BRIDGE STREET 141 TO 351 C�
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CITY OF SALEM BOARD OF HEALTH
� Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STflEET
HEALTH AGENT Tel: (978)741-1800
os/oz/zooi Fax: (978) 740-9705
Michael Jutras
142 Bridge Street , -
' Salem, MA 01970
PROPERTY LOCATED AT 142 Sridge Street IINIT # 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
- for Human Habitation. �
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800.,' to schedule an appointment for an inspection. Our office hour� 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.
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' entize utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
i
' Jo�FOR THE BO�TH REPLY TO
ott, MPH,RS,CHO . PABLO VALDEZ �
. HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO � NINE NORTH STREET .
I -HEALTHAGENT 10/22/99 Tel:(978)7414800
. Fax:(978)740-9705
Michael Jutras
142 Bridge Street
Salem, MA 01970 �
PROPERTY LOCATED AT 142 Bridge Street IINIT # 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week 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.
A $25.00 check payable to the City of Salem is required for each unit inspected at tha
time of inspection.
A prdperty owner is required to pay gas and electricity for residential tenants if there
I' II 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 eo exist.
I ;� .� - OR THE BOARD HEALTH . . , REPLY. TO .
��.�Jo`�oEt, MPH,RS,CHO . PABLO VALDEZ � .
, HEALTH AGENT CODE ENFORCEMENT INSPECTOR � -
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, ' � /" � '�,. CERT.# 863-9b
. . � � � , _ FEE $25.00
-. � 25!� . �(f? DATE: i2/12/96 .
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CiTY �F SALEiIfi BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO � NINE NORTH STREET
HEALTH AGENT � - Tel:(508)741-1800
. � ' Fax:(508�740-9705
� - C 2 ' �ICATE Or FITNESS �
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PROPERTY LOCATED AT: 142 Bridae Street � UNIT #:. 1 �
� OWNER/AGENT: William Hawkes � �- � �
� ADDRESS: 86 Hesoerus Avenue t��l��i��. . . .
� CITY/TOWN: Maanolia. MA ZIP CODE: 019�30 24 HOUR PHONE: 525-3445 . � '
�� . � AN INSPECTION OF YOUR VACANT DWELLING!ROOMZNG UNZT AT THE ABOVE ADDRESS HAS � . �
� BEEN APPROVED AND IS IN COMPLIANCB� WITH 105 CMR 410.000: MASSACHUSETTS STF.TE - �
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HAF3ITATION" .
THEREFORE,� THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEM.ENT DIVISION OF THL' �
SALEM HEALTH DEPARTMENT -_AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. - �
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CME2 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAYTER II, "MINIMUM STANDARDS OF FITNESS FOR HUM:�•.N���HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (Cj : ROOMING -UNIT ( . ) .
� MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . � -
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH� THE STATE LEAD LAGi FOR
OCCUPANTS UNDER 6 YEARS OF AGE. �
FOR TAE BOARD OF HEALTH . �
�
JOANNE SCOTT, MPH,RS,CHO /
HEALTH AGENT COD ENFORCEMENT INSPECTOR
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GITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO � ' NINE NORTH STREET
� HEAITH AGENT . Tel:(508)741-1800 �
APPLICATION FOR CEBTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY� CODE„CHAPTER II, 105 CMR 410;000 "MINIMUhi
STANDARDS OF FITNESS FOR HUMAN NABITATION".
PROPERTY IA(:ATHD AT I �j �L-. �"� l�D Cc�G` S T � �T #�
OWNER/LESSER �jv J-S � d u�I��� MANAGER/AGENT � _
ADDRESS ��P ��J' �2 v� �L�� _ �DP.ESS
C'ITY �/1�f�'ok.7DGl/-1 /IAv� O���i � CITY ---
,/
�RESIDEtiCE PHOtIE ��'Jy�.3 �i y'y� BUSINESS PHONE �24 HRS.) _
` . /
BUSINESS PHONE . �j —
TOTAL N[JMBER OF ROOMS: � -
ROOM USE: I.�Z• 1(� 3•�_4 .�
S._��.r .r�. 6._Q���i�""" 7. 8.
T3ERE IS A TWEHTY—FIVE �ZS.00) DOLLAR FEE, PAYABLE BY CHECR OR HONEY ORDER TO THE !
CITY OF SAI.Ei{H$ALTH DEPARTMN,NT THIS FEE IS PAYABLE AT a'HS `x� OF INSPECTION
APPLIC6NTS SIGNATOItE ��,�����u/ � DATE / l�� �l
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:_ DA"tE OF REINSPECTION ia- ia- 9 6 _
DATE OF ISSUANCE OF CERTIFICATF.: /a`/��%(o DATE FEE PAID: $o.��
TYPE OF UNIT: DWELLING ✓ OTHER _
NOTES: 4�-,� �o�'—i=--�-�-%=^ — —
CO � ENFORCEMENT I SPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,-CHO NINE NORTH STREET
HEALTH AGENT 10/22/9 9 Fax:(978)740-9705
Michael Jutras
' � 142 Bridge Street �
� Salem, MA 01970 � - .
PROPERTY LOCATED AT 142 Bridge Street IIN2T # 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 the State Sanitary, Code, Chapter II: Minimum Standards of Fitness
for Human Aabitation.
I ) Please notify us if you do not intend to rent the unit.
�' Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
�I. thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.in. and Friday 8:00
a.m..- 4:00 p.m. . � � �
i
A $25.00 check payable to the City of Salem ie required for each unit inspected at the
itime of iaspection.
II 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 ntiliEies
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
i tenants' entire utility bills retroactive to the date of initial occupancy in cases in
! which cross-metering has been proven eo exist.
4 , R THE BOARD OF HEALTH � � REPLY TO
I i�
'�I 6anne Scott, MPH,RS,CHO � PABLO VALDEZ
I HEALTH AGENT � CODE ENFORCEMENT �INSPECTOR
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� �v � � � � CERT.# 133-98
� R• FEE 525.00
���, _ �%F� DATE: 04/09/98
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO � NINE NORTH STREET
HEALTH AGENT Tel:(978)747-1800
F2x:(978)7a0-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 142 Bridae Street UNIT #: 2 ' �
OWNER/AGENT: Michael Jutras
�>//%j'� 'f ry'� �(/�NLiSf-Ed��
ADDRESS: 46 Leach Street /f� ��� ' �ys %/"� -
� CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE:-524=4S�QT�'j/Qt'l�V�����fC�!
////0/GO
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 HEALTH DEPARTMENT AIVD THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. �
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SA[VITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B� : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT O .
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 THE BOARD OF HEALTH _ .
G�'ZL�1fi�y-�� � - L%S/�/ �+�/ V�1.:� r'
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� JOANNE SCOTT, MPH, RS,CHO
� HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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Z' 279 2-93 �29
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided
Do not use for International Mail(See reverse)
SW to
Strard&Number
Post Office,State,&ZIP C;ode
Polaw $
Certified Fee
Special Delivery I"
Restricted Delivery Fee
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Whom&Date Delivered
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Dw�,&AddrmW,Mdrm
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V Postmark or Date
Sit it postage stamps to article to cover First-Class postage,certified mail fee,and
ch 'gas for any selected optional services(See frunt).
I I you want this receipt postmarked, stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service Z'
win I
(Jow or hand it to your rural carrier(no extre charge). LO
if you do not ward this receipt postmarked,stick the gummed stub to the right of the 0
return address of the article,date,detach,and retain the receipt,and mail the article.
3. If I you want a return receipt,write the certified mail number and your name and address 0
on a letum receipt card,Form 3811,and attlach it to the front of the article by means of the 52
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
4 If you want delivery restricted to the addressee, or to an authorized agent of the 0
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addrdss;e,endorse RESTRICTED DEUVERY on the front of the article, to
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5. inter fees for the services requested in the appropriate spaces on the front of this
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6. Sive this receipt and present it if you make an inquiry. 102595-97 B 0145
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT MBfCh 11, 1998 Tel:(978)741-1800
Fan:(978)740-9705
Michael Jutras
46 Leach Street
Salem, MA 01970
Dear Mr. Jutras:
In accordace wilh Chapter iil, Sections 127A and 1276, of the Massachusetts General Laws, 105
CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapter Ii: Minimum Standards of Fitness for Human
Habitation, an inspection was conducied of your property at 142 Bridge Street tt2 conducted by
Pablo Valdez, Code Enforcement Inspector of the Salem Health Department, on March 9,
1998.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter II: Minimum Standards of Fitness for Human
Habftation.
Therefore, a Certrficate of Fitness cannot be granted from fhe Code Enforcement Division of the
Salem Heatth Department 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.
Piease note that some of the necessary repairs may require permits from the Bui�ding, Plumbing,
Electricai, Fire or other City Departments. These must be obtained before ihe work is
commenced.
FOR THE BOARD OF HEALTH REPLY TO
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� {S��=�JFJ'- �- -�
�;JOANNE SCOTT Pablo Valdez
HEALTH AGENT Code Enforcement Inspeclor
Este es un documento legal importante. Puede yue aferte sus derechos.
Enciosure
CERTIFIED MAI� Z 279 293 029
JS/mfp
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CfTY OF SALEM HEALTH DEPARTMENT
` 1�! A Nine North Street �
-—�'� Salem,Massachusetts 01970 �
Enclosure
Michael Jutras
142 Bridge Sireet#2
I Front Hallway - Replace missing srrroke detector battery.
% Front Door- Plastic glass broken must be replaced.
Repair or replace wail paper.
°�._:" Hallway- Replace lock on window and repair window so it opens&closes easily.
Replace light fixture bulb.
Unit#2
`'" Living Room - Secure light fixture.
Small Hallway between Living Room & Kitchen - Paint the ceiling.
�'
�Bathroom - Provide cover for light fixture.
Secure toilet seat.
�' Front Bedroom - Replace light fixture cover.
Middle Bedroom- Repair celing plaster.
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�
Back Bedroom - Replace missing smoke detector bariery.
Replace light fixture cover.
�—�ack Hallway - Repair window so it opens&cioses easily.
; Secure light fixture.
/�
Note: At time of inspection no cold water -owner turned off for repair.
No house meter.
Posl name of owner, address and telephone number.
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MAR 1 7 f998 ���'m liealth Department �
9 North Si.
Salem, Mass. 01970 �
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HEALTH DEP7. I
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. GITY OF SALEM.BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO - NINE NORiH STREET
HEALTH AGENT � Tel:(508)741-1800
APPLICATIOH FOR CHBTIFICTS OF FITNSSS , Fax:(508)�4�-9705
IN ACCORDANCE NITH STATE, SANITARY�CODE, �CHAPTER II, 105 CMR 410.000 "MINIMUM
�
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOGATED AT V�� ��l�Q.Q J`�"T - . 11NIT # � C_..
l --.... ,.
OWNER/LESSER M.1 G�G�Q�I �'T�0.S MANAGER/AGENT '
6DDRESS �"��p l�(aC1'.�. .ST. ADDP.ESS
C�ITY �-�C3�.�QJ/u� ' CITY
�RESIDENCB PHONE . �o`L�-'.�nl(p �1� BIISINESS PflONE �24 BRS.)
_ suszr�ss Paoxs �l d-v�t�-: 3��16 —
TOTAL NUMBER OF ROOMS: J
� ROOM USE: I. �\ � 2. \\�1 Cb�M3.�4.uy�,;+`37S�^'�
S. . �0�6. 7. 8.
THERE IS A TWENTY-FIVB (25.00) DOLLAR PSE, PAYABLE BY CHECR OR HONEY ORDER TO THE
CITY OF SALEH�HI'.ALTH DEPARTHL'NT�S FSE IS PAYABLE AT THE TIb6 OF IASPECTIOft
APPLIC9NfS SIGNATORE �I Y�(/� " � DATE -3 � � --
INSPECTORS USH ONLY
DATE OF INITLAL INSPECTION:�`_—� DA'tE OF RELNSPECTION _
DATE OF ISSUANCE OF CERTIFICATF.:� �' �d DATE FEE PAID: J �� �/ d
, TYPE OF UNIT: DWELLING; OTHER
(� � .�
NOTES: �,Qy..� IJC.Q. � q/ S � —
. �.
��Ci--�.�/� � • .
CODE �NFORCEMENT INSPECTOR
. v�
� � '�
3
��l �� �
������"
�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT March 11, 1998 Tel:(978)741-1800
Fau:(978)740-9705
Michael Jutras
46 Leach Sireet
Salem, MA 01970
Dear Mr. Jutras:
In accordace with Chapter III, Sections 127A and 127B, of the Massachusetts General Laws, 105
CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105
CMR 410.000: State Sanitary Code, Chapier II: Minimum Standards of Fitness for Human
Habitation, an inspection was conducted of your property at 142 Bridge Street#2 conducted by
Pablo Valdez, Code Enforcement Inspector of the Salem Health Department, on March 9,
1998.
An inspection of the dwelling unit at the above address has revealed that it does not comply with
the Massachusetts State Sanitary Code Chapter II: Minimum Standards of Fitness for Human
Habitation.
Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the
Salem Heatth Department and the unit may not be rented or occupied until ihe 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 repairs may require permits from the Building, Plumbing,
Electrical, Fire or other City Departmenfs. These must be obtained before the work is
commenced.
, FOR THE BOARD OF HEALTH REPLY TO
� �
'�. � _.(;�(
j r,> <; -,�-zX��.,�'. �_
�y/�.. .
�;lOANNE SCOTT Pablo Valdez
HEALTH AG�NT Code Enforcement Inspector
Este es un documento legal ;mportante. Puede que afecte sus derechos.
Enclosure
CERTIFIED MAIL Z 279 293 029
JS/mfp
r
` � i
I , �
CffY OF SALEM HEALTH DEPARTMENT
` 1�� � Nine North Street
� -—�' Salem,Massachusetts 01970
Enclosure
Michael Jutras
142 Bridge Street#2
Front Haliway - Replace missing smoke detector batlery.
Front Door- Plastic glass broken must be replaced.
Repair or replace wall paper.
Hallway- Replace lock on window and repair window so it opens& closes easily.
Replace light fixture bulb.
Unit#2
Living Room - Secure light fiuture.
Small Hailway between Living Room & Kitchen - Paint the ceiling.
, Bathroom - Provide cover for light fi�Rure.
Secure toilet seat.
Front Bedroom - Replace light fixture cover.
Middle Bedroom - Repair celing piaster.
Back Bedroom - Repiace missing smoke detector bariery.
Replace light fixture cover.
Back Hallway - Repair window so it opens &closes easily.
Secure light fixture.
Note: At time of inspection no cold water - owner turned off for repair.
No house meter.
Post name of owner, address and lelephone number.
�-
' .�OPIDIT
§ g.�' ',�
� � CERT.# 182-01
� FEE $25.00
� DATE: 04/19/2001
�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
, Fan: (978)740-9705 �
CERTIFICATE OF FITNESS �
' � PROPERTY LOCATED AT: 144 Bridae Street UNIT #: 1
�, OWNER/AGENT: Joaauim Canas
i
' ADDRESS: 9 Crombie Street
CITY/TOWN: � Salem, MA ZIP CODE: 01970 24 AOUR PHONE: 744-6438
I, AN INSPECTION OF YOUR VACANL DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVSD AND�IS IN COMPLIANC$ 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:
liMAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CNII2 410.000: MASSACHUSETTS STATE
' SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HOMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT O . -
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
1
I'� NOTE: THIS APPROVAL DOBS NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
I OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 976-741-1800 .
I
�� . FOR THE BOARD OF HEALTH
, /� �� �
� J`�OTT, MPH,RS,CHO �
I HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� '
�
I
1
r . . . _ _ _ _ _
, _ ._ _ _ . __ ..: _ _.__: . . -. _ :... .. _..�
nmir
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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:(976)740.9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT �L���IZ ���� S'� UNIT#J
IS THIS UNIT DESIGNATED AS IR GHT LEFT FRONT�ACK PLEASE CIRCLE ONE
OWNER/LESSER��AQ�//M Gf�✓✓��S MANAGER/AGENT —�
No P.O. Box �` �( No P.O. Box �
ADDRESS GI �°�b��/C 5 ADDRESS
CITY �Sf��E/`% ��� �� �7� CITY �
RESIDENCE PHONE97� 7�/G/6�/.3S BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �
TOTAL NUMBER OF ROOMS: 7
ROOMUSE: 1���/N� 2. �//���'`"�$.�,�fe�'4. .�i�
5.3�� 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 OE INSPECTION.
APPLICANTSSIGNATURE �� DATE '��'D/
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION��I �—e r_DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: � g�D � DATE FEE PAID:� —(�_
TYPE OF UNIT: DWELLING�OTHER_ CHECK#�CHECK DATE�=�p '6�
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
I � � ' ,t�, CITY OF SALEM, MASSACHUSETTS
v3! BOARD OF HEALTH
� �.
120 WASHINGTON STREET, 4TH FLOOR CERT.# 168-03
� SALEM, MA 01970 FEE $25.00
��� TEL. 978-747-1800 DATE: OS/08/2003
FAx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 144 Sridae Street UNIT #: Z
OWNER/AGENT: Carmen Valeri
ADDRESS: 6 Northey Street #3
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0703
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: MASSACFNSETTS 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 O .
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. �
F�ARD OF HEALTH �
�/� �
JOANNE SCOTT, MPH,RS,CHO �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�
� / ,
. CITY OF SALEM, MASSACHUSETTS 3
3, '� BOARD OF HEALTH i G�j 't�
• 't 120 WASHINGTON STREET, 4TH FLOOR J
3
� SALEM, MA 01970
� TEL. 978-74 1-1 800
� Fnx 978-745-0343
STANLEV USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO �
MAVOR 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�y�� �Jr�q�p F�� UNIT#_L
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER\ A�t�''�.� V ��,eS�MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS I o A 1 o Y �he.�l �"� �/'f-�ADDRESS •
CITY_ �A�p v✓� Y1� t� O/S�� CITY
RESIDENCE PHONE���6' ��II 07ph BUSINESS PHONE (24 HRS.)
BUSINESS PHONE?� �—`�7�- �Z�-�
TOTAL NUMB�pF ROO�S�:_�_,��
ROOM USE: 1.�� 2. 3._.j�_4._��
5. �"i� '���'�%J 6._ R�_7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT HIS F� IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR DATE 'S/ Y/� 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION�S��v3 DATE OF REINSPECTION
, DATE OF ISSUANCE OF CERTIFICATE��3 r bj DATE FEE PAID: 'S�" � � 3
TYPE OF UNIT: DWELLWG�OTHER_ CHECK# � fS�� CHECK DATE����
1
NOTES: /�-
CODE ENFORCEMENT INSPECTOR 9/28/98
�
CITY OF SALEM, MASSACHUSETTS
� BOARD OF HEALTH
� � 120 WASHINGTON STREET, 4TH FLOOR CERT.# 189-03
� � SnLEM, MA 01970 FEE $25.00
�.�� TE�. 978-741-1800 DATE: OS/OB/2003
FAX 978-745-0343
. STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 144 Sridae Street UNIT #� 3 �
OWNER/AGENT: Carmen Valeri
ADDRESS: 6 Northey Street Apt. 3
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0708
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED P.ND IS IN COMPLIANCE WITH 105 CME2 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, "MINIM[JM 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 HEALTH
� `l.��A//� ' f./
JOANNE SCOTT, MPH,RS,CHO � �.
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� `
,
; ' � CITY OF SALEM, MASSACHUSETTS ���j�G3
BOARD OF HEALTH r
� • � 120 WASHINGTON STREET, 4TH FLOOR
<
� a SALEM, MA 01970
� � TEL. 978-741-1800 �
- FAx 978-745-0343 �
STANLEV USOVICZ, JR. ,JOANNE SGOTT, MPH, R5, CHO -
MAVOR 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�yS� r��([3SL Ct� UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�Q(11'1PaJ �VV��CSt MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS��GC� _ AO�I" 3 ADDRESS •
CITY ��G'11r1 � I�A����� CITY
RESIDENCE PHONEGI���/1z7�BUSINESS PHONE (24 HRS.)
BUSINESS PHONE��'6I' �I�- .37�
TOTAL NUMBER OF ROOMS:��.
ROOM USE: 1.�'� �� 2.�5.�4. � '��
S.�l_6.�7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLEBY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT T IS FEE IS PAYABLE AT THE
TIME OF INSPECTION. /
APPUCANTS SIGNATUR � DATE_ J�/7�'"_
' INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION� 'g 'b3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 5' S�'�3 DATE FEE PAID: .�'d �
TYPE OF UNIT: DWELLIN�OTHER_ CHECK# S�O CHECK DATE�'�_° 3
NOTES:_ga=�y,,.�,G,Z..� n�. r,...N rl wy _ on.� if./� .a��vs;,;.�s
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
.� BOARD OF HEALTH
�� '
Y� 120 WASHINGTON S7REET, 4TH FLOOR
SALEM, MA 01970
�� Te�. 978-74 7-7 800
FnX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
10/21/04
Robert F. Cummings
176 Pine Street
Danvers, MA 01923
PROPERTY LOCATED AT 146 Bridge Street Unit Basement
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 Xlil 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 tenanYs entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For Board of Health Reply to
'��.-• �.�"
Joah�ne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
. � �• � * CIT'Y OT St1LEM, IVIASSACHUSEI"I'S
��� B0�1RD OF H�LTH �b]j�HC9IY}l
120 W�15HINGTON STREET,4"�FLOOR -
PrtvenL Pr mom.Prolect.
T�,. (978)741-1800 Fax(978)745-0343
HIMBERLEY DRISCOLL kamdin�a salem.com Ln1i25'1t��M17tN,iis/al?t[5,c:l�o,Cn-i�s °
� �YOR HErV;t'I-I AGIa.N7' -�
CERTIFICATE OF FITNESS
CERTIFICATE# 155-13
DATE ISSUED: 4I30/2013
Property Located at: 146 Bridge Street UNIT#2
Owner/Agent: Bob Cummings Jr
Address: 176 Pine Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-750-0086
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 curre�t tenant vacates, whichever
is later.
This Cert'rficate of Fitness is valid only if there is a valid Certificate of Occupancy.
I FOR THE BOAR+� 11ir' "�" TH
� � � �y���
IARRY RAMDIN �
' HEALTH AGENT SANITARIAN
i �
� �
• � m CITY OF SALEM, MASSACHUSE'I`TS � � /J� 1�
B<»Rn oF HtaLrx
]20 WasxiNc�roN STxsE�r,4'"FLoox PublicHeaith
Prevmt Yromom.Pmitt�.
