety and drat your landlord knew about the
violations before you were behind in your rent.
You did ndt cause the violations and they can be repaired while you continue to live in the
building.
You are prepared to pay any portion of the rent into court if a judge orders you to pay it. ( for this,
it is best to put the rent money aside in a safe place)
2. Repair and Deduct(Massachusetts General Laws, Chapter III, section 127L): The law sometimes allows.
you to use your rent money to make the repairs yourself.If your local code enforcement agency certifies that
there are code violations which may endanger or materially impair your health,safety,Or well-being, and
your landlord has received written notice of the violations,you may be able to use this remedy. If the owner
fails to begin necessary repairs(or to enter into a written contract to have them made)within five days after
the notice or to complete repairs within 14 days after notice,you can use up to four months rent in any year
to make repairs.
3. Retaliatory Rent Increases or Evictions Prohibited (Massachusetts General Laws,Chapter 186, section
18, and Chapter 239, Section 2A):The owner may not increase your rent or evict you in retaliation for
making a complaint to your local code enforcement agency about code violations. If the owner raises your
rent to try to evict within six months after you have made the complaint, he or she will have to show a good
reason for the increase or eviction which is unrelated to your complaint. You may be able to sue the landlord
for damages or if he or she tries this.
4. Rent Receivership (Massachusetts General Laws Chapter Il, section 127 C-R): The occupants and/or the
Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to
the owner.The court may then appoint a"receiver"who may spend as much of the rent money as is needed
to correct the violation. The receiver is not subject to a spending limitation of four months'rent.
S. Breach of Warranty of Habitability: You may be entitled to sue your landlord to have all or some of your
rent returned if your dwelling unit does not meet minimum standards of habitability.
6. Unfair& Deceptive Practices (Massachusetts General Laws, Chapter 93A) : Renting an apartment with
code violations is a violation of the consumer protection act and regulations, for which you may sue an
Owner.
The information presented above is only a summary of(lie law. Before you decide to withhold rent or take anv
other legal action, it is advisable that you consult an attorney. if you can not afford to consult an attorney: you
should contact the nearest legal services office, which is
North Shore Community Action Northeast Housing Court
Programs Inc. -2 Appleton Street
98 Main Street Lawrence, MA. 01840
Peabody, MA. 01960 (978) 689-7833
(978) 531-0767
CITY OF SALEM HEALTH DEPARTMENT
Salem, Massachusetts 01970
Page a of �
Date: 9/x,2
Name: Address: s-
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Specified Time Reg.#410.. VIOIation(5)
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Page of
Date:
Name: Address:
Specified Time Reg.#410.. Violation(S)
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One Salem (6rtat
745.0213
January 23, 1985
Site - 87 Bridge St, Att : John Randall Const. Co .
Salem, Mass. 01970 17 Cressey St.
Marblehead, Mass. 01945
Dear Mr. Randall:
This list of. items constitutes changes needed at the above
site to meet Building Code, City of Salem, Mass .
(1 ) Fire Stop At Chimney LSI f2 Tc-d ' '
(2) Fire Rated Sheet Rock in Hallways as required between
gommercial .,& residential areas to Building Code. o /q' 2"T- a/ —
(3) �-Fire Rated Doors where required. a/°( 70114 57�z '
(4) Exit & Entrance Door where required. o/� R. '7 /�����'
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( 5) Fire Rated Sheet Rock in Store Ceiling to Codeo�-o
(6) Fire Rated Dropped Ceilings in commercial area to Code .
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(7) All Stairways & Landings to Building Code. dK l2 Tuc°
(8) Railing on Stairway as needed to Building Code.
Also, any other changes required to meet Building Codes at
final inspections .
Thank you for your cooperation in this matter.
