BRIDGE STREET 100-130 ��CONDIT
yc
R
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO June 13, 2001
HEALTH AGENT Tel: (978)741-1800
Fax: (978) 740-9705
Raymond Young
87 Federal Street
Salem, MA 01970
Dear Mr. Young:
In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws,
105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 100 Bridge Street 1 Left conducted
by Jeffrey Vaughan, Senior Sanitarian of the Salem Board of Health, on June 13, 2001 @
10:00 am.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter 11: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Board of Health and the unit may not be rented or occupied until the noted violations have
been corrected and a reinspection has been made.
VIOLATIONS: SEE ENCLOSURE:
ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR
THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS.
Please note that some of the necessary repair may require permits for the Building, Plumbing,
Electrical, Fire or other City Departments. These must be obtained before the work is
commenced.
FOR THE BOARD
/OOF 'HEALTH REPLY TO
oa�tt Jeffrey Vaughan
han
Health Agent Senior Sanitarian
Enclosure
CERTIFIED MAIL 7099 3400 0008 9438 9069
JS/mfp
CITY OF SALEM HEALTH DEPARTMENT
Nine North Street
Salem, Massachusetts 01970 Page 1 of I
State Sanitary Code, Chapter II: 105 CMR 410.000
h Minimum Standards of Fitness for Human Habitation
Occupant : Phone:
Address: loo Bridge Street Apt.# 1 t<rr Floor 1
Owner: Raymond Young Address: 87 Federal Street
Salem, MA. 01970
Inspection Date: June 13, 2001 Time: 10:00 AM
Conducted By: Jeffrey Vaughan Accompanied By: owner
Anticipated Reinspection Date:
Specified Time Reg.#410.. Violation(s)
A Certificate of Fitness inspection was conducted per cit
ordinance prior to rental. The following conditions need to
be corrected prior to issuance of the Certificate.
WINDOWS:
pp o -2 windows facing street and middle room window facing main
entry door need repair. Check all three for the followin :
— l.,i�;✓q w o e,o S t SaS' i' ou e.0 cz 1:'v e< enc
9/ Loo �i T i r /ce c c nie
SMOKE DETECTORS:
-smoke detectors must be located properly and operable.
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.
Puede adquirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800.
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4."FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRlI'l,,NBAUM@SAI.IG?M.COM
DAVID GRF,ENBiAUM,RS
ACTING HFALTI I A(;f?N,r
CERTIFICATE OF FITNESS
CERTIFICATE #578-10
DATE ISSUED: 12/13/2010
Property Located at: 100 Bridge Street UNIT# 1 R
Owner/Agent: Raymond Young
Address: 87 Federal Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-662-3882
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOAnRDD OF HEALTH
1AU/�Y�1 )
d
DAVID GREENBAUM RS
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH •J /(�
120 WASI-IINGTON STREET,4." FLOOR
TEL. (978) 741-1800
KIMB3ERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGZEENBAUM&nr.IN COM
DAVID GREENBAUM,RS
ACTING HEALTH AGEW
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT r'i!: Jj UNIT#-1 )E-
IS THIS UNIT DISIGNXTLFD AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER i"Ac MANAGER/AGENT
NO P.O. BOX
ADDRESS ADDRESS l� A
CITY, STATE, ZIP Sat tyr WIG. 49 tct Zy CITY, STATE,ZIP
RESIDENCEPHONE Ik 711 •/.f7L BUSINESSPHONE (24HRS)
BUSINESS PHONE S(9�•(o6 �,Fa`<
TOTAL NUMBER OF ROOMS: r'9WJ.
ROOM USE: 1. ?140 i~ 2. 7) n,`7 3 '3'Ir 4 �W AV. 5
6. 7. S. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE E OF INSPECTION
APPLICANT'S SIGNATOR DATE
I_ Inspectors use only /13111)
Date on initial inspection: CGbt // 0 Date of reinspection: �
Date of issuance of certificate:
q 130 Date fee paid: 1&jA A 11 U
Type of unit: Dwelling_/Other Check#7'70.S .Check.Check date: g/J //d
Notes: Ufn d(jUn haaN
0+- �(, I-Pi (Nf1JI6tl In Lf AV S 16 �Jom( '
� GCK 1 in I�m 1 r , IA/('I i 1129c.��aZ A)oQ�i�oJS ��hflCt UL u .
Code E or ement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREE"r,4."FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR x�ar;I�Nlsnun2 n�snia=��rr��i
DAVID GR131-.NRAUNI
AC'1'IN(i HkAIJ I I AG]•:N'I'
Facsimile
Transmittal
To: OUd0
Fax # �-V --?q(4- q L01 L(
RE: R Ick- UIGI fiSON- lO D T d K- ,R
Date : f'p, /U
Page(s): including this cover#_QL
Message:
Board of Health News ----------------------------------------------------------------For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
TRANSMISSION VERIFICATION REPORT
TIME : 01/05/2011 01:16
NAME :
FAX : 9787450343
TEL : 9787411800
SER.# : 000BON341991
DATEJIME 01/05 01: 16
FAX NO./NAME 919787449614
DURATION 00: 00: 25
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
impoRTANT mr_aawuc
7 A.M.
DATE �'�% TIME P.M.