TF:�. (978) 741-1800 Fax(978)745-0343
KIMB�RLCY DRISCOLL l�amdinna�,salem.com
Mt1YOR . LARIiI'IiAMDIN,I2S�R[SHS,CHO,CP_P;S
Hi:,v:ri i AceN'i'
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 1 l, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HCJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT ��G Q f icPa.� ST Sa IP�m M A o►9 70 UNIT#�
IS THIS UNIT DISIGNAT D AS RIGHT LEFf FRONT OR BACK.PLEASE CIRCLE ONE `
OWNER/L,ESSER Do� �um m;h 9 .$� T� - MANAGER/AGENT Sa.v� �
NO P.O. BOX p
ADDRESSL�G I in e S�- ADDRESS
CTfY, STATE,ZIP Dan✓�_$ MA O I�J o2 .� CITY, STATE,ZIP
RESIDENCE PHONE97Y- '].f�0� O O �'� BUSINESS PHONE(24HRS)
BUSINESS PHONE�7 �(- g 7 7 - S/ ,3 �
TOTAL NUMBER OF ROOMS:�
ROOM USE: 1.�;�c� Qn 2. 4P�faom 3.�;V�-� f�Gfi 4. D�toorvl 5. ��'(1
6.(�� roe,r 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
APPLICAN'T'S SIGNATURE DATE �� � ��
�
Inspectors use on y
Date on initial inspection: ��3 Date of reinspection: 3 d 3
T
Date of issuance of certificate: Date fee paid:4 a5 �3
Type of 't: Dwelling Other Check# �3� � Check date: 't �S
Notes: {' IN o ' �( � �
1V1 ° ' 1 ° O 'f � �
� raam �-�uo�"e- �nS�I�j cc�JiK y��l ��5 Cin.�vld �U�
� Cw��� �,l,riY�"b1�Y1 W�h �oc.J1 CC.nc�ir Rc,�� (�,phl VO�Y11 Wlhr�,�) -�b
-C �!
Co orcement Inspector �p� � C��'e p��'�p`�y '�'�Zp�r 1'� V; � CV' ��
� � �- `S �2.Q'Y�5/ C��CZC.
`r�,cz��t;��(' ov� Ic�uc����
aK �;r;�i j �o�r`n winclo�`�'b �Oe re.�i d c�(� —ce,(I es�"ker v� 01 c�.'�i�yts
�� �no�e� a1� �tlab �I� I�,v�, �, c-�,rf�e,���
I , �
y �� � CITY OF SALEM, MASSACHUSET`TS �
� B0�1RD OF HF.�ILTH ��
120 W.ISHING'CON STREET 4�"FLOOR PublicHealth .
, ��,<.�.�� �..�,mo�� �.o�.��.
TE1.. (978) 741-1800 F��(978) 745-0343
HIMB�RLL•'Y DRISCOI.L lxamdin e salem.com
M.AYOR LNut1 RAMllIN,K5/RIiHS,CI-IO,CP-f5
� HL:AI:CI�I.AG 1`:N7'
R0�08S0
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 for
my/our successors and assigns hereby release and dischazge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained ofwhatever nature and description occasioned by my/out absence
during said inspection.
V\oh � T r �c�m M , ti9 S�' Tf-
Tenant/Lessee Owner/Lessor �
��1� (�r,��,e S� �;�e.,., M� I 7G P;� e sf .I�„�r-S !�1 A
Address � Address
lyG ��;�SP S�asG/�M N/�
Address on unit to be inspected
a� i3
Date
Updated 523/11
� CITY OF SALEM, MASSACHUSETTS
� '� BOARD OF HEALTH �
• i 12O WASNINGTON STREET, 4TH FLOOR
- Sn�ea, MA 01970 . CERT.# 551-03
. FEE $25.00
TeL. 978-74 I-1 800 DATE: 1 O/20/2003
FAX 978-745-0343
STANLEV USOVICZ, JR. ,JOANNE SCOTT, MPH, R5, GHO
MAVOR HEALTH AGENT
1
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 146 Bxidge Street UNIT #: 2 gack
OWNER/AGENT: gob Cuurmings, Jr. -
ADDRESS: 176 Pine Street
CITY/TOWN: Danvers, MA ZIP CODE: 01923 z4 HOUR PHONE: 978-750-0086
AN INSPECTZON OF YOUR VACANP DWELLING/ROOMING UNIT AT TI-IE 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 IdUMAN 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 F�iJMAN 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 l7NDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH / /�`�'�C_ �
/ yy.yyJA w� � V
`7��V r'V�
�
�� JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
� _
t, '� CITY OF SALEM, MASSACHUSETTS
� � '� BOARD OF HEALTH ���_6 3
� ` • � 120 WASHINGTON STREET, 4TN FLOOR
SALEM, MA 01970
T E L. 978-741-1 800. .
� - Fnx 978-745-0343 -
STANLEY USOVIQ, JR. ' ,JpqNNE SCOTf� MPH, RS, CHO � '
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 470.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN ABITATION".
PROPERTY LOCATED AT ��� !'icl'�YE� .S � UNIT#o�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK PLEASE CIRCLE ONE
OWNER/LESSER D CvM rn `� �� MANAGER/AGENT
No P.O. Box � 1 No P.O. Box
ADDRESS__/ 7�0 �i n P S`/- ADDRESS
CITY_ �YI Ve.r�' /-tcc O lQt o1� CITY
RESIDENCE PHON�750 -�O •
t�n BUSINESS PHONE (24 HRS.)
BUSINESSPHONE ��� -3���opU Xf �/o �
TOTAL NUMBER OF ROOMS: S
ROOMUSE: 1. �. � che�2. e�f8�3.LrW�f�. �ed��aow�,
57V��� 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 PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTSSIGNATURE � ATE /��� —��
INSPECTORS USE ONLY
DATE OF INITIAL WSPECTION ,a '�Y1,�� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/o �yc✓�DATE FEE PAID:� P �Y� '��
TYPE OF UNIT: DWELLING�OTHER_ CHECK#�CHECK DATE��_� ��
NOTES:
CODE ENFORCEMENT INSPECTOR g/28/g8
r •
3�� � '� CERT.# 383-97
` "' FEE $25.00
3 �
���' I�F� DATE: 06/12/97
I ���:�;F`%"F,
Mfl�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NWE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 150R Bridae Stieet UNIT #: 2
OWbiER/AGENT: Service Realtv Trust �
ADDRESS: 146R Bridae Street
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-4132
AN INSPECTION OF YOUR VACANT DWELLZNG/ROOMING UNIT AT THE ABOVE ADDRSSS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE
SPSIITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
Mr`."X.IM[IM NUbffiER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE
SADIITARY CODE, CHAPTER II, "2dINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
�BCTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT O .
MININNM SQUARE FOOTAGE FOR SLEEPING PURPOSES: -.
tJOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
F'GR THE BOARD OF HEALTH �T �
`�/���� ��� �
Ji).�`,N[VE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I . �
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• � - � � � ��--�`�
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GITY OF SALEM BOARD OF HEALTH
Salem, Massacliusetts 01970-3928
r�
JOANNE SCOTT,MPH,RS,CHO � NINE NORTH STREET
HEALTH AGENT Tel:(508)741-7800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(so8)7a0-9705
IN ACCORDANCE WITH STATE SANITARY�CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY I.00ATED AT ��C� V� �j 2r�fL ✓ � • �T � ��� /�' ��
OWNER/LESSER Qf w� tR. 1`��L�� �✓+.�� MANAGER/AGENT �� W ('�i`�a `�^--�
ADDRESS� �C,� YL JS��R-- l _ ADDP.ESS ��� � I��- C�
CITY St�}� �� ' CITY (/�1r���j�.0 � 1� �� �//�
�
'RESIDENCE PHONE��� � /����32` BUSINESS PHONE �24 HILS.) Z/���3�
BUSIt1ESS PHONE �p( / � 7 � �7 ��� —
TOTAL NUMBER OF ROOMS:� -
-.ROOM USE: I. ��c. 2. ��1���— 3•�-� 4 •�
S. 5. 7. 8.
T�3ERE IS A THENTY—FIVE 00) DOLLGR , P ABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SAI.FH HF.ALY'H DE P IS AYABLE AT T3E TIIiE OF PE �IOH
APPLICANfS SIGNATURE DATE __
INSPBCCORS USE ONLY
DATE OF INITIAL INSPECTION:�_�Z��_ DA'CE OF REINSPECTION _ _
DATE OP ISSUANCE OF CERTiFICATF.:�� Z 'g 7 DATE fEE PAID: �J ' � Z � 7 ,
TYPE OF UNIT: DWELLING�_ OTHER
NOTES : _ __ —
CODC ENPORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970• ' ,�
oz/zo/zoo2
120 Washington Street—a'" Fioor
JOANNE SCOTT, MPH, RS,CHO Tel # (978)'741-1800
HEALTH AGENT �
John W. Mackay Fax# (978)-745-0343
105 Bay View Avenue
Salem, MA 01970 . .
PROPERTY LOCATED AT 151 Bridge Streat�� IINIT #
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 XZII o£ 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 C[II2; State Sanitary Code, Chapter I: General Adminiatrative
, Procedures and 105 ChIIt 410.000; State Sanitary Code, Chapter II: Minimum Standards of
. Fitness for Auman 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 6:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
i
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
i 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.
I
� OR THE BOARD HEALTH REPLY TO
,�'� . Joanne Sco t, MPH,RS,CHO PABLO VALDEZ
� . Health Agent � - CODE ENFORCEMENT INSPECTOR
I
i
i
i
' CITY OF SALEM, MASSACHUSETTS
� BOARD OF HEALTH
y � �
120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
�� TEL. 978-74 7-1 800
Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE�SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#67-05
DATE ISSUED: 2/1/OS
Property Located at: 151 Bridge Street UNIT#2
Owner/Agenl: John MacKay
Address: 268 Hale Street
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 781-929-9727
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.b00.
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=�f� ��—���` ' . .,�;.�',+�,c� 6 �
JOA E SCOTT, MPH, RS, CH ;� _
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
. � 3::
./• � . .
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH /�/O�
• • 120 WASHINGTON STREET, 4TH FLOOR / � /
SALEM, MA 01970 p `� �
TEL. 978-741-1800 ����\_
Fnx 978-745-0343 ' � 1 V�
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO � � p ` �.
MAYOR HEALTH AGENT �f�� �{
Y \ �
APPIICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
y ; � q
PROPERTY LOCATED AT I S� � r� Q � � UNIT# d�.
iS TiiiS l;iSiT D�SiGtSA�EG AS RfGHT LEFT FRvNT B�CK PL�ASE �iRCLE uNE
c-- ,�,``
OWNER/LESSERJv��A Y'V?('�Cl� MANAGER/AGENT
No P.O. Box �( ' � � J' _ N ADDRESS
ADDRESS fJ'�c � � T(�
CITY � ��Q r�`-j CITY
RESIDENCE PHONE_ � � aS�'�I�BUSINESS PHONE (24 HRS.) � I�7���
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4
5.--- 6. 7., ---8
THERE IS A TWENTY-FIVE($25.00) DO�LAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY O SALEM HEALTN DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _ _______.__DATE.____I-���`�
INSPECTORS USE ONLY
DATE OF IMTIAL INSPECTION / ' �' � '�� DATE OF REINSPECTION . � �a0 "��
DATE OF ISSUANCE OF CERTIFICATE �'�'B '°�DATE FEE PAID . � -_ Y� T�.�^
TYPE OF UNIL DWELLIN�OTHER CHECK r? �3 � _ CHECK DATE �- �Y r o 'S
NOTES
CODE ENFORCEMENT INSPECTOR 9I2ti�9H
.
.�: ' ' . ;::_ .
:, . .
CITY OF SALEM, MASSACHUSE7TS
' BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
� SALEM, MA 01970
T E L. 978-74 I-1 800
-- � FAx 978-745-0343 '
STANLEV USOVICZ, JR. �OANNE SGOTT, MPH, R5, CHO -
MAVOR HEALTH AGENT
RELCASE
].n accordance with Massachusetts General Laws C6apter II1 ; Code of tlassachusetts
. R:�gulatior.s 410.000 et. seq. ; State Sanitary Code Cliapter II and Article XIII of
r.ne i.ity of Sa1em Ordinance, undersigned owner/lessor and tenan[/lessee of a unit
e� residential property, hereby auChorize the Salem Roar.d of Heal[h or its �cthcr—
ize� agent.s to inspect the resider:ce identified below in accordance with [I:e
aiorementi.oned statutes, regulations and ordinances.
L� t!-�e ever.t :t is necessary Lhat said inspection be done in my/our aosence, i./;ae
e•r.prr_��ly authorize the s2me and for my/our suc ssors ar.d assigns hec��oy :eleasc
and discharg^ the City of Szle:r, Sa1em Boarc o ,. alth znd i[s authori�ed o.he�:,[s
.`._o��i 2r.y lcss or i.njury sestsined oI oriiatevcr atu e a.n� desc:ip[io❑ occasio��ieri
, b_� m��/cut abserce :luri�g said i.nsoecti.cr,.
i
1^„� �
-'- —------
'f�itiP.KTiL�SSEr - -- -- -- G'�'NE /„SSSCR.
5'/ !.���., ��� c, e 2-v� �o� � 5 �" 6 e�e��
/ --------�?� - - -- — --- __
-- - �
i -�:�n—�.:;-..�— �—f'— ,'.UDR��sS .
.�, ._,.,.. U�9)�
�
J:` . � r � �
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;,��urr:s� or o�;r!� ���;��: ��<s:>,:�,.Ten
_.. . . - ----- -- --- - -
u,�;�i
� s ��CONUIT ' .
` � �� CERT.# 107-02
� � � — FEE $25.00
��� ,.... DATE: 02/26/2002
^�'nn� �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE SCOTT, MPH,fiS,CHO 120 Washington Street—a`" Fioor
HEALTHAGENT Tel # (978)-741-1800
Fax # (978)-745-0343
CERTIFICIITE OF FITNESS
PROPERTY LOCATED AT: 151 Brid4e Street UNIT #� 3 �Back
OWNER/AGENT: John W. Mackay
ADDRESS: 105 Bay View Avenue
� CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 232-1179 .
�
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVS ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCS 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 CNIl2 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 O .
� MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
i
�. NOTE: THIS APPROVAL DOHS NOT CERTIFY WMPLIANCE WITH THE STATE LEAD LAW FOR
� OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
Ili
F R THE BOARD OF HEALTH
C���/H�K�/1� .
l, L��� �
II JOANNE SCOTT, MPH,RS,CHO �
i � HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
I
I
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__
, CITY OF SALEM, MASSACHUSETTS
. .+' �' '� BOARDOFHEALTH 'b7J0 �
• � 12O WASHINGTON STREET� 4TH FLOOR
<
� SALEM, 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 /SI �ru-yG Sr UNIT#3
IS YHIS UNii DESiGNATE� �aS NIGtiT LeiF'i 'rRONT AC PLEASE CIRCLE ONE
OWNER/LESSER ��//r1 � �A�1N MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS las BRN du�/ A� ADDRESS
� CITY SE}�LWI /h/� D19 �0 CITY
RESIDENCE PHONE`77S'��IN" �'1'Z3L BUSINESS PHONE (24 HRS.) �'1� `013�'1�7�
BUSINESS PHONE
' TOTAI NUMBER OF ROOMS: 7
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 SALE HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE � DATE °? °ZG 0�2
INSPECTORS USE NLY
DATE OF INITIAL INSPECTION 7.�-�7' � �b � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: Z''Y� � '� DATE FEE PAID: 2 ''y� v L"
, TYPE OF UNIT: DWELLING�OTHER_. CHECK#�-��CHECK DATE' -�. � � '��-
NOTES: \
CODE ENFORCEMENT INSPECTOR 9/28/98
«
�
� +�,
z - � yc�� �1R. '� CERT.# 445-96
' . 3 6 �` FEE $25.00
. �
���'� � �,/'F� DATE: 07/15/96
�� _f+`%
�Yry�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STFEET
. HEALTH AGENT Tel:(508)741-1800
F2x:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 156 Bridae Street UNIT #: 1
OWNER/AGENT: Joseoh Skosurski
ADDRESS: 4 Norwich Road
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-1823
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNZT AT THE ABO�IE 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 HEALTH DEPARTMENT 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 ZI, "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 THE BOARD OF HEALTH '/ "
� � � � ,Q�y�
� ��(�}����!lll�z-.+,�_�Y.�i!�... ��Jc-'t+%��`.(�' �
�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT � CODE ENFORCEMENT INSPECTOR
.3 r��_�
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GITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTf,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741•1800
APPLICATION FOR CERTIFICTS OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY''CODE„CHAPTER II, 105 CMR 4DQ�yA00 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT I S� �Yf 9`.�, J� � 1JNIT / '. I
OWNER/LESSER �bS � � SKnr1�v�S� it MANAGER/AGENT •
� �
ADDRESS 4 /vD'✓W�Cin �� ADDP.ESS
C3TY �.M'�V•V-S � /✓�/�- ' CITY ' _
�RESIDENCE PHONE ���:r �� Z J BUSINESS PHONE (24 HRS.)
BUSINESS PHONE . —
TOTAL 6'U2�ffiER OF ROOMS: �
ROOM USE: 1 . /� i � 2. � 3. �^'� 4 .�1 �!�� y��-�
S.
6�6. 7. 8�
T9ERE IS A TWENTY-NIVH (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THL�
CITY OF SALEH HEALTH D TNf ��S FEE IS PA ABLE AT THE TI?I6 OF INSPECTION
� � ���
APPLICANfS SIGNATORE DATE ' I a � �_
,
+�fi�
L
INSPEC'fORS USE ONLY
DATE OF INITIAL INSPECTION: 7�� �J ��7 DA'PE OF RELNSPECTION _
�`1
DATE OF ISSUANCE OF CERTIFICATF,:��f J �f� DATE FEE PAID: 7_ /��b
TYPE OF UNLT: DWELLING� OTHER :�
NOTES: __ —
CODE ENFORCEMENT INSPECTOR
., .:
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' _ � � �
�
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'�'arm,e
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928 �
JOANNE SCOTf,MPH,RS,CHO _ � NINE NORTH STREET
HEALTH AGENT � � � Tel:(508)741-1800
Fau:(508)740-9705
RELEASE
In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts
, P,?�ulations 41C1.00Q et. seq. ; State Sanitary Code Chapte: IZ and Ar[icle XI?I ef
tlie City of Sa1em Oidinance, undersigned owner/lessor and tenant/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its authcr-
ize3 agenCs to inspect the residence identified below in accordance with [he
aforementioned statutes, regulations and ordinances.
I:1 tlie event it is necessary Lhat said inspection be done in my/our absence, I/we
expressly authorize the same and for my/our successors and assigns hereby :eleasr-
an� discharge the City of Salem, Salem Board of Health and its authorized agea[s
, f:oru any loss or injury sustained of wiiatever natu e'"and description occasioned
by mv/nue absence during said inspecti.pc. �
�' 5��-- °
T�NANT%L�SSEF. ER/i SSQR
4 /V a y wrc.� �.
ADDRESS ADDRESS �j �y
�cihc.�f ,
� S� �Rl � S� — � S�. �/ _ ���
ADDRESS OF UNIT TO BE INSP TED
�r��-��
D.^,TE
i
o CITY OF SALEM, MASSACHUSETTS
�,vQ'� '� BOARD OF HEALTH
• e, 12O WASHINGTON STREET, 4TH FLOOR CERT.# 136-02
� $' SALEM, MA 01970 FEE $25.00
�s�� T��. 978-74i-isOo DATE: 03/14/2002
FAx 978-745-0343 -
STANLEY USOVICZ, JR. JOANNE SGOTT, MPH, RS, CHO �
MAYOR HEALTH AGENT
� CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 156 Srid4e Street UNIT #: 2
OWNER/AGENT: Sandra Connelly
ADDRESS: 13 Comell Road
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 762-7379 �
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED P.ND IS IN COMPLIANCB WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMF�N 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 D08S NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 976-741-1800.
�OR THE BOARD F HEALTH �
�'�� . � �:. .
JOANNE SCOTT, MPH,RS,CHO
HEALTA AGENT CODE ENFORCEMENT INSPECTOR
I
I
, CITY OF SALEM, MASSACHUSETTS a6 -G�
� J
'� BOARD OF HEALTH �
� � 12O WASHINGTON STREET� 4TH FLOOR
a SALEM, MA 01970
�� � TEL. 978-741-1800
� � Fnx 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO �- -
MAVOR 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 Y Slo �VI�GUqQ S� UNIT#c�.
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSE � 2lI MANAGER/AGENT ��.��
ADD ESS I3 �'�'�II R� NAD RESS
CITY �)C1S�1�� �l� CITY
RESIDENCE PHONER�� "�6a��3�9 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE�7R �GU� `Oi D�
,
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. -FC�f� 2.�3.�d- 4. �G�
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SAL M HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _DATE � I �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �"��%�DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:3 - J�F-o �DATE FEE PAID:� — // �� �—
TYPE OF UNIT: DWELLING�OTHER_ CHECK#�CHECK DATE ����� �
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
� �
� �o���
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� �
= �
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��
CITY OF SALEM BuHrtu ur n�.��, . ,
Salem, Massachusetts 01970-
oz/ia/zooz
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street — 4'" Floor
HEAITH AGENT Tel # (978)-741-1800
Joseph A. Skomurski
� willow Avenue Fax# (978)-745-0343
Danvers, MA 01923
PROPERTY LOCATED AT 156 Sridge 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 Ct92; Stata Sanitary Code, Chapter I: General Administrative
Procedures and 105 C[II2 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation. .
Please notify us if you do not intend to rent the unit.
Please contact this de artment within 24 hours of recei t of this notice at �
P P
976-741-1800, 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.
��', i Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
�' �� Fitness.
� i
��- 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 .
R THE BOARD��tpF �TH REPLY TO
. �. i
� Joanne Scott, MPH,RS,CHO PABLO VALDEZ
I �
� Health Agent . - CODE ENFORCEMENT INSPECTOR
.�
� � , " CIT1' OF SALEM, MASSACHUSr rI'ti
`��.,..�` 13c>�xt>c>r H�.�i:rir
12O W\SHINGTON STRE;FT,4°1 1'LC)(�R�
T"Fi. (978) 741-1800
h,7N[13EKLLY DRISCOLL F�1� (978) 745-0343
MAYOR Iraindin� salem.com
LrV2R1` R;A�IDIN,IiS�RI:I fS,CI IO,CP-I'ti
HI�SrV:CI I AGI-SN7' � �
CERTIFICATE OF FITNESS
CERTIFICATE#388-11
DATE ISSUED: 9/30/2011
Property Located at: 158 Bridge Street UNIT#2
Owner/Agent: Joseph & Laurie Occhopinti
Address: 158 Bridge Street
CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4469
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
_ ; ��
LARRY MDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• �� � CI'1'Y OT SAL�M, MA�SACHUSETTS
uD- t�c>,�aniii H�±.�,i r�� � �
w��J ° � ��
12�V� A�I LitiGT<)� STRLET,41P1 F�LO(')R
1'�L. (978) 741-1800
I:I�It3T?RLFY DRISCOI.L. P:�s O?8) ?45-0343
M.AYOR �ri;���i�iNlasni.r.�f.coror
L.ARRY K:1�{I)IN,RS�RI'.f{S,CI{(.),CP_F;S
HL:\C171 t�(il>N�C
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 I 7 � �U R I DCr � S't � UNIT# �
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ��OS��{�I -�G�S R I� O(',C{{ l.�� �F7�ANAGER/AGENT �!% T'T��P�f} OCC N I �/��� �
NO P.O.BOX
ADDRESS ADDRESS
CITY, STATE, ZIP � 5� �R � �G E S� ' CITY, STATE, ZIP S� �� � � � � O I q ( �
RESIDENCE PHONE q1& - 7 y y - � 4 6 9 BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 7
ROOM USE: 1. 2. 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 1NSPECTION
APPLICANT'S SIGNATURE , f/Lf.6L� ����R� ' t DATE ` � � G — � I
Inspectors use only
/ ��
Date on initial inspection: Qa �� Date of reinspection:
Date of issuance of certificate: � Q � � Date fee paid: �Q ��
Type of unit: Dwelling Other Check#���Check date: �1 d�D���
Notes:
Code force� entlnspector
. � ,
� i_�� T . . ' � .
