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BRIDGE STREET 1-99 vet CERT.# 71-96 3 FEE $25.00 DATE: 02/15/96 CITY OF SALEM 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8 Bridae Street UNIT #: 1 OWNER/AGENT: Crete Realtv Trust ADDRESS: 9 Bridae S':reet I CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8887 I. 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 -I 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 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: J NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE. LEAD LAW FOR. OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OFF�HEALTH gry JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1� CITY OF_S C BOARD OF-HEALTH huseUs=Qa970'3928`' - - =�a JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEAlitl AGENT : .. Tel:(508)741.1800 APPLICATIOIIFOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE-SANITARY CODE, _CHAPTER II, .105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR .HUMAN HABITATION"• PROPERTY LOCATEED�AT }� !—i d A PII. 4 I UNI-- # OWNER/LESSER n H YvSl MANAGER/AGENT ADDRESS 49 � ^ ( . GE r� 2 ADDRESS CITY �7f �°- , °\ Ct C, C . CITY =RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE k>' _ TOTAL NUMBER OF /ROOMS: ROOM USE: I. I(i _2• 3• :ga.{/ 4 . �� !^ 5. 6. 7. 8. THERE IS A TWENTY-FIFE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE I PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE 0/zoz INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ! (o / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT- DWELLING OTHER _ NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 70-96 3 A FEE $25.00 X11' IAF'' DATE: 02/15/96 CITY OF SALEM 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 CERTTFICATF OF FITNESS PROPERTY LOCATED AT: 8 Bridae Street UNIT #: 2 OWNER/AGENT: Crete RPatt,• Trust ADDRESS: 9 Bridae Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 745-8887 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 AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CIT-T_OF-SALEM BQARD,OF HEALTH ---- —Salem,-Massachusetts 01.97x,3928 _ - . ___. __. JOANNESCOIT,'MPH,RS,CHO NINE NORTH STREET _.._ HEALTWAGENi -- Tel:(508)741-1800 - APPLICATION FOR-:CERTIFICTE OF FITNESS Fax:(508)7409705 IN ACCORDANCE WITH STATE-=SAAITA_RY-_%Cto E, .CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 06G D � : UNIT # U OWNER/LESSER CICI �_ �r �/ �l� MANAGER/AGENT ADDRESS /� 1�� C� ADDRESS CITY J / 2 - /!� '�._� -C CITY / /` RESIDENCE PHONE BUSINESS PHONE (24 MS.) - - BUSINESS PHONE 7 TOTAL NUMBER OF ROOMS: ROOM USE: I._y< 2. ��s� 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM UF'nTH DEP TRENT THIS FEE FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE r_ � t9 / -- -(��/� DET INSPECTO/RRS USE ONLY DATE OF INITIAL INSPECTION: 1/�� b c 6 DATE OF REINSPECTION G DATE OF ISSUANCE OF CERTIFICATE: 2, DATE FEE PAID: TYPE OF UNIT- DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DC;Rl r:Nl3AUMeSAI.r.aecoM DAVID GRF.ILNIi�\UDI,RS A.11NCi Hu.AL;ni AGENT CERTIFICATE OF FITNESS CERTIFICATE#509-10 DATE ISSUED: 10/29/2010 Property Located at: 12 Bridge Street UNIT#2 Owner/Agent: Peter Michaud Address: 12 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-857-0850 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. FORT/ A�F HEALTH I1 DAVID GREENBAUM, RS !� — ACTING HEALTH AGENT CODE ENFORNT INSPECTOR CITY OF SALEM, MASSACHUSETTS j0 BOARD OF HES\LTH l20 WASIIINGI'ON STREET,4°.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL. FAX (978) 745-0343 MAYOR DGRFFNBAU%1aa SAia:ai.COM DAVID GREENBAUM,RS ACTING HF.ALI'H 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." 'd FEE: $50.00 PROPERTY LOCATED AT /j dwt bc,i✓ :5�T UNIT# a IS THIS/UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEWLESSER T r6r / Aon n a M i�1 MANAGER/AGENT NO P.O. BOX ' ADDRESS a �� Co- ADDRESS CITY, STATE,ZIP CITY, STATE, ZIP O RESIDENCE PHONEFa 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 I PAYABLE AT THE TIME OF INSPECTION / / APPLICANT'S SIGNATURE, -1 %/� DATE �D/- �D InsDectors use onlv Date on initial inspection: o Ica q I/U Date of reinspection: Date of issuance of certificate: 10/3000 Date fee paid: 10IaGIIO Type of unit: Dwelling----I/Other Check# . Ra Check date: / O jacJlO Notes: 10M d(,U,n hb-- N04Rf 115h4 � �lGa Im Code 4orce nt Inspector r CERT.# 357-97 FEE $25.00 DATE: 06/04/97 CITY OF SALEM 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Bridae Street UNIT #: 3 OWNER/AGENT: Peter Michaud ADDRESS: 12 Bridge Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2382 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 AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH ' 'i.e)� -�a Ldle,- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,AS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1600 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT / ,�J t I d m o S _ UNIT / . OWNER/L-99ER wyeo- M, JQ.4A ry, MANAGER/AGENT c ADDRESS �,P ADDRESS CITY �� '.�/ <.S CITY RESIDENCE PHONE 7�/� -� � tG 0\ BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 1?Y47✓v7, oM 2-Be L z 23, L u � 5._&AI_.5. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP THIS FEP IS P ABL. AT THE TIME OF INSPECTION APPLICANTS SIGNATURE - /°/ �r-� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �j ? DATE OF REINSPECTION p 7 DATE OF ISSUANCE OF CERTIFICATE: I'p_ � DATE FEE PAID: """`C_ TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR 0 iF NX 'aaaM,� 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: 07/22/96 Fax:(508)740-9705 Richard & Beverly McIntosh P.O. Box 492 Milford, ME 04461 PROPERTY LOCATED AT 14 Bridge Street UNIT # House 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 FITNESS 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 (25) 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 approval 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 for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICTTY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO U Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r a ' 1�``Or.mra cis CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 DATE: April 12, 1993 Beverly J. & Richard A. McIntosh 154 Lynnway Seaport Landing Marina Lynn, MA 01901 PROPERTY LOCATED AT 14 Bridge Street )1NIT # 2 DEAR SIRJMADAM: J It has come to our attention, that you are about to allow rental of 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 Fitness before any vacant dwelling unit is rented or occupied. I Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance 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, Chap- 1 ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances , Section 2-334 , Certificate of Fitness. 1 There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. 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 approval 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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS h ELECTRICITY Very truly yours , FOR THE BOAnRD, OF HEALTH REPLY TO: Robert E. Blenkhorn, C.H.O. PABLO VALDEZ Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 122-05 DATE ISSUED: 2/22/05 Property Located at: 18 Bridge Street UNIT#2 Owner/Agent: Marigot Bay Realty LLC Address: 41 Chestnut Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone 590-5000 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 If' 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 /o � J U a'� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J • 120 WASHINGTON STREET, � ID 4TH FLOOR CV✓V/ SALEM, MA 01970 TEL, 978-74 1-1800 FAX 978-745-0343 STANLEY USOVIC:Z, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ID r 1i2 - UNIT# a J IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASES CIRCLE ONE OWNERILESSER Md-"lor �� MANAGERtAGENT � t-L-J;I,}`+- No P.O. Box , No P.O. Box ADDRESS 41 Ct-OA114- -Pt ADDRESS CITY S1 (e CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) 590 BUSINESS PHONE TOTAL NUMBER// OF ROOMS: ROOM USE: 1.