Richard McIntosh
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Richard T,MCIntosh
1 Salem- Green
April 23,1984
745-0213
Re: 87 Bridge Street
B-I Zoned
TO WHOM IT MAY CONCERN:
The property located at 87 Bridge Street is located in a
B-I Zoned District, which' allows for Residential Uses, as
well as cettain Neighborhood Business Uses. (Enclosure)
Richard T. McIntosh
Zoning Enforcement Officer
RTM:mo' s '
USE. REF.ULAIIONS SECTION V
d-e ' Historic buildings open to the public.
e. :useums.
f. Private ,garages and other accessory uses and
buildings, provided that such uses are clearly
incidental to the principal use.
g.
Buildings and facilities for Elder!; Housing
projects built utader the jurisdiction of the
Sale-m Housing Authority and financially aided
by either the U. S. Public housing administration
andlor the Com^onwealth of Massachusetts
Department of Commerce - Division of Public
Housing.
3. R-3 Districts - Multi-Family Residential
a. All uses permitted in R-2 Districts.
b. Multi-family dwellings. .
c. Private garages and other accessory uses and
buildings, provided that such uses are clearly
incidental to the principal use.
4 t:, B=1 Districts Nei; hborhood Business .�
a: All uses permitted in R-3 Districts, subject to
all_ the provisions specified for each set use.
b. Grocery, fruit, vegetable, and meat stores,
delicatessens.
c. Bakeries, provided that all baked goods are
sold at retail on the premises only.
d. Drugstores.
e. Stores sellin.- liquor, beer, and wine for con-
sumption off the premises.
i. Newsstands and variety stores.
g. Dry goods and notions stores. .
h. Book, stationery, and gift stores.
i. Florist shop , but excluding greenhouses. -
j . Eardware stores.
k. Banks and savi:n.�s and Joan institutions.
1. Barber shops and beauty parlors.
20
REGULA710NS SECT "ON v
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n. Laundry, dry cleanin„ and pressing estab-
lis^-ents, provided that not more than fi e (5)
persons are engaged in providing, such services.
n. =lf-service laundries. .
o. ailor and custom dressmaking shops.
P. Shoe repair shops.
n. Radio, television, and applicance repair shops,
provided that not more than three (v) persons
are engaged in performin; such services.
r. professional offices, medical and dental clinics.
s. Restaurants and other eating, places which do
not serve alcoholic beverages consumed. on the
premises, and including drive-.in restaurants
and drive-in snack shops.
t. Municipal buildings.
t
u. Off-street parking and loading facilities and
other -ccessor uses and buildings, provided
that such uses are-clearly incidental to the
principal use:
B-2 Districts - R�-�n:�ay Business
a. :ill uses permitted in B-1 Districts, subject. to
ali�nrovisiors specified for such uses, except
that;.`all residential uses are prohibited.
b. Restaurants and other eating places. in which
alcoholic beverages may be served.- on the
premises.
:c. Motels.
d. Automobile se.-rice-stations, subject to the
restrictions o "Section 'CII B.
e. Off-street parkin. and loading facilities and
other accessorye-uses and buildirgs, provided
that such uses`are clearly incidental to the
principal use.
# . Supermr::ets.
g. Retail denart-ent stares located �.ithin a
scooping plaza.
h. Other accessory uses located within a shopping,
plaza.
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CITY OF SALEM HEALTH DEPARTME NST
BOARD OF HEALTH gF0 4YC�
SALEM,MASS.
{�??)�T9' 9F
Salem, Massachusetts 0197V
ROBERT E. BLENKHORN March 30, 1983 One Broad Street
HEALTH AGENT
(617)741.1800
Michael 6 Margaret Apostolos
c/o Mike's Exxon Service Station
94 Bridge Street
Salem, Massachusetts 01970
Dear Sir and Ladan :
An inspection was conducsted by a Health Agent of the yard and
surrounding area of 87 Bridgc;st:', Salem, MA. on March 29, 1983.
In the yard there is an accumulation of rubbish and debris from a
fire all around the property.
As this has been an on-going problem, you are hereby Ordered,
as owner of this property to take Immediate corrective action,
upon receipt of this notice.