, � v� �� � 'b� CERT.# 205-96
3 - " FEE $25.00
��'. . �F� DATE: 04/10/96 � "
�, o
. ._ . ----- -
. . . ------— -- -�-t'...:�:Fl`-, ,���� .
� . �/Mn�B� �,
CITY OF SALEM BOARD OF HEALTH
Salem;Massachusetts 01970-3928
JOANNE SCOTf,MPH,RS,CHO . � � NINE NORTH STREET
HEALTHAGENT � TeL.(508)741-1800
� . Fax:(508)740-9705
. CERTIFICATE OF FITNESS . �
PROPERTY LOCATED AT: 159 Bridae Street UNIT #: 1
OWNER/AGENT: Harriet Eaton - �
ADDRESS: 159 Bridae Street 2nd floor
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-0022
AN INSPECTION OF YOIIR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVID 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 ENFORCEI�SENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. -
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CM[t 410.000: MASSACHUSETTS STATE �
� SANITARY CODE�, CHAP'^ER II, °MININNM 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 THE BOARD OF- HEALTH � . , �
�'/��a�'""'R'�l � �
�.
. JOANNE SCOTT, MP.H,-RS,CHO - . .
. ._ . _ . ..___..__ . _ . , . �
`
- � HEALTH AGENT � � . CODE ENFORCEA�NT. INSPECT6R .
� ...�-,•_ . :��.; ; -�„.- � . �.
--F�� , . - .. ..-. . . .i., . �.. . . . .
' ..rv. 4 � . .. , a. ��v-�-: �. ' ' ' ; . '. . ' , ' ' . - .
�. . . I Xx� . ..:. ..
av �-� � C t . . .. . . .
.. .`: . ... ..� ..� .�.... .�. .� r •. .rt —.�.�.._ . ..����'J.. � " .
7 f { " B ��
. y� , 1P ^ �'S
� _ .___ _ : . _._ .__ -___.
_. _
:�s �---- -.�.._ . ,: >_ -
— — _ -- -- - --- - -
- •— —---=— ----- GiTY OF SAf.EM BQARD-OF-HEAL-TH---- -
--- ---- = --------Salem;Massachnsetts�19�0•3928=_— ----- ------ - , _ _
JOANNE SCOTT,MPH,RS,CHO NINE NORiH STREET
HEALTH AGENf � � . . . � � Tel:(508)741-7800
APYLICATION FOR CSBTIFICTE OF FITPESS Fax:(508)740-9705
IN ACCORDANCE UITH STATE SANITARY'COOE, .CHAPTER II, 105 ClIlI 410.000 "liINIMUM
STANDARDS OF FITNESS FOR HUHAN NABITATION". ,
• U2tIT / � I
PROPERTY IACATED AT � �� �"P��:: ---
OWNER/LESSEB 1'hc:O Y1 n��=`"r [�� I D' v MANAGER/AGENT •
f-'f-��--�
6DDRESS �'� ���rE S� �-� ADDAE'SS
CITY �/���V11 . 1"�SS � � ���� CITY _
�RESIDENCE PHOPE �is � �'}�.^' S � � BUSINESS PHONE C24 HRS.) 5� ��� �U�-
�� `} �/
_ .. ... _ .. . _
BUSItIIESS PHONS ' —
- s
TOTAL NUt�ffiER OF ROOMS:� -
ROOM liSE: l. -' 2. 3. 4.
5. /�Ll� 6. 7. g,
THERE ZS A THENTY FIVH (25-DO) DOLI.AR FEE, PAYASLE BY C�CR OR MANEY ORDER TO THE
CITY OF SALEtf H�+ALTH DEPARTHLNT THIS FEE IS PAYAALfi AT THS TI?I6 OF 7ASPECTI02i
APPLICANTS SIGNATQRE �L,'(�(,Qj ��� DATE I� �v
INSPECTORS OSE O.NLY
DATE OF INITIAL INSPECTION: ✓ d � l � DA'fE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: y "�b ��� DATE FEE PAID• �/ O 7 U'
—t—
TYPE OF UNIT: DNELLING� OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
, . � �,� ,�
3 �
9t
1y j(F=
�d��,.��'
' CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 04/02/96 � Fax:(508)740-9705
Bridge 159 Realty Trust, Lawrence Green, Trustee ,
159 Bridge Street
Salem, MA 01970
PROPERTY LOCATED AT 159 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.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FZTNESS before any vacant dwelling unit is rented or
� occupied, or to notify us of your intent for this unit.
�. Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five ('l5) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment. -
Failure to comply with this procedure, will result in a fine of twenty (20) dollars �
per day for every day that the dwelling unit is occupied without approva�l of the Code
Enforcement Division of the Salem Health Department. �
Contact this department within 24 hours of receipt of this notice_ (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7•:00 p.m. or'
Friday 8:00 a.m. to noon to schedule an appointment £or an inspection.
SEE ENCLOSED SFCTTON � OS CMR 410 354 METERTNG OF GAS & ELECTR7CITY
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
�G��J��
Joanne Scott, MPH,RS,CHO � PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR .
.• '� + CIT'1' OF SALEM, MASSACHUS�TTS I
� Boaxn or H��Lrx ��
� 120 Wasr�iNGTqN Srt��T,4T"FLooR
TLL. (978) 741-1800
KIMI3ERLEY DRISCOLI. �ax(978) 745-0343
MAYOR [�cxisisNianuht(re�,sni.r>,nn.co�
DA�rID GRfsENRAUM i
AC7'ING Hf.?Al;l'I-[AGI.;N'C .
CERTIFICATE OF FITNESS
CERTIFICATE#340-09
DATE ISSUED: 7/22/2009
Property Located at: 160 Bridge Street UNIT# 1
Owner/Agent: Robert Camire
Address: 162 Bridge Street
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 508-331-0379
An inspectioh 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 BOA D F HEALTH
,
DAVID GR ENBAU
ACTING HEALTH AGENT CO E FORCEMENT INSPECTOR
II`—
.. :
� CITY OF SALEM, MASSACHUSETTS ,j7Gr0�
• p�_�,1rJ � B0.1RD OF I-IF�ILTH
� 12O WaSHINGTON S"I'RE�T,4°i PLOOR
� T13L. (978) 741-1800
KIMBEIZLEY DRISCOLL PAS(978) 745-0343
IVIAypR �ciceraNis,�uYc(�sni.e�M.COM
D,��'ID GREENB�IUM,
ACTING HE.�ILTH 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 l b � �f%r� � UNIT# I
IS HIS UNIT DISIGNATED AS GHT LEFC FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER �6 � `t✓� �jQ{'w'{�Ll, MANAGER/AGENT
No P.o. sox 16 a �Y I� ,� _ A�� � �DRESS
aDD�ss d�
CITY, STATE,ZIP J a'L `�0-� `Y �'�f-S CITY, STATE,ZIP
RESIDENCE PHONE / 9 7 8 � /y� — �� )�1 BUSINESS PHONE(24HRS)
Bus�ss rxorrE 1� ���'` 33� ' 03� 9
TOTAL NUMBER OF ROOMS: D
ROOMUSE: 6.� �—��7. �� + �1nnJ8. ��..�roDn9. �-�(ro�i�'�0�1✓!� 1-cidh
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 LE AT E TIME OF INSPECTION
APPLICANT'S SIGNATURE ,, DATE 7 ZZ u5
Inspectors use only
Date on initial inspection: � /a�/d � I Date of reinspection:
Date of issuance of certificate: ��e�a /(� 9 Date fee paid: �
Type of unit: Dwelling_�Other Check#��Check date: / �dr G �
Notes:
.ea h
Code Enforcement spect r
il`
, o CITY OF SALEM� MASSACHUSETTS
g� � '�y, BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
���Fo� SALEM, MA 01970
fi� Te�. 978-74 1-1 800
Fnx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR . HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 393-03
DATE ISSUED: 7/31/2003
Property Located at:: 160 Bridqe Street UNIT#: 1 Front
Owner/Agent: Dana Walker
Address: 160 Bridqe Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-531-6433
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.
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.
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 BOARDi��F�� TH /
� U���r'Y
Jo`�ott, MPH, RS, CHO '
Health Agent CODE ENFORCEMENT INSPECTOR
� • CITY OF SALEM, MASSACHUSETTS J�
BOARD OF HEALTH ��
• � i 12O WASHINGTON STREET, 4TH FLOOR �
. SALEM, MA 01970
Te�. 978-741-1 800 �
� � Fnx 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 470.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY IOCATED AT � O .I�v'� �2 S J UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEFT ON BACK PLEASE CIRCLE ONE
OWNERILESSER ���q �Q-II�e.� MANAGER/AGENT
No P.O. Box n No P.O. Box
ADDRESS �� O �?�''��t"f �S I ADDRESS
CITY Sc ��- l�"1 � �� CITY
RESIDENCE PHONEq7B 7�/f?�9G BUSINESS PHONE (24 HRS.) �'.�8'S�/6yJ3
BUSINESS PHONE
/
TOTAL NUMBER OF ROOMS: -`�
ROOM USE: 1. /Gr 2. L.��/ �'*-3. �dC 4.�_
5. 1�e� 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00� DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPUCANTS SIGNATURE �0-�i "�/�v DATE .� 0 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION`,�3 ��D � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:7'�1 �3 DATE FEE PAID: 7-3 / -6 3
TYPE OF UNIT: DWELLING �OTHER_ CHECK#�b 7 CHECK DATE7_�_� I_bS
NOTES: sj,.. � ,� 1� l�tr��0 �a r��.J� ,Z�s�v �a.�.�, P,�w—
CODE ENFORCEMENT INSPEC"fOR 9�28�9$
_ `"`oND�"� City of Salem, Massachusetts �
�
� i
> 9 Board of Health
'` 120 Washington Street, 4th Floor, Salem, PubliCHealth
MA 01970 PmvenL Promo[e. Pmtccl.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 �arry Ramdin, rv�PH, ReHs, cHo
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-417
DATE ISSUED: 72/15/2015
Property Located at: 160 BRIDGE STREET UNIT#2
Owner/Agent: Robert Camire
Address: 10 Francis Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 741-1174
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
F--�
�/�iLt¢�// nnayl/
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARI N
/
� �� � CITY OF SALEM, MASSACHUSETTS
B011RD OF HFr1LTH
' l20 W�►sHINGTON S7RF.Ef',4"'FLooR
TEt.. (978)74]-]800
HIMBERLEY DRISCOLL F.UL(978)745-U343
IVIAYOR ua_��(aZcA�Q�
LARRY R1MD1N,RS/Rlil-IS,(:HQ CP-1S � / /
Hr;n�.niAc�a�r !ip p,,.w (�q�(`� ,
�1��C�' i C�M'�v� �s. �-� fi/�C(�tf' , N�
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER l l, l05 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE: $50.00
PROPERTY LOCATID AT I���� �'�N 6 C,�(�Q ; � �T� �
7HIS UNIT DISIGNATID A3,�IGAT F.�F FRO�T OR�ACK.PLEASE CIItCLE ONE
OWNEWLESSER �d fU�'I`� C11 �"�'`� MANAGER/AGENT �i.0 W�
NO P.O.BOX
ADDRESS �� V�'�� S ADDRESS
CI7'Y, STATE,ZIP Sb/� '°'� � "6.'$S u� U !�IT'Y, STATE,ZIP
RESIDENCEPHONE_ "G �!�^ ��[ "�� � � BUSINESS P�ONE(24HRS)_ �� s�� - �,�r - v3/`/
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:�_
ROOMUSE: 1. �/�'a1�.�2, L/Vi � 3. ��-Ficl, 4. �� Q 5. "v`w
6. 7. -r e.Q 8 9 10
THERE IS A FIFI'Y($50)DOLLAR FEE,PAYABLE BY CI�CK OR MONEY ORDER TO THE CTlY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY LE AT TNE 7'ITIE OF INSPEC170N
✓
0
APPLICANT'S SIGNATURE DATE �Z' �� �
C
Inspedors use onlv
Date on initia]inspection: ���Zn� Date ofreinspection:
Date of issuance of catiScate:l Z f���Z�ZS� Date fee paid: ?-0�_
Type of unit: Dwelling_�Other Chack# `J9y Check date: � .Z��20�,2-�
_Notes:�rtx>wp� �' nr�r � s IoC�C an� IS blo ���Yr�� ��Vn�1�' v.aV'r S'S �D k wac orden°L1 CI'(��
_ hv remnvQrl".
C e cement pector
�— ------
� �♦
. co+� CITY OF SALEM, MASSACHUSETTS
.S"� v.1! BOARD OF HEALTH
$ 120 WASHINGTON STREET, 4TH FLOOR
� � . �p SALEM, MA O1 970 ��
� �'yq�'�� TE�. 978'741-1800
�'� FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 392-03
DATE ISSUED: 7/31I2003
Property Located at:: 160 Bridcle Street UNIT#: 2 Front
Owner/Agent: Dana Walker
Address: 160 Bridpe Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 531-6433
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 Il "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.
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.
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
i�� L.�i:C� '(/
��� �
Joanne Scott, MPH, RS, CHO
Health Agent CODE ENFORCEMENT INSPECTOR
` • CITY OF SALEM, MASSACHUSETTS �C�a- 63
' ' � BOARD OF HEALTH /
� • i 12O WASHINGTON STREET, 4TH FLOOR
� SALEM, MA 01970
T E L. 978-741-1 BOO
Fnx 978-745-0343 '
i STANLEV USOVICZ, JR. JOANNE SCOTT� MPH, RS, CHO '
MAVOR 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 ��� �h���-e- S�� UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT ACK PLEASE CIRCLE ONE
OWNER/LESSER �c�.�CJe I K �� MANAGER/AGENT
No P.O. Box � No P.O. Box
ADDRESS /60 �v,�e R- S� ADDFiESS
CITY S q.�w_ - �� CITY
RESIDENCE PHONE F��7Y�� D 4 �BUSINESS PHONE (24 HFiS.) 97$ ? �43�
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. K�7 2. L�JQti 3. �'� 4. 3e�
5. 3e 6. �Q 7. ��l 8. n 1`"'�
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM LTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE 7 3� �
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION < ��I —� 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �-, I�� S DATE FEE PAID:7_ 3l �� 3
TYPE OF UNIT: DWELLING�OTHER_ CHECK# 0� CHECK DATE���o S
NOTES: �n2�/C��.� Bat�ce� I�,azt�i�- 2',�s�� �. -� o �t
CODE ENFORCEMENT INSPECTOR 9/28/98
� �9 � � CITY OF St1LEM, MASSACHUSETTS
B0�1RD OF I-IF�ILTH
120 WdSHINGTON STREET 4�"FLOOR PublicHealth �
- e vrc.om.r.omme.r.n�on.
TEL. (978)741-1800 Fa�(978) 745-0343
KIMBERLEY DRISCOLL lramdin(c�salem.com
L�AItRYRAMllIN,RS�RI?HS,CHO,CP-I�S -
MAYOR HLA]:TH AG EN'f
' CERTIFICATE OF FITNESS
CERTIFICATE#369-14
DATEI .
SSUED� 10/30/2014
Property Located at: 162 Bridge Street UNIT# 1
Owner/Agent: Robert Camire
Address: 10 Francis Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-331-0389
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 Dweiling/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".
Theretore, 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.
F�2 THE BOARD F HE TH
�.... ���k��,,�
�,�� ,�
LARRY RAMDIN
HEALTH AGENT SANITARIAN
��.
� CITY OF SALEM, MASSACHUSETTS
+ � B011RD OF HF�ILTH �
120 W:ISHINGTQN STREET,4°�FLOOR 2I _q�l
TF,L. (978)741-1800 �"
KIMBERLEY DRISCOLL FAx(978)745-0343
MAYOR r.w�hTD�N(a2s�u.rn�.cotif
LARRY RAbfDIN,RS�RI?I�iS,(:1�10,CP-F�S - , �
HL:Ai,TFI AUI'sN'f'
Application for Certificate of Fitness •
IN ACCORDANCE WITH STATE St1NITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT ` � �` ��` ` GY�✓ �� iJNIT#�
IS IS UNIT DLSIGNATED AS RI T LEFP FRONT OR BA PLEASE CIRCLE ONE
OWNER/LESSER �� C1� C �''�`'`�� MANAGER/AGENT
NO P.O. BOX p
ADDRESS �� � GY ADDRESS
CIT'I', STATE, ZIP �.T�L-��` �� ' CITY, STATE,ZIP v � r '�
RESIDENCE RHONE `S��� i� � " � d � r BUSINESS PHONE(24HRS) � ��'J� / V ��� ✓
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. �
6. 7. 8. 9. �
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE I3 P_�y��AT E TIME OF INSPECTION
APPLICANT'S SIGNATURE 91„�.,��"�'� �� DATE It� � ° 7
Insvectors use onlv
Date on initial inspection:�0�3�I�4 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwellin� Other Check#���Ch�k date: LU'J�� L�
�
Notes:
n�
Cod r ement Inspector
.� �
U F_ 9
' ;� 1 CI I'Y OF SALF_.M, MASSACHUSI-3TTS
'��� � B()�1RD OF HE�LTH
12�W<1SHINGTON STREE"P,4'"r'LOOR PublicHealth
r.�.�m.r,�,m�i�:.r.oi���.
'TEL. (978) 741-1800 Fr�s(978) 745-0343
I4MBERLEY DRISCOLL Ixamdin(a),salem.com
LrARR]'IL\MDIN,RS�RP;I-IS,CI IO,C:P-I�ti
MAYOR
H1SiV:1'I I n(_;I'sV'I'
CERTIFICATE OF FITNESS
CERTIFICATE#253-12
DATE ISSUED: 6/22/2012
Property Located at: 162 Bridge Street UNIT#2
Owner/Agent: Robert Camire
Address: 10 Francis Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-331-0389
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 BO RD OF EALTH
LARRY RAMDIN �
HEALTH AGENT TA IAN
L
i' % �
CIT`Y OF SALEM, MASSACHUSETTS n
� • �� � BOARD OF HEALTH /� ��1 �
'�� 12O WdSHINGTON STREET,4'�"FLOOR ��
1�L. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LIiAMIJIN([�1�,5N.EM.COM
' LARRY I�\MDIN,RS�RFFIS,CHO,CP-1�S ,
� F3T'r\I;CFIAGFNT � �
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: $50.00
PROPERTY LOCATED AT I�� ��c���, cr1 UNl'T# z
IS THIS UNIT DTSIGNATF AS RIGHT LEHT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER �0'��' C� ��� MANAGER/AGENT
NO P.O.BOX �O
ADDRESS IO �$A�G�.� /`�� ADDRESS '
CITY, STATE,ZIP ��� ~' CITY, STATE,ZIP �0�� ���,�
RESIDENCE PHONE � ` �� ���I 'l1��I BUSINESS PHONE(24HItS) C,�`I �� �d����' d��
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: •
, ROOM USE: 1. p'� � �h 2. �� �"13. I��n 4. ���� �.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TI�CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
I APPLICANT'S SIGNATURE � � DATE 6 �Z h"
Inspectors use onl�
Date on initial inspection: (..i Date of reinspection:
Date of issuance of certificate: Date fee paid:_
Type of unit: Dwelling Other Check# Check date:
Notes:
C c me t Inspector
;�
.� �
. . e . •
CIT'Y OF SALEM, MASSACHUSETTS
- B0�1RD OF HE.�LTH
120 W:1tiHINGTON STREET 4"�FLOOR �11b�1CHC8��
e r..vem.r.nmm:.r.o�oc�.
1�L.(978) 741-1800 Pax(978) 745-0343
KIMBERLEY DRISCOLL l�amdin Cl,salem.com
- L;V2KY R;\MDIN,RS/RLFfti,CI10,CP-Pti
MAYOR . HI:A1,-Pii AG�::N�'
CERTIFICATE OF FITNESS
CERTIFICATE#32-14
DATE ISSUED: 2/7/2014
Property Located at: 162 Bridge Street UNIT#3
Owner/Agent: Robert Camire
Address: 10 Francis Road
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-331-0389
Pursuant to the requirements of City of Salem ordinance Chapter 2 Articie 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 how 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.
R THE BOARD OF HEALTH
� �
I
tiir�'� -:
LARRY RAMDIN ' ` '- )
HEALTH AGENT SANITARIAN
i
CITY OF SALEM,IVIASSACHUSETTS � �
Bot1RD oF H&1I.TH �. I �
120 W.ISHINGTON STREET;4"'FLOnR PR„�,�m;�
T�L: (978)741-1800 F.1x(978)745-0343
HIMBERLEYDRISCOLL lrnmdin salem.com
�YOR I.ARRY RMff)IN,RS/REHS,CHO,CP-FS
HEALTH AGENT
Applicai3on for Cerlificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"A�IINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE: $50.00
PROPERTY IACATID AT I �� ����'� Cr2 � UNTf# S
IS T�S UNPf DL4IGNATFA RIGHT�FRONT OR BAC PLEASE CIItCLE ONE
OWNER/LESSIIt l�J����' CA Iv—�i UZ�c MANAGER/AGENT
NO P.U.BOX
�,nnxEss I 6 -�.,���S �� annxEss S�'��'"�
CITY,:STATE;ZIP S�� CTfY,STATE,ZIP I '" ��S
RESIDENCE PHONE �f���l �L� � —�l �ll BUSINESS PHONE(24HRS)
BUSINESS PHONE I—�DD �J � � — �3� �
TOTAL NUMBER OF ROOMS: �
ROOM USE: 1. � � 2. `� � 3. �`�`�`''�4. 'Y 5.
. 6� 7. 8. 9. 10.