+Zilti.ew2._ la�Jy.-3. 1jV�"' 4. - 5. _Ld ._ _,7. 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEA TH DzX TIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE-. -. - _DATE_C�y c-, . _ INSPECTORS USE ONLY r DATE OF INITIAL INSPECTION : 7 '� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. ,)---1 7 e 5 DAI EFEE PAID : - lb p� TYPE OF UNIT DWELUN�OTHERCHECK 9. G I-_? _ CHECK DATE. 6_� � NOTES- - - - - -----' - -- -- --- - CODE ENFOHCEMENT WSPECTOH 9128198 < . CITY OF SALEM, MASSACHUSETT'S L! BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealth STREET, Prevent.Promote.Protect TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinQsalem.com L Aldi]'Rr\MDIN,RS/RI?FIS,CI i0,CP-ISS MAYOR HFA1:rH AGISNT CERTIFICATE OF FITNESS CERTIFICATE#275-13 DATE ISSUED: 8/5/2013 Property Located at: 22 Bridge Street UNIT# 1 Owner/Agent: Richard Davis Address: P.O. Box 5127 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 922-1944 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 ll"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE ARD LTH I LARRY RAMDIN ) HEALTH AGENT SANITARIAN t� . 3 CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PublicH TEL.(978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL IramdinQsalem.com MAYOR _ LARRY RAMDIN,RS/RGHS,CHO,CP-PS HEALTH AGENT Application for Certificate of fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT '� �)�b �- '� UhIIT# l IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACIL PLEASE CIRCLE ONE OWNER/LESSER l9 Q`trip"A MANAGER/AGENT 1 f C 6 ASN ' anpDRESs `�✓3�X3'/�� S Told Dt3��'- ADDRESS 135 sv��.-c2 i CITY,STATE,ZIP /-36/ '`7'4 D 1'-i r S- CITY,STATE,ZIP l/�✓/�S r�v� y' RESIDENCE PHONE g`� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.le 17— 2. V 3. /3'6A 4. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: F' , q Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling✓ Other Check# 1 Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR krona SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#527-06 DATE ISSUED: 10/30/2006 Property Located at: 22 Bridge Street UNIT# 1st Left Owner/Agent: R. S. Davis Address: 30 Preston Place City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 922-1944 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. F RF R�ARD OF HEALTH .._ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f � Crry of SALEM, MASSACHUSE Irrs BOARD OF HEALTH .. 120 WASHINGTON STREET. 4TH FLOOR ISI SALEM, MA 01970 TEL. 978-741-1800 0 FAX 978-745.0343 ' JOANNE SCOTT, MPH, RS. CHO kmberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 GMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2-7, 16 K 1 o G C UNIT # / s e IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEFVLESSER $� 't4A"4YJ S. xJA to/J iMA,IAGERtAGENT No P.O. Box / No P.O. Box ADDRESS ADDRESS CITY ---,Jt Li (F�RI11J' CITY S/1 /0m RESIDENCE PHONE T Y BUSINESS PHONE (24 HRS.)___.-___ BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM USE: 1._I ti 1T 2 L• '0 417Z3. VeIA7 --fn-1_j Q ,/7 A" A, _ 5. -7. £i.-- - -- THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE (` -"_ � � DAl E__,3 INSr'EC1 ORS USC ONLY DATE OF INITIAL t^:-E?ETION fel -"p 4- DATE OF R[iNSPFCTiON DATE OF ISSUANCE OF CFRTiFICA T E/D ,,,P"" DATE I EE PAIL) _ /O TYPI: OF' UNIT DWELLING OTHER - CHI_C-K i+O?7ff CHLCK DATE NOTLS _ UODL FN`0 fWf_N1L N ! lN ,PLCI OR CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR +€ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#460-07 DATE ISSUED: 9/18/2007 Property Located at: 22 Bridge Street UNIT# 1st Right Owner/Agent: Richard S. Davis Address: 30 Preston Place City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-922-1944 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 If' 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�v-u�x�.t, amu.�•f-- � (//// JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD HEALTH STREET, • � • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT = .Z 73/L 1 D r, L s UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � ' 61/Z 40 b 61<1" MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 B ��/ rhe'7 ���« ADDRESS CITY � CITY RESIDENCE PHONE 9>�" �lZ z - /f YBUSINESS PHONE (24 HRS.) 5�7d- �cDK�—3£�d)� z7 � BUSINESS PHONE �✓ TOTAL NUMBER OF ROOMS. S ROOM USE: 1._ z 1�2-, 2. k1/T_3. 42 5.T4_6. 7. 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE'__—D f DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I- 14; - 0 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE G -( q DATE FEE PAID 9 TYPE OF UNIT: DWELLINGOTHER_ CHECK # ,) 0 q � CHECK DATE CL-_1'-D _2 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r City of Salem, Massachusetts g Board of Health 120 Washington Street, 4th Floor, Salem, PtxbliCAeAit11 MA 01970 vrerrnt Vrnm Ole vrotai KimberleyDriscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-305 DATE ISSUED: 8/16/2016 Property Located at: 22 BRIDGE STREET UNIT#21- Owner/Agent: 2LOwner/Agent: Peter Lutts Address: 24 Winter Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 979-1275 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705. Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. effr B�� Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTI I 120 WASIIINGTON STREET 4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOIJ. F:ix(978) 745-0343 MAYOR d61UIN lti.11,liM1l.t'ONI ' LARRY RAMDIN,RS/REMS,CHO,CP-FS i HEALTH A(it?NT E Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �a C 1 7� UNIT# IS THIS t1Nrr UISiGNATFD AS RIGIi'P 1 P FRONT OR BACK PI,FASI:CIRCLI?ONl: OWNER/LESSER Pe+e- (- L _ v S MANAGER/AGENT P,4 ,°r Lu 14.S I NO P.O.BOX 1 ADDRESS C? 4 of p'5+ ADDRESS 07 CITY,STATE,ZIP 5c--& l P N !" A 1 (�{ _ I qy -ITY, STATE,ZIP RESIDENCE PHONE-94 K ! T (eRBUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_6 r, [2 ROOM USE: L y 4m en 2. �i V i0 c,I 3.B Ctk ktG6t'h4.Rt-4-a. 1. 5. &A OS 6. R&4 3 7. V 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYAB R BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB T TH IME OF .,CTION APPLICANT'S SIGNATURE DATE g o I ° Ito G v Insuectors use only Date on initial inspection: 07,173[2olG Date of reinspection: Date of issuance of certificate:- Date fee paid: O'%/,Z Y2-01� Type of unit: Dwelling � Other Check# 2-1q Check dater Notes: n rcement Iy pector CITY OF SAI,F.M, MASSACHUSETTS 5> BOARD of HFAI,I'H 120 WASHNGrON STRF>Fi1',4"'FLOOR TFL. (978) 741-1800 KINBERLF.Y DRISCOLT. FAX(978)745-0343 MAYOR i s trio nQDstia.zi. s'>ai LARRY RA%IDIN,RS/REAS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and 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 during said inspection. 4� ,�te'nant/Lessee q er/Lessor / aq W �14er- 5 Address Address o ( Q a (t('7J'Q' 'St aL Address on unit to 4?1 inspected -Sal(v-nq l'✓)h 0 ( 9 70 e °l � Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS ` r BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Dc;xv.eNBAUMO nu.M.COM DAVID GRF.ENIi.wNt ACTING HEALTII ACF.N,i, CERTIFICATE OF FITNESS CERTIFICATE#272-10 DATE ISSUED: 6/11/2010 Property Located at: 22 Bridge Street UNIT#2R Owner/Agent: Richard Davis Address: P.O. Box 5127 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 508-843-0584 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FORT/�✓n \OA OF HEALTH I Q DAVID GREENBAUM -- ACTING HEALTH AGENT CODE E ORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS !!! BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGPF.LNS3AI L1&ALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 ROPERTY LOCATED AT —72- B P, T U E -S UNIT'# f u g IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE .>WNERILESSER R 1CtlAQ iS k 4 Al L b Ia V,5 MANAGER/AGENT `O P.O. Box - ,DDRESS r O, 30 V XI-1 7 13 E') ltlA D!g J ADDRESS TT'Y, STATE,ZIP CITY, STATE,ZIP Tr7A Gu$, ESIDENCE PHONE BUSINESS PHONE(24HRS) Sed' USINESS PHONE OTAL NUMBER OF ROOMS: -SrY- 'OOMUSE: 1.44-b 2.