FOR THE BOARD. OF HEALTH
ROBERT E BLENKIIORN
Health Agent
REB/q
cc: Vincent J . Furfarc,
Director Constituent Services
cc: City Councillor, John F. Nestor,III
Salem City Hall
cc: Richard McIntosh,
Building Inspector
Served in Hand 4/30/82
by
ARBEE CORP. ,aeQPOSTOLas ; S
Robert R. BUSSIere, P.E. SHEET NO.— OF
342 Candia Road CALCULATED BY �S� • DATE
Manchester, NH 003103 , 3r
603'622-2639 CHECKED BV DATE
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ACKERLEY COMMUNICATIONS
OF MASSACHUSETTS, INC.
November 20 , 1981
Mr. Joe Lubas
Building Inspection Department
City Of Salem
1 Salem Green
Salem, Ma 01970
Dear Mr. Lubas:
Thank you for your call today concerning our location
at 87 Bridge Street. You can be assured that immediate
attention will be given to this problem.
Thanks again for your call.
Sincerely,
AC RLE COMMUNICATIONS , INC.
Wilson Tann r
WT/vml
3134 Washington St., Boston, MA 02119/Phone: (617) 482-3243
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ACKERLEY
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COMMUNICATIONS Mo,
3134 Washington St.,Boston,MA 02119
Mr. Joe Lubas
Building Inspection Department
City of Salem
1 Salem Green
Salem, Ma 01970
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BUILDING UF�>
DR. ISRAEL I{API.AI�T MIMIEALT �T E�
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130ARIYbE I1EA.LTL
1 i r +rl_ ,- RECEttICp
Off Jefferson MOnCITY OF SALEM,(SASS.
Sateen;Nla chuseirs;pT970
ISRAEL KAPLAN. M. D. Robert E. Blenkhorn
JOSEPH R. RICHARD
HEALTH AGENT
XYi2�i:6iC74YCr�4}[T{357KYX1�3'b.
4ti1Si�Y38t�'`nr'>iB:GY - (617) 746�9000
M. MARCIA COUNTIE. R. N. -
MILDRED C. MOULTON. R.N.
EFFI_ MwcDONALD August 24, 1978
Michael and Margaret Apostolos
c/o Mike's Exxon Service Station Re: Fire at 87 Bridge Street
94 Bridge Street 2nd and 3rd floor apartments
Salem, MA 01970
Dear Sir and Madam:
Under the Massachusetts General Laws, Chapter 111, Section 30, Regulation 5 of
Article I of the Sanitary Code, the Rental Unit on 2nd floor, left, at this
address today was CO'3DEQNED for the Minimum Standards of Fitness for Human
Habitation and has been sign-posted to this effect.
An on site inspection was conducted jointly by Health Agent, Robert Blenkhorn;
Sanitarian, Tom Campbell; and Francis Bates, Deputy Fire Chief, as a result
of call received in this Department this date at 9:35 a.m. from the City of
Salem Fire Alarm Operator that a fire is in progress at 87 Bridge Street, and
firemen are standing by for arrival of a Health Department Inspector.
The following violations were noted:
Second Floor Apartment -- Very bad rubbish condition exists.
Third Floor Apartment -- This has been used for sleeping quarters
by persons unknown. .
Has no second exit.
Broken window, open to the elements and
gC� / is now a pigeon roost.
Yard Area -- Bad rubbish condition exists there.
vj
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CITY OF SALEM HEALTH DEPARTMENT
CIO
DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER
OFF .IEFFERSoN AVENUE
SALEM. MA oleo
Mike and Margaret Apostolos Page Two
c/o Mike's Exxon Service Station August 24, 1978
94 Bridge Street
Salem, MA 01970
Apartment posted with a CONDEMNED sign by Mr. Campbell. Owner notified in
person by Health Agent, Mr. Blenkhorn, that this condition must be immediately
corrected and repairs completed in 5 days. The sign must not be removed until
this Department is notified that condition is corrected and a re-inspection can
be made. Noncompliance will result in court action.