TfiERE IS A F1FTY($50)170LLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO Tf�CTfI'OF SALEM
BOARD OF HF.ALTH THIS FEE IS PA ABLE AT�TINIE OF INSPF.CITON
APPLICAN'P'S SIGNATURE '/� v`. � DATB 2 � �T
Insoectors use onlv
Date on initial inspection: z• 7• �� Date ofreinspection:
Date of issuance of c�tificate: Z-'��I�') Date feE paid: 2.�7'��
Type of unit: Dwelling ✓� Other Check# '30`I"l Ch�k date: 2,"1,i �
Notes: 'r TI 5�t,ti. v �.-n Y c�.� i.� '3e��;H 51.66�,. -
Enforcement Inspector
�
� �
a � � CITY OP SAT EM, MASS.�CHUSETTS
Bc���xn or H�ar.TH PublicHealth
120�'✓�15HTNG'I'ON Sl RNEP,4rr�PLOOR r.�.���.r.�m��=.�.��__�.
TFa.. (978) 741-1800 I'.�z(978)745-0343
KIMBFRLEY DRISC:��LL l�amdin�a)salem.com
Lr1RRY RAMDIN,RS�Rf�,FIS,Cf�lq,CY-FS
, MAYOR II[+.��i:PiiAGB.N'P
Application for Certificate of Fitness
IN AC CORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OP FITNiESS FOR HUMAN HABITATION"
FEE: 50.00
PROPERTY LOCA"'ED AT /�% i�� t'��� �� s � ��� UNIT#�I
IS THIS U T DIS[GNATED AS HT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER��A�� � � MANAGER/AGENT
NO P.O.BOX n
ADDRESS �Gr � /'��1_TP_�� ADDRESS
CITY, STATE,ZIP_ �C.. 1M _CITY, STATE,ZTP � 0. � � � � �
RESIDENCE PHOP IE GI7(J "�S a"_ � � 6 � BUSIN1dSS PHONE(24HRS)
BUSINESS PHONE.
TOTAL NtIMBER �F ROOMS: p,-
ROOM USE: 1_ 2 �`�� 4• 5.
6. 7. 9. 10.
THERE IS A F]FT'.'($50)DOLLAR FEE,PAYABLE BY CHI'sCK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEAL TH THIS FEE IS PAXABLE AT THE TIM',E OF INSPECTION
APPLICANT'SSI<�NATCTRE ���-1 DATE 3 " I�����
Inspectors use onlv
Date on initial insp�:ction: _ Date of reinspection:
Date of issuance of certificate: _ Date fee paid: ��-3/' ��
Type of unit: Dwe ling�l Other Check#�')TCbeck date: � ' `3�^�'
Notes:
Code Enforcement Inspector
� �� ��� h CITY OF SALFM, MASSACHUSLI'TS
BO�aRllOFI-IF�1L1'H �
� 120 WdtiHING'TON ST'REE1' 4"�FLOOR �t1b�1CKC8��1
, r«���i.r.�m��i�.��.�iem.
TEL. (978) 741-1800 E�Z(978) 745-0343
KIMBERI.�Y DRISCOLL lramdinnao,salem.com
� LARRY R;A�{IJIN,RS�RIS[�IS,CIiO,CP-I�S -
MAYOR
I-I I'r\I;CL[AG ISN7'
, CERTIFICATE OF FITNESS
CERTIFICATE#408-14
DATE ISSUED: 11/19/2014
Property Located at: 164 Bridge Street UNIT# 1
Owner/Agent: Luis Perez
I Address: 164 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
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 Cert'rficate 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� V���
HEALTH AGENT SANITARIAN
.��-_--�
� CITY OF SALEM, MASSACHUSETTS
` T BOARD OF HF.dLTH
� 120 W:\tiHINGTQN STRCET,41°FLOOR /��
TEL. (978) 741-1800 ^//
KIMBERLEY DRISCOLL FAx(978) 745-0343 �O'e
�YOR . LRAMD.IN �S�U,P:M.COb1
LARRY R�\btlllN,RS�RL�.liti,(:I�10,CP-Fti .
HBill.T'I-f AGI�,N"C
Application for Certificate of Fitness '
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIO�I"
FEE: $50.00
PROPERTY LOCATED AT �6 S` /./�/.(Y`� P. ��t \ Gl (e l.� UNIT# I
IS TNIS UN[T DISIGNATE AS RIGAT LEFT FRONT OR BACR PLEASE CIRCLE ONE
OWNER/LESSER�CL,I�l�T� ��Y�'-.�. MANAGER/AGENT
NO P.O. BOX > �/ /
ADDRESS / � S� /��/ Q C t' S � ADDRESS
CTfY, STATE,ZIP S�t C'Q�'�l CITY, STATE,ZIP 0 � �/ � C/
RESIDENCE PHONE G/`7� ' �l �--�I BQ Ci BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TAE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE �'� P`� DATE ��—�/_ Z�y
I�ectors use onlv
Date on initial inspection:��� II�{ Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwellin� Other Check.# Check date: 1 �
Notes:
�
Cade f�ry ment Inspector
�oxmr,�
�v6� � ��
, n ''
� n
a
'����
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel: (978)741-1800
OS/31/2001 Fax:(978)740-9705
John Kilroy
166 Bridge Street
Sa1em, MA 01970
PROPERTY LOCATED AT 166 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.
Zn accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, �Section 2-334, titled "Certificate of Fitness, " each d.welling unit must be
inspected and certified prior to allowing occupancy. The inspection will. be cor.ducred
in -accordance with the State Sanitary Code, Chapter II : Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 6:00 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. �
A $25.00 check payable to the City of Salem is required for each uait inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residenti.al 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 eo exist.
K
� F�ARD 0� REPLY TO
oanne Scott, MPH,RS,CAO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�
� � �� f CITY OF SALEM, Mt1SSACHUS�TTS
Boa�oF H�I.Tx
` 120 WdSHINGTON STREET,4�"FLOOR PublicHealth
, Prevml.Yramaa.Pratect.
Tr'.[,. (978)741-1800 Fa�(978) 745-0343
KIMI3ERLEY DRISCOLI, l�amdin(�a,salem.com
L���zitv it,�uniN,iis/ai.�,i rs,ci�io,cr-r�s
MAYOR
Hr.J�t:ri i AC;eN7'
CERTIFICATE OF FITNESS
CERTIFICATE#62-13
DATE ISSUED: 1/29/2013
Property Located at: 190 Bridge Street UNIT# 1107
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
___ __-- _ ----- — --- _._ —_ _- --
----- - -- -- __ _ -- ._.. _ _
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 H ALTH
� �z�� ��
,[�Gli]f
LARRY MDIN
HEALTH AGENT SANITARIAN
a � v�YC U
� � � CI7Y OF SALEM, NIE�SSACHUSETTS
�,m__ �J ` BoaRD or HE,�r,T[3 �f �
�ry�,r� 120 W�ISHINGTON STREL"I',4�"PT OOR
TEL. (978)741-1800
I�'vII3�1tLEY DRISCOLL F��x(978) 745-0343
Mt1YOR 9_�u�roiu�N(�sN,r,Nt co�i
L��ttx�'R,�t�[ui�,lis/Itl:r ts,ct[o,ct>-t�s
I l ldr\I;Ct I i�.GI��.N'1'
A�Pg�lic��o� foa� Cer&ificate of Fftne�s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIM[JM STANDARDS OF FITNESS FOR IIiIMAN HABITATION"
FEE: $50.00
YROPERTY LOCATED AT__�_l D ���2���� UNIT# CO
IS THIS UNIT DISIGNATED AS RdGH EFT FRONT OR BACK�PL SE CIRCLE ON�
OWNER/LESSER _ kf P� J-f�'�t,; ;n L R MANAGER/AGENT����,�U /`,(''�����7'^'7�7]—�
NO P.O. BOX • �� � 0
�nDxEss r�DxEss
C1TY, STATE,7Il' S QYV� CITY, STATE,ZIP�LI�oL1b
REsn��rrcr rxo� ��f`?�' 7�� -��-�� susu�rEss PxorrE�aa�s�
F3USINESS PHONE
TOTAL NUMBER OF ROOMS: �/��
ROOM USE: 1. 2. 3. 4 5
6. 7. 8. 9 10
TAERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY�. AT Tf�T -O INSPECTION
Al'PT ICANT'S SIGNA'I'IJRE � DATE ` �-� /
Insvectors use only
Date on initial inspection:_ ('� 11�� Date of reinspection:
Date of issuance of certificate: Date fee paid: a �2��
"I'ype of unit: Dwelling Other Check# � � Check date:_
Note.a:
�
� ��
o nfo cement Inspector
�w
� (;� ,�� � (�ITl' ()I' S.�T.,l�i�,[, ll_1Sti_��:�[(_'�E'1".lS
�
�'�H `
���t''—�,»o-"'? r 1Sc7.�i:Dc.��Pli�f.�l:l'tf
���,�� �-'O��i'.1�I I1;•1<_•1'i 1N �'I RI�Ti[. ��.� 1�I.l ii iR
Tu�. ('97S) �#1-180U
R1:�fliLiu_l��:l` iJIL14i;OI.L 1��.�A (9iN) 7}j—I)343
1���i�1'l�)K �t_1AIUIN�ri�-'��,I.iU.LC(MI
I..11t121' R,1\II?I�V,I2ti/I?ISI IS,CI Il),(;I'-1�1
hllf.\I:I f I :\C;I�N�I'
.�pplication for Certificate of Fitness �
TN ACCORDANCE W'iTH STATE JA;�'1TARY CODE, CITAPTCR l!, l0� Ci�1R 410A00
"MINT�IUNI ST.�;NDARDJ Oh 1'I'CNESS I�OR HO:�Ir1N HABI'C'AT10N"
PCE: $50.00
PRpPLRTY LOCA"CLD AT / d u,�,C� �� UNI7'� �Q
�CVi��.��,�`�i�c�7U.t:�,bl�vilu-T��' <u'`��,��r�Ct�i�'(���/ �'''' .,w:F�rrrcu�•rorteacic.v�c.as�c��ic��q�
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BUSINESS 1�HQNG
"1'OTAL N(�I13ER OP RUU�VIS:�',�.,_(i�
ROOibi USE� l. . �. 3. ,�. y.
6�._ 7. .. 8. 9. 10.
TI-fI;R�IS A r tr�fY(�SU)llOLLAlt FEL, PAYrv3LE i3Y CE(EC[C OR�biONLY URllLR TO THE C11�Y OF Sa1.E���
BOAl2D OF HEALTI-f THIS x'�L' IS YAY.IBLI; A' ' lE Tllb[L OF 1NS ECTION
APPT.IC.aNT'S SIGVAI"URL" . �� DA'1'E_ J� � �s
Ins ectors use onl
17atc pn ini[ial inspcction: J 2^� -� � _ D;�te of reinspccCior:
Daic ol issuance uf ccciiticate:_17- 2.sj�� 1 _ Uate ('ee paicL•
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Applicahion for Certificate of Fitness
IN ACCORDANCE WiTH STATE JA�VITARY CODE, CITAPTCR f[, l0� CMR 410.000
"MINTI�[l1til ST.�,NDARDS OF FI'CNESS POR T-TU�IAN fiABI'C'AT10N"
PEE: , 00
PRpPLRTY LUCATLD AT �� UNIT'��
� 13 T 1 U� t ' ,gI. N 1'(� , RICt'1' -. ,FT I�ItU� OR BACIC �
; , yl, c � _,�NLCASE CIItCLI; Y
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l,t� �61. �vr�l� #�,�.�1,�'4 t�n���`'�� � ��j
OWNL�CS H'KQ��' lJIIMP�t..Cf(V�+t' S�'�G�,�"'V(ANAGER/AGE�I'P `
NO N.O. k30X � G �LG'+-r- Isiy"l, —
ADDRLSS _ADDRLSS
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CITY, STATE,Zl'P _ _CITY, STAT'L, ZIp
R�STD�NCE PIIO�IET _ BUSINLSS PAUML(24H1ZS),_
BUSIN�SS 1�HQNr
�roT,�,rru�tii��;a or Roo��s: �'�
ROOi�;I [JSE� l. . �• 3. a. 5.
6�_ 7. ,. 8. 9. 10.
TI-IP,RL IS A F1F"fY($SU)llOLLAR b'EL, PAY:1t�LE I3Y C;E�ECK OR��lONLY URDL-'R TO THE Cl'1'Y OF SElLE�I
BOARD OF T-TBAL,'i"I-I THIS x'�L' IS P Li: A�L UF 1NSPECT[ON
APPT.IC,aNT'S SIGNATL'RL �� ��,j�� /,- yp ap%
[nspectors use on1V
llatc p�t ini'tial inspection:_ /2"�4�-)� _ li;itc of rcinspcction:
Daie ol issuance uf'ccrtiiicate;___���2d` ) ) _. _ Uatc ('ee p1id�
Tppc ot i.init D��efline_ Odicr_ Clieck't_. _ C'hzck �aie:
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1...1K11`r' R,l`.IUI:V, li5/Itl';I'I�,CI I(l_(;I'-I'ti
I`.II(.\I:I iI :\i-;I�:VI'
.Applicat'run for Certificate of Fitness
IN ACCORDANCE WiTH STATE $A�VITARY CODE, CITAPTCR !l, (0� CiVIR 410.00U
"MINIV(UIvI STANDARDS OF I�I'['vESS 1'OR HU,�IAN HABT'C'AT10N"
�CE: :�50.00
PROPLRTY LOCA'CL•D AT 6 ��_ UNIT'���v
3 1 U� t SI 'N I'P' RICF T . ,F' ILU�'P OR BA K PLCAS�CIItCLL
l;;v���,k�q�w�rn�.�:l,���#�.,��;�����._����(�`� � C,
ObVNLR/LL:S �Q'J�'' (JI�h�2l.�V�{�t��.�,�ANAGCR/AGEDlT
NO V.O. 80)C (�-{Orr�ti`�i �hl%l, ._
ADDRLSS
ADDRL
_ SS
� �i
CIT'Y, ST,�TE,ZIl� _C1TY, STA"I'L,ZTP _
R�SID�NCE PIIOVE_ BUSINCSS PHONE (24HR5)._ `
BUSINLSS 1�HQN�
, 'CQTt1L NCNI73ER OI' ROUiV]S:�/�/�O
' ROOi�i [JSE: l. , �, 3. �4, S.
6� 7. , 3. 9. l0.
T[-lI;RL IS,a F1F"CY(�SU)llOLLAlt FEL, PAY,�I3LE IiY CY;':ECK�R 1blONL'Y URllLR Tc]TfIE C11'Y OF SALE�I
BO.tRD (�F HBAL"1'If THIS F'�;L IS PAY LE AT'Cl-lE Tib L OF 1NSPECTIpN
APPT.IC,�IVT'S SIGtiAT'U12L 17ATE T�� �4���/i
- - /
lns ectors use ontv
llatconini[ialinspcction:��..- �s3- �� _ D3t�afreinspcction:
Daic pf i5;uancz uf tcrtiticate: 1..2,-2c�'� �1 _ Datc lc:e pairL•
Tjpu of imit Dueliin�_ (Jther_ Check 't_. _ C'hzek cliilc;:
?;otes:
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]..:1RA1' K,1�11UI\',Rti/I?IiFI>,CI Il),(;I'-15
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Application for (�ertificate of Fitness
IN ACCORDANCE WiTH STATE SA,VITARY CODE, CT-IAPTCR l l, 10� CMR 410.UOU
"MINTv[l1NI STANDARDS OF' FI'C�IESS PORT�U�IAN HABYC'AT10N"
PEE: `�50.00
PKpPLRTY LOCA"CL•D AT�! D c��LC�— UNIT# S�DI.,
� t I U� I 1 'N 'I'I; RIGF" FFTI�CtUN'fORBA 1< PLCASECIItCL1; Y
' �,�:���� �,�������.-��.r������ ��/��,, � -�--�
OWNLR/LCS,SN;lZC�� � ' DIUhOiL�Z�S'KiI�(�C,� M.4NAGCRlAGENT
i�OI�.O. eOX �Q�-(Q� � - G.Lr-r- � L�1%l, —
ADDRLSS , _ADDRLSS
CIT'Y, ST�TB, Gll' _ _C1TY, STA`I'L, ZTP
R�STD�,NCE PIiOVET _ BUS1NlSS PTiOi�IL(24HR5).
BUSiN�SS 1�HQNP �
'fc]Tr1L NUi�IBER OP ROv.�IS:��
KUOi�i [1SE� l. . �. 3. ,�. �.
5�._ 7. ,. �3. 9. 10.
TI-IG'RL IS A FIF"fY($50)llQLLAR FEL, pAYA13LE IiY Cfr:�C[C OR i410NL'•Y U12llL-'R TC)THE Cl'1'Y OF SALEV[
BOAIZD OF HBALTI-I THIS F'�;L' TS PA LI: AT"Cl-tE TI11� �OF 1NSPECTIpN
APPT.IC�aNT'S SIGtiA1"URL . ��� ll��'fE_ � //
i �-
' Inspectors use onlv
1Jate pn ini[ial inspcction:��—�^�) _ Uate of reinspecCior::
Daie ul i5;uance uf cu�iiicntc:�.�,,2��h _ Datc lee paid�
T�u of unit D��eltina_ Otl�cr Check;.`_,__�C'heak iLife:
��iotc;:
il - �—__'__—_•—__ti ,.—.___.'____,_
'C'ode f_nPin'�emr,n( Li;per.tur
,. , � �
, � k CITY OF Sr1LEM, Mt�SS11CHUS�TTS
Boa�oN Hr.�r,TFi
120 WdSHINGTON STREEI',4�`�FLOOR PublicHealth
Prevem.Pmmoa.Fmlec�.
TEL. (978) 741-1800 Fati(978) 745-0343 _
KIMBERL�Y DRISCOLL kamdin ,salem.com
LARRI'IL\NIDIN,RS�RHFIS,CFIO,CP-IS .
NIAYOR
[-[i:,�t;n-r�1c;i.N-r
CERTIFICATE OF FITNESS
CERTIFICATE #302-14
DATE ISSUED: 9/7/2014
Property Located at: 190 Bridge Street UNIT# 1109
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-7444846
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 compiy 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 Cert'rficate of Occupancy.
FOR THE BOARD OF HEALTH
L' �'z-� ,�,�° :
LARAYRAMDIN ���C��
HEALTH AGENT SANITARIAN
���� �° C;1TY OI' SAL1:iV1, .1��1S5AC;�IUSE'.["l"S � l�
� �""'���.,s/.g✓/ li(�,{R[]O��I-fr?,�L7'fI
120 VUa�i rr�vc r�c>N Srrtr_i�:r,4"' I7.c x>tt
z��,�. ��»s) �ai-ieou
KIMIi1iR1,1 fY llItTSC()LL F�1?i ()78) 745-0343
,
1V1A1(7k �n�uiN r � i.i;M.cr�ni
]�..AIiAI'R.n11illIN,RS/Iil�iFl4,CI I(7,CI'_I.,�
�f7�PfN:l71 A(�P;NI'
Application for (�erti�cate of Fitness
IN ACCORDANCE WiTH STATE SANITARY CODE, CHAPTCR l l, 105 CMR 410.000
"NIINIMUivi STANDARDS OF FI'CNESS FbR H-UMAN HABT'fAT10N"
PLE: . 50.00
f� (�(` i
Pltpl'ERTY LOCATLp AT�_2rY�-Ql�"$p i,n G`�" a,(� S�a ' �N UNI7'# ��
13 THIS UNIT DI$ICNA'I'L�D AS RIGHT I.FFT H kON'P OR BACt�PLEAI/SE CIItCL1;ONE
UWN�R/LCSSEl2 �^✓� I�L °[_ _MANAGER/AGENT (�.�i� �N�C-I )f'rrB�•ro'rt'?�
NO I�.O. BOX �q � � ��
ADDRESS�_� '�✓�e-� _ADDRLSS
CT7'Y, STATE, "Lll' �P.G'�-� _Cl1�l, STATE, ZIP�/l (h �cj�(� �
RESTD�,NCE PHONE BUSINESS PHUNL(2OffitS)
BUSiNE55 PHUN� �,g`����f(�
TOTAL NLJN1t3ER OP ROOMS: l r
ROOM U$E�� 1. 2. 3. 4. S.
6. 7. 8. 9. 10.
TI-ICR�IS A NIF"fY($50)17pLLAT2 FEE,PAYAI3LE 13y CH(�;ClC OR MONEY O1tllCR TO THE CT1'Y OF SAL�M
BOARD OF HEAT,I7I THTS F'�E TS PAYABL� "fME TII�CL OF SPECTInN
APPi.ICANT'S SIGNATU1tL llA'1'E
lns ectors use onlv
llate on initial inspection:� � �`T _ 1]ate crf reinspection:
Date of issuance of ccrfircate: n_ qj Dat�fee pflid:
Type of unit Dwelling Uther Check#� � 7�3 Check date:
Notes:
/ v� —
Co i; or�nc�nt InsT�ector
, � D City of Salem, Massachusetts
. � . i.
� Board of Health "'
120 Washington Street, 4th Floor, Salem,
AC81th
' MA 01970 Pf<venL Pmmota Pro1eC1.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343
Larry Ramdin, MPH, REHS,CHO
Mayor health@salem.com Health Agent
CERTIFI
CATE OF FITNE
SS
CERTIFICATE #: GHL-17-46
DATE ISSUED: 2/22/2077
Property Located at: 190 BRIDGE STREET UNIT#1206
Owner/Agent: Bell @ Salem Station
Address
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:978-744-4846
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 approvai does not certify compliance with the state lead law for occupants under 6 years of age.
e�;�c.-
e B
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
�
,
� .
.�
' -�r. ° CTTY OF SAI.EM, .11��1S5AC�-IUSB'11 S
��+-�-�'�„.� 13c)attD C�l�I-f�+�1L'Ct-I
120 W�tii fTIVUTUN S'f'RELC,4"'f'1'.()OR
7~�:. ����s) �ai-�soo
hIM13CR1,f;Y llRIti(;OLL F�1X (97S) 745-0343
1V1AY012 i itnnau�N(a anl itM�'ilnf
LAIiRI'12.A111llIN,Rti/R1�{hlti,CI1C7,(;p-p��
FIF!AI:I'll A(;ISN'I'
Application for <�ewtificate of Fitness
IIV ACCORDANCE WiTH STATE SAIY1fARY CODE, CHAPTER 1 I, 105 CMR 4I0.000
"MINIMUM STANDARDS O�'FI'CNESS FOR H(1MAN HABT'fAT10N"
FLE: . 50.00
1'ROPERTY LOCAT�p AT_ �P 1 l L�T �i�,,P�O,�M �cZ�°v v� �N�,��
!�THIS UNI I UtSICNA7 L�D AS RIGHT I..�FT I�ILONT OR BACI(,PLCASE CIACLL QNE
O WNLI2/LGSS2:`l� ���I P�Vv�vv�S �n N • MANAGCR/ACrENT ��t^l S-Ir.i�n ��'��.