>3f6 3. /3F 4. Xrr 5. , V1tv0 6.B4;'N 7. 8. 9. 10. HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM `OARD OF HEALTH THIS FEE IS PAYABLE AT TIME OF INSPECTION PPLICANT'SSIGNATURE / A� ')AIrp / Insnectors use only ate on initial inspection: 014/0 r Date of reinspection: W ate of issuance of certificate: 'I /0 Date fee paid: tP )w r vf w,;i. Dwelliz,g Gueer ineck# - 3tes: cjt17(n ,�o�c� bclt�v �es_ n -chr, lx i� CUP _ yn _ �Ifch �_ )de E for ent Inspector I` - u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - - - - 120 WASHINGTON STREET;41°FLOOR - PublicH"ealth - -_ _ _ - TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinaa salem.com L.UtRY UnnDiN,tts/aFt-Is,cr ro,c;r-Fs MAYOR HI?m n-r AGIi.N7' CERTIFICATE OF FITNESS CERTIFICATE#004-15 DATE ISSUED: 1/2/2015 Property Located at: 44 Bridge Street UNIT#2 Owner/Agent: Ron Novello Address: 742 Hale Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-502-7327 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FORTH E BO RD OFMEALTH E /� LARRY RAMDIN / :' HEALTH AGENT " SANITARIN CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASHINGTON STREET, 4� FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDIN(@.SALEM.COM LARRY RAMDIN, RS/REHS,CHO,CP-FS U HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.0""0 PROPERTY LOCATED AT Q f i d 4Q� �'k, SA1M lnA o15 �b I JNIT#_� (SIS THIS UNIT DISIGNATEdAS RIGHT LEFT FRONT OR BACK,PLEASEk (�CIRCLE ON PON ON ++ WV6e 0 MANAGER/AGENT QOA) 1(l0V0)I0 ADDRESS ADDRESS A-AAC_ CITY, STATE,ZIP eV Pk)V " 0)1/J CITY, STATE,ZIP SArA-e, RESIDENCE PHONF Sf'r" BUSINESS PHONE(24HRS) S AAA BUSINESS PHONE 7 ' SO,� TOTAL NUMBER OF ROOMS:.__' // ROOMUSE: 1. LIX 2. K_ik,1 W✓3. �IOAA 4. U/Z 5. &/f- 6. ' /(Z 7. T3/?- 8. 644�\ 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 PAYABLES AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ✓ " DATE Inspectors use only Date on initial inspection: f I a I S Date of reinspection: Date of issuance of certificate: 1 Date fee paid: Type of unit: Dwelling Other Check# 3? I Check date: .111 Cg-1)5 Notes: Code of ement Inspector s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SC0'I'Fna.SALFN1.CODE JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#413-08 DATE ISSUED: 8/20/2008 Property Located at: 44 Bridge Street UNIT#2 Back Owner/Agent: Ron Novello Address: P.O. Box 247 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-502-7327 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 JOANNE SCOTT, MPH, RS, CHO J HEALTH AGENT E ENFORC NT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON(478)741 g04 FLOOR KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISMI'ViNA EM.COM JoANNEScow, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MR-IIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." (� FEE: $50.00 PROPERTY LOCATED AT `t 7 g r i d Y 5 = 5 1e-rVt /Pl/ UNIT# � !IS THIS UNIT DISIGNATED A'S RIGHT LEFP FRONT OR BACK;PLEASE CIRCLE ONE OWNER/LESSER Y5 O N A)oVtj�l0 MANAGERI AGENT S ADDRESS C•v ADDRESS CITY,STATE,ZIP �DHnVen 5 M D I h Z CITY, STATE,ZIP RESIDENCE PHONE U - 3— % BUSINESS PHONE(24HRS) S 1 BUSINESS PHONE , Q TOTAL NUMBER OF ROOMS: <) ROOM USE: 1. Q M- 2. 1. Q)/Z 4. 5. 6. L /,2 7. 4%+1A 8. /3 A+L. 9. 10. THERE IS A FI1 rY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYWE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREJ` DATE eZQ/ 10P Inspectors use only d" " Ian Date on initial inspection: Date of reinspection:�t ' Date of issuance of certificate: !! /� Date fee paid: Type of unit: Dwelling Other Check# t / Check date: Notes: -10�utt ._m1:5-Jn in CrxcK hct(IuicrY . ac�arf� hrt`fhr 1 4oa1cs t . and r� uo-�4c�lfr or - e ti�t1�s. 6r)5 c�1 _ 'C Y1,LAd' 1 t to,�e czn . h wc1•v(• c:mcW Dwa xi C t e forcemeat Inspector �1a610la a Cis 0y) tkm r + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#77-05 DATE ISSUED: 2/1/05 Property Located at: 47 Bridge Street UNIT# 1 Right Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1572 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 JO NESC , MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL- 978-741-1800 • ' I/ J FAX 978-745-0343 I rJ STANLEY USOV!CZ, JR' JOANNE SCOTT, MPH. RS. CHO MAYOR HEAT TH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 47 Bridge St. UNIT # 1st Flr. Right IS THIS UNIT DESIGNATED A RIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER- uaymanr7 T._ Younq_MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS R7 PPaP al St__ADDRESS CITY c!,_Jem.r_JAA CITY RESIDENCE PHONE_-9-78.Uti-1572_BUSINESS PHONE (24 HRS.) Same BUSINESS PHONE , -78 TOTAL NUMBER OF ROOMS: 9 Pills Bath ROOM USE I,-LR/-KT­- 2.-zR,._-3 -Bath- 5 --- -6—.--. -7. 8 THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU _ _ DATE__.1J2010_5-.... NSPE _,_ USE O -\ DATE OF INITIAL INSPFCI ION (�'d °__� ) DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTlrlCATE.// DATE FEE UAI`7 TYPE OF UNIT. DWEI L(I OTHEF. - CHECK "30 L- CHECK DALE NOTES.--- CODE ENFORCEMENT INSPECTOR 2;'rg3 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-741-1800 FAX 978-745-0343 .— STANLEw USOYIGZ, .IR. ,JOANNE SCOT'., MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter i ? . ; Code of Massachusetts Angulation; 410.000 et. seq . ; State Sanitary Code Chapter I1 and Article X1I1 of rue City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit cr residential property, hereby authorize the Salem Bozrd of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. h1 the event .t is necessary that said inspection be done in my/our absence i-hwe expressly authorize the same and for my'lour successors and -assigns hereby .elcasc and discharg^ the City of Salem, Salem Board of Health and its authorized :tura ar.j� '_Oss or i.njury sustaincd of v...-i:atc�ver nature ane dc-scripti--^,n oc^asioueci b,✓ my/Our absence during said insnectior.. -- ------ - -- --- -- -- Raymond L.-Young -- - - - - -- J:N`i i 1.ES:?L'ii O'dNF:R/LFSf;QF. 87 Federal St. , Salem, MA 47 Bridge St_ , Salem, MA, lst Flr. Right -;,�!. Ii(i L"� -fh iii' i > C ., ",ED __—..---- - -- 1/20/05 : CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH o e, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 ' FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/24/05 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 47 Bridge Street Unit 1 Right Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to J'anne Scott MPH, RS� Pablo Valdez Health Agent Code Enforcement Inspector S.. v6� � s CERT.# 39-02 R FEE $25.00 DATE: 01/24/2002 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 120 Washington Street —4'" Floor JOANNE SCOTT, MPH, RS,CHO Tel # (978)-741-1800 HEALTH AGENT Fax # (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 47 Bridae Street UNIT #: 2 OWNER/AGENT: Ravmond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH 96 L&Y JOANNE SC T, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �/�,0� 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 % �/)� O S G UNIT#-,,? ��cl h L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �i�� vl�vL'�, MANAGER/AGENT No P.O. Box VV ' No P.O. Box ADDRESS ADDRESS \ l CITY SIA CITY RESIDENCE PHONE 7 yS`/S 7L BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.j 2. ✓ 3. S/` 4. 5. 6. 