M
OF-
PHONE
PHONE ° S "" H'� A�IC:e-C✓2tX7
AREA CODE NumSFQ EXTENSION
O FAX �Qt
❑ MOE3ILE ((��
AREA CODE NUM6Eq TIME TO CALL
TELEPHONEDPLEASE CALL
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH'
RETURNED YOUR CALL' WILL FAX TO YOU
MryryESSAGE —$- ._
O
SIGNED
(tNIVERSAL- 48005 MADE IN U.S.A.
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
.�, TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
2/22/05
Raymond Jerzylo
17 Bayview Avenue
Salem, MA 01970
PROPERTY LOCATED AT 102 Bridge Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. -4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. - 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
,"r the Board oHeal
f VoZe"IS-Ic-lo�tt
Reply to
IMPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
J gj
120 WASHINGTON STREET, 4TH FLOOR
c SALEM, MA 01970
TEL. 978-741-1800
' FAx 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 14, 2003
Raymond Jerzylo
17 Bayview Avenue
Salem,MA 01970
PROPERTY LOCATED 102 Bridge Street Unit#2
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 1.05 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
+RR,, CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
2/22/05
Raymond Jerzylo
17 Bayview Avenue
Salem, MA 01970
PROPERTY LOCATED AT 102 Bridge Street Unit 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
�7, .
Joanne cott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-741-1800
FA-x 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1/13/05
Louise H. Pelletier
82 Washington Square East
Salem, MA 01970
PROPERTY LOCATED AT 104 Bridge Street Unit 5L
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
Foy the Board of Healt Reply to
i .
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
g BOARD OF HEALTH
3j 120 WASHINGTON STREET, 4TH FLOOR
o' SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
January 14, 2004
Mark R. Petit
7 Rear March Street Ct.
Salem, Ma. 01970
PROPERTY LOCATED 105 Bridge Street
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
"
120 WASHINGTON STREET, 4TH FLOOR
. o. SALEM, MA 01970
TEL. 978-741-1800
Mme FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
November 7, 2003
Mark Petit
7 Rear March Court
Salem, MA 01970
PROPERTY LOCATED 107 Bridge Street Unit#2
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
hours f receipt of this notice at 978-741-1800 to
Please contact this department within 24 ou s o p
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAX 978-745-0343
W W W.SALEM.COM
MAYOR JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
10/18/05
Mark R. Petit
7 Rear March Street Court
Salem, MA 01970
PROPERTY LOCATED AT 107 Bridge Street Unit 2L
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
F r the Board of HealtFy Reply to
Joanne Scott MPH, RS, CHOO L _ Pablo Valdez
Health Agent Code Enforcement Inspector
nv Y� CERT.# 85-00
3 51 FEE "$25.00
DATE: 02/07/2000
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT _ Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 107 Bridge Street UNIT #: 2 Right
OWNER/AGENT: Mark Petit
ADDRESS: 7 Rear March Street Court
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR, PHONE: 745-8245
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH -
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
st
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 10 7 Y * UNIT# 2-
IS
IS THIS UNIT DESIGNATED AS BIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ° - �P� MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS -1 R v"vq j^ C. c-x- ADDRESS
CITY S -Q&--- CITY sv\/_�
RESIDENCE PHONE'�(')S__)gS fb'-'AS BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 1�.�-^e
TOTAL NUMBER OF ROOMS: 5
ROOM USE: 1. 2.-3.-4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. pC� ,,
APPLICANTS SIGNATURE ,V\ DATE t �O
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION :;t 7— Cry DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:)-.7 —C7c7 DATE FEE PAID: �? - 7 — O Z)
TYPE OF UNIT: DWELLING OTHER_ CHECK# Gq4 CHECK DATE uZ - 7 ' 00
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• r 120 WASHINGTON STREET, 4TH FLOOR
� 5! CERT.# 126-03
SALEM, MA 01970
FEE $25.00
TEL. 978-741-1800 DATE: 03/20/2003
FAX 978-745-0343
STANLEY JSOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 109 Bridge Street UNIT #: 2
OWNER/AGENT: Huong Le
ADDRESS: 109 Bridge Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 335-5144
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOR THE BOARD OF
OF_HEALTH
Fl�I�X-Cirrik �(
(�/ JOANNE SCOTT, MPH,RS,CHO Zane,
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
aCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH120 WASHINGTON STREET, 4TH FLOORSALEM, MA 01970
TEL. 978-741-1800 FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 10q P)QDCF 81 UNIT#__2
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER HUNG LE MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS l oq BRLDGE �' ADDRESS
CITY SA'I£M -,MA OWO CITY
RESIDENCE PHONE T7' 335_S144 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE _(964
TOTAL NUMBER OF ROOMS:_.'