FOR THE BOARD OF HEALTH REPLY TO:
v4 EP
Robert E. Blenkhorn Thomas J. Campbell
Health Agent Sanitarian
B/f
CC: ABeputYY Fire Chief, Francis Bates, 48 Lafayette Street, Salem, MA
uild3ng Inspector One Salem Green, Sale, MA
Encl.Electrical Dept. , 44 Lafayette Street, a em, 14A
Hand Delivered
AUG apa����
94 Bridge Street
R CC:1 N Ac�r�, Salem, Ma. 01970
ell, OF SAL August 25, 1978
Mr. Thomas J. Campbell
Samitarian
City of Salem Health Department
Off Jefferson Avenue - -- ---
Salem, MA 01970
Dear Mr. Campbell:
Due to conditions unknown to us and upon talking
to you, all conditions have been corrected. . The
house has been cleaned from attic to cellar on
the 24th, the same day as you talked to me.
It was inspected by Deputy Fire Chief Francis Bates
on 8/24/78 and he said it was all in order.
We wish to have it re-inspected by you to let its
know if it satisfactory and the sign removed.
Iours truly,
rii?iael Apostolas
Copies to:
Robert Blenkhorn, Salem Health Dept., Salem, MA.
Building Inspector, One Salem Green, Salem, MA.
Electric Department, " Lafayette St., Saleay, MA.
Deputy Fire Chief Francis Bates, 48 Lafayette St. Salem, Ma.
y
htjtV of alettt, ��Httssut4tusE#ts
�r � �irP i�e}�ar2mrnt 3lratigsarirrs
OCT 00
INTER-DEPARTMENT MEMO Fr SAIL:PO
Tames �. ?Qrrrznun GiTY 0F' SA::EB094SS:
�h�ef
In compliance with the provisions of Chapter 148, Section 28A
of the General Laws of the Commonwealth of Massachusetts, you
are hereby notified of the following Code action, which may
require furthur action by your department.
Date : October 29,1980
Location: 87 Bridge St
Type of Occupancy: Variety Store and Apts above store .
Individual or--Business involved:
Nature of Code Action: Illegal coal stove installed without permit .
Ordered stove removed and instructed tenent to apply for permit .
Other Code Enforcement Officers to be Notified :
Building Inspector : x
Electrical Inspector : x
r ! . ;- rHealth Department':;
Police Department: -
Engineering Dept': r„
a , .Tlumbinq _or Gas-:Insp. c
:. Other : j
Respectfully. submitted,
a�
Form #57A(10/76)
[3UILDING DEPT
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- j 3fvr ryertmrnt 3ira auartrra OCT 30 1 .15 N rB�
7 _= �mn
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CITY Of` SALEN,HAS S.
Date : October 29,1980
Name : ' Mr William Pickard Re : 87 Bridge St
Address: 87 Bridge St Salem Ma. Salem TA.
As a result of an inspection this date of the premises , structure,
_Open land area or vehicle owned, occupied or otherwise under your
-control , the following recommendations are submitted and shall serve
as a notice of violation of fire laws. These recommendations are -
made in the interest of fire prevention and to correct conditions",:
that are or may become dangerous as a fire hazard or are in violation
of law.
You are hereby notified to remedy said violations named below with'in
Immediately of above date.
Such further action will be taken as the law requires , for failure
to comply with the above requirements within the stipulated time .
(Reference : General Laws of Commonwealth of Massachusetts , Chapter l
Section 30; and the Salem Fire Code Article 1 . )
Illegal coal-wood burning stove installed without permit.
This condition a very serious fire hazard in my opinion and ordered
removal with Mike Dennehy City Electrician as witness .
Mr Pickard was informed about proper procedures in securing a permit.
A
CC Owner Mr Mike Apostolos
Building Inspector
5 +
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Form #25A(9/75)
City of Salem
BUILDING DEPARTMENT
s�
FIELD CORRECTION NOTICE
LOCATION i /+ � 1 T - PERMIT N0.