7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE 'TIME OF INSPECTION, APPLICANTS SIGNATUR DATE 1/a y/G L INSPECT SA USE ONLY DATE OF INITIAL INSPECTION l� L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Leo 'DATE FEE PAID: TYPE OF UNIT: DWEL7/ / i OTHER- CHECK# ��l CHECK DATE i NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 720 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 �pnnva FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/4/05 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 47 Bridge Street Unit 2 Left Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m —4:00 p.m. Thursday 8:00 a m. to 7'00 p.m. and Friday 8'00 a.m — 12:00 p m Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist For the Board off HH�eealtth��L� Reply to (��nn t MP19;FTS,`CY 1 Pablo Valdez I- Health Agent Code Enforcement Inspector ' CITY OF SALEM, MASSACHUSETTS n• BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 261-03 ri SALEM, MA 01970 FEE $25.00 9� TEL. 978-741-1800 DATE: 05/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 47 Bridae Street UNIT #: 2L OWNER/AGENT: Ravmond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH / @6 "ey JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i I r t CITY OF SALEM, MASSACHUSETTS • '$ BOARD OF HEALTH 3 • • 120 WASHINGTON STREET, 4TH FLOOR �/_/ '64 Kim SALEM, MA 01970 lY 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 /7/7 ;&�� A*7 UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER -/itz i MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS S,I /-moii( f ADDRESS / CITY l/l / r� CITY RESIDENCE PHONE _;7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE S' TOTAL NUMBER OF ROOMS: / ROOM USE: 1J`--104 21F� 4. 5.--6.-7---- 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE /417 ( 1�o 7 � DATE INSPECTORASE SE ONLY DATE OF INITIAL INSPECTION S'- 3 n- t�3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -o3 DATE FEE PAID: S- 3 o TYPE OF UNIT: DWELLING OTHER_ CHECK# �f�/D CHECK DATE5­ 3v -- -3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 0 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA O 1970 Qg TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 47 Bridge Street Unit 2R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F?anne the Board of Health Reply to Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 548-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 10/23/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT 1 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 47 Bridge Street UNIT #: 2R OWNER/AGENT: Ray Young ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 508-662-3882 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT { } MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT L CITY OF SALEM, MASSACHUSETTS 1/�® '� BOARD OF HEALTH r s i 120 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 1/2 /ti.A'e S/ UNIT# a 1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER G &Z MANAGER/AGENT No P.O.Box / No P.O.Box ADDRESS -7 `o- r f w Ar-n /- TL ADDRESS CITY. /X2' , CITY RESIDENCE PHONELS Jz BUSINESS PHONE (24 HRS.1 i BUSINESS PHONE L2S°:..�1��� Z4_Z TOTAL NUMBER OF ROOMS- '/J- ROOM /ROOM USE: 1. 5. fi. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ,J APPLICANTS SIGNATUR� �- /[�[�G� DATE d INSPECTORS USE ONLY DATE OF INITIAL I S FCTtON l!> -. - 3 —6,3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? a - a*3 a 3 DATE FEE PAID: I a 3 —D-3 TYPE OF UNIT: DWELLING OTHER_ CHECK# t CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 59 120 WASHINGTON STREET, 4TH FLOOR rPo SALEM, MA 01970 9qp TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#61-04 DATE ISSUED: 02/24/2004 Property Located at: 47 Bridge Street UNIT#3 Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-662-3882 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. �CR THE BOARDOF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • 120 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 FITNESSFOR HUMAN HABITATION". PROPERTY LOCATED AT G�� / 6fG., 17 UNIT# IS THIS UNIT DESIGNATED�AS/JRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER " I ALf.��C MANAGER AGENT No P.O. Box / No P.O. Bo ADDRESS ADDRESS CITY \(n 16 CITY RESIDENCE PHONE NS' Ilr-7j BUSINESS PHONE (24 HRS j :� 91.3��.2 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.L2 2. 3.k/1 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 6� APPLICANTS SIGNATU - //ntA DATE INSPECTORS IISE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,l -a q DATE FEE PAID: 9 '} TYPE OF UNIT: DWELLING OTHER CHECK# .l"17 CHECK DATE� ' '� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 3/6/06 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 47 Bridge Street Unit 3R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of He� Reply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/13/05 Tazz Realty Trust/William S. Johnson 12 Osgood Street Salem, MA 01970 PROPERTY LOCATED AT 49 Bridge Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Hpelth Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector GOND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-268 DATE ISSUED: 7/27/2016 Property Located at: 49 BRIDGE STREET UNIT#2 Rear Owner/Agent: William Johnson Address: 4 Osgood Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-3332 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note:'This approval does not certify compliance with the state lead law for occupants under 6 years of age. Jeff y 2VW;VV Larry Ramdin, MPH, REHS, CHO t HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD)OF Hl-AJ.rH 120 WASHINGTON STREET,4"'FLOOR 0 TEL. (978) 741-1800 KIMBERI..EY DRISCOIJ, FAX(978)745-0343 MAYOR LPAmDnu,(a)SA1Y-,1.Coy LARRY RAMI>IN,RS/REHS,CHO,CP-FS HEADER AGLNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �ll FEE: $50.00 PROPERTY LOCATED AT ^'t 9 &}a�5 t UNIT# a IS THIS UNIT DLSIG AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE 1 f OWNER/LESSER 62Z Q6k1 1 r�sJ' MANAGER/AGENT l It)���i��S•��tl. Sort/ NO P.O.BOX ADDRESS Q-)- ADDRESR.— - CITY,STATE,ZIP :56cEeA&.,, CPI'Y,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) ���•7t} •3�3� BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. kZ, t)fb0w12.1 tihtivC 3. kt{C" 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 TIE EEISE T T OF INSPECTION APPLICANT'S SIGNATUI DATE Insnectors use only Date on initial inspection:M-5zinrt c Date of reinspection: Date of issuance of certificate:Q7/f15-/2-01( �v� Date fee paid: fJ1/)—f/�-U Type of unit: Dwe1Jing�/ rJ Other Check# S-0 � Check date: d 1/�-V 204� __ Notes: C e fa `Rent Ins etor o CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH tA 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 > TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 11/3/04 Tazz Realty Trust c/o William S. Johnson, Trustee 12 Osgood Street#2 Salem, MA 01970 PROPERTY LOCATED AT 49 Bridge Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result In a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Fo the Board of Health _(n�� Reply to X ""'�' l anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector Hca CITY OF SALEM, MASSACHUSETTS ,. �� '� BOARD OF HEALTH � a 120 WASHINGTON STREET, 4TH FLOOR * SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#231-04 DATE ISSUED: 05/27/2004 Property Located at: 49 1/2 Bridge Street UNIT#3 Owner/Agent: William S. Johanson Address: 12 Osgood Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-3332 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 If'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. R THE BOARD HEA TH JOANNE SCOTT, MPH, RS, CHO / � HEALTH AGENT O ENFORCEM25Cw CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR 3� / 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 �°►%81 ;� ST. UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Wi111A,m S•V�1�5� MANAGER/AGENT No P.O. Box � ` No P.O. Box p, ADDRESS I� - 1s'f' ADDRESS CITY�Ipvvx/ � _ CITY RESIDENCE PHONE_'�/t-7-M15USINESS PHONE (24 HRS.)9 Z . 745: 32p BUSINESS PHONE9L TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1._�r�2. 5¢.CJ 3. f�?fJ 4. J 5. 6. 7 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH 91EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNAT DATE+? INSPECTORS USE ONLY II DATE OF INITIAL INSPECTION.4-/ //y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: yr D TYPE OF UNIT: DWELLING _OTHER_ CHECK# qlo d CHECK DATE�Y Z>y NOTES- ;4e- �/GZ CODE ENFORCEMENTINSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR Isco ri'OS a EN1.