ROOM USE: 1. 2.-3.-4.
5.--6.-7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE ���VU..DATE_PIN �e. OZ0 63
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION � -�VO - 0 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:3 -J`V X03 DATE FEE PAID:�o 03
TYPE OF UNIT: DWELLINGOTHER_ CHECK#/ D 7,�- CHECK DATEy"a Je 3
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�OND , City of Salem, Massachusetts
' u
Board of Health
> r rt 9.
120 Washington Street, 4th Floor, Salem, PlubliCHeAlth
MA 01970 Pr"enl.Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.COm Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-67
DATE ISSUED: 3/8/2017
Property Located at: 110 BRIDGE STREET UNIT#1
Owner/Agent: MRD Investments Group
Address: 163 Bellingham Ave
City/Town: Revere, MA Zip Code: 02151 24 Hour Phone:(617) 888-4676
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
EGagakis
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
Cf��k
�� �C�f:�r��
a�:��
����
, � v;�s ��
G
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,V'FLOOR
TEL (978)741-1800
KIMBERLEY DRISCOLL, FAX(978) 745-0343
MAYOR LRAMDIN a@SALEM.COM
LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
/ FEE: $50.00
PROPERTY LOCATED AT / 0 �! 0/4 Q SJ j�Q� � UNIT#
IS THIS uNrr DESIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER / 'rd l/IVPS- Me �� QYOUPMANAGER/AGENT
NO P.O.BOX ��—
ADDRESS lb 3 Bfn/ l)/✓l oM AV k- ADDRESS
CITY, STATE,ZIP /<P V e V 1? CITY,STATE,Z[P I /,r Oa S
RESIDENCE PHONE 6I�) Fn -90BUSINESS PHONE(24HRS) .SA'm-e—
BUSINESS PHONE S'A".Q
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. huffs f 100 2. 3. Q e do pay 4. ),�'dl,cvr 5. j pd-voo�...
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE LE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE I
Inspectors use only
Date on initial inspection: l� Date of reinspection:
Date of issuance of certificate: Date fee paid: '3/z I 17
Type of unit: DwellingOther CCh�heck#( Check
,ddate_3 I Z
Notes: ( )Qi �, d��p ✓ t ()� i��� I
Code Enfo went sector
I
' Inspection of y Date � Time
Name t 1(�� �-p.�'(��m Address
Owner Tel. No.
Type of Inspection � Inspector
( ' Remarks and Violations are listed below:
�oC
dozy 0-0�
Un k4ndcw 1
r
1lilt
Y It
01A 11
v
Report Received by:
CITY OF SALEM, MASSACHUSETTS
r Y BOARD OF HEALTH
120 WASHINGTON STREET,4'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DQRFP.NI3AUM((�l�,SAI..FM.COM
DAVID GREF.NBAUM
ACTING HF,AI;rb[A(,I-,NT
CERTIFICATE OF FITNESS
CERTIFICATE#153-10
DATE ISSUED: 3/31/2010
Property Located at: 112 Bridge Street UNIT# 1
Owner/Agent: Matt Centorino
Address: 112 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6848
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
DAVI�NBA
ACTING HEALTH AGENT CODE ENFORCJMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
y • BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM2SALEM.COM
DANRD GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT Dr f- S/ UNrr#_L
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CHICLE ONE
OWNER/LESSER /11 1.) L' i�'MaVZhYI�, MANAGER/AGENT
NO P.O. BOX
ADDRESS 112_ AR i X,a;_s'T ADDRESS
CITY, STATE, ZIPS! A& f OJ& CITY, STATE,ZIP
RESIDENCE PHONE-9-
-.391 43 Sr1 BUSINESS PHONE(24HRS)
BUSINESS PHONEa7Z'7r(N�- 6y�
TOTAL NUMBER OF ROOMS: 3
ROOM USE: LL +. D_Hn 2. Fc iTTa en 3. Be 1r 6 i 4. 0P-1(1raT-u-\ 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ^-- DATE 3-3 f" /y
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: 3 10 Date fee paid: /U
Type of unit: Dwelling�_Other Check#Check date: 3 /O
Notes: #I, m d oik& 4jrf4.er
eforcement Inspector
J CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#50-04
DATE ISSUED: 02/17/2004
Property Located at: 112 Bridge Street UNIT#2
Owner/Agent: Matthew Centorino
Address: 2 Lowell Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-2788
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CRM 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 6
'� BOARD OF HEALTH T12
• 120 WASHINGTON STREET, 4TH FLOOR ."L,�J�
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT J/ ; G R I17GE S J UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER WN Tr le n-tOy, MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS '2_ ADDRESS
CITY .S�LLtN1 CITY
RESIDENCE PHONE `I 7c14 27 H_ BUSINESS PHONE (24 HRS.)