ISSUED TO
PERMIT HOLDER AND/OR ALL RESPONSISILE PARTIES.
NOTICE DELIVERED TO
Upon inspection, violations of the Secwere in evidence.
The following orders are hereby issued for their correction:
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PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. ACCEPTANCE
AND APPROVAL BY AN INSPECTOR OF THIS DEPARTMENT IS REQUIRED AND MUST BE CORRECTED
ON OR BEFORE
DATE / ,/ } /k 'a gY . A,
INSPECTOR
FIELD COPY
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City of Salem
r:I t
n BUILDING DEPARTMENT
s�""°"r.v�''S� 1
FIELD CORRECTION NOTICE
LOCATION 3A I d J �s T . PERMIT NO.
ISSUED TO �)j1 1k, V r� � D
PERMIT HOLDER AND/OR ALL RESPONSIBILE PARTIES.
NOTICE DELIVERED TO
Upon inspection, violations of the Sec. were in evidence.
The following orders are hereby issued for their correction: +
V o t-P /a.� / �s iL 0/ 7"0 . -'-,, -Ad to, f
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PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. ACCEPTANCE
AND APPROVAL BY AN INSPECTT—O�R� OF THIS DEPARTMENT IS REQUIRED AND MUST BE CORRECTED
ON OR BEFORE
(,//�1A� /l t, �� C� /t�✓��� J {/�fI
DATE 7 �' / �lS L BY '�%i/
INSPECTOR
FILE COPY
RECEIPT FOR CERTIFIED MAIL-300 (plus postage)
SENT TO OR
Michael Apostolos o OR DAT
Lf') STREET AND NO. p
94 Bridge Street .°°
,y. P.O., STATE AND ZIP CODE
Salem,Ma 2_1970
Rvi0
OPTIONAL SERVICES FOR ADDITIONAL FEES ye
LSA 1. Shows to whom,and date delivered ............ 156 0 0
RE7URX With delivey to addressee only............654 P 0.
P�7 RECEIPT d, Shows to wham,date and where delivered.. 35� 0
SERVICES With delivery to addressee only............85d 0 t1
DELIVER TO ADDRESSEE ONLY ...................................................... 50d C4
SPECIAL DELIVERY
(extra fss requiredJ.................................. .
�.a PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other tide)
Apr. 1971 NOT FOR INTERNATIONAL MAIL nGPO: 1svao-551.454
STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail),
SERTIFIEO MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front)
1. f you want this receipt postmarked, stick the gummed stub on the left portion of the address
k, side of the article, leaving the.receipt attached,and present the article at a post office service
n'.%rfdow or hand it to your rural carrier. (no extra charge)
2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of
the address side of the article, date. detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified-mail number and your name and address on
a return receipt card, Form 3811, and attach it to the back of the article by means of the
gummed ends. Endorse front of article RETURN RECEIPT REQUESTED.
4. If you want the article delivered only to the addressee, endorse it an the front DELIVER TO
ADDRESSEE ONLY. Place the same endorsement in line 2 of the return receipt card if that
service is requested.
5. Save this receipt and present it if you make inquiry.
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Richard T. McIntosh
One Salem.Green November 12, 1982
74�-ll213
Michael J. Apostolos
94 Bridge Street Re: 87 Bridge Street
Salem,Ma 01970
Dear Mr. Apostolos:
Under the provisions of Article 123 of the Massachusetts
State Building Code, I am requiring you to take the action
that is necessary to immediately demolish the above referenced
property.
• You will obtain all the required permits beforehand.
As of this date the building will be posted as dangerous
and unsafe.
Very truly yours, /
Richard T. McIntosh
Inspector of Buildings
RTM:mo's
Certified Mail #957465
0 SENDER:Complete items 1,2,and 3.
Add your address in the "RETURN TO space on
a reverse.