NO 1.0. 80X `� 1
ADDRL�SS � �1A� T�V`I dr!P� ��i AI�DRL+SS
CTTY, STATE, "Lil�_ �(P.w. C1T'Y, STATE,Zip_�„1��C�`_'��__
R�SII7ENCE PIIONE $C7SINHSS PFiUNE(2Afi12S)_ �_��—��
BUSTNBSS PHOIVL:
"fOTAL NLTM1iER OP kOOM$; � (' .
hUUM USE+: l. z, 3 4 5
�— 7. g g �� '
"rTf�R�IS A r'1rTY(�50)17oLLAR FEE,PAY.at1LE [3Y CA[�.C[C OR MONCY O12J�L.R TO TIiE CiTY oF 5.�1,r,M
BOARp OF HEAT,TI=f THIS F'�,L IS YABL�AT Tt th[L OF INSPECTIpN
I APPLICANT'S SIGNAI"UR� �r.-�' �js(�_ llA'1'E � YY /b
lnspectors use onlv
llate on initial inspection: Datc:of reinspection:
Date o'Pissuance uf ecriiYieate• 2 DatZ fee paiil: ��j��_
Typu of unit Dvvellin UtheC Chec;k#��]leck�i;�te' 2��s�2n1�
Not�.s: ' �
� i,
e�nforCema s��eCtor
. ` D City of Salem, Massachusetts
' � � �
� � Board of Health
120 Washington Street, 4th Floor, Salem, PUb�CS�lth
MA 01970 P«Pent Promole. Pmlect.
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-17-45
DATE ISSUED: 2/22/2017
Property Located at: 190 BRIDGE STREET UNIT#1208
Owner/Agent: Bell @ Salem Station
Address:
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:978-744-4846
Pursuant to the requirements of Ciry of Salem ordinance Chapter 2 Articie 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.
e��.�.-
rey ar
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
1—
i ^�
° ° CTTY OF SA.I.EiV1, NIASSACHUS�'11 S
� li OA RD Ul�I f�!AL'fI-I
120 W�itii mvc;-rc�N ST7tE�.'i',4"' C'r,c x�lt
i~c�. ���s)��i-iHoo
KIMfiL121,1�.Y llI(IS(;OLL FdX O7S) 745-0.'i43
1V1tlS'Olt �tnn�uiN��ni i�M r•<,ni
LARRYR.i1p1llIN,�is/Ri+,ris,ca ic��,c:P-i�
r-lr�ni:rn nc,isN r
Applicatialu for (:erti�cate of F'itness
IN ACCORDANCE WiTT-T STATE SAIYITARY CODE, CT�APTER 11, 105 CMR 410.000
"MINIMYJM STANbARDS OF PI'CNESS FOR HCIMAN HABT'fAT10N"
PEE: 50.00
1>ROPERTY LOCATLU AT �--�i v in UIVI7'# / s�
'S THIS UNIT DISIGNA'PFD AS RICHT I..F,FT FI"LOMP 0121SACK.PLEASE CIItCLI;pNE
OWN�R/LCSSr:tt �C�� P�Pv,S� o� � ' MANAGER/AGENT �.�Y��r��'v�C �
NO 1>.O. uOX `�
.�,DDRLSS_L�'1CL 'DV`I �r!P� �;�TC:��� .4UDR�SS
CTTY, STATE, "L1P _ �(P.ln-� C1TY, STATE, ZIp WI���Gj��_`
R�SID�,NCE PFIONE HlJS1NLSS PHUNL�(24HtiS)_ �_ "�'���—���
BUSiNESS 1�HON�
TOTAL NUMt3ER O.P kOOMS' �,�
hvONl USL�� 1. Z. 3 4 5
�— 7. g y 10 '
TI-IERL IS A r`1rTY(�50)l7oLLAR FEE,PAY.v3LE BY CHI�,CK OR MpNLy 022i�LR TO T'HE Ci i�Y OF S.v�,M
BQAliD OF HEAI,TII TH7S F'EE IS P L�AT'ftlE T C�U�INSPECTION
APPI,ICANT'S SIGNAI"UR� 17A'1'E__i��/��
1nsnectors use onlv
llate on initial i��spection: L�ate of re�nspec4ion,
Dat�of issuance of Cerfificate• 2 Date fee paid: 2.
Type of unir. IIwulling Gthet Check#�,��_���k�t�� Z'
N�tes:
Codc nf ei cnt speckar
�
� �tl �P CI'I'Y OF SALEM, MASSACHUSETTS
Bo��oF HFar.�rx
12O W�1tiHINGTON STREET,4"�FLOOR � �bI1CHC8��1
PrevenL Pmmate.Pmtcc[.
TEL. (978) 741-1800 Fa�(978) 745-0343
KIMBERLEY DRISCOLL kamdinna,salem.com
LARRY RAMDIN,RS�RI3HS,CI-i0,CP-I^S
MAYOR Hr..�1.Ti[AG I:N'r
CERTIFICATE OF FITNESS
CERTIFICATE#505-12
DATE ISSUED: 8/17/2012
Property Located at: 190 Bridge Street UNIT# 1408
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 Cert�cate of Occupancy.
FOR THE BOARD OF HEALTH �
�
' LAR RAMDIN
HEALTH AGENT NITARIAN
� . �
� � CITY OF SALEM, IVIASSACHUSET i"S
�� BOARD OF H�1LTH
� 120 W�ISHINGTON STREET,41°PLOOR � �il � �
rEL. ���g� �4i-isoo ;�� 'J '
KTMBERLEY DRISCOLL F�1X(978) 745-0343
MAYOR . LIL\MUIN[C7�.tiN,FiM COM '.
LARRY RAMDIN,RS/RFP[S,Ci{O,CP-F5 � '
Hr;�t;t't t Ac1:tv 1'
Appiie��aon f'oa- Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMIJM STANDARDS OF FITNESS FOR HI7MAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT `�� �'j(/�C a c,� .C'�.� �c�f��„n y�0� �1 T]rIIT#�._�O�
IS THIS UNIT DISIGNATED AS RI T LEFT FRONT OR�PL SE CIRCLE ONE
OWNER/LESSER �@,wt �rdv� LL MANAGER/AGENT
NO P.O. BOX
ADDRESS ��;� �� ADDRESS
CITY, STATE,ZIP �QYVV CITY, STATE,ZIP�" 0 I�I�C�
RESIDENCE PHONE BUSIlVESS PHONE(24HRS) � ��''Y,�' 'i ��p
' BUSINESS PHONE
TOTALNiJMBEROFROOMS: i3r
ROOM USE: 1. 2. 3. 4 5
6. 7. 8. 9 10
THERE IS A F1FTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TFIE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAY LE AT Tf�T �OF INSPECTION
APPLICANT'S SIGNATURE DATE a �7 J
Insnectors use on�
Date on initial inspection: �7��_ Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of 't: Dwellin O Check# � � Check date: �
Notes:
Code e t Inspector
�
�» n , � CITY OF SAL�M, MASSACHUS�TTS
e\'P�..�� BOTRD OF HF�.��l;i'I-I
12O W.�SFIINGTON STREET,4'�� F1.00R
Tri. (978) 741-1800
I�IML�ERLEY llRISCOLL ['��x (978) 745-0343
MAYOR lramdin e salem.com
LAItRY ILAI4DIN,KS�RftI�[S,CI IQ,CP-I'S
L-II3;\I:171 t�Gf;N'I'
CERTIFICATE OF FITNESS
CERTIFICATE #312-11
DATE ISSUED: 8/19/2011
Property Located at: 190 Bridge Street UNIT#2111
Owner/Agent: Lincoln Apartment Management/Jefferson at Safem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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
�
LARR '�R%fiMDIN
HEALTH AGENT CODE E RCEMENT INSPECTOR
� �i`
�. . � ��� �
!� C'irl� c�r S�r,i���t, ti-Inss_�cF-r�_�s�, ��rs
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��„`J 1'_'0\�':\SIILVC3TON S'fRl='G:P,4"' ( 1.Oi>l2
Trir... (978) ?+1-t y111i
filibf8Litl.l•;Y 1JILISCC.)[.L 1�,�\ (J7ti) 74�-0343
i\'lAYi)1: i,it,��u,i,v!�r:;+,i_r:�i.rnni
I.,11ttt1'I2;1\IllI:V, �t;/itl•:h�S,C:I in,c:l'-1�ti . � � ..
I�..11(:11:111 ,\C;I;NI' � � -
Application for Certificate of Fitness
IN ACCORDANCE WiTH STATE SAiV1TARY CODE, CITAPTCR t l, l0� CMR 410.00U
"MINTMUIVI STANDARDS O�' FI'CNESS POR HU,�IPu�1 HABI'fAT10N"
PLE; �50.00
PRO�ERTY LOCA"rLp3 T '`�'"G� �� uNiT#�
�l'������{,�;,) e��� e RIGF T ;FT 1�ItO�T OR BACIc.NLCASE CIItCLL
UWNER/LESS�;it (IlUflbt��S��4.¢, _�IANAG�R/AGEN'T
NO P.O. t30X �
ADDR�SS _AUDR�SS
CTTY, STpTE,Gll� /T _C1TY, STAT'L, ZIp
R�STDENCE PI1pNET $USINL�SS PHUNE(24HR5)
BUSIN�SS I�HON� " Zy �����j
"fOT,AL NUMBER OF ROUMS:�"�1�
RUUNI USL�� l. , �. 3. 4. S.
6;, 7. 8. 9. 10
TI-Ii:RE IS w r`irTY(�50)�7oLLAR FEe,pAYfu3LE 13y CB��,CK OR��TpNEY ORDLR TO THE Cl'l�Y OF SAi,E�I
BOA1iD OF HEAL,TI-f THIS F'EE TS PAY .AT'friE TmCL, r u�ISPECT[�N
APPi.IC��Nl:'S SIGNATUl2L �.,/y(y� _ llA'1"E_ 0 a-
Ins ectoi•s use o�
17ate on initi�il inspectiun:^ I�� _ Datc of rzinspaction: !—
, DaiC ol'issuanue of��rlilicate;_ �/ / _ Date Pee p�i�l: �
Type of imit; Dn elline_ t/ Other Clieck#_.,�_Check d;sle:
�iotzs: ��� !7 •
Cude - Fin�Cei cnt InspeC'tur
�
" , g CITY OF SALEM, MASSACHUSGTTS
�. . r,
`?.t-�,,-� 13c���xD oF Hr.��r.1�[�
120 WdSHiNGPON S'PRLL'1,4���1''LOUR
IQMI3ERLI�Y llRISCOI.,I., TP1',. (978) 741-1800
Fax (978) 745-0343
�1YOR ]ramdin e salein.com
LARItY Ri1n[UIN,Rti�Rli.l IS,CHO,C]'-FS �
H I�i;U:I'I I.�G I3NP
CERTIFICATE OF FITNESS I
CERTIFICATE #313-11
DATE ISSUED: 8/19/2011
Property Located at: 190 Bridge Street UNIT#2305
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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
n ��.
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
''� �1 1
r � C�'irl� <�r S.-�1����,t, ��[,
�f � 15S_-�c.:�i[_'S�:"t'.Cs �
�
\��y�r��w` 1Si i.\1.D(;t� f�f�..�l:l1f
��. �� 12h1�1:�<in•;<_i�i,� �-rRl"�t:��, �� 1�r.�r��it
1'1��7�... (�)75i %'�1—(SI IU
IiI�:[liLiil_I:Y 1JRIS(:(JI..L C:iS ('1?ti) 7}�-03}3
;�1:11'i)x �ry,�.�iwui�,� ;v_r:�i.� <,�i
1:.:�lilil'R,1`,IUI:V, IiS/Iti(I IS�r:l li),t:P—I�5
F.II(.11:1 f I ;\(;I���l�l'
Applic�tiun for Certificate of Fitness
IN ACCORDANCE W'iTH STATE SAVITARY CODE, CT-IAPTGR l[, l0� CMR 4f 0.000
"MINIMUNI ST.�:NDARDS OF l�I'CNESS 1�OR T-iO;�IPu�1 HAH[TAT10N"
PCE; :550.00
�} �f /
1�KpPLRTY LOCA"fLD AT !�� c�P/�,(.,(� UNIT#���
i r�� Q,,,l„_{�„a�,.) IS 1 1 U��11'�Y�vl(�"N�1�p,pLS RIC►• F'1'4ItU�'f OR BAC(�PLCASE CIIlCLL
V N�/.��yi«,�� (. C/ <�U�lLtilv fiy �
L ~ �"'VIANAGGR/pCrENT ,•--'---
OWNERiLCS 'E1Z�� � IJIUhOit,�SX��4.¢, L�
NO I>.O. BOX � � '—*—�VSYI.
ADDRLSS __ADDRLSS
CTT'Y, STATB,Lll� _C1TY, STA"I'L, ZTP ///� O � 7C�
RESIDENCE PIIO�IE�_ BUSINLSS PHONE (24E1125),_ �" 7��� (�
BUSIN�SS YHON�
'fOTr1L NUbtf36R OP RUOi�1S:
hUUNI [ISE� l. , � 3. ,�. �.
6�_ � . 8. 9. 10.
TI-I1;R�IS A FIF('Y($SU)llOLLAR FEL, PAYAI3LE 1iY Cfi EC'K ClR i�IONEY 012llLR TO THE Cl'1'Y OF SAJ,6VI
BOAl2D OF HEALTI-I THIS F'�L tS YAY.4BLi: AT'll-lE Tt1bCL OF 1NSPEC'PIpN
.�PPT,IC��i'Vl''S S[GNATURL _ 17A1"B
[n_ spectors ta5e oniti
llatc on initial inspcction:� _ Datc of reinspccfion: —"'"��
Da[c of is;uance uf�cctificrdc:__ � � _ Date fi:e paicL•
Tm� of�_init D«�llinc_�_ �O�her Clieck=t_ ���__ClieaktLite: � / � � ,
�V Ot25: �
C ude Gnfoi .cirt�nl L�sprrr:�.,r
/ �
�' ` CI'I'Y OF SALEM, MASSACHUSE'I"1"S
��„w� 130.1RD 0[�HF-�I:PI]
]20 W.�sr-r1NC,'roN SrxrcT,4"' 1��.�x�x �
TLL. (97$) 741-1$00
KIMt3LRLEY llRISCOLL 1�:1� (978) 745-0343
MAYOR IramdinCa�salem.com
I AILRI'1L\�tiiDIN,RS�R13FfS,CI I(l,CP-I�S .
Hr.;��:rit Aa[;N'r
CERTIFICATE OF FITNESS
CERTIFICATE #385-11
DATE ISSUED: 10/3/2011
, Property Located at: 190 Bridge Street UNIT#2403
OwnedAgent: Lincoln Apartment Management/Jefferson at Sa!em Station
Address: 190 Bridge Street
CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 latec
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR�RD OF HEALTH L/`�--
LARRY RAMOIN
�
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
. . ,. « i'r` .
n< ,�
,/,: Cirl� c�r S��.�����, tiI_Ls;;_�c.F-r��s�, rrs
N�
��,��t*"-��,a,e✓' liC�.�RI]t'n-1��l t.�l:fl f
�. � � I-0\�:��I17.�:t�1'UNS'fRl-dE:�C,4�01�1�.C>i)lt 3���
1�G7.. (97g) ?+1-l SOU
KIibfliLlL1_I?Y 1JR7S(;OI..L l'r�\ (')'fi) 7�4�-034;3
\'lAYl7k �,it.,��iu_�_.vGr s;;i i,:�i.ci�ai
1,.:1 RRY R;G�IllI:V;Ri/ItI��;FI�,(:I It i,(:I'-1�5 ..
I��II�(:11:1 I I ;\C;I��Nl' . .
.Application for (�erti�cate of Fitness
IN ACCORDANCE WiTH STATE SANITARY CODE, CITAPTCR t l, l0� CMR 410.UOU
. "MII�iI]YtUivf STANDARDS O� FI'CNESS �URT-�U,�iAN H.4B['fAT10N"
' PEE: ;�50.00
YKOPERTY LOCAT�D AT l � /���`�y— ��eD� UNIT��5�4 3
s u r a�cr•r ,�rrriou•ror��.acic.N�EAs�c�ac�u
����s� mv���:t�, ; �
� _�fANAC ER/AGENT
NOP.O. BOX �F . �
ADDRESS ' _AUDRLSS
CT"fY, STATE, Lll' <�v"�'"` _C1TY, STATE,2TP �� �� 7 G `
RESTD�NCE PIlONE BUSINL�SS 1'HUNE(24Hit5)
BUSINESS YHON�
'COTr1L NUMBER OF ROVMS:_�
KooNi us�: i: , �. 3. a. s.
6, z .. g• y. io.
TFfisRE IS A Flt�"['1'($SO)DOl.LAT2 FEE, PAYAHLE BY CH(ECK OR i�IpNEY O1tllL'R TO THE Cl'1'Y OF SALEbI
BQAitp OF HEAti1T-f THIS F'EL IS PAY�f'f1-lE TIlb[L OF NSPECTION
APPi.IC�aNl''S SIGNAT'URL . llAl'E, �� � f�
ln_ spectors use onlv
17atc�n initiail inspection:��// _ Uate of reinspcction: ��—�
Daic uf issuvice of ecrtiiic�te:_ �Q � � Date ('ee pai��
1� .
Typu of unit U�ti�lline_ �her C(ieck#�O Clieck d:sie:�C� '�J ��yi
�iutes: � � �
Cad C-nl�i�r 'mcnC Lispeciur
i —
�
' � � C1TY Or SAL�M, MASSACHUSFTTS
�,� Ba.�ttn c>r HF��t;i't-t
120 W.vsHINGTON STRF7;,1',4���Fl.,OOR
'I'Fl.. (978) 741-1400
�:1���xi,Li�Dlilsc.or_�� r��x (ms) �4s-o3a3
��`�YUK lramdin(�n salein.com
T ARRY R.VIl1UIN,RS�RIiI�IS,CI I(l,CP-i'S
H I C�V;1 Tf AC I sN"I'
CERTIFICATE OF FITNESS
CERTIFICATE #334-11
DATE ISSUED: 9/S/2011
Property Located at: 190 Bridge Street UNIT#3210
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 �
� 1 �
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
:,,
r �
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�i' ,;.�
��. � C�-r�� c�r S.-�r,l���c, ti[_�s�_�c.F-r�_s�,���s ��,�'1
� �
�����--�„�a,,� 13��.�Iti�� ,i� ]�r i�..�1:r,t � ..
�� 1^0\Y/:ASI Ili�"(;'1'(?N S'fRi='L•:'f,�"� l�l�.i>i"tlt
Tr�7�... (478) ?�1-'(RQU
KI:blliLlii.l•:Y URIS(:(t[.L l"'d\ (9'A) 7d�-U343
i\lA1'C)it i i;,�w;i,u�,�,,,i_i;�i.cn.�i
L:\IiIi1� K,ti\II)I:V,liti/Rlihl>,(:II(7.(;I'-I'ti � - . �
F'I i!A I:I I I :1C;I�nv"I' � -.
Applicatian for Certificate of Fitness
IN ACCORDANCE WiTH STATE SAiV1TARY C�DE, CTTAPTGR !l, (0� CMR 41 Q�UU
"MINIMUIVI STANDARDS OF PI'fNESS CUR IiU;�1t1N HABI'fAT10N"
IGE: $50.00
PRpi�ERTY LOCA�r�D AT �U �/�C �b`n.G��
�.;p, � UNIT#��C�
3 � � ��g���,y� �s 121CF' ,FTI�ILONTORBAC7(,pLCASECIRCLL
�1���dll,�� ��{'v�rC/d ���N`I�tZZ��
OWNER/LCSS-}:`KGb D1Uh�L�S'��4F, _yfANAGEW AGE�IT
NO 1�.0. eDX �
ADDRESS ` _AUDR�SS
CTTY, STATE,GIl'____'� l�G� �I�f� _C1Ty, STAT'E,ZiP
RESID�,NCE PHONE BUSINLSS PHUNE(24fittS),
BUSiNESSPHON� �� 7Y� ���
'COTr1L NCTMBER OF ROUi�1S: �/6'Li.
ROONl [ISE: l. . �. 3. a, 5,
6. 7. 8. 9. 10.
T[(CRE IS A PIrTY($50)170l.GAR FEE, PAYAI3LE [�Y C�;'ECI< OR YTpNEY O12DLR TO THE Cl'1'Y OF SALE�(
BOAIZD OF HEAT,TI-I THIS F'�E IS PAY .AT'fME Ti1bCL U SPECTIt�N
, APPI.IC��Ii'S SIGNAI"UIZE ,' . llATE_
lnspectors use onlv
L7atconini[i�ilinspectiun:^ IOI�� _ DateoFreinspaction: —�
Date of�ssuance uf c;crliiicate:_ I g �� , _ Date Pee pai�i�
Ty�e of imit: D�ti elling_ (/ (jd�er Check:��'j `Check d;tfe:
�iotes �
ude [u'orcement Lupeciur
� �
�
�" ,,r� � CITY OF SAL�M, MASSACHUSETTS
'�„� I3c>;»in or HF-�r.rx
120 W��si-rinc�r�'» S'rizEF'r,4'�°l^'L<x�K
I�iMBL]tT EY D1ZISCOLI� T[i. (978) 741-1800
NIAYOR N-�F (978) 745-0343
leamdiu(cDsalem.com
I,;VtRI'RA�fU1N,RS�21�:1 fti,CI10,C7'-I�ti
L-I I?;\I:lYr AG IiN'I'
CERTIFICATE OF FITNESS
CERTIFICATE #311-11
DATE ISSUED: 8/19/2011
Property Located at: 190 Bridge Street UNIT#3313
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
An inspection of yourvacant 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
L, -' v— '^.-'—
LARR� �
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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,:�� •��
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l��l;�Z�l)R �i(_1\IUI�IGi`�=;V.Ii�.LCual
I..\IIR1' R;\`.IUIV,R�!I:I':I IS�CI Il),(,1'-.I'S
I�II�..\I:I I I .\C,IfNI'
Applicatiun for (�ertificate �f Fitness
IN ACCORDANCE WiTH STATE JANI"fARY CODE, CT-IAPTCR ! l, l0� Ci�IR �110.000
"MINIMUIVI STANDARDS OF l'I'CNESS 1�OR H(),�IAN HABT"fA"f10N"
PEE, `550.00 ��
YKpPLRTY LUCATLD AT �v t�'���� IJNIT# �
�;In��r�������t��41y�� � �� e�l��J��]�R�GFIT �1�CtUY'f OR BaCK�PLCASE CIIICLL
� q LL7}1��..
l -. .