BUSINESSPHONE J7�7yy GrFc1Y
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. V IT- 2. Poc(+ 3. L , V 4. ,
5. 3c8 6. )e 7. P,, A- 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE � �� DATEZ 7 16
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION .-2 " "? "o "4 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:2 -1 7 a`r DATE FEE PAID: —f 7
TYPE OF UNIT: DWELLING OTHER_ CHECK# 70.3 CHECK DATE .7-17"/
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�A�ONIXT
CERT.# 48-02
FEE $25.00
9g DATE: 02/01/2002
�WNH
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street — 4�' Floor
HEALTH AGENT Tel # (978)-741-1800
Fax# 19781-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 113 Bridge Street UNIT #: 1 Left
OWNER/AGENT: Elizabeth Murphy
ADDRESS: 5 Newhall Place
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6503
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE ,
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
.SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
I
/ FOR THE BOARD OF HEALTH
IIS JOANNE SCOTT, MPH,RS,CHO
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ®L_
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 6,
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT rI3 6r(jQa_ '�rVUNIT#Lzgr
IS THIS UNIT DESIGNATED AS RIGHT1_EFT)FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSEREl2a & Myrnh-U MANAGE GENT_
No P.O. Box f ��No P.O. I
ADDRESS_ S (VP.t ) �( PI, ADDRFe S
CITY_ RPcl 6 CITY
RESIDENCE PHONEn D S3I ' 6,03 BUSINESS PHONE (24 HRS.)- 9
BUSINESS PHONE7-9I,Sq 6%
TOTAL NUMBER OF ROOMS:
ROOM USE: d 2. 1/ 3. 4. At'-
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE '
TIME OF INSPECTION. /
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 2 - ( - O v DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:I.-('' O DATE FEE PAID: 2 � ___0
TYPE OF UNIT: DWELLINGOTHER_ CHECK# 07/ CHECK DATE 3-- ' 20
I
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
C
v�
CERT.# 304-00
FEE $25.00
DATE: 05/12/2000
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 113 Bridge Street UNIT #: 2 Left
OWNER/AGENT: Elizabeth Murphv
ADDRESS: 5 Newhall Place
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6503
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
_f SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF, OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT { } -
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES:
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH'aO
. ANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r . . 6
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fav(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ) 13 b�'t e-) 55t,, UNIT#a Of-
IS THIS UNIT DESIGNATED ASIR AG11HT EF O AC PLEASE CIRCLE ONE
OWNER/LESSER_�:K_ 4z n plV6 ; MANAGER/AGENT
ADDRE BoxSLS �I&Jk) ( I I P.O.NADDRESS p /
CITY Pn8 hO�+u CITY MA C) ( 7 (�
RESIDENCE PHONE 12 I ' 6��3 BUSINESS PHONE (24 HRS.) I. S , WS
BUSINESS PHONE 28I 1 S_qS I OtS
TOTAL NUMBER r
OF ROOMS: 3 -
ROOM USE: 1.161 k2p 2. IU 3. 4.
5. 6.-7.-8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION�i- / )L -o b DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES- 1 a -6 a DATE FEE PAID:_ / 2- - O .O
TYPE OF UNIT: DWELLING OTHER_ CHECK#CHECK DATE 2--- -D
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
.� vg��oxurT
* CERT.# 47-02
FEE $25.00
..,, DATE: 02/01/2002
c�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 0197C
JOANNE SCOTT, MPH,RS,CHO 120 Washington Street—4`` Fioor
HEALTH AGENT Tel # (978)-741-1800
Fax # (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 113 Bridge Street UNIT #: 2 Right
OWNER/AGENT: Elizabeth Murphy
ADDRESS: 5 Newhall Place
I
CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6503
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
i
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
'I SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
V
JOANNE SCOTT, MPH,RS,CHO
I
CIA.-
44,
�j.� . Ne--
�.�� CITY OF SALEM, MASSACHUSETTS
•� ',� - BOARD OF HEALTH F
2 � 120 WASHINGTON S-INEET, 4TH FLOOR
SALEM, MA 01970' -;3 ,
TEL. 978-741-1800
- FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF-FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 4226ri UNIT#2-
IS THIS UNIT DESIGNATED AS IGH LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�/2 MANAGER/ GENT
No P.O. Box A ( No P.O. Bo
ADDRESSS .S Ill eb)�bj I PI I ADDRE
CITY P2�, M+� O( 6�_CIT
RESIDENCE PHONE!tI S3f'C�-03�a BUSINESS PHONE (24 HRS.)