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#357-08 DATE ISSUED: 8/6/2008 Property Located at: 538ridge Street UNIT#2 Owner/Agent: Bridge Street Realty Address: P.O. Box 4110 City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' 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. F THE BOARD OF EALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CO ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HE,-u TI-i 120 WASI-11NGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 IVIAYOR [SCO rrQR SAI anr.COM JOANNE SCOTT, HEM TH.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." —J) FEE:: $50.00 PROPERTY LOCATED AT _ 8,p WR f UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A&) 419 IF sT l�,£'4�� MANAGER/AGENT NO P.O. BOX / I ADDRESS ✓( y I/0 ADDRESS /y p CITY, STATE,ZIP FA CITY, STATE,ZIP q. RESIDENCE PHONE /�S� '� ��Y` 3(:70 BUSINESS PHONE (24HRS) BUSINESS PHONE C TOTAL NUMBER OF ROOMS: . S ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIV*t"-*DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS`F IS�YAB T TH F INSPECTION APPLICANT'S SIGNATURE / ��` _ t/ DATE Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other ff Check#—&V,?—Check date: .0 Notes: I &v1hGfa07N W. nLw does Yid-bf tl`"otr jL3 V� Ct I q vrC)Y11�Q Sere `U1 S'Ak it \.V,"Lw in a"`� h2t�roorn Lo e nforcement Inspector CITY OF SALEM, MASSACHUSETTS • + BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KDABERLEY DRISCOLL F:AS(978) 745-0343 MAYOR iSc O Ina.SA .FEM.CONI JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#358-08 DATE ISSUED: 8/6/2008 Property Located at: 53 Oridge Street UNIT#3 Owner/Agent:. Bridge Street Realty Address: P.O. Box 4110 City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO Ei�.�kw`ii ox HEALTH AGENT COQt�--'NFORCEMNT INSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAN (978) 745-0343 MAYOR SCO't'10,`AUJN.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ICC ? �1FEE: $50.00 q PROPERTY LOCATED AT v V IC / �S� s t UNIT# pp IS THIS UNIT DISIGNATED AS RIGHT LET FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A )F /��I ST ��Tr MANAGER/AGENT NO P.O. BOX y-) ADDRESS .C" /VC ADDRESS q CITY, STATE,ZIP 14 //-4 CITY, STATE, ZIP ®L6 RESIDENCE PHONE /Jq�� ' .�-3v 33(:C- BUSINESS PHONE (24HRS) BUSINESS PHONE //7 ,z TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVDOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE9 P?11YABL THE Tdt! F INSPECTION APPLICANT'S SIGNATURE / �/ DATE � J a( J Inspectors use onlv Date on initial inspection: UI-6/08 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# �17 Check date: Notes: I Wb1LLo in rhd h% rnc5rn rlmv� ivi I4*fCCtiprl rug `ffete.i�-- n;,omr -ho re-a P. Co etnforcement Inspector City of Salem, Massachusetts r �. Board of Health 120 Washington Street, 4th Floor, Salem, PCPab1iC$eatkh MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-312 DATE ISSUED: 9/19/2017 Property Located at: 58 BRIDGE STREET UNIT#1 Middle Owner/Agent: Ray Young Address: 162 Western Avenue City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(508) 662-3882 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. �Aa /lip Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN *15g � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREhT,4"'FLOOR TF.L (978)741-1800 K]MBSRLBY DRISCOLL FAX(978)745-0343 /J MAYOR IRAW)IN(O MLHM.CDM , L j LARRY RAMDIN,RS/RF14S,CHO,CP-PS HEALTHAGENT 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 �J PROPERTY LOCATED AT �0Y -,,7 �j _ TJNTT# I h l a I t IS THIS UNIT D AS RIGHT LEFT FRONT OR BACg PLEASE CIRCLE ONE OWNER/LESSER hr, __ MANAGER/AGENT �Gl nz NO P.O.BOX ADDRESS rn /1-'e ADDRESS CITY,STATE,ZlP CITY STATE,ZP RESIDENCE PHONE vfG�/�.2 [F�L BUSINESS PHONE(24HRS) BUSINESS PHONE tZkE-4 L1- 3 L TOTAL NUMBER OF ROOMS: -z' r/ /,V./ ,/,, ROOM USE: 1. ll a�dn 2. 71 -�.t__,�C 3. !N/,/,, 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 THISFEE LE AT THE TIME OF INSPECTION n APPLICANT'S SIGNATURE DATE ZsDectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Q+ Date fee paid: Type of unit: Dwelling Other Check# (l 2 Check date: I.� — Notes: Code Enfiorcement Inspector r CITY OF SALEM, MASSACHUSETTS BOARD OF FIr LTH 120 WASHINGTON STREET,41°FLOOR PublPromote.cHealth Tra_. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a�.salcm.com - LAI2121'R'\NdU1N,12S/RI3I-IS,CI-10,C11-1;S MAYOR I-IISAI;II-I AGENT Facsimile Transmittal 1 Fro . Fax # RE: 1 1 Date: age(s)- including this cover# Message: 0 111j , Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION! REPORT TIME 09/20/2017 09: 43AM NAME Salem Health Dept FAX 9787450343 TEL 9787450343 SER. # U638881-41646764 DATEJIME 09/20 09: 43AM FAX NO./NAME 913398832368 DURATION 00: 00:23 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH /. 120 WASHINGTON STREET, 4TH FLOOR CERT.# 260-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 58 Bridae Street UNIT #: 1F OWNER/AGENT: Rav Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . 0 1OARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f I { CITY OF SALEM, MASSACHUSETTS 1 .. '� BOARD OF HEALTH • 120 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 —YGl Ar UNIT#j IS THIS UNIT DESIGNED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Bim/ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS X�/� v� ADDRESS CITY �//�f ��j CITY l RESIDENCE PHONE VT BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Z_/ ROOM USE: 1.)-G J 2. i3 3. ;? 4. 5._ 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE TH DEPAR MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE / DATE INSPECYO S USE ONLY DATE OF INITIAL INSPECTION 30 -0 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 45`'�0 -03 DATE FEE PAID:i"3 TYPE OF UNIT: DWELLING OTHER_ CHECK##V&.3 CHECK DATE x'30-0_3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ��xorrM CITY OF SALEM, MASSACHUSETTS /. BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 -;r�NLEY USOVIC2. JR JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT June 10, 2002 Raymond Young 87 Federal Street Salem, MA. 01970 Dear Mr. Young: As property owner of 2 '/2 Burnside Street/ 58 Bridge Street, Salem, it is your responsibility to have a Certificate of Fitness for each apartment in the building. Our records indicate there has been only one Certificate issued since 1996. Upon receipt of this notice please contact this office at 978-741-1800 to make appointments for inspection of these units. Failure to respond and obtain these Certificates will result in court action being sought against you in Housing Court. Included with this notice are applications and tenant release forms for the Certificate of Fitness Program. For the card of Health: Reply to: Jeffrey Vaughan/ Pablo Valdez Sr. Sanitarian Code Enforcement Inspector Cc: Building Inspector oxo; CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '� 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/15/2002 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 58 Bridge Street UNIT # 7 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 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 department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the city of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD 0 HEAL�'H REPLY TO anne Scot MPH,RS,C--HO PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR 6 CONDI qH��'t' City of Salem, Massachusetts IV- Board of Health 120 Washington Street, 4th Floor, Salem, PtxbliaHealth 1 , FD MA 01970 Prevent Womntr PI.W., 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-16-300 DATE ISSUED. 8/16/2016 Property Located at: 60 BRIDGE STREET UNIT#1R Owner/Agent: Ray Young Address: 162 Western Avenue City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone:(508)662-3882 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000. Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Jeffrey Barosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH 120 WASHINGTON STREET,4' FLOOR TEL.