ObVNEIL'LES�Sk�:RG��ZG'�if,� �j'�'fllU}t✓I.�L�i1r�S��43,L/.�;1_y1ANAG�R/AGENT `�. �
NO P.O. BOX �j7�Qy� tr- , 65Y�
ADDRESS AUDRLSS
��°'�"� f?�1�� 0 ! -�
CTT'Y, STp']'$, Zll� _CLTY, 9TA"I'L•", ZIP __ � 7�) ,_
R�SIDENCE PIIONE� BCISINESS PHONE(24fiI2S). �'7�y - Y.��„
BUSINESS 1'HONL�
`I'QTr1L NCIlbI$ER OP ROU.�IS: �i '`���''a"�`^
I:tiOM US£: l. . �. 3. •{. �.
b--- �� .. 8. 9. 10
TI IFRL IS A FIF"fY($50)llOL(,AR FEL, PAi'r1t3LE fiY CT;fECK ClR:b1pNEY ORllLR T�J TfIE Cl't'Y OF S.1LE��1
BOAIZD OF HEAI,TII THIS F'�L IS PAI'.aBti; AT T1LE Ti1blL'UF INSPECT[pN
.�PPr.[c�uu r�s szc�.4�ruaL � p�y CE PAYMENT APPROVAL ll�1�_ g 1 � �fltl
Business Mgr---� "
RPndn5pectors iic�_.�}�y-----'
����
llatc on iniiiul inspcctiun:_ � 1 ( 5000
G / @
� ! UP 7�P _��,F..�CCCIOII: '
Daic ol is;;ueince uf ccrliiicate;_, � 1 // ���0�
,. _ U1TC �CC�8It�1
�ipe ot unit D:�.eliin�>_ lJthcr Check;s_��t-'heck iL�ie:
�������.
.`;otc,:j� ^',� , _
���_�n�� _----------- -_
,
Ccdu c�furcciri nC hisp��:ur
.. . � � 6
CITY OF SALEM, MASSACHUSETTS �
' BOf1RD OF HE�ILTH
120 Wf15HINGTON STREET 4�"FLOOR �11b�1CHC8��1
e Pravem.rroma�e.rro�ec�. �
' TEL. (978)741-1800 Fax(978) 745-0343
HIMBERLEY DRISCOLL lxamdin ,salem.com
LARR1'ILAMI�IN,Rti/RI31-IS,CI-10,CP-I��S
MAYOR Hi3.91:t7i AGF,NT
CERTIFICATE OF FITNESS
CERTIFICATE#435-13
DATE ISSUED: 11/7/2013
Property Located at: 190 Bridge Street UNIT#3403
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 07970 24 Hour Phone: 978-7444846
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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 MDIN
HEALTH AGENT SANITARIAN
I J .. . v 1 `� �' CI7Y OF SALEM
• ° "� y NLASSACHUSETTS ��ir� �
��� Bo,�xD or H�ar Tt-r J
�,;�,�✓ „� ,
�'� 12�Wr\tiHINGTON STREET 4 rT.00R -
TEL. (978) 741-1800
I�3ERLEY DRISCOLL Fa�(978) 745-0343
��'�R LR�IMUIN[n1.tiN,L:Pd CObf
� LARF.1'IZAMDIN,RS/12EGiS,Ci IO,CP-FS �
I I I:i;\l;1'f I1�Gi?N'1'
�lppiflca�eo� ffoa� Cea�ti$icate of F'itness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTF.R 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR IIiJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT� /b �,/��-o�lye,�(.� �� J'Y�a-- (J/g'�0 Z�IT# 37 0,3
IS THIS UNIT DISIGNATED AS R GHT LEFT FRO OR BACK PL E CIRCLE ONE
OWNER/L�SSER , LL(2v�. .yf4'�r� ;n (S ' MANAGER/AGENT
NO P.O. BOX
�nD�ss aDDxEss
CITY, STATE, 7TP SL�CYVV CTTY, STATE,ZIP�LI� 0 Ia�U
RL'SIDEI�TCE PHONE �7�'7�/ y �� ��O BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �'�
ROOM USE: 1. 2. 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
BOARll OF HEALTH THIS FEE IS PAYAB AT Tf�T E • F INSPECTION
Ak'PLICANT'S SIGNATURE Ci' DATE � /
Inspectors use on�
Date on initial inspection: Date of reinspection:
i Date o£issuance of certificate: Date fee paid:_ _
Type of unit: Dwelling Other Check#_���_Check date: �
Notes:
Code � orceme t Inspector
� .
._ �
' ` CITY Ol� SAI�I:M, MASSACHUSF`1TS
I3o,�xi�oH Hr��r:rr-r
120 W��sFnNc�roN Sr�r�r,4i0'Fz.cx�rz
K1M13F1tLLY DRISCOLI_. T�.. (978)741-1800
MAYOR 1��1x (978) 745-0343
Inmclin a)salem.com
I,n�aiv an nroiN,iis/ar�;i�rs,c:r io,ci�-is
Rc.n��:ru Acr;N r
CERTIFICATI°OF FITNESS
CERTIFICA.TE#309-11
DATE ISSUED: 8/19/2011
Property Located at: 190 Bridge Street UNIT# 3414
Owner/Agent: Lincoln Apartment Management I Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: M�assachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitaation".
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 issuan�;e 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�
HEALTH AGENT CODE FORCEMENTINSPECTOR
�
,. �
.- �
/: � C1TY �)I' S:1T.,l�i�[, l�I_�SS_�C.�i(_?SE1'.l"S �pc1.V�
�i N�
��,��`y—��.b,...+!� 1Sc 1�R[i Ot� I�f I;:AI.:Cl f
��,� I'_'0��';\;I IlN(;'T'(�N S'I'RI G`I 4� ' 1 l.Ui)l�
i�rtr... ('978) ?�l-l 311U
lili�IliLitl.l:Y 17ILI5(:OI..L l'r1\ (J7A) 74�-0.34.i
� 1,'jt�Z�l)lt I I{_\11GI:V ri:ti��,l_U).LCt1Al
� I.:1121tYR,lTil]I:V,Hti/RI�:II�,CIIO,(;I';I'ti ..
1'..IP^U:1 I I ,\(�I'��V�1' . � .
Applicatian for Certificate of Fitness
IN ACCORDANCE WiTH STATE SAiV1TARY CODE, CIL4PTCR t l, 10� CMR 410.ODU
"MININ[UNI STANDARDS Oh Fi'CNE5S F(�R HU.bIAN H.4BI'fAT10N"
tCE; ;550.00
PROY�RTY LOCATLD�T %Z, , � r. �II� UNIT�F_��7
Ll�'�411,�W�{Vf� 3 �1i 11'DISI� I , IGFT .FTI�l20�' RBACK�pLGASECI(ICLL�
l,�Y�C �'F�
O�VNER/LES$H"KG� DIlMP�L�S�kk, _VIANAGER/ACrENT
NO 1>.O. BOX �
ADDR�SS _AUDRLSS
C!'fY, STATE, Gll' _C1TY, STATL,ZIp _
RESTDENCE PIiONE BTJSJNLSS PHUNE(24H12S)_
BUSTNESS 1�HON� g ��y�" �P��j
� 'COTr1L NUMBER OF ROUi�1S:�,�
ROOM USE: l. , �. 3. 4. S.
6� 7. _. �• 9. 10.
TI-l�RL IS A P1F"I'Y($SO)UtJ LLATt FEE, PAY.4I3LE BY CT'[6CK OR��ipNCY O1tllCR Td TfIE Cl'1'Y OF SALE�I
BQA1tD OF HEAT,TI-I THIS F'EE IS PAYr1B AT Tl-lE Ttlb �UP INSPECTION
APPI.IC�aNl''S SIGN.4T'U1tE � 1llAfE_ a' /1
lnspeotors us__ e�nlv
17atc on ini[ixl inspection:^ o / � _ Date of reinspcction:_ �—
Dait of issuance uf ccrtificate:_,. IoZ ,�� f,I Datc lee paid: /
� 2-'� )
Type of imit D�ti elling_�(jther Clteck#_., Citeck drafe:
Nutzs: �
Cuui, -nti;r emcnC L�spector
� �
m k_
- ;��;1?� CI'1'Y OF' Sr1I,F1�1, Mr�SSACHUS�'I"I'S
I�Ur1RD()F'H�.1LTH
120 WdtiFIING"10N STREET',4���FLOpR �I1b�1CHC8��1
i�.�..���.v.�,m���.i,.00-.�.�.
� �rF��.. ���g� �4i-isooF.�� ��za� �4s-o343
KIMBERLFY D1tISCOLL 1�amdinCa�saleui.com
LARIi]'RAMI>1N,Rti�R1zI-IS,CHO,(�P-FS
Mr1YOR '
Hi_t��1:it r Ac i;N'r
CERTIFICATE OF FITNESS
CERTIFICATE # 158-12
DATE ISSUED: 4/17/2012
Property Located at: 190 Bridge Street UNIT#4111
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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
� �, �
LA MDIN
HEALTH AGENT SANITARIAN
';3`'� � C��1TY OI' S.�T,.l�.�t �L:�Sti_\(:iC[ ��E1'lS
;��s��� � - -
-��„„o-"�`�" 1�i�.,�.L) �_.��Itl V:ftf ! h
�� lc/ ���.
�� 17t) ��'.1�I I7�C. l )�, �-I dLi�.l, ,��.. 1�1.(ii-�R
11��7�... 1')?�) :%:LI-1SIIU
1�;12•[ULlt1_I '.l' U1:1St:(.II.,L
C�:�\ (9,R) ;':}5_Q3-�.i
;A�I,IYi i1:
. ��i_���u:��.:riB_;�.i,lt>.Li����,i
]..4R!tY R,�!Jt11:V, litill'Ifli�,!:I IIi.S:I'-I�ti
P.�If.V:lll .li�;l-.\-I' . .
Application for Certificate of Fitness
IN ACCOP.DANCE �ViTH STATE S�;VITARY CODE, CITAPTGR l f, l0� CtVIR 410AOU
"MINI�;IUNI STaNDARDS OF FI'['�IESS rUR HIJ,�I,1N HABI'C'AT10N"
PEE: �50.00
YROYLRTY LOCA"1"LD AT �!`i �t/!.<.tG� �� / �
' UNIT� / ! ! /
,l a�P �' n � .' � 13 TIi15 U��IT I IGN.41 PD t1S RICt'P l-.RFT I�ItUNT OR dACI< PLCASE CIkCLL n V -1 ���
�� �:.�� F h �r�,�ti��7�.a ���w �,�n;n. � ���_ v; f � ,�ti.�;,,��„ ��
OWNLRiLF.SS�,KG�i'!1+t4;{. N nl�;��Z, G'/����k�:{'�y� 11L:t���1ANAGCR/ACrEN�' '�%� �._,�----"'_"--
NOI'.O. BOX '���1{�f;�s�i}�C� JU-�'�_,'- �\�v✓�GS�.. "— j
.4DDRLSS AUDRGSS �
— � i /
CI1'Y, ST�TE, Gll��-�.2,�� _C1Ty� STATG, ZIp_,�,�<-'�- � /j 76
R�SID�NCE PiIOVET BUSINGSS PHONE(2�HRS).
BUSTN�SS 1'HQN�
"COTAI,NLMBER OP RUU.b]S:�/(�-�
Rti0�1 USL� 1. 2 3. .{, 5.
e�- �. .. s. y. io
T[-lF.RL IS A FIF"['Y(.'s5U)llOLLAR FEL, P, LE 13Y CT;ECK OR��lONL'Y URDLR TO THE Ct'lY OF S.a1.E�bI
60.11tD OF HEAI,TI-I THIS F'�L' IS PAYAB��T'11-1E TTIb[L UF 1NSPECTIQN
i.
:�PP1.IC:aIVT'S $ICJ\.aTUIZL , r "L/1e'�� _ llA'I"E y � I 1
fns ectorsuseiinlv
Dsita on !nitial inspcction:_`____� � - �
liatc of reinspcction:
Dai�, ol i;;u�uice uf ccrtil:ca;e:_.. _ _ Uatc fce paiiL•
�yTuofimit D��.�liia�: Other Check.'! _ r"'IieckJtne:__����
�, ��, �- � �� — ___ _
'�;_re:;:_�j'-�k���-�--�✓a-Q�_�L��--�'�_ ��,, �
_ �—�� �-`�-��—�
-----f! G1� ------
f•:"! J ,�', r;i:c;n( fn;u�r . ): --
�
�
�
` ' ��� CITY OF SALEM, MASSACHUSETTS
��,�! Bo.�Rn oe H�i:rH
12O Wr�SHINGTON S'1"RB,CT,4f°1^LOOR
TF�:,. (978) 741-1800 �
KIMI3LRLLY llRISCOLL r,�F (978) 745-0343
Mt1YOR Iramclin e salem.com
l rVtRY IirAMUIN,R5�Rl31IS,CI10,CP-FS �
Hi��,n[:1'i i Aci��:N'r
CERTIFICATE OF FITNESS
CERTIFICATE #282-11
DATE ISSUED: 8/4/2011
Property Located at: 190 Bridge Street UNIT#4201
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
An inspection of yourvacant Dwelling/Rooming Unit at the above address has been approved
and is in compiiance 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
r ,�
LARR RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
,, ��
� �� � CITY t)I' S:1T..Ei�[, lL_1SS_�C.�I[JSE1".l"S ��
i; ��d�
��'S-��h,-,� � lii?\R[i i n� I f l:.�l:l'll
�� , I�O\�'\1111VCtUN $'I'RI L�[',=���' !�L(�i)1: -
1r7.. (9�$) ?}1 IyOU
KIbIBiltl.l:Y 1'JI�IS(:(tl-•L PA\(');R) 7:}�-O34;
.�'lAI''i]lt i t�,���u�:v ir,',°.�_�t��.i'�,a�
]�..:1RRY R;\`df)IN;I1ti�RI�A1��C:I I(7,(;1'-hti .
1-11(:V:ffl !\(��L'N.f � � ' .
Application for Ce�rtificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CITAPTLR t l 10� CMR 410.�OU
,
, "MINIMUM STANDARDS OF' FI'CNESS fUR FIU,b1AN HABT'fAT10N"
rLE: ;�50.00
i�xpNL•RTY LOCA�rLp AT b UNiTf��
�l'� '����� 3 � ��.�/� j RIC P ,FT1�ItO�TDRBACIc,NLCASECIRCLL
OWNEIL'LCS }:`KG� UIUhGr1.�v/?���.3,Z
�� �IANAG CR/AGENT
NO P.O. HOX �Q�F �SY�.;—
ADDRESS _AUDRL+SS_„_
CT1'Y, STATE,Z1P _C1TY, STAT'L, 2IP
R�STDENCE PI30NE_,,, BIJSINL�SS PHUNE(?4T-1125)._
susnv�ss rHc�rr� �7�-7yy— ��G
'fOTr1L N(JM$ER OF ROUi�IS:��tO�-.
RUONIIISE: l. , �. 3. 4. S.
6. 7. .. g• 9.
TI-II;RE IS A F11�TY($50)DOl.LAT2 FEE,PAYAI3LE AY CT;'[6C[C O � ipNEY ORllCR TO THE C11'Y OF SA1:.E�I
BOARD OF I-TEALTif THIS x'�E IS PA'Y.4BLI; AT Tt L INSPECTIpN
APPT.IC�aNT'S SIGNAI'URl . llA1'E_ �'dvYl
lns ectors se bnl
llatc an ini[iail inspection:� � I/ _ llate oFreinspcction:
DaiG pf issuance uf'���lificate:_,. � _ DatC lee p1i�:
Typu of�mit: D�ti-elline__��fjther Cliec:k#_��Check d:ite: ���/,��
Nuter.
Cc u:Cnti�•cemenf L�;peciur
� _ __
, �
� , . �
! CI'IY OF SALEM, Mt1SSACHUSETTS
� BOt1RD OF HE.-\LTH
120 W�15HINGTON STREET,4�"FLOOR PublicIiealth
Preveno Promam.Protecl.
TEr.. (978) 741-1800 Fax(978) 745-0343
KIMBLRLEY DRISCOLL leamdin e,salem.com
� LARRY itAMUIN,Rti�R(CF[5,Cf[O,CP-F'S
MAYOR HEAL7'HAGPN'1' -
CERTIFICATE OF FITNESS
CERTIFICATE#65-13
DATE ISSUED: 1/29/2013
Property Located at: 190 Bridge Street UNIT#4211
Owner/Agent: Lincofn Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
CirylTown: Salem, MA Zip Code: 01970 24 Hour Phone: 97&744-4846
___ --- ----- - ----- -- --- -- ----- - ------
- __- - . .-
Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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 untii the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a vaiid Certificate of Occupancy.
� FOR THE B ARD O EALTH �
� ����
LARRY RAMDIN
HEALTH AGENT SANITARIAN
� J V�1C
� ' � `� � CITY OF SALEM, IVIASSACHUSETTS ///��� �
. p�_���• . BQ�1RD OF HE�ILTH ��J��' )
`�'�iy� � 120 Wr1SHINGTON STREET,4°`P'T OOR � `�
TEL. (978) 741-1800
KIi�II3LRLEY DRISCOLL F�1x(978) 745-0343
, Mt1YOR �.�u�mturN(c�snt.�:mi.c�M
� L;\iiltl'R;\i�(UIN,RS�ItI'sf fS,CI IO,CP-1�S .
I IIa,rU:l'l I r1.Gi?N'1'
�ppige�tiotn ffor Cer�ificat� of F'i�e�s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MININNM STANDARDS OF FITNESS FOR I3UMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT / C 6 f�?� � �..(1 L�IT#�/
IS'd'HIS UNIT DIS[GNATED�RIGHT LE F'�RONT OR BACK.PL SE CIRCLE ON�
OWN�R/L�SSER .�(2.y� �t�;� MANAGER/AGENT
NO P.O. BOX c� —
t1DDRESS ���� ,7'� ADDRESS
� CITY, STATE, 71P SG�CINV CITY, STATE,ZIP�" 0 I��U
R�sIDErrcr:Pxo��l?$ 7�f4—y�c.� Bus�ssPxorrE�za�nzs�
BUSINESSPHONE
TOTAL N[.JMBER OF ROOMS: /i�
ROOM USE: 1. 2. 3. 4. S
6. 7. 8. 9. 10
THER�IS A FIP'TY ($50)DOLLAR FEE,PAYABLE BY CHE:CK OR MONEY ORDER TO THE CITY OF SALEM
730ARD OF HEALTH THIS FEE IS P LE AT Tf�TIME / INSPECTION
APPLICAi�IT'S SIGNATiIRE_ �/f�Q�- DAT� � � �
Inspectars use onl.y
Date on initial inspection: (I a� I I 3 Date of reinspection:
Date of issuance of certificate: Date fee paid: �/����
T e of unit: Dwel i �
I yp 1 n Other Check# � Check date:
g � /
Notes
//�
Code ' . c�gy�nt Ins ector
P
. ' �
� �� CITY OP SALFM, Mt1SS1�CHUS�1'TS L(
� Boaan or HrAt:rx �
12O W�1tiHINGTON STREET 4�"FLOOR - R�bI1CHC8�YI1
) PrtvCnt Ymmo�c.P�01ec[.
TEL. (978) 741-1800 Fax(978) 745-0343
HIMBERT.FY DRISCOL.L lxamdinCct�salem.com
' - . LA1iRY RAMDIN,Rti�Rf.'sf IS,CI IO,CP—IGS
Mr1YOR
H[?�v;17 i Ac[:N'f
CERTIFICATE OF FITNESS
CERTIFICATE #64-13
DATE ISSUED: 1/29/2013
Property Located at: 190 Bridge Street UNIT#4213
Owner/Agent: Lincoin Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
- - -_ ----- ---------- -- __ - --- - — ---- --- --- - --- _ ___
Pursuant to the requirements of Cify 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 ot
Health and the unit may now be rented andlor 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 BO RD OF EALTH
� ��y���
LARRY RAMDIN
HEALTH AGENT SANITARIAN
,u 1 .
� � � ��� CITY OF SALEM MASSACHUSETTS
���y. r� BOARD OF Hr�1LTH
��-�,��`� � �'' I �
2''�'/Hm�� I�OW'r1tiHINGTONSTREET�4���ITOOR �
'I'aL. (978)741-1800
I�'vt13L,RLEY DRIscor L F�:�(978) 745-0343
MAYOR �auarom�N sev.er,t.c_orot
LAIi1tY EL\&IllIN,12S�Ric[i5,Cl IU,Cl'-FS .
I I I3;U.;1'1 f r�G 13N'1'
�pplic�taoffi ffoa- Cea�te�eate of�'itaae�s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
E�
PROPERTY LOCATED AT �� , UNI"r#�
���
IS THIS U1VIT DISIGNATED AS RIGHT LEFT P ONT OR BACK,P L �}SE CIRCLE ONF,
OWNER/L�SSER f@.� ��id� LC_ MANAGER/AGENT'`�``�
NO P.O. BOX _—��
�DRESS ��d �I'� � St• ADDRESS
CITY, STATE,7II' SO,iI.ZYY�.� CITY, STATE,ZIP�LI� 0 I�1CU
RESIDLNCE PHONE��$ ��4 ^"I�� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_�
ROOM USE: 1. 2. 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 PA LE AT THE T OF INSPECTION
Al'PT ICANT'S SIGNATURE __ DATE ��
Inspectors use only
Date on initial inspecfion: ( I�� ��3 Date of reinspection:
Date of issuance of certificate: Date fee paid: oC// 1��3
Type of unit: Dwelling Other Check# Check date: �/lo�/ �
Notes:_� C'i�.[�d � OS�� "_T_CU r V
'..
�
Code L �ement Inspector
, � .� �
� � CI1'I' OF SALEM, MASSACHUSETTS
��� Boa�oF H�.�r.TT�
12O WdtiHINGTON STR&ET 4����FLOOR �b�H��
> rrewne r�omaee.rroiec�.
TEL. (978) 741-1800 Fax(978) 745-0343
HIMBERLEY DRISCOLL lxamdin(�a,salein.com
� . . LARRP 1tAM11DIN,12ti�RI:HS,CI-10,CP_I.-;S
MAYOR Hf:AI;l'H AGIzNT
CERTIFICATE OF FITNESS
CERTIFICATE#434-13
DATE ISSUED: 11/7/2013
Property Located at: 190 Bridge Street UNIT#4303
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem StaGon
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
Pursuant to the requirements of City of Salem ordinance Chapter 2 ArtiGe 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".
The�efore, 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
�
LARRY MDIN ..
HEALTH AGENT A
f
', V� . ��k�� .