BUSINESS PHONE W/` S1�'� Tlb
TOTAL NUMBER OF ROOMS: 3
ROOM USE: l iadw,.;z_2. g. 4 44 4.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION _�L- -1 D 7- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�DATE FEE PAID: _q i
TYPE OF UNIT: DWELLING HER_ CHECK#-3 O 7)( CHECK DATE 9
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 -
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/1/05
Holloran Development LLC
41 Fairmont Street
Salem, MA 01970
PROPERTY LOCATED AT 113 1/2 Bridge Street Unit 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For he Board of Health, Reply to
Jane Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4`"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGR?',NIIAUM@SA1,FKCO,%I
DAVID GRI:?ENRA'UM
ACTING HEAL'T'H AGEN"P
CERTIFICATE OF FITNESS
CERTIFICATE #69-10
DATE ISSUED: 2/18/2010
Property Located at: 120 Bridge Street UNIT#2
Owner/Agent: Raul Batista
Address: 120 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CODE EN ORCEMENT INSPECTOR
U ct)-/
s
r�`�`' VI
CITY OF SALEM, MASSACHUSETTS I
BOARD OF HEALTH
�qy 120 WASHINGTON STREET,4`FLOOR
TEL.(978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR DGREENBAUMaSALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT /a o /3rl of g „�t �/��Fi�I /,-/,g 6152) 0 UNIT#5_
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER 40l jitil A fg MANAGER/AGENT
NO P.O. BOX
ADDRESS a0 rr Ve 3r ADDRESS
CITY, STATE, ZIP 519 e0l 0/9 )(7 CITY, STATE, ZIP
RESIDENCE PHONE 5/9 M e- BUSINESS PHONE(24HRS)
BUSINESS PHONE 9 ) Sf (�J Cil a.
TOTAL NUMBER OF ROOMS:-
ROOM USE: 1. 2. 3. 4. 5.
6. X 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: U Date of reinspection:
Date of issuance of certificate: 01 v Date fee paid: /G
Type of unit: Dwelling�Other Check# ( Check dai l8 to
,SOMA Ig C r; u �1l� u H
Notes: (� �1� ( lel ,b(,�I- �n S(lP_P/1 � /l L /) hG
t ' I o& (00(y) — 1 Go o
V S floush hk� hsC� .
Code Enforcement Inspector
Hi Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Feb 26 2010 1:06pm
Inst Fax
Date Jim W Identification Duration &M Rmh
Feb 26 1:06pm Sent 919787449614 0:48 3 OK
Result:
OK - black and white fax
W1
()O:1 0 1 f
-----------
�'Il aii'dw ou: - I",
CITY OF SALEM, MASSACHUSETTS
HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#467-07
DATE ISSUED: 9/24/2007
Property Located at: 123 Bridge Street UNIT# 1
Owner/Agent: Michael Kiley&Thomas McHugh
Address: 25 Sandra Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Y
JO NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
,.._
/ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH �v I
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343 C, 9
JOANNE SCOTT, MPH, RS, CHO - 9�b ���,
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT I A3 EC 'CjC . Z)l UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
1hcma5 Yh�t-wx�h
OWNER/LESSER M'ir ha" K:I .Ja MANAGER/AGENT
No P.O. Bo J No P.O. Box
ADDRESS ADDRESS
CITY P-968oD H CITY (Wn
RESIDENCE PHONE s610`1BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: q
ROOM USE: 1. 2. pp,� J _3. L 4. _r Ih
5. 6.-T-8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
01W
APPLICANTS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 0 7—DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE -0-" DATE FEE PAID:�Y_,V y 7
TYPE OF UNIT: DWELLI1Vep,,C_OTHER_ CHECK#-9--�--[CHECK DATE
NOTES: / - --- -- --------
CODE.ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
r BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGRIEIENBAUM&ALEM.COM
DAVID GREENBA UM
ACTING HEALTI-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#526-09
DATE ISSUED: 10/15/2009
Property Located at: 123 Bridge Street UNIT#2
Owner/Agent: Mike Kiley&Tom McHuoh
Address: 25 Sandra Road
City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 617-694-8577
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD/OF HEALTH
DAVI G`BAUM -
ACTING HEALTH AGENT CO ENFORC NT INSPECTOR
. 1 -
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4n'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR• DGREENBAUM@SALEM.COM
DAVID GREENBAUM,
ACTING HEALTH AGENT
i
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
n ,p -FEE: $50.00
PROPERTY LOCATED AT ot� R V� (OUNIT# U
IS��T��HISUNIT DISIGNATED AS RIGHT LEFT FRONTOR BACK,PLEASE CIRCLE ONE
OWNER/LESSER M i Vim V( ro-i- fANAGER/AGENT
NO P.O.BOX
ADDRESSo'F SG 9(e Q � ADDRESS
CITY, STATE,ZIP FQa 6 cls (. CITY, STATE,ZIP 0 76) pF
RESIDENCE PHOT BUSINESS PHONE(24I-T.RS) 6 6 q y — 0 4 ] 7
BUSINESS PHONE
L TOTAL NUMBER OF ROOMS: pD� J
ROOM USE: 1. Q 2. R 3. \ 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATES
Inspectors use only DATE—*
"""" �I�I
Date on initial inspection: y) �s�o� Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date: U
Notes:
f " f(rriQ o� Y'e-i n4ecti O'n
ctl( violcz,�l ;v>5f� �B, fe^rl oY) Obi k LiZ
C e orcement Inspector V�S�� cvp–. 6 Qin
ca-rre��
i� �
n � ♦ h .