(978)741-1$00 KIMBERLEY DRISCO'LL FAX(978)745-0343 MAYOR LRAMINOSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CF-FS HEALTH AGENT Ih►`,� /pry+00 ng.@ Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAP'T'ER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �J FEE: $50.00 PROPERTY LOCATED AT ('112A. 9(2 14�y�f��/ �V UN1T# t 9 IS THIS UNIT DESIGNATED AS GAT LEFT FRONT OR BACK•PLEASE CIRCLE ONE OWNER(LESSER �1171 G911e' / MANAGER/AGENT j NO P.O.BOX / � ��11 ADDRESS f/ 1 JD S r n' Imo` ADDRESS CITY, STATE,ZIP + C A-61 h. 7,o v C. CITY, STATE,ZIP A���g RESIDENCE PHONE ��BUSINESS PHONE(24HR5) BUSINESS PHONE 56 TOTAL NUMBER OF ROOMS: �j� ROOM USE: 1. :c � 2. R� 3. 4. 5, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PPLE AT THE TIME OF INSPECTION 1 1 APPLICANT'S SIGNATURE i (4 DATE Inspectors use only Date on initial inspection:OVI Date of reinspection: Date of issuance of certificat • 02/1 Date fee paid:LaE�.2R01 Type of�u/nit: Dwel ingmOthe!r Check# '74Z Check date:- . t Vis! 4 Notes: Witt leafc �o ♦ �iM1 klr a r:,-i . Coe ement I ector eye CERT.# 250-96 FEE $25.00 DATE: 05/02/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fan:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 60 Bridge Street UNIT #: 2 OWNER/AGENT: Garnik Asheah ADDRESS: P.O. Box 3074 CITY/TOWN: Peabodv. MA ZIP CODE: 01961 24 HOUR PHONE: 352-7622 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 AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR at �F ore CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT__4Q 1,p jTN(,- a Sr r4l G m UNIT 1 OWNER/LESSER AS (JA (g-A MANAGER/AGENT ADDRESS Q (9_`Rce3)C 3d]-70ADDRESS CITY PEt3669C>14 IV\A o t 9 f t ' CITY RESIDENCE PHONE�g 352' `7� --__ BUSINESS PHONE (24 RES.) BUSINESS PHONE -- TOTAL NUMBER OF ROOMS: (� ROOM USE: 1 . rk}iC'INe v 2• LIy�rICg 3. Q .(2 ,rlt• CY3 S� v� 5. b. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM'HEALTH DEPARTMENT THIS FEE IS PPA�YABBLLE, AT THE TIME OF INSPECTION/ APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY { DATE OF INITIAL INSPECTION: lr - rJj� DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: (a DATE FEE PAID: TYPE OF UNIT: DWELLING S( OTHER NOTES: CODE ENFORCEMENT INSPECTOR R / ' r CITY OF SALEM9 MASSACHUSETTS v� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �` Pc SALEM, MA 01970 9q TEL. 978-741-1800 G' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November10, 2003 Paul Moore 453 Elliot Street Beverly, MA 01915 PROPERTY LOCATED 60 Bidge Street Unit#3 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4 00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of Initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 47-00 3 R FEE $25.00 DATE: 01/24/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 ' Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 60 Bridae Street UNIT #: 3 OWNER/AGENT: Paul Moore ADDRESS: 453 Elliot Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 922-7583 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II„"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400' (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH O' er' (/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax*(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITN SS FOR HUMA HABITATION". PROPERTY LOCATED AT � � a'� J� UNIT# V IS THIS UNIT DESIGNAAT D AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER. � MANAGER/AGENT No P.O. Box r: No P.O. Box ADDRESS /L � Li6 f ADDRESS CITY f IrFX CITY RESIDENCE PHONE vv �i �� �SlBUSINESS PHONE (24 HRS.) BUSINESS PHONE fG TOTAL NUMBER OF ROOMS: // J ROOM USE: 1. rr 2. levy 3. JJ 4. / SJi( R. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR F PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D A E TH S FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTO USE ONLY DATE OF INITIAL INSPECTION' )- q -160 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:1-,) Y"O6 DATE FEE PAID: J TYPE OF UNIT: DWELLING It— OTHER_ CHECK# CHECK DATE / NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 K A CITY OF SALEM 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 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/we expressly authorize 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 loss or injury sustained of whatever nature and description occasioned by my/aur absence during said inspection. TtNANT%LESSEE OWNER LES CR ADDRESS ADDR-.SSE _' ADDRESS OF UNIT TO BE INSPECTED DATE �ONDIT City of Salem, Massachusetts Board of Health lu 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-86 DATE ISSUED: 3/8/2016 Property Located at: 61 BRIDGE STREET UNIT#213 Owner/Agent: Tony Bellini Address: 1393 Broadway City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone:(617) 834-1732 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"{FLOOR )PI11111CHCRlth STREET, Pneent Promom Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdina.salem.com MAYOR L,\RRY V kMDIN,RS/REI-IS,CHO,CP-FS HEA1;rL-I 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" I FEE: $50.00 PROPERTY LOCATED AT 6i &I�Q S-TI�p1T I UNIT# 3,-6 IS THIS UNIT DISIG*ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERX//�Z/P<-�;e!� ✓/ �GGMANAGER/AGENT'7P/SAY f�1�i4/i NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP tkve-,us CITY, STATE,ZIP e"v d� RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHoNE,6/7- 93Y-/73z fF v1 j�,3 TOTAL NUMBER OF ROOMS: U ROOM USE: 1. Lt. 2. bF— 3. U 4.Y K 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / Ins_nectors use only Date on initial inspection: 3; Date of reinspection: i Date of issuance of certificate: Date fee paid: 1711 Type of unit: Dwelling Other Check# �7 a� Check date: Notes: Code&dbr ent Inspector 16 -S6 . ortwr CERT.# 129-01 FEE $25.00 DATE: 03/08/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 62 Bridge Street UNIT #: 1 OWNER/AGENT: Victoria M. Tache' ADDRESS: 62 Bridge Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4899 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH ,, MP HEALTH AGENT CODE ENFORCEMENT INSPECTOR f �eoawr 3 ! CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel. (978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT.l i)NIT#-L IS THIS UNIT DESIGNATED AS RIGHT LEFT RON ACK PLEASE CIRCLE ONE OWNER/LESSERi r`l!%QC�f2e. MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS,"-moi , ADDRESS/,,?,? CITY CITY RESIDENCE PHONE 7t/6` Y? 59 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: IT— ROOM USE: 1. 2. 3. 4. 5. ' 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE '' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z -6/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:3— TYPE OF UNIT: DWELLING BOTHER_ CHECK#S9�7 3 CHECK DATE 3 NOTES: �� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4°i FLOOR PI1blicHea Ith STREET, Prevent.Promote.Prated. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL Itamdin@salem.com MAYOR LARRY RAMDIN,RS/RGf IS,(110,CP-}'S H7i,A1,n t AGHNT " CERTIFICATE OF FITNESS CERTIFICATE#392-13 DATE ISSUED: 11/1/2013 Property Located at: 62 Bridge Street UNIT#2 Owner/Agent: Patricia Rodriguez _,Address: 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 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 I /� ' V HEAL AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS V BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabliaHealth STREET, Prevent,Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin2salem.com " Lt\Rltti'1L\NSllIN,RS/RCHS,CIIO,(:I'-IS MAYOR HiAl;1'F[A(iEN'1' 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 Z PROPERTY LOCATED AT CEJ e�/k Q 5 UNIT# Z IS THIS UNIT DLSIGNATED S RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER v'� �7�Y� �;-x"ZMANAGER/AGENT NO P.O. BOX / ADDRESS (�Z RY. / S 1970 ADDRESS CITY, STATE,ZIP /—/ CITY, STATE,ZIP RESIDENCE PHONE 7 SS- .3 (o I- 7�7 BUSINESS PHONE(24HRS) cell BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. (V 9. 