1. The following service is requested(check one).
L� Show to whom and date delivered.... . .... .. S
D Show to whom,date,and address of delivery..-0
D RESTRICTED DELIVERY
Show to whom and date delivered... ... . .... 6
D RESTRICTED DELIVERY
7] Show to whom,date,and address of delivery.$
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(CONSULT POSTMASTER FOR FEES)
Z 2. ARTICLE ADDRESSED TO:
Michael J. Apostolos
\ S94 Bridpre S t5l 55�0 ;
alem,
-%RTICLE DESCRIPTION:
�ISTERED NO. CERTIFIED NO. INSURED NO.
957465
Iways obtain signature of addressee or agent)
I ceived the article described above.
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UNITED STATES POSTAL SERVICE f
OFFICIAL BUSINESS {I
SENDER INSTRUCTIONS PENALTY FOR PAI
USE TO AVOID PAYMENT PENALTY
VATE
Print your name,items 1 and ZIP CODE it the space below. OF POSTAGE,8300 -
Complete items t,z and 3 at the reverse. 0. `
•Moisten gpmmetl ends and attach ar from of article if space
permits.Otherwise affix to Rack of article.
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Endorse drtiCl¢ "Return Receipt AegpeSt¢tl" adjacent to
number.
RETURN
TO
Public Property Department 4�
(Name of Sender) {i
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1 Salem Green
(Street or P.O. Box)
Salem,Ma 01970
(City, State, and ZIP Code) F
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HAROLD J. SMITH. PRESIOENT OFIIEEB
ANDREW H. BARBIERE. VICE PRESIDENT NEW YORK, N. Y.
ARTHUR BLAND, VICE PRESIDENT JERICHO, L. 1., N. Y.
ARTHUR SICKER, MANAGER
AROSLEY, NEW YORK
SYRACUSE, NEW YORK
FRESH MEADOWS, N. Y.
HAMDEN, CONNECTICUT
LIVINGSTON, NEW JERSEY
BOSTON, MASSACHUSETTS
COMMACK, SUFFOLK CTY., N.Y.
PHILADELPHIA, RIVERTON, N.J.
Harold J. Smith .{-adjusters, Inc.
ADJUSTERS FOR INSURANCE COMPANIES
211 CONGRESS STREET
BOSTON, MASSACHUSETTS 02110
December 9, 1982 CABLES: HASMITHCO N Y.
(617) 402.1 S44
TELEX: 12 9244
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Salem City Hall
Salem, Massachusetts
c' FTI
7i ca
RE: Insured: Heritage Co-Op Bank
N n a
Property Address: 87 Bridge Street Salem Massachusetts m<
x 11� N
0
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N N
Policy Number: 51352
Loss of: October 29, 1982 19
File or Claim Nulaber: 287091
Claim has been made involving loss, damage or destruction of the
above captioned property, which may either exceed $1,000.00 or cause
Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice
under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate please
direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or
file number.
Signatur
Title: Lawrence McLear
Manager
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated aboby first class mail.
INTERNATIONAL ADJUSTERS signa ur a dare
Harold J Smith .adjusters --
usn '
211 CONGRESS STREET
BOSTON MASSACHUSETTS 02110
Harold 7. Smith Adjusters, Inc.
21-- t is ;r ss Street
Boston, Massachu—etts 02110
uusrtleas i. I'Uttcate
��o o Citp of batem, AnsactjuOW5
6
DATE FILED ' O Type:>Q�.New
Expiration at ❑ Renewal, no change
Number 96-T§3 ❑ Renewal with change
In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General
Laws, a amended, the undersigned hereby declare(s) that a business is conducted under the title of:
at. /1r� � IP-11), M9 6/1 zo_
type of businesses le✓4 -- Web -y%, �a� �c° CPQ �
k ,
by the following named person(s): (Include comorate name and title if corporate officer)
Full Name Residence
Z �Lz ken !Go oa/ Yf/o
Signatures
------------ --L>r3j1x—_----------------------------------------------------
---------------------------------------------------- -----------------------------------------------------
on —2C � 19-4he above named person(s) personally appeared before me and made an
oath that the fore ing statement is true. _
,L�..�..,.0 �s ,�,d, .,?- -----------------------------------------------------
CITY---------------------------------- ---- -------
CLERK Notary Public
(seal)
Date Commission Expires
Identification Presented
State Tax I.D. # S.S. # —
(if available)
In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass.