✓�T
`Cec�,. �'1 t.2. I� �? ���r��� cx.)J h o� (�,Pjo;np �'c�.b. 1o'f
✓
J Na ce, rp
C v l(l2, bcegtt s, �-dY C dtic c. Ir
,/Q[06 .R; lo�-?A�S so CD + 5rnoKg- 60 bcksevu i,( f cv-ort,
,/(��n\- ih bCtxjK "d f� (� �� way. v/
/ Io-ck- I-,e.,� j�ncR.11
V VT SU J �Ve czmcJi YIJJ�I
ti,
.00 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
Po' SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
August 28, 2003
E. Properties LLC
P.O. Box 774
Beverly, MA 01915
PROPERTY LOCATED AT 127 Bridge Street Unit#2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants'entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
Sze CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH
120 WASHINGTON STREET 4""FLOOR PabI1CHP.alth
f Prevent.Promote,Protect.
TLL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL tramdin@salem.com salem.com
LAIZIZ]'IL1bID1N,RS/RHS,CFIQ CP-P'S
MAYOR HrSAJ.:PFI AG FNT
CERTIFICATE OF FITNESS
CERTIFICATE#005-13
DATE ISSUED: 1/4/2013
Property Located at: 127 Bridge Street UNIT#2L
Owner/Agent: HSBC Realty LLC
Address: 160 High Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LAR AMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM MASS.ACHUSE'I"TS
BOARD OF HEALTH
120 WASHINGTON STREET,4." FLOOR PublicHealth
TEL. (978) 741-1800 Frit (978) 745-0343
KIMBERLEY DRISCOLL Itamdin@a•salem.com
- LARRY RAAIDIN,7tJ/11C?IIS,CIiO,CP-FS
MAYOR
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
v A FEE: $50.00
PROPERTY LOCATED AT tZ 7 EziiC
'fQ J UNIT#Z—L
IS THIS UNIT DISIGN�ATE /AS RIGHT LEFT FRONT OR BACK,PL-EAASE CIRCLE ONE
OWNER/LESjSR/E''��S//!�/ l� P!� �f f (— L ,_MANAGER/AGENT1C V.y e4
ADDRESS [ Ct/0 /TIS �! J�7. ADDRESS / �VU n�cfi2s -1
CITY, STATE,ZIP D A4 v e-- r� 01 7'' Z� CITY, STATE,ZIP & -1 O r. G
RESIDENCE PHONEQ-J'1"�t'— �O S3 BUSINESS PHONE(24HRS)�I7— 4Z �— 7.3 40
BUSINESS PHONE ` /-7 f -7J7-7—
TOTAL NUMBER OFROOMS: 'CC
ROOMUSE: l. bX- 2. �.�Yf��j 3. � Pd 4. F'Q� 5. Oe-
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE I y
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: -�' I`� Date fee paid: I -
Type of unit: Dwelling_,,� Other Check I Z. S _Check date: —�
Notes: UVj%-T Qt. .t�jl C>Xiyy ,
Code Enforce ent Inspector
f
ca CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n "
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/26/05
E Properties LLC
P.O. Box 774
Beverly, MA 01915
PROPERTY LOCATED AT 127 Bridge Street Unit 2R
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
Fo e Board of He Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
� e
9' CERT.# 270-02
SALEM, MA 01970
FEE $25.00
qq TEL. 978-741-1800 DATE: 05/21/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 127 Bridge Street UNIT #: 2R
OWNER/AGENT: E Properties, LLC
ADDRESS: 175 North Street
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 430-0751
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
1,JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
tvh .' „° a .l, sp
e �.?
t: i Ry v w .� % $� gg �1dn3'c�kt'�' ^.E� � , +ra•i '�. �'j•_ � 'A,t. �,'
1 ,
Ott
¢ r A' T. m;".
• # ,y , ClTrY,OF3S'i4LEM, IVIASSACHusgT7S €. n z'
a r+� t +.s-#;fu 4x say4r �."f+�a' - rYG-Y'i�s�.