``` _ �� CI'TY OF SALEM, NLASSACHUSETTS
�,w�� BoaxDorH��rTx n , I ,1�
�M�T, ( Ij��jl
�� 120 W�\SHINGTON STREET,401rLOOR �.,i �
TEL. (978) 741-1800
KIIvII3�RLEY DxISCOLL F�1x(978)745-0343
Mt1YOR L��nti�iu(cr�sn�.r�;roi comi
T���titvR,�r�1[�1�,�ts/�tay[s,cno,cr-r�s
I IS;\i�1'[I r1G I�.N'1' �
Apy�flic�tao�a ffor Cea��i#'ieate of Fftne��
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUN[ STANDARDS OF FITNESS FOR HiTMAN HABITATION"
FEE: $50.00
PROPERTYLOCATEDAT / ���� E� /l�� U/S7d iTNIT# 3�3
IS'd'HIS UNIT DISIGNATF,D AS RI(7IiT LEF�FRONT OR B�P:L E CIRCLE ONE
OWNrR/T�SSER�f�yH, s-Cc�c-r�� ! (% MANAGER/AGENT
NO P.O. BOX
AI)DRESS ADDRESS
CITY, STAT�,ZII' SCA/1CYY� C1TY, STATE,ZIP�LR" 0 I��(�
RFSIDENCT PHONE BUSINESS PHONE(24HIt5)
BUSINESS PHONE �6 � 1 '1 — �3 7 �O
TOTAL NUMBER OF ROOMS: ✓ �t�'
ROOM USE: 1. 2. 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 PAY AT Tf�TIME.0�I�ISPECTION
AYPISCANT'S SIGNATURE ___/���� / /�MC�i DATE II �
_—/��
Insnectars use on�
Date on initial inspection: � � Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#��.�_Check date:_ �
Notes:
Code� . ent Inspector
� �
6� fi
' �s � CI�rY o�� Sr�Lr�z, NIAssAcxusr�r���s
��� I3011Rp OF HH.1I;fFI
120 W.�sxiNc,��oN S1�xr:L�r,4°'F'LooR PublicHealth
�..�����.�•.�mo,<.�•.��«,.
TEi.. (978) 741-1800 F.�3 (978) 745-0343
IiIMI�FRI:EP llRISCOLL lxamdin(t�salem.com
L,�aav�in�nN,iis/ar,rrs,ci io,ci>-rs
Mr1YOR HIF.rll:CI I AG F:SN'I'
CERTIFICATE OF FITNESS
CERTIFICATE# 156-12
DATE ISSUED: 4/17/2012
Property Located at: 190 Bridge Street UNIT#4312
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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.
�OR THE BOARD OF�H
�.K�� �
IARRY RAMDIN � �ii
HEALTH AGENT )
�
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I-II�..'.I:I I I .\i;l�Vl'
-�PP�►catian for (_"ertificate of Fitmess
IN ACCORDANCE 1G'iTH STATE SA;VITARY CODF, CT-IAPTGR f l, f 0� Ci�IR 4I Q000
"NIINIi�[UiYt STAi�DARDS OF FI'['�IESS 1^OR HU�IAV HABI'fAT10N"
PEE: `�50.00
PKOPLRTY LO(.ATLD AT�Q�—__���et —���� UNII','��,�—
l�i`����`r'� �'�!y, ,lrj�Gi'��l1�,�uTl�IS�yl1'�UrSICNbII�DLA'S�RIG'f'1'hRFT1�ItOV'fORBACf(�pLGASEC112CLLnY
O�VNL12iLG5S���iil����'����� Q�U'12 i.<1/�i��_ �.'�.�� l X'� �' ,� .s----
NO P.O. t30X � �� n �� cr U S � J_LC:ti_yfANAGL�R/AGENT � %/—
,e�., S:�(C� J \j<'rLUeYt.
.�.DDRLSS _AUDRLSS� ��
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CI1'Y, ST,�1'E, Zll'�_� _CITY, STATL, ZTP�i'Q !�l% 7�t�
R�SID�NCE PIIONBT BUSINL•'SS PHUNL(?�HRS),
BUSiNLSS 1'HON�
"COT,�U,NU�[BBR OP ROO��1S:��
r:oon:i �,�ss� �. . �. �. a.
s.
6=— � .. 8. 9. 10
TI-fL•RL IS .a FIP"f1'('b50)llpLLAR FEL, p y�13LE f3Y Cfi'.fiCK OR��1pNL''Y URDC-R TO THE C11'Y OF Sr1LEi�I
BOtlttD OF HEA1,1T-[THIS F'EL' IS pAY' C .�,"l T1- ' CL UF 1NSPEC'1'IpiV
\PPT.ICt1N"C'S SIG\A1'U1ZL . rq, �' _ ll��'i� r7 /� i �
l ' -
--•� [nsPectors use onlv
llatc on initial inspcction: � �� � �
_ Datc of rein�pcctioi:: 7
D;�ic i�l i;su,uiee uf'ccrtiticn,e:—.,-- _ Datc fee paicl� .� d` � �'
T;�pc oi�.r,1it� D��.efiin�> rJtl�cr C:heck.'-t J C'hcck d:ife:
..,�.:: - -�- _�_ _ �-Sa�, �--(�.��.-l-�-�i' _�l��-,��
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` � CIT'Y OF SALEIvI, MASSACHUSETTS
� _,=� BO?.RD OF HE�i,Tt-I
12O W�1tiFRNGTON STRFF_,T,4�'�FLO(lR
TF1,. (J78) 741-1800
IiIMl3L.RLL'Y DRTSCOLL 1'�� (978) 745-0343
M`�YUR lramclin a salem.com
LARRI' R,A bIDIN, Itti�RF,f IS,CI 10,CP-I�5
HIi:V:CI I AGIr,N'I'
CERTIFICATE OF FITNESS
CERTIFICATE #310-11
DATE ISSUED: 8/19/2011
Property Located at: 190 Bridge Street UNIT#4315
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
An inspection of your vacanY Dwelling/Rooming Unit at the above address has been approved
and is i� 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
L�. �`
LARRY RAM�IN
HEALTH AGENT COD FORCEMENT INSPECTOR
i
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�: c�'iT�� c�r 5.-�r,��.�t, l�I_15s_�c.F-r�rs�, rrs '���'�
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' 117... (97S) ?�1-l ti11U
' KlibRi1121J{Y 1JR1S[:(:II..L l'',1\(9'S) 7�4�-0.343
l�'1_\I'l)R i ii�1 V UIN cr ap,l_IS.�LC�):�I
Y.,1RR1' K,1:\IllIN,liti/Itl•:I IS,l:I I(7.(.:I';I•S ..
F�11'::11:I I I :\C�I f.i��l' .
- - - - . . . . . . . . _ .
Application for (�erti�cate of Fitness
IN ACCORDANCE WITH STATE SA�VITARY CODE, CT-TAPTCR l T, l0� CMR 41 QOOU
"MINIMl1M STANDARDS O�.l I'CNESS fOR HU,VIAN H.�1BI'fAT10N"
rCE: :S50.00
YKpPLRTY LOCAT�D AT G b �/ �
�� UNIT#� ,
L;Vr� � ' 3 � � �� RIC 'T ,FT 1�1'tONT OR dACK,NLCASE CIRCLI;
, � ,L,�.�
OWNER/LCSS-'�';RGY� �JUM21���I�J'+�S`�G �I.ANAGCR/AGE�lT
NO 1>.O. eOX � � —
ADDRL�SS _ADDR�SS�
CT"fY. STATE,ZIP---�,� �� —Cl'1'Y, STa�r�, ZIP
R�STD�NCE PIIONE BiJSJNESS PAUNE(24H1tS).
BUSINL�SS YHON� 1�Y ' d T�
'COTr1L N(JMt3ER OP ROU��IS: �i�'�
x�oNi us�: t. �. �. a. s.
6�. 7. 8. 9. l0
TI-lCRE IS A NIt�"['1'($SOj 17pLLATt FEL�, PAt'A13LE I3Y GH�ECK OR��TpNEY OkiDL•'R T��7HE C11'Y OF SALE��Z
BOAl2D (�F HEAT.TI-f THIS F'�E iS PA'Y:1BLl: ' 'f1iE TTIb[l:UF 1NSPECTIOiV
APPT.IC��1T'S 3IGN.4T'URL� � i7/vK�`-^ llATE_ �� � ��
lnspectoes use onlv
Date an iniiial inspectiun:_ a I� � _ 17ate uf reinspection:
Date of issuance of ccrfificate:_ (�_ �/yp�tC ('�e p�i�l:
'�ype of«nit D�tiefline_ �ther Cfieck k__,�`�'�leck�l;de:
iiutes: '
C� u L-uE� rcemenl L�speciur
�
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. �
' �� � CI1"I' OF SAL�M, MASSACHUSETTS
�z� 130.�Rll OF HEALTH
120 W.�ISHINGTON STREET,4�"PLOOR
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M�1YOR lramdinnae,salem.com
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CERTIFICATE OF FITNESS
CERTIFICATE#262-11
DATE ISSUED: 7/26/2011
Property Located at: 190 Bridge Street UNIT#4406
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved I
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�
HEALTH AGENT CODE EN CEMENT INSPECTOR
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��` (��1T�' Or 5.-�l.,l�i�,[, ��:I: ti_
� 1S.: 1(:�If_'SE ITS
`���`-�,��=°� , ,. is�,�i:��„�� rr�:.�i:n� �
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11'7.,. (978) 7-+'1-ISOU
1;.12�IliL1t1J(Y 17ILlti<;()I.,L �;.�� �g-;y� ���_��3�,�
tbl_1YOK i,i;:5.vui,v>i=,;,i_in.tcr�.�i
L:112RYR,l:\IUI:V,flti/RISFIS,CIIi1,C:l'-1�5 - -
F�JI(.AI:111 AC:IGV'1' .
v y .4pplicatian for Certi�cate ot'Fitness
IN ACCORDANCE WiTH STATE SAiV1TARY CODE, CT-IAPTCR !l, 10� CMR 410.000
"MINIMUIvI STANI]ARDS O� FI'CNESS i�OR F�U;�1,�1AI HABT'fAT1�N"
PEE: �50.00
YROPLRTY LOCATCp AT I �� �v�i 2 �:�rt,�r�^ UNIT#�
�l�Q,� ._b.,,..1 3 1 u ��,yip, Rycr•r ,FT rreou•r o�t enci�N�EAs�c�ac��.
N�n�t,�V1u,.,i �C/q6� ��
OWNER/LESr5EKA7 �t/h�?�L�//{rLS�,�i�i,,¢, Z V(,qNAGER/ACrENT
NO P.O. BOX UQ4� �`'—
ADDRESS RD te� __AUDRLSS
CT1Y, STATE, Zll'��Q,w� h'l.Vi- Q l� �6 _C1TY, STAT�,ZTP
RESIDENCE PIlONET vLDt�� $CJSINESS PHONE(24fi125)-- �f'�Z�/�P- �Co
BUSINE5SPHONL+ �.rtn�
'fOTr1L NCJMHE;R OF ROUiY1S:�1p I�UBp�tii
ROOM USE: l. , �. 3. 4. 5.
6— 7� _. 8. 9. 10.
TI-IERE IS A rIF'fY($SO)DOLLATt FEE, PA'YAl31.E 13Y CH��CK vR:�TQNEY O1�llL•'R TO THE Cl'1'Y OF SALE��I
BOAl2D (�F HEAL"fH THIS F`BE IS f1BLE AT Tr1E T, CL UF INSPECTIpN
APPt,IC��NT'S SIGNAI"URL ��-- DA'!'E_ /
" •-
[nspectors us.^ c_ ,�nlv
llate on iaitixl inspectiun:^� / � � _ Datc;of rainspcetion:
Daic ol is,uance uf ecriiiicate:_„ -] q (�/ // _ Date ('ee pai����
Type of unit� D�eelling_ ��(jt�hcr Chec •# �/ C lieck d;ite: $"�g� ) 1
Nutzs: '�"U(Y� /�P/til//� ,�j�!��i1/ �-1�.— �
Cu u L-nEo•cemenf L�spec[ur
A
c �
• !S R CITY OF SALEM, MASSACHUS�TTS �
Bo.�Rn or�HFacTx
120 WasxiNG7'oN Sz�F1',4"'P'r.00iz PublicHealth
'I'EL. (978) 741-1800 Fdt(978) 745-Oi43
KIMBERLEY DRISCOLL lramdin ,salem.com
� L;112RY R�\AfDIN,RS/RI:I-IS,f,FIO,CY-I��ti
MAYOR
HI3;V;I'Lt AG 13N'I'
CERTIFICATE OF FITNESS
� CERTIFICATE#301-14
DATE ISSUED: 9/7/2014
Property Located at: 190 Bridge Street UNIT#4412
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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
LA�Y IN ��~��(�
HEALTH AG NT SANITARIAN
r
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� ��� � C,ITY Or SALENI, .I��SSACF-IUS�,".l"�S ������
13(lART7 CiF I•((i?,�.I;fl I
12�W�1til fTN(.;T()N S"fRLL�.T',�°� f'f.()()lt
i�r�.. <<»H��ai-�soo
fiIM1iL'R1,RY DR1S(:OI.L F;r�ai (I i 8) 745-0343 '
MAYC)It iltnnfu�N��ilcni i;n�.cc�ni
I.Alilil'R.AhIllIN,liti/RI�SFIti,CI IO,(�I'_I.,1
f-Ltni:ri t n<'n'sN r
Application for (:ewtificate of F'itness
IN ACCORDANCE WIT�T STATE SAN1"fARY CODE, CFI.APTER l l, l05 CMR 410.000
"MINTMUM STANDARDS Or FI'CNESS FOR FTUMAN HABT"I"AT10N"
FEE: 50.00 I l',( a
��
f� (��. r'I/
YROPLRTY LOCATCI],aT �h"-Qlr'S v� G��'Q.,I Ew� S�'a � t�y� UNIT#�
IS THIS UNIT DISICNATI;p AS RIGH'1'I.F,FT NlLONT OR ISACI�NLCASE CINCLL pNE
OWNLR/LESSF:IL 2�� r � ti�19..�__MANAGER/AGENT [�-� � �L C— �
NO P.O. BOX I
ADDI2�SS���rr��{Q.Q � �_ADDRLSS�
�—,
CT1`Y, STATE,G1I' d�1t?�� , _CI'fY, STATE, ZIP V1/l (') � -�j�('� _
R�STD�NCE PiIONE BIISINL�SS PTiUNL(?4fi1ZS)
BUSiNESS1�HpN���'��"��/�o
'COTAL NUMf3�,R OF ROUMS: I r-
ROUM USE� l. 2. 3. 4. 5.
6. 7. .. 8. 4. 10.
TIIERL IS A F1F'f'Y(�50)170LLAR FEE, PAYAk3LE T3Y CHfECIC OR MONEY O1tllER TO THE C11'Y OF 5.4L�,M
BOARD OF HEA1,1T-1 THIS F'�E TS PA L�AT'Tr1E T 1:UF INSPECTIpN
APPT.ICAIVT'S SIGNAI"U12E ,�� -� ... DA'1'E_
Ins�ecto rs use onlv
vate on initial inspection:^ I _ llatc:of re�nspuction:
Datn of iysuance of c�rliYicate: Date fee paid:
Type of unit: Dwulling Other Check#_ ���p� Clieck date;: 7 �
Notes: � ^
�
Cod� r ntlns�ector
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��' � �?� CITY OF SALFM, Mt1SSACHUSE'I'TS
�� 130�\RD OF HF.:ILTH
120 WAtiHINGT'ON S'I'RELT,4�"FLOOR PublicHealth
�-.�.�.��.���„m,,,� ��a����.
Trr... (978) 741-1800r.j�(978) 745-0343
f�IMl3L:R1:.F?Y DRISCOI:,I, lcamdin p,salem.com
LARRY R�AMll7N,Rti�Rf_�:1-l5,CI 10,CP-I�S
, 1VI<\Y'OR FIrt;U:l'iiilcrtNr
CERTIFICATE OF FITNESS
CERTIFICATE# 155-12
DATE ISSUED: 4/17/2012
Property Located at: 190 Bridge Street UNIT#5102
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 Sta�dards 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
� � Z��„ l i��
LARRY.RAMDIN
HEALTH AGENT SANITARIAN
!�:
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' C1T1' Or- S:�T,r �[, tiL ���_\c'�t[">�-�-r� �'—1 -I�
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I•:I2:I15L1�I_I :l" IJltl�(:(.�I..L ;�
C���� (. ;tij -�}5-uz�+.,
:�`�_�Z'l)li I ;.':�`,IUi`:Gi i-;�,l.ii\L�'i�\t
. 1�...�.iti:'��' It:V.iUi�, it;j R i t��>,r.:�li i.c:��_�.c --
, I�II(.11:111 .\i;I�V-�' .
Application for (�ertificate of Fituiess
IN ACCOPDANCE WiTH STATE SA;VIT:4RY CODE, CITAPTCR (l, 10� CNIR 41Q000
"IvIINII�{UNI STANDARDS Oh FI'CNESS 1�OR T-�G:�IAN HAB['i'.4T1UN"
PCE; �50.00
YRI�PLRTY LOCA fLD AT � �O / ,./������y'�— _ UNIT���0
i_;',l�hi ) 1� r�J,,�;vt�,r(.Cl�cl;�-)i�TIi1S��y1T UISICrv,VI f'D AS�RIGFI'1' FFT FI'LO�T DR BAC7(,pLCASE CIRCLL'n�l�
c�d ��,1� �� ,�.
OW�ILILLGSS�Cl7��'C/.r� J f�'���1- ii�i4r��r�ty Z�lf'��.VI.MIAGCR/AGENT ��%r'.'"._.�...-----
NO I�.O. BOX ��(-1t,1'A.t�j,L'� i�a ' r- ACG�LU;YL —
i
ADDRLSS ADDRLSS /
CI1'Y. STATE, Zll� r�p"�-d�^'�-� _C1TY, STATL, ZTp �t'�' ��`/ ��
R�SIDENCE PI-TO�IE�, B[JSJNE$S PTiONL(24HI25),_
BUSTN�SS 1�HONP
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BOARD OF HEALTI-t THIS F'�L' IS YAYAB�� AI'T1-lE Ti11�(L UF 1VSPECT[nN
APPT.IC:INT'S SIC;tiA"fURL . � '/ llA'i'E �//� %
� . '_/r�
fnspectors use onfv
Datc rnt inititil iu;pcctiun:__ � _ D�tc of reins'pcctior:
D:uc<.,I ir;suauce uE'c�:riificrite:_.. ._ D;�tc (ec paGl:
u' �
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t�'
„�. , � � �
r p CIT'Y OF SALEM, MASSACHUSETTS
B0�1RD OF HF�ILTH
� 12�W�1tiHINGTON STREET 4”'FLOOR PublicHealth �
� e rrc.em.r.omoa.r.m:n.
TEr.. (978) 741-1800 Fax(978) 745-0343
HIMBERLEY DRISCOLL l�amdin(r�salem.com
� I.�lltRY liAb{U W,RS�RliHS,CHO,CP-PS
Mi1YOR Hl'v11�PP1 AGl>:ivT -
CERTIFICATE OF FITNESS
CERTIFICATE#436-13
DATE ISSUED: 1117/2013
Property Located at: 190 Bridge Street UNIT#5204
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 97&744-4846
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 Standa�ds 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 wmply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is latec
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
^FOR THE BO RD�TH
L�. �
LARRY RAMDIN � 5�
HEALTH AGENT S ITA `
� � i V�1C U
� � � �• CITY OF SALEM, NN�AASSACHUSETTS
���� BO?.RD OF HFr1LTH ���
�• � �
�q� 120 W11tiHINGTON STREiET,4�'PLOOR �
T�L. (978)741-1800
KIMI3�RL,EY DxIscor L Fa�(978) 745-0343
MAYOR �.iu�niuiNCc�s v,iir,i.coNi
L;aaar R,�n[nt�,as/itrt�s,ct to,ct�-1�s
IIr,;��;rtrAGr:Nr
flpPlbe��eon fo� Cea��i�acate of�'itne9s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION"
; FEE: $50.00
PROPERTY LOCATED AT � �� �/� d� !`�'Td Wi IT#�
IS THIS UYIT DISIGNATED AS IGHT LEF°I'FRO OR BACK.PL SE CIRCLE ON�
OWNER/T ESSER .��+I�.v� �to✓t ! f MANAGER/AGENT'
NO P.Q BOX
�nD�ss aDDxEss
CITY, STATE,71P S�JJLZYh� CITY, STATE,Z8�" 0 I�1C�
RESIDlNCE PHONE BUSINESS PAONE(24HRS)
BUSINESS PHn� ����—���i
TOTAL NUMBER OF ROOMS: ��Q
ROOM USE: 1. 2. 3. 4. 5
6. 7. 8. 9. 10
THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TfIE CTTY OF SALEM
BOARD OF HEr1LTH THIS FEE IS PAY LE AT Tf�T OF INSPECTION
APPLICANT'S SIGNATURE s{�/'�-GC_i DATE I� fP I�
Insnectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: e ing Other Check# ��Check e: �'
NOtPS: ' l�(ji'. �
Code. ocementInspector
e. '-� ,�I"'�r,
u B L J
iti CI'TY Or' St\LI=�M NIt1SSr1CHUSL?"I'TS i.�
��� B0�1RD OF HL^',1L'PII
120 W.�tiHINCTON STREET,4�"F1,OOR PublicHealth
�rFL. ���s� �41-lsoo Fr�� �ms� �4s-o34s �
' KIM131�RLrY llRISCOI.,I: I�atndin a,salem.com
� I.���at,=�t,�n�u�N,�ts/a���,r i s,Ci io,cr_,�s
Mc1YOR Hli?AI;1'll AGI�:N'I'
CERTIFICATE OF FITNESS
CERTIFICATE # 157-12
DATE ISSUED: 4/17/2012
Property Located at: 190 Bridge Street UNIT# 5206
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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
� 'j��
�� �
LA RAMDIN /�' i
HEALTH AGENT ' SANITARIAN
1 ��1'w '0-'��
1
, � �
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117.. 19?�) Z41-1511U
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I`�1P..�.1:1I I .\i-�I'\�I'
.`� �lC �
pp atiun for (_ertificate of Fitness
IN ACC'ORDANCE 1�%i
TH STATE SANIT:�RY CODE, CT-IAPTGR l l, l0� CYIR 410.0��
, _
"NIINIlIUNI STA � .
NDARDS Oh l�I'[TIESS 1�QR 1TU�Ir1,�1 HABT'I"A f10N"
PEE: :�50.00
1'RI�PLRTY T,OCA7T1� �T /�_� HQ �r'� �
,.,i�„ �� ^ . c . IS Tlil lJ� . ' UNIT'�� 4��j
I � „ ., d � $ I'!'D.ISI N 1'
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�-l�i�'=�+t�.,,�d Ysll '1�� n tv�'ti :e�ti.y. ���;��L�t��!�'S RIGFI'f l-.F.F'(-MILON f OR 8AC1<,PLCASE C'IItCLB QY "—�
c�wN�ruLesShxlZ�.n,�a �'���tll'r�l���, �u�������c� ll,�:'� �ca
"° �1ANAC�LR/AGEiJT � �!�_
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ADDRLSS '� AUDRLSS � �
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R�SID�NCE PiTONE_ BCJSINL•'SS PTiONL(2$Fi1tS),
BUSTNLSS 1'HONP.
"COTAI,N(�1J3ER OP'ROU�]S:� ,�
RGO�.1 [�'SL� l. , �. 3. 4.