10. THERE IS A FIFTY($50)DOLLAR FE YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P Y / EAT THE TIME OF INSPECTION 2 APPLICANT'S SIGNATURE 0 DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 1 1 -1-i t,'3 Date fee paid: 1)-)- /3 Type of unit: Dwelling ✓ Other Check# 73q�- Check date: ) 1-/- )A Notes: �n ^ Cie Enforcement Inspector CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Y0 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#235-07 DATE ISSUED: 5/15/2007 Property Located at: 69 Bridge Street UNIT#3 Owner/Agent: Robert Gagnon Address: 69 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' 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. F THE OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR j CTTy OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 - JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT !_ St'r fl'�-" UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERP MANAGER/AGENT�16°�-�Ot<9hOA No P.O.Bax NO P.O. Box , ADDRESS ADDRESS-6 r 1d jeo Sis b it CITY 9 q IIi a xy �'!�•/ �'' CITY �� � -,__ --- RESIDENCE PHONE 7J% YOY BUSINESS PHONE (24 HRS.)`____ BUSINESS PHONE TOTAL NUMBER OF ROOMS ROOM USE: 1 ------ 2'---- _3 - --- 4 -- --- - --0 --- 7. 8 -- THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. jyI, APPLICANTS SIGNATURE - --DATF_ tf ! INSPECTORS USE ONLY r DATE OF INITIAL INSPECTION_ S- /'_`_O 7 - DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERT IFICATE,_5 r I S�0 7 DATE FEE PAID TYPE OF UNIT DWELL INC 01 HER . _ CHECK .t H 7 CHECK DATF 7 ' l rD 7 NOTES _ , CODS= ENFORCEMENT ;NSPECTOR ?ts/9t3 I - CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 01/22/2001 Fax:(978) 740-9705 Rosemary Zack 70 Bridge Street Salem, MA 01970 PROPERTY LOCATED AT 70 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 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 eo exist. FOR THE BOARD OF HEALTH REPLY TO Joanne Sc tt�HO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 819-97 '! FEE $25.00 DATE: 12/08/97 �7M11� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FTTNES,S PROPERTY LOCATED AT: 70 Bridae Street UNIT #: 2 OWNER/AGENT: Rosemary Zack ADDRESS: 70 Bridae Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0084 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 AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH /+ Q V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M a �r9 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT r76 t�L�K} P . APFT__ - UNIT # OWNER/LESSER nC,I MANAGER/AGENT 4� C-,ak-T\p ADDRESS0 �(� l�P4C\c e.P `� ADDRESS CITYC) l G--)C) { CITY •RESIDENCE PHONE ( `per --)(4 oo 1�, 1 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS- 1 ROOM USE: 2. 3 (1111111 V , ! C1(� 5.�6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE IS P YABLE AT THE TIME OF INSPECTION APPLICANTS /I f- APPLICANTS SIGNATURE .fpf DATE 1// i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /_�z DATE OF REINSPECTION -7 DATE OF ISSUANCE OF CERTIFICATE:/ � ? DATE FEE PAID: /,p_- TYPE AID: f,p_-TYPE OF UNIT: DWELLINGk__ OTHER G/\ NOTES: ,� .e�.- Ce..P.,:n 5'u.vLcf✓LaJ(" -in/a,,t.� — '-Q".`� ' FJt—. d. r,=�i/ar rO�r'� 1?e�t.!.•..e ( CODE ENFORCEMENT INSPECTOR N f S� CI'TY OF SALEM MASSACHUSETTS IV ' BOARD of HEALTH 120 W)6HINGTON STREET,4...FLOOR PublicHea ith TI-t_. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinna,salein.com L,V2R1'R\NfUIN,RS/RI+.I-IS,CI-IU,(T-FS HI{r\I.II I AGISN'1' CERTIFICATE OF FITNESS CERTIFICATE#341-12 DATE ISSUED: 8/22/2012 Property Located at: 71 Bridge Street UNIT# 1 Owner/Agent: Joyce A. Bowen Address: 71 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARR MDIN OTARIDAWN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS ilk BOARD OF HEALTH �.j 120 WASHINGTON STREET,4°1 FLOOR ✓✓✓ TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR UkAMDINRSJU.ENcc0M LARRY RANIDIN,RS/REBS,CI 10,CP-14S HP's;\1:1'11 ACiI':N'l' 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 ( 1`Z UNIT# IS THIS UNIT DISIGI�STED AS RIGHT EF ONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �(�_ `-9`CD �J0 i MA L_ MANAGER/AGENT NO P.O. BOX ` ✓` ADDRESS c�� I �J S r ADDRESS n� Q CITY, STATE,ZIP . l v✓h_� CITY, STATE,ZIP Y 1 I /`7/v> RESIDENCE PHONE 17 O',t,R- I V BUSINESS PHONE (24HRS) BUSINESS PHONE �— TOTAL NUMBER OF ROOMS: �l 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 TIES FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUI�S�Y�Y 6 DATE l I- Insuectors use only Date on initial inspection: 4117eilDate of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#-- Check date:_ Notes: Co Krcem spector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 4/27/05 Derek Realty Trust 308 Ashbury Street S. Hamilton, MA 01982 PROPERTY LOCATED AT 72 Bridge Street Unit 1 R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist For the Board of Health Reply to oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#111-08 DATE ISSUED: 3/4/2008 Property Located at: 72 Bridge Street UNIT#2 Right(4) Owner/Agent: George Tanch Address: 62 Blueberry Lane City(Town: S. Hamilton Zip Code: 01982 24 Hour Phone: 978-771-5884 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 P ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR /'• CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �'/ •A 120 WASHINGTON STREET, 4TH FLOOR 11 , -0 T SALEM, MA 01970 VVV TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNES7S�FOR HUMAN HABITATION". PROPERTY LOCATED AT 7Z l7nGl�Q S'� UNIT#s IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Utbeiy 4/1Gy MANAGER/AGENT No P.O. Bo 1 No P.O.Box ADDRESS O Z '&ve.9tryy L4A w, ADDRESS CITY r- tom I l npi CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) g'] ! BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I.LI✓I 2. �'°{ 3.klh'4<n4. 5._ 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 4,"J DATE 3— `I` - 6 e V INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-?-L/ -R DATE FEE PAID:__ 0� TYPE OF UNIT DWELLINOTHER__ CHECK t0 7 _CHECK DATE 3 L - v NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET 4"t FLOOR Pl1b�C1HC8Ith > Prevent Promote Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a),salem.com L.\RRl'R,\MUM,RS/RISIIS,CI IO,CP-ISS MAYOR Hj S;\]:1'I-I A(;L;,NT CERTIFICATE OF FITNESS CERTIFICATE#361-14 DATE ISSUED: 10/15/2014 Property Located at: 76 Bridge Street UNIT# 1 Owner/Agent: Nestor McKinney Address: 76 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-828-7955 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Pr=f LARR19aMDIN Ley✓b HEALTH AGENT SANITARIAN r . CITY OF SALEM, MASSACHUSETTS r! * BOARD OF HF-klTH 120 WASHINGTON STREET,4O.FLOOR TEL. (978) 741-1800 ✓� KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR LRANIDIN[a1 sAl EMAIoNI LARRY R,mDIN,RS/R ISIFIS,cm),CP-ISS H IdA I;I'I I A(&*N'r 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 cS / PROPERTY LOCATED AT 7(0 / CQ/�Lj tai 71 ( x4ely) UNIT# IS THIS U IT DISIGN TED AS RIGd LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSERQCZ MANAGER/AGENT NO P.O. BOX / � ADDRESS 7 6 �A-JI 2 S ✓ r ADDRESS i CITY, STATE,ZIP /d A? 06 �} r CITY, STATE,ZIP RESIDENCE PHONE `7�R'�� c�'77 rJ rJ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 73,f_ 2. RV 3. AV . 4. � � 5. 