` t x fi t firi.� t
+# ut 'a .BOARDO F 2H EALTH:' 8 -
• i 1 1120 WASHINGTONiSTREET,.4TH FLOOR t
01 970 - c + t➢ j
TEL. 978-741-1800 i t
- FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCO PH,PH RS, CHOW
MAYOR 5. c.. HEALTH AGENT,
APPLICATION FOR CERTIFICATE OF FITNESS
IN.ACCORDANCE WITH STATE SANITARYaCODE,CHAPTER II 105 CMR 410.000
°MINIMUM STANDARDS'OF;FITN^E7SS`FFORxHUMAN`HABITATION '
PROPERTYLOCATED'AT � `7 ✓ /. � ` ' ' UNIT#��
i
IS THISUNIT AS RIGHT LEFT FRONT`BACK;PLEASE.CIRCLE.ONE
. OWIVERILESSER fAiPT1 GM�NIAGEFi/AGENT '_ [j � � ?
NaF O Box . ,-',No P O Box b
ADDRESS , �-�/dle7`�"S 'ADD.RESS
CITY '�_PAiu' VZiN
a �k, CITV�
Y , tiY3a � s�
11ESIDENCE33P,HONE BUSINESS PHONE(24 HRS)�
z bxwiE MYrw°ks ,.9 4 r a n5 x .�c`ti e�'€aya�#"1..y°4s h•�ls 'aS+ '
i r
NHBdifSiNESSPONE� r ���x i vt* � '
�k r ,,
c d
e�x c%C rt'
y frlr f,�ln
" x {e f» .ri
t
TOTALRNUMBER OF ROOMS
�+li+' '" i, ' x°Tyekq,{F7£`, r* tet, :{
ROOMUSEll
' 1. �, r*2 4 �=r3 �3ib 4 xfs ,
THERE IS A TWENTY FIVE($25 00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
ORDER TO THE`CITYsOF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE`
x w t TIME OF3INSPECTION` `` %
APPLICANTS SIGNATURE r DATE S �`
-�+{"�� S 4P�c r AI #jmih` <''k` .5'x �U a�-��r-er } ,.r.^ � n- 't `� i"3`}3` ? ♦:'_ t �. f i t y j -
1 ' ,> ...•ns t, ' ° INSPECTORS
DATE OF INITIAL INSPECTION :, a 1 ' DATE OF REINSPECTION
DATpE OF ISSUANCE OF CERTIFICATE.�' �' DATE FEE PAID: 6a 1 °
✓ J?jhKS £'jRr ><fS'@ < N3s.. bRz`.*':i3iLR ry r .:.
TYPE OF UNIT:xDWELLING OTHER_ CHECK'#k�` �'� CHECK DATE a 1-ate
t
NOTES
e fit ° `}{ Al.,j ,gy.. pti< y
< 4r$ .r` "
Ott 3^ F$a t rang. +g
�� �*'Y?$3 aye3E' 'Y¢fF :� t -� ¥Y ' F9�28�9a m ;F# z�'•
CODE ENFQFlCEMENT INSPECTOR
y _ ; {s v 1 4i� it� 1{�z+{�rq3 • - - cx ., A,f�P dy1 ''y pSyq T''7 . '`j1'` [tis '4} ' e
• p y�} qT F � d ¢s#'" �'R¢ dt ( V§SF�t� t.� q$t'y�. fi
ry . '$ Rts� Rttx /Y r �t f •d � 3iy : x237 nsl k%E"r
+14z:,..9.t W
fAND City of Salem, Massachusetts10
Board of Health
t Do 120 Washington Street, 4th Floor, Salem, v, oPublicrooHealth
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE* GHL-17-194
DATE ISSUED: 7/6/2017
Property Located at: 129 BRIDGE STREET UNIT#1
Owner/Agent: Peter Capra
Address: 13 Essex Street#1
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 884-5907
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON SI' m,4"'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR UtAMQ1NQSALEM.CQN
LARRY RAMDIN,RS/RENS,010,(:P-IS
HEALTH AGENT
. ti
Application for Certificate of Fitness r
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
c, FEE: $50.00
PROPERTY LOCATED AT 1-'51-i UNIT#
IS/tiGNATEDAsRIGH LEFT FROM OR BACK PLEASE CIRCLE ONE
OWNERQ,ESSER i//"r Cr!<',l MANAGER/AGENT
NO P.O.BOX
ADDRESS J3 635-elx- -5;6-na7� ADDRESS
CITY, STATE,ZIP�C��%ri /VI �J ��l CITY, STATE ZIP
r
RESIDENCEPHONE
BUSINESS PHONE(24HRS)
BUSINESSPHOW/ j��
TOTAL NUMBER OF ROOMS:_ pp
ROOM USE: L alp 2. &7 GSI 3. l((1 n h 4.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE /'ZZ, DATE (D1�;7
22Insoedors use only
Date on initial inspection: Ulo)d lq- Date of reinspection:
�
Date of issuance of certificate: 1 `p` �� Date fee paid: LQ l
Type of unit: Dwelling Other Check# �5y Check date:
Notes:
Code Enforcement Inspector 4Ja(/,e5-
/
5�/e,,-7 �'!� o / 97/
+ " CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,41°FLOOR PabhCHea Ith
Pmre"e.r."mom.Protect.