5,
6�._ 7. ,. 8. 9. 10
TFIP..RL IS A FIF"fy($50)llOLLAR FELi, ppYA13LE T3Y CF:ECIC C1R:�lONCY URllLR TO THE Cl"1'Y OF 5.41,E�bI
BO.hRD OF HEALTII THIS F'�;L' IS YA�r�LE AT T1- "Tt1blL''OF 111SpECT[pN
.\PPC.IC;�IVT'S SIG\.aTURL J
' r .. � - _ llAIE -/ �7
fh__snectors use oniv
I�ace on iniii;il inspectinn:_ � � / )�
_ Uate c,f reinspcctioa:
Daie i>I i:;suancr, uf ecr�ihc�'c:-- _ I�atc lec pai�.L•
� a
�;;peoti.init D��.rfiine �jthcr Clieck ': Checkd: :� a
_.-- llc � ��_.
;, ;�:::;:—���=-lnl������_�_�-,���__ � � ' ��— -
��� 1A I ,, � ��-��--�r�� iY�G1��v✓��
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� i�.ic I.. ��r:�m f„;prr; „ —
� ,tl �
y � CITY Or SALEM, MASSACHUSE'I'TS �
B0:�1RD OF H&-1I.TI-I �
120 W��SHINGTON STRGET,4"�FLOqR �I1b�CHC8��1
vrc.rn�.rrammc.Prmect.
TEL. (978) 741-1800 E��(978) 745-0343
HIMBERLEY DRISCOLL �amdin(c�salem.com
LARRY liADillIN,RS�Rb;F[S,CHO,CP-I�S
M�1YOR HI3AL'fFl AG L.NT
CERTIFICATE OF FITNESS
CERTIFICATE# 178-13
DATE ISSUED: 5/14/2013
Property Located at: 190 Bridge Street UNIT#5304
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 97&744-4846
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
� �R AMDIN ����t�
HEALTH AGENT SANITARIAN
;
' i _ � �� .
� �y� � �. CIT'Y Or SALEM, I�IASSACF-IUSETTS /�)
�,��ro � � B0�1RD OF HL��ILTH � ����/ �
�,_..
�''o�y� 12��`�/<1tiHINGTON STREET',4"'I'LOOR ;
TEL. (978)741-1800 �I
KIM�3�RLEY DRISCOLL F�1X(978) 745-0343 !
�YOR 1.ItAMUIN�tiAI,fiM COM
T ARlt1'AAM1II)IN,RS/R73I fti,CI IO,CP-1'�S �
Tdl_,iV.;l'If i1C3i.?N'1' _,
�pplic�tbomm foa- Certifflcate of FiBaae�s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM ST.ANDARDS OF FITNESS FOR fIIIMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT f �� �'A�� UVIT# S�O�
IS THIS UNIT DIS[GNATED AS RIGH LEFT FRONT OR B�PL SE CIRCLF ONE
OWNGRJL�SSER�f 2.v�. �-Fe°�"�d;•� (1. • MANAGER/AGENT�
NO P.O. BOX
[1DDRESS ADDRESS
CITY, STATE, 7IP S�ZYYV CITY, STATE,ZIP�C�" 0 I �C�
RESID�NCE PHONE BUSINESS PHONE(24HRS) `
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_��
ROOM USE: 1. 2. 3. 4. 5
6. 7. 8. 9. 10
THERE IS A Fff TI' ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P LE AT Tf�TIME OF . SPECTION
Al'PLICANT'S SIGNATURE � DATE J �� ��
Inspectors use on�
Aate on initial inspection: 5���'� Date of reinspection:
Date of issuance of certificate: Date fee paid:,
Type of unit: Dwelling Other Check# /CO �b Check date:5/�,/J�
Note,a:
�
Code _. . rc�nt Inspector
z. - .�L
� ry v�
� � k CITY OP St1LEM, MASSACHUSETTS V
BoaaD oF H�LTx PublicHealth
1��Wd51-IINGTON STREET�4u�I'LOOR e.<�<��.r�oma«.r.o���.�.
TsL. (978)741-1800 F.�t(978) 745-0343
KIMBCRL�Y DRiSCOLL Ixamdinna,salem.com ,
LrARRY R�NIDIN,RS�RI:HS,CHO,C]' 1�S
�1YOR HI?;\S:CH AC;['.N'I'
CERTIFICATE OF FITNESS
CERTIFICATE# 195-14
DATE ISSUED: 5/14/2014
Property Located at: 190 Bridge Street UNIT#5401
Owner/,�qent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 EALTH
� ������
LARRY RAMDIN
HEALTH AGENT SANITARIAN
�
J �vQ'K �
� �, CITY OF SALEM, IVIF�.SSACHUSETTS
�,�m.' :-�'�� B0�1RD OF HL�ILTH �
�w,r
�'�iy�� 120 W�1tiHINGTON STREET,401 I'LOOR � i l
T'Er.. (978) 741-1800 I G t�
KLNII3�RLEY DRISCOLL Fr1x(978)745-0343
MAYOR L�U�Ntu�N(c�sN.r.tr,i corot
L;\R1;Y R,11�1UIN,RS/RFifIS,Ci IO,CP-Fti '
I-I[±Al.;i'[I ij.G if�.1V'1'
App�ae�flao�n ffor Certiffficat� of Fifl�a��s
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTF,R 11, 105 CMR 410.000
"MINIMUN[ STANDARDS OF FITNESS FOR HiIMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT f�I� /�,t�p �;�u� UNIT#_S��c71
IS THIS UNIT DISIGNATED AS RI T LEFT FRONT OR BACK,PL SF CIRCLE ONE
OWNER/T ESSER �(2 y� �-Ftw;"r� ;n [� • MANAGER/AGENT
NO P.O. BOX r�
�1DDxEss .ADvxxEss 9D �r�� e S��-cef ��o�-�
CITY, STAT�, 77P SCAI�.CYYV CTTY, STATE,Z��LI�" D Ia1CU
RESIDLIVCE PHONE —�� BUSIlVESS PHONE(24FIRS) 7/S- 3�y U9y<v
Rus�Fss Pxo� ���-�uy, y$y�
TOTAL NUMBER OF ROOMS:_�-�
ROOM USE: 1.�ud.q,M 2. f5�d� 3. L���� 'l�^ 4 ����� 5
6. 7. 8. 9. 10
THERE IS A FIFTY($50)DOLLAR.FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CI'I'Y OF SALEM
BOARD OF HEALTH THIS FEE IS P LE AT Tf�T :E OF INSPECTION
APPLICANT'S SIGNATURE DATE_'�����I'/ �0!(D
� �r
IriSUOCtOTS US0 ORI� �
Date on initial inspection: �J'��}I�y- Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_��__Check date:_
Notes:
Code �nfor entInspector
.,� ,� �
tl k CITY OF SALEM, MASSACHUSE"I'TS
, � BOARD OF HF�,LTH
120 W�ISHINGTON STREET 4�"FLOOR PublicHealth
p PrcvenL Pramaw.Proleet.
TEL. (978) 741-1800 Fax(978)745-0343
KIMBERLEY DRISCOLL kamdin e salem.com ,,
L,dltlil RAMlllN,RS�RI`.+.FiS,CHO,(;1 1'S
M;1YOR � Hf3A1:f��tAG1?N'f ..
CERTIFICATE OF FITNESS
CERTIFICATE#50412
DATE ISSUED: 8/17/2012
Property Located at: 190 Bridge Street UNIT#5404
Owner/Agent: Lincoln Apartment Management/Jefferson at Salem Station
Address: 190 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4846
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 il" 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 vafid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
� � -
LA RAMDIN
HEALTH AGENT A ITARIAN
i � U
, �v� � T
ti CITY OF SALEM, l�IASSACHUSETTS
' �. �, . ,�a�
�,�b,�M._�� BO.�RD OF HLALT[-I j� (�1y� , I.�--
���� 120 Wr\tiHINGTON STREEI',4°1 PLOOR �'y 1 ` "
TEL. (978) 741-1800 'J,.
KL'vIBERLEY DRISCOLL F�1�(978)745--0343
�YOR 1,Re\MUIN[n7,tiN.P.�+f CObf
LA1t1tY 1L1b[UIN,RS�It1i[�fS,CI IO,C7,'-FS �
I I I}:,^U:f[t.t�c3 ir,N'1'
Applae�flaon ffor Cer�i$'icate of Fi�ess
1N ACCORDANCE WITH STATE SAI�tITARY CODE, CHAPTER 1 l, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT �� �l de,o c�-�- ) �,,PEi,v� �14 iJNIT# S�f(X�
IS THIS UNIT DISIGNATED IGHT LEFT FRONT OR ACK,P L SE CIRCLE ONL,
OWNERJLESSER �f @.vh. �re�n f • Mt1NAGER/AGEN'I'
NO P.O. BOX
� ADDRESS��-� �C'�P �� ADDRE3S
CITY, STATE, 7IP SCA/I.ZYV� CTI'Y, STATE,Z8�" 0 I �(7
R�SIDENCT PHONE BUSINESS PHONE(24HItS)
BUSINESS PHONE � �" �iY'y— ��'�
TOTAL NUMBER OF ROOMS: �R r
ROOM LJSE: 1. 2. 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 LE AT THE'Z' OF INSPECTION
APPT ICANT'S SIGNATURE DATE o l� �/�
Inspectors use onlv
Date on initial inspection:� ( Date of ieinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# 1� Check date: I � T I I�
Notes: 1(r1
Co ement Inspector
`�N City of Salem, Massachusetts
,. �: � . 1.
Board of Health
� 120 Washington Street, 4th Floor, Salem, P�.<Pt1b1�C�a«HBalth
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-76-307
DATE ISSUED: 8/24/2016
Property Located at: 347 BRIDGE STREET UNIT#1
Owner/Agent: Mari Alix
Address: 16 Thorndike Street
City/Town: � Salem, MA Zip Code: 01970 24 Hour Phone:(978)744-3649
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 wmply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certiflcate 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.
� �
�">,-�.,.�..,.
J e
����� Y
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
\ _
�e ` � � A . . . . . . . . . � . .
� CITY OF SALEM, MASSACHUSETTS
� _� � BO.�RD OF HE.-�LTH �
�� � 120 WdSHINGTON STREET,4"`FLOOR ` � � �
TEL. (978) 741-1800 '
KIMBERLEY DRISCOLL Fa�(978) 745-0343
NIAYOR Lu�li�i�iNns,u Ena co�i
IJlltRY R�ivIDIN,RS/REHS,CHO,CP-PS � � � �
HE.ALTH AGENT �
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MIIVIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT ,�� l y�t c�C�� �� UNIT# l
IS TffiS UNIT DISIGNATED AS GHT LEFT FRONT OR BACK,PLEASE CII2CLE ONE
' OWNER/LESSER_��C.�' rl i'I I��� V MANAGER/AGENT_ �' (A,v� A' �j }C
NO P.O.BOX ��
ADD�SS I C.n �(�-,Orn d' � �} aDD�SS
CITY, STATE, ZIP_ <�.QA,n� 6 ���vCITY, STATE, ZIP
RESIDENCE PHONE��Y 74� 3�Q �(�j BUSINESS PHONE(24HRS)_ -Tj�i� Q '] �) �a�
Bus�ss rxo��� &` a, i �1 0 ���
TOTAL NUMBER OF ROOMS: -5
ROOM USE: 1. '�Na+r� 2.l '��va,r� 3 (Iti��Q vvd�1 4 t��r° tT J^l 5 �-'.t �c�lu.'?'1
6. 7. g. 9, „`�—_lp
II THERE IS A FiFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
� BOARD OF HEALTH THIS FEE IS P YABLE AT THE TIME OF INSPECTION
� APPLICANT'S SIGNAT[JRE G�,,� �,���� ` (
DATE l lI
Inspectors use onlV �
�� Date on initial inspection:���/�26 Date of reinspection:
Date of issuance of certificate:0�11°,P/Zp,j6 Date fee paid:�'�1��,L__ �
Type of unit: Dwellin� � Other Check# �
�Check date:���2i�1
Notes:
C—a� orceme spector
(
�
`oND "� City of Salem, Massachusetts
. _� � . s C�'j
� � ll
9 Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
MA01970 PrevenL Promete. Protect.
� Kimberley Driscoli Tel. (978) 741-1800 Fax. (978) 745-0343
Larry Ramdin, MPH, REHS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-16132
DATE ISSUED: 4/22/2016
Property Located at: 347 BRIDGE STREET UNIT#2
Owner/Agent: Mari Alix
Address: 16 Thorndike Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)7443649
Pursuant to the requirements of City of Salem ordinance Chapter 2 Articie 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
F-�" .
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN '
. . ��� . CITY OF SALEM, MASSACHUSETTS v
Boaxn oF Hsar,Tx
]20 WastnNCTON STxsET',4"'FY.00x „�„�m„g.e.,,�
T'�t,. (978)74]-I800 Faa(978) 745-0343 �
KIMBERLEY DRISCOLL �salem.com
' MAYOR L1RRY R\MllIN,RS/REHS,Cf-10,CP-PS
� H1iAL171 AGEN7' .
(�Q�r ,-�,., ao 13 ��(�0 0 = � �
Application for Certiticate of Fitness
IN ACCORDANCE WITH STATE S.AIVITARY CODE, CHAPTER 11, l05 CMR 410.000
"MI7VIMUM STANDARDS OF FITNESS FOR HIJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATID AT �� ��-,c��� �� � a— UNjT# �'
" �IS THIS UPIIT D IGNA GHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER � l Q'�I � �� � MANAGER/AGINT r �'� r�I'�r�_
NO P.O. BOX
ADDRESS j�i ��n/✓1c�,il�P � T ADDRESS
CTI'Y, STATE,ZIP �-rr� I—'LIT Zl �97� CT11', STATE,ZIP
. RESIDENCE PHONE�� � 7 Y Y ��(� (�q BUSINESS PHONE(24HRS) �o� 3 �� a g�
BUSINESS PHONE �� � l'] �J �-f7
TOTAL NUMBER OF ROOMS: �
ROOM USE: ].IoecQroa.•. 2. b�Q��,�, s. b�Q.�ea�. a. ���-� ��� s.�;1zD���
6. 7. 8. 9. � 10.
THERE IS A FIF'I'Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO T�-IE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS YABLE AT Tf�TIME OF INSPECTION
APPLICANT'S SIGNATURE��'«— '"`"�'y' DATE �t �D
Insnectors use only
Date on initial inspection:���21�ZQ�, Date of reinspection:
Date of issuance of certificate:D�f f7�2D26 Date fee paid:�l��2�D��
Type of unit: Dwelling�Other Check# S7 S Check date: �`�?��24��G
, �
Notes: r
^F ' as
C nf cement pector
.. � �
• � R CITY OF SALEM, MASSACHUSETTS
Boa�or HF.,�Lrx
_ ._..._ .._ • __ - _-;_
...._._._._. ._ . . �-I-'IO�UXSHINGTON�S'fREET;��n�r'LOOR . . .. . P11L�1C�I88It}l�-
. F�eveN Vmmo�e Fmlttl
TEL. (978)741-1800 Fax (978) 745-0343 _
KIMBERLEY DRISCOLL lxamdin e salem.com
LARRY R,AMDIN,RS�IiL?HS,CHO,CP-I�S
_ MAYOR �� ------------------ I-II U.:1'4_f A<..I�'.N I----------
CERTIFICATE OF FITNESS
CERTIFICATE #66-15
DATE ISSUED: 3/10/2015
Property Located at: 351 Bridge Street UNIT# 1
Owner/Agent: Real Estate to Renovate LLC
Address: 1 Maple Terrace
City/Town: Newbury, MA Zip Code: 01951 24 Hour Phone: 978-979-9100
Pursuant to the requirements of City of Salem ordinance Chapter 2 ArtiGe IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwefling/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 Fitaess is valid only if there is a valid Certificate of Occupancy. ;.
FOR THE BOARD OF HEALTH
� � ��yk��
Y MDIN
H TH AGENT SANITARIAN
*
� �
� � �6�
� . , � CITY OF SALEM, MASSACHUSETTS Q
Bona� oF xEni,Tx ��x��
I20 WASHINGTON .S'TRE6C� 4"�r'LOOR Prwmt Promote.Pwttct.
TE[,. (978) 741-1800 F�c(978) 745-0343
KIIvIBERLEY DRISCOLL iramdin@salem.com Lnxxr xnM�iN,Rs/aExs,ct[o,ca-Fs
MAYOR HEALTI-I AGENT
�
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR FILJMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 351 Brid�e St•, ln floor, "d floor&third floor units
OWNER/LESSER Real Estate to Renovate, LLC MANAGER/AGENT Eric Towne
NO P.O.BOX
ADDRESS One Maple Terrace,Newbury,MA 01951 ADDRESS same
RESIDENCE PHONE 978-499-4940 BUSINESS PHONE (24HRS) 978-979-9100
', TOTAL NiJMBER OF ROOMS: 3
' ROOM USE: l.kitchen 2.livingroom 3. Bedroom 4.Bath
THERE IS A F1FTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P ABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE � DATE � -J
Inspectors use only
Date on initial inspection: �I���� Date of reinspection:
Date of issuance of ceRificate: Date fee paid:
Type of unit: Dwellin� Other Check#�_Check date:
Notes:
Cod�� �
e ent Inspector
� - _
.� � ,
� � � CITY OP SALEM, MASSACHUSETTS
B0:1RD OF HE,�LTH
-- ._.._.__._ ... __. . . _:..__.___:...1�2�1�WdZH1NGTON'STRF.ET-4'r�-rL0(>R-.... . . . PI1b�1GHC81t}l. . .
e Pre.ent Pmm te.rw4m.. __.._.'. _ _. _.._..
T'EL. (978) 741-1800 Faz(978) 745-0343 _
KIMBI:RLL,Y DRISCOLI, lxamdin=,salem.com
L:U2Rl'IL\MI>IN,IiS�R13HS,C[[O,CP-fS
- — MAYOR HL?;\J:I'HAGIf.N'I'
CERTIFICATE OF FITNESS
CERTIFICATE#67-15
DATE ISSUED: 3/10/2015
Property Located at: 351 Bridge Street UNIT#2
Owner/Agent: Real Estate to Renovate, LLC
Address: 1 Maple Street
City/Town: Newbury, MA Zip Code: 01915 24 Haur Phone: 978-979-9100
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 Dweliing/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 Fitne�is valid only if there is a valid Cert'rficate of Occupancy. �„
- �FOR THE BO D OF ALTH
LARRY RAM�IN
����
HEALTH AGENT SANITARIAN
,
� 7 .
��
� _ ___ �
���1�
�g � �� CITY OF SALEM, MASSACHUSETTS
�"� BOARD OF HEALTH
PablicHealth
12O WASHINGTON STREET, 4"��.00R Pr<vent Proma[c.Pmteet.
TEL. (978) 741-1800 Ft� (978) 745-0343
KIMBERLEY DRISCOLL lramdin@salem.com LARRY R,arnDirr,xs/xExs,cxo,CP-FS
MAYOR HEa[.'['[t AG6N'r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE St�NITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR INMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 351 Bridee St In floor 2°a floo &third floor units
OWNER/LESSER Real Estate to Renovate.LLC MANAGER/AGENT Eric Towne
NO P.O.BOX
ADDRESS One Maple Terrace Newbury MA 01951 ADDRESS same
RESIDENCE PHONE 978-499-4940 BUSINESS PHONE(24HRS) 978-979-9100
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1 kitchen 2livinaroom 3 Bedroom 4.Bath
TI-IERE IS A FIFTY($50)DOLLAR FEE,PAYABLEBY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF IIEALTH THIS FEE IS P LE AT TI-IE TIME OF INSPECTION
� l✓�./ DATE � ---1
APPLICANT'S SIGNATURE —
Insnectors use onlv
Date on initial inspection:�J ���� Date of reinspecrion:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#�_Check date:
Notes:
Cod-1� ment Inspector
.
� �
�� CITY OF SALEM, MASSACHUSETTS �
�� BOARD OF HEALTH
1ZO WASHINGTON STREET, 4"�FLOOR �b1�CH=Cal�ll
TEL. (978) 741-1800 Fnx (978) 745-0343 ',
KIMBERLEY DRISCOLL ]ramdin@salem.com LaaRY xnN[D[n�,xs/aexs, cxo, cp-Fs �I
MAYOR HEALTEi AGENT
Release i
In accordance with Massachusetts General Laws Chapter 11 l; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter Il and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and
tenanUlessee 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 for
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
dur_ ing said inspection.
u'yl�
Real Estate to Renovate. LLC
Tenant/[, see � Owner/Lessor
351 B ' e St.
1�floo 2"d floo third floor units One Maple Terrace,Newburv,MA 01951
Addres Address
Address on unit to be inspected
3/5/15
Date
Upda[ed 5l23/11
. . ;:.� � �
» ,��� � CITY OF SALEM, MASSACHUSETTS
...._......... .... . . .. . _ .
BO:IRD OF HE�ILTH .
____1?0'V�:�SHINGTON STREET 4n`FLOOR p11b�1Ca'�CC8t�1._-_
--_._
> Pre•em.Pramom.rrotecl. �
, TEL. (978)741-1800 F�Z(978) 745-Oi43
KIMBERLLY DRISCOLL lxamdin o,salem.com
. . LARRYRAMUW,RS�R]:iFIS,CHO,CV-CS
�YO1Z ------------- I-I13;U:CI-iAGIr.N'P .
CERTIFICATE OF FITNESS
CERTIFICATE#6&15
DATE ISSUED: 3/10/2015
Property Located at: 351 Bridge Street UNIT#3
Owner/Agent: Real Estate to Renovate, LLC
Address: 1 Maple Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-979-9100
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 foc 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
�. -,.�.- �.�°.��...�
�
LA RAMDIN +
HEALTH AGENT SANITARIAN
. _ .,. �O�
��
0
� - - L(
�F.��� CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH ��CH��
120 WASHINGTON STREET,4"�FT.00R P«vent Promom.Protect.
TEL. (978) 741-1800 F� (978) 745-0343
KIMBERLEY DRISCOLL iramdin@salem.com LARRY RAMDIN,RSlREHS,CHO,CP-FS
MAYOR HEnt,Tx AGEN'r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SAIVITARY CODE, CHA.PTER 11, 105 CMR 410.000
"MINIMLJM STANDARDS OF FI'I'NESS FOR IIUMAN HABITATION"
FEE: 50.00
$
PROPERTY LOCATED AT 351 BridQe St 1�'floor 2°d floor thi`J units
, OWNER/LESSER Real Estate to Renovate-LLC MANAGERI AGENT Eric Towne
NO P.O.BOX
ADDRESS One Maple Terrace Newb�rr MA 01951 ADDRESS same
RESIDENCE PHONE 978-499-4940 BUSINESS PHONE(24HRS) 978-979-9100
TOTAL NiJMBER OF ROOMS: 3
ROOM USE: T kitchen 2livinsxoom 3 Bedroom 4.Bath
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P _. LE AT Tf�TIME OF INSPECTION
APPLICANT'.,S_SIGNATURE � DATE J -J
Inspectors use onlv
Date on initial inspection:���� Date of reinspecrion:
Date of issuaoce of certificate: Date fee paid:
Type of unit: Dwelling Other Check#��Check date:_3 4(�1��—
Notes:
Code o c nent Inspector