97 BRIDGE STREET - BUILDING JACKET I '7 X32 I d� P.
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�I (TOMMonnsr of Sttworiunno
a CITY OF SALEM
In accordance with the Massachusetts State Building Code, Section 108. 15, this
V
CERTIFICATE OF INSPECTION
is issued to .
7 Tfrfitg that I have inspected the premises known as `
located at in the city of Sateen
County of Essex Commonwealth of Massachusetts. -The means of egress are sufficient for the following
number of persons:
BYSTORY
Story Capacity '. `Story' - Capacity Story Capacity ' ';-STory "- Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
Certificate Number Date Certificate issued Date Certificate Expires Building Officittl
iThe building official shall be notified within (10) days of any changes in the above information.
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S � CO!e!ONHFA=2 OF .tASSACrLSai.3
' CITY OF SAL`xM
APPLICATION FOR CTZFZC;TE OF T-:25P£CZiON
Date -� ( V)/Fee Required
-! ) No Fee', Reouired
In accordance with the provisions of the Massachusetts State Building Code. Secti
108. LS. I hereov apply for a Certificate of Inspection for the below-named premises
located at the following address:
Street S Humber 21
Name of Premises A
� .; Purpose for which Premises is used
V.
b.f License(s) or Permits) required far the premises by other Gover=enr,i Age=' .
Q es:
C5 License or Permit Aaencv
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Certificate to be issued to:_ /7
Addr
;s {- Ste+ F%.yt tAy, ht x u p ait "r E*yn
Or+uer,yof;:.Recordf of
M -
Address:_�J2
Name Of Present Holder of Certificate:
Name of Agent. if anv.-.
$1 nreOS Yer'SnII O' Lelt_�:.C3LC MAP—
/,Date
is Issued or hisiber authorized agent
INSTRUCTIONS: Day rlme phone 1 _ Q -�,...
1_ Make check payable to: The City of Salem
2. Return this application with your check to: Inspector of Buildinzs. Ciry of Sa1rm
Building Deoartmeut. One Salem Green. Salem. MA. J1970.
PLEASE NOSE:
1. Application form with required fee aunt be submitted for each building or structure
of part thereof to be certified.
2. Application 6 fee muac be received before the cert_ficste will be issued.
3. The building official. shall be notified within ten (10) days of any change iII the
above information. '
CEZFICATE 30 �ZRAZON DATE:
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street 6 Number 't'2
s �.
ame of Premises _ 1; 4c % /4 �� h C
Certificate to be issued too: l ( C
Address l OV � s /
Owner of Record of Building C-
Address 12, Colo CL yLJ
Purpose for which premises are used � o b ,� �� /` �
V
Changes since lastnspection (required on file card also)
z.
3.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
T as - q81� uol/um �
Date Building Official
Certificate $ 13y JS-S- Date Issued: p
/� Date Expires: 'o- I 1
Recommended Next � vI -- I -�
calor TUMUWnwrttlt4 of 11 tt ttttri�uttri#s
a b CITY/TOWN OF
In accordance with the Massachusetts State Building Code, Section 108. 15, this
�/ CERTIF(�ICATE OF INSPECTION
is issued to . . . . . . . . . .f . . l .Q .5. . . . .9 .Ir( C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ITgrfifg thatt�I have inspected the.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . •C I .5. .r'q.C.�
located at. . . . . . . . . . 1 .�. . !✓.�.fCi� �. .� J. . . . . . .in the. . . . . . . . . . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . . . . . . . . . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location ; : or Structure Capacity Location
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within (ZO) days of any changes in the above information.
' s
BUILDING DEPT
DR. ISRAEL KAPI AN PUBLIC HEALTH CENTER
Nov 2 9 lz Am '77
BOARD OF;I-IEALTH;�J{
RECEIVED Off.Jeffersoa;Avenae
CITY OF SALEM,MASS y
SALEM, Salen% Massachusetts'019,70
WALTER F. SZCZERBINSKI,R.S.
ISRAEL KAPLAN,M.D. ""`µy•
JOSEPH R.RICHARD - HEALTH AGENT
J.ROBERT SHAUGHNESSY,M.D. - ACTING (617)745-9000'
ROBERT BLENKHORN -
M.MARCIA COUNTIE,R.N.
MILDRED C.MOULTON,R.N.
EFFIE MAC DONALD
Date October 31, 1977 .