'fEL. (978)741-1800 F.jx(978) 745-0343 _
KIMBERLEY DRISCOLL Iramdinna.salem.com
MAYOR LARRY RAMDIN,RS/KERS,CI 10,(11-17S
HI.ALTfI AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#17-14
DATE ISSUED: 1/6/2014
Property Located at: 129 Bridge Street UNIT#2
Owner/Agent: Peter Capra&Ken Dallamora
Address: 13 Essex Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-8845907
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LAR RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS '
BOARD OF HEALTH CaIYI1
120 WASHINGTON STREET,e'FLOOR Pab1ICH
Prtub PcH P th
TEL. (978)741-1800 FAX(978)745-0343
KnIBERLEY DRISCOLL Iramdin@salem.com
L,\ILRI'R;\bIDIN,RS/110F75,C1 10,Cl 1 S
MAYOR H;.A1.11 i AG 13NT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
/ FEE: $50.00
//
PROPERTY LOCATED AT ( c� y ✓/ rel r° s?�l e�t UNIT# a
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE /
OWNEWLESSER &Fer�MANAGER/AGENT
NO P.O. BOX •
ADDRESS ADDRESS
CITY, STATE,ZIP ITY, STATE,ZIP
RESIDENCE PHONE�k S ��- S^$o 7 BUSINESS PHONE(24HRS
BUSINESS PHONE_,;Z�
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 CSC 2. �il�iin 3. 4.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ATE_O
tt �p IMectors use only
Date on initial inspection: ^b-� 1 Date of reinspection:
Date of issuance of certificate: I-(o-1'h Date tee paid:
Type of unit: Dwelling C/ Other Check# b Check date:
Notes:
Code Enforcement Inspector
CITn'- Or SALEM, MASSACHUSETTS
e BOARD OF HE-ILTFT
LO WASHINGTON STREET',4.°1'L()(-)R
TFi,. (978) 741-1800
KIMBERLEY DRISCOU, FAX (978) 745-0343
MAYOR Ia MIDINLcDlAJENLCOM
LARRY RAAfDIN,RS/RP;1JS,CI 10,CP-PS
Hh;,Ai xii:AG P.NI'
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and tot
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
Tenant/Lesseewner/Lessor/
Address / Address
h
e—
Address on unit to be inspected
Date
Updated 5/23/11
� vo �
Nn ny
City of Salem, Massachusetts
Board of Health
°Rae 120 Washington Street, 4th Floor, Salem, PubliaHeaith
MA 01970 F«.knt. ermm.11. F.Mert.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHC
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-15-368
DATE ISSUED: 1116/2015
Property Located at: 129 BRIDGE STREET UNIT#3
Owner/Agent: Peter Capra
Address: 13 Essex Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)884-5907
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
—'X� IAAIkW49��
Larry Ramdin, MPH, RENS, CHO SANITARIAN 4/11
HEALTH AGENT
m CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HEALTH
120 WASHINGTON STREE"I' 4°1 FLOOR PublicHealth
> Prevent.Promote.Protect.
TEL. (978) 741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL lramdin@salem.com
MAYOR Lr\IiRY IL\AtDIN,RS/]t13HS ,CHO,CP-PS
H EAI;CI-I AG FNl'
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
�^ /� / FEE: $50.00
-/
PROPERTY LOCATED AT / Q //ri1 .SflC G-74- UNIT#
IS THIS UNIT DISIGNATED XS RIGHT LEFT FRONT OR BACKPLEASE CIRCLE ONE
OWNER/LESSER {Cj (��G� MANAGER/AGENT .Sc,M
NO P.O. BOX A4 / y
ADDRESS 4-5! e �fi�«fi #� ADDRESS
CITY, STATE,ZIP � /1/l 4CW % 7 CITY, STATE,ZIP /
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE l%7 rj �6/ r ciO 7
TOTAL NUMBER OF ROOMS: J� /
ROOM USE: 1. �e(� 2. 1-?e 3. 4. 5 z cZ �1"/,
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE / DATE V —
Inspectors use only
- —
Date on initial inspectiorii-�=�0S-r2CJ1=� Date of reinspection:
Date of issuance of certificate::11/I5/?015 Date fee paid:14LO..S 2 ols—
Type of unit: Dwelling ✓ Other Check#- Check date:.;�j.,�
Notes:
/
E orcement pector