General Laws,business certificates shall be in effect for four(4) years from the date of issue and shall be
renewed each four Years thereafter. A statement under oath must be filed with the town clerk upon
discontinuing, retiring, or withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be
famished on request during regular business hours to any person who has purchased goods or services from
such business.
Violations are subject to a fine of not more than three hundred dollars ($300.00) for each month during which
such violation continues.
► 7-18-202 8=OOAM FROM p_ I
City of Safem, Massachusetts(61
Fire Department ,
48 Lafayette Street
lobert 4N.Turner Salem, v&ssacfiusettj 01970-3695 gyre Prevention
Chief TeC 978.744-12.35 'vwwu
978-744-6990 FaX 978-745-4646 978-745-7777
RECORD OP COMPLATNT
DATE: / /RECEIVED BYe�
SUBJECT:
LOCATION: �� ✓3�,��� (d //,f, / / . 1
COMPLAINT BY: 1G ff, ilriJ�f}/ CL/✓T�TCh P`� <� 1 . -_�,�
ADDRESS : L
NARRATIVE: Af/hT DY° N• D®�o� � !/lC�i GAG{ <1 �� `
lJr�i� ✓g •� P.st�s / 6441e.
�7
of
SITE INSPECTED BY. DATE:
COMMENTS:
REFERRED TO:
SIGNED:
Form #58 (revised )/97) '
i 7-18-202 8-01AM FROM P. 2
HAND DELIVER COPIES OF THE FOLLOWING:
MASSACHUSETTS GENERAL LAWS,
SALEM FIRE PREVENTION CODE_
I
have received on this date from
of the Salem Fire Prevention Bureau and witnessed by
Officer of the Salem Police Dept . , copies of
laws and regulations relative to
c
�y'/r7fe7�A/•� GCdfIGt��� J � /,� �/`!!f� C.��/'s Afi�h
✓`P�P��I/-CGS" r`�" CO�y f�f�C{ GIGG�%c. `C�
INSPECTOR'S DAILY ROUTE REPORT
��, I
l Date �l✓'/ Odometer Readings
INSPECTOR'
Last Stop
Time of Leaving Office / ✓ �0, Office
The following is o correct listing of myI on vities
for this day. Miles Driven
Permit, Eqo ip' Type of
Stop Arrive Left Address Notice or ment Inspec-
Complaint or tion
Number Building
7
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 _
18
19
20
21
22
23
24
25
WORK DISTRIBUTION (KINDS OF INSPECTIONS)
PERMITS PERIODICAL & FEE REINSPECTION
COMPLAINTS NO ENTRY TOTAL
CHECKED BY DATE
SUPERVISOR
/41
NEW ENGLAND CLAIMS SERVICE, INC.
365 Broadway
Lynnfield, MA 01940
Form of Notice of Casualty Loss to Building
Under Mass . Gen. Laws , Ch. 139 , Sec. 3D 1
TO: Bing—C-emr �r Board of Health or �J
Inspector of Buildings B --,arQ-vr—�'—���
addresses
Ll a
RE: INSURED:
PROPERTY ADDRESS :
POLICY NO. : 5P cOJ��9�J�
LOSS OF! ` ��� 19
FILE OR CLAIM NO. : � ( � �
Claim has been made involving loss , damage or destruction of the
above-captioned property which may either exceed $1 , 000 . 00 or cause Mass .
Gen. Laws , Chapter 143 , Section 6 to be applicable . If any notice under
Mass. Gen. Laws ; Chapter 139 , Section 3D is appropriate, please direct it
to the attention of the writer and include a reference to the captioned
insured, location, policy number , date of loss and claim or file number .
TL
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first class mail .
S 7
SIGNATURE AND DATE
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