Steve Anderson
142 Railroad Avenue
South Hamilton, Massachusetts 01982
Dear Sir/Madam:
During an inspection of your property at 97_Brfdge' Street Rented to Theresa Nicizwski
in Salem, Massachusetts, on October 31, 1977 , at '12:00 p.m.
the following violations have been noted:
Bathroom sink drain is clogged -
no ventilation (should have window or
meehanical vent)
Bedroom ceiling is loose in places, in danger of
collapsing
Front Hall Door
is not weather-tight
No handrail half-way up second floor hall.
Building is not properly posted with owner's name.
Third floor is being used as rooming house. Please contact office
of Building Inspector immediately.
1 PAGE ONE OF TWO PAGES
i
> %. CITY OF SALEM HEALTH DEPARTMENT
DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER ,
OFF JEFFERSON AVENUE -
3'a
SALEM. MA 01970
To Steve Anderson Date October 31, 1977
142 Railroad Avenue
South Hamilton, Mass.. 01982
PAGE TWO OF TWO PAGES
Re: 97 Bridge Street
Salem, Mass . 01970
Rented to Theresa Nicizwski
You are herebyORDERED to make a good faith effort to correct these violations; said .
correction of these violations shall be commenced 7 days. ,
after receipt of this letter and shall be completed no later than 14 days
Also notify the Health Department immediately by letter of your intention to make these
repairs.
You are hereby advised of your right to a Hearing before the Board of Health by filing
a written petition within 7 days. Procedures for filing of said petition are enclosed.
You are also hereby advised that the conditions which exist may permit the occupants to
exercise one or more statutory remedies which can include rent withholding.
You are further advised that failure on your part to comply within the specified time
can result in a complaint in the Salem District Court.
FOR THE BOARD OF HEALTH Reply to:
WALTER F. SZC7ERBINSKI1 R.S. JOSEPH LUBAS
Acting Health Agent Sanitarian
WFS/
Certified Mail # 422256
Return Receipt Requested.
Encls. 1) Procedures for filing petition
2) Three-page Inspection Report
cc: R Building Inspector, One Salem Green
Electrical Inspector, 44 Lafayette St.
Fire Prevention, :;48 Lafayette St.
Plumbing Inspector, One Salem Green
Attorney
Ward Councillor
XTenants Theresa Nicizwski, 97. Bridge St.,. Salem
-=- City o , a m, lassachustts
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Fire Departwnt
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Oft(afjyetfe 5trect t tT
SaGcm,iNlascathusctcv 01970.3695
i t.M. •-- 1ite'Prz:.+entaoK
'Dnv"d 1V. tnJy Tel 978-744-1235 Bunce,
C4;e( Fax 978-747-4546
?.6' Tda69yp 97$-745-7i77
_ax'u gtmlew ens
Staeia's Place
97 Bridge Street
Salem, 4k 01970
ATTN: Owner/Manager
MAINTENANCE, CLEANING,AND TESTING OF FIXED FIRE EXTINGUISHING SYSTEMS,
MAINVENANCE, CLEANING OF HOOD AND DUCT SYMMS WrIFRE COOKING GREASE
IS GENERATED..........
The Salem Fire Prevention Bureau requires that an hood and dud systems are t9 be cleaned
from the cooking area (hood)in the kitchen, an the wap to the extreme end of the duct. IBIS,
CLUNIMG MML OCCUR ON A QUARTERLY @AM.
A certificate showkul the name of the company,the person, and the date of the rdeaning shall be
posted near the hood area. The certificate wilt indicate what work was performed, and will also
Indicate areas not cleaned.
ALL FIXED FIRE EXTINGUISMNG SYSTEMS ARE TO BE TESTED AND#PECKED AM.
ANNUALLY. THIS TEST WILL.ALSO ELUDE A TEST OF THE INTERIOR FIRE ALARM
SYSTEM.
The cleaning company and the fixed extinguishing service company shalt file within(5)five days
after the work Is performed, a report with the Salem Fire Preventlon Bureau of all their activities
rotative to the above fisted systems. The report shall also list any and all defiiclences of the
systems and the remedial action to be taken. Failure to adhere to this public safety requirement
will result in the shut down of the systems. Prior to resuming operations an inspection wiq be
conducted by this office.
Per Onw.
e
U. Eri GriXin .O'F. Date of Conveyance
Fire Marshal
FORM SIR(MOS)
CC. file Health Licensing Building
50 39N5 HO1CdSI0 3513 K:-jldS Z0b694L818 ----- 9t:80 9@OZ/6?/80