4) e' 6./xr 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAY LE CITE OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS5FEfilS 3AT E T E O SPECTION APPLICANT'SSIGNAT DATE InsDectors use only Date on initial inspection: )?j—)q, )\4 Date of reinspection: Date of issuance of certificate: 16--)E N Date fee paid: Type of unit: Dwellings, Other Check# r3 '_ Check date: Notes: n 4den ec x CITY OF SALEM, MASSACHUSETTS �uJ BOARD OF HEALTH 120 WASHINGTON STREET,4p.FLOOR PublicHealth rreeru momma rrmm. — TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com MAYOR �r Lr\IUtI"R;\NIDIN,RS/RI?IIS,C[10,(T-FS Hi;AL n I AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor aild 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 discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. cd" Tenant/Lessee O /Lessor 7 6 6rru S 76 Address Address / Address on unit to be inspected Date Updated 523/11 NII(T„ � . City of Salem, MassachusettsIV Board of Health T n 120 Washington Street, 4th Floor, Salem, PubliCHeBlth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-173 DATE ISSUED: 6/16/2017 Property Located at: 79 BRIDGE STREET UNIT#1 L Owner/Agent: Felipe Vale Address: 71 Northend Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone:(617)415-3700 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. &eyojn4;�l Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT SANITARIAN e • a CITY OF SALEM, MASSACHUSEI fS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 1<11VE3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDLNO)SAI r.M.C.OM LARRYRAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 0. PROPERTY LOCATED AT / l �� I✓ f 0 S / 57 l e t - Z,74 ' UNIT# IS THIS UNIT DISIGNAT�E-DARIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER GPS �� v/� 4 1 MANAGER/AGENT NO P.O.BOX ADDRESS 7 //fin ADDRESS CITY, STATE,ZIP Tl 111104ell))l)) S T CITY, STATE,ZIP A"A 60))q MA- 0/&6z RESIDENCE PHONE 6. ; W5 5 3"700 BUSINESS PHONE (24HRS) % X Cq /,0 - loe"- 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 PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREr— DATE Inspectors use oniv Date on initial inspection: 6Date of reinspection: Date of issuance of certificate: 61N12D1 7 Date fee paid: 6/12/20177 /6/1 201-7 Type of unit: Dwelling�Other Check# T /� Check date: /ACUS B 11� rr� /� e / Notes: �dy"�DYI vhe�n�xlCde (�p�ief7t7YP. /( ar(ec�'� i Cod orc entInspe or CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 14, 2003 John Papadelos 210 Ocean Avenue Salem, MA 01970 PROPERTY LOCATED AT 79 Bridge Street Unit#2R-2L It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants'entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. //For the Board of/Health , Reply to J Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ✓ OONWT,{' CERT.# 265-99 4 =h f FEE $25.00 DATE: 05/24/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 79 Bridae Street UNIT #: 2L OWNER/AGENT: Ravmond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD 0� V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 � INK CITY CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT e a( UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER i//q MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY //4 iA CITY RESIDENCE PHONE7yC'/S71 BUSINESS PHONE (24 HRS.) BUSINESS PHONE Cr✓ TOTAL NUMBER OF ROOMS: 9 ROOM USE: 1. 23. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATURE €C�� GL" ) DATE INSP ORS USE ONLY DATE OF INITIAL INSPECTION S a 4 `! DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID: S �y TYPE OF UNIT: DWELLING�OTHER_ CHECK#A0W4P16fCHECK DATE 15--.) f J` a!o $ 6 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 c FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT March 14, 2003 John Papadelos 210 Ocean Avenue Salem, MA 01970 PROPERTY LOCATED AT 79 Bridge Street Unit#`'2R'2L It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to 46)lf-lx_X_C� Ij Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 408-99 `3 FEE $25.00 -' X DATE: 07/30/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 79 Bridae Street UNIT #: 2R OWNER/AGENT: Ravmond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OFIYOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH �/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR \IL i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax. (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 0 UNIT#dAi� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box 1 No P.O. Box ADDRESS ADDRESS CITY�� CITY RESIDENCEPHONE IS 7.LJS 7.L BUSINESS PHONE (24 HRS.) S�oti. BUSINESS PHONE Sc-a. TOTAL NUMBER OF ROOMS: ROOM USE: 1.K 2. 9C 3. �a,✓ 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. , APPLICANTS SIGNATURE DATE �J 5 INSPEC RS USE ONLY DATE OF INITIAL INSPECTION 7 1 o X4. 9 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.?-3o 'Sy DATE FEE PAID: 7 - 3 o -57f TYPE OF UNIT: DWELLING OTHER_ CHECK# 1 -) i�f CHECK DATE - 30 Sy NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ?q SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#219-05 DATE ISSUED: 4/1/05 Property Located at: 79 Bridge Street UNIT#3 Owner/Agent: Bridge Street Realty Trust/Barry Thomas Address: 11 Old South Lane City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: 781-589-4084 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 IP ,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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Mar 30 05 09: 09a Joanne Scott Salem BOH 978 745 0343 p. 2 CITY OF SALEM, MASSACHUSETTS Jf�7 BOARD OF HEALTH �I�I/ v ✓ 120 WASHINGTON Slmf_kl. 4TH FLOOR `` SALEM, MA 01970 TEL. 978-741-1800 0 FAX 979-7a:,-uaa3 STANLEY USOVICZ, JR. _ JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS �FOR HUMAN HABITATION". PROPERTY LOCATED AT 9 1(3 h;dge s-hroof UNIT# IS THIS UNIT DESIGaNAATEA AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE h d T -e _ �1"I `ndT• OWNER/LESSER LJv�v 1 L1 e.•-hS _MA AGER/AGENT /JIA__ No P.O. Box No P.O. Box ADDRESS It OBD sduTH Lj4N _ _ ADDRESS, CITY /fid D d 0&r , M 4- w 8l v CITY p RESIDENCE PHONE VS-43o.aaii BUSINESS PHONE (24 HRS)_--7-Rl- �g C)84 BUSINESS PHONE 38/- 232- 4163/ �7t- 102 1� \ TOTAL NUMBER OF ROOMS: ROOM USE: 5. _6.-- T, -- S.. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTIO APPLICANTS SIGNATURE __.._ DATE _3�c3QIQ5 INSP CTOR U E ONLY DATE OF INITIAL INSPECTION ., ".3 1 v GATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. 3.1 '3 DATE FEE PAID3_73 "-S TYPE OF UNIT DWELLIN/ OTHER CHECKs �; /� CHECKDATF -3 - ,31 -L,- NOTES CODE ENFORCEMENT INSPECTOR 912'1/98 • v��.coeo�r G, CERT.# 1-02 a FEE $25.00 .�... DATE: 01/02/2002 1171IK CITY OF SALEM BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO 120 Washington Street— 4`" Floor HEALTH AGENT Tel # (978)-741-1800 Fax# (978)-745-0343 ) CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 79 Bridae Street UNIT #: #4-3rd floor OWNER/AGENT: John Papadelos ADDRESS: 79 Bridae Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8039 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . / FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO �!� `"7 HEALTH AGENT _,e6DIeENFORI6EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR � CERT.# 1-02 SALEM, MA 01970 FEE $25 .00 TEL 978-741-1800 DATE: 01/02/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 79 Bridae Street UNIT #: 4 OWNER/AGENT: John Panadelos ADDRESS: 79 Bridae Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8039 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO �--�-, HEALTH AGENT -elD 9NFOR2gMENT FNS"PECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 y�Q�nrE TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT / _ o.2- 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 '7 G �V'd a SI UNIT#_q IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 7, 4 v P�F�A(�P�nS MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS,j_av '4ADDRESS c� n I CITY _Ya Y2 " CITY ✓VI !t RESIDENCE PHONE -A) - [ )qBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: `'I' ROOM USE: 1.Y;Aaen 2. linnOmm 3. pp� 4.� 5. 6. J 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE IN IECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION /lial,15 a DATE OF ISSUANCE OF CERTIFICATE /�.�a DATE FEE PAID: /� a TYPE OF UNIT: DWELLING OTHER_ CHECK# 79,,l CHECK DATE > a� NOTES: .�r.�. , ,r. �k �.,w.K /,eu — o. ,C CODCRtNf&CEf4ENT INSP19CTOR 9/28/98 _ � 4 V .� .../ vo0/, Inspection of 7- ={`1 Date /J�/7/,/ Time Names V.7 /��A.+1! / r Address Owner Tel. No. %/- -'rs0 ?9 Type of Inspection ("i, .r /,7 !r 7,r,e.rr Inspector U ( ' I Remarks and Violations are listed below: lA Te 17 OC,'7 i.,r /I/o Ter. v I/ yi'Iq n.T /f.�.Gr<e s� ✓,.../G.,i. Gc e�f 1'6 7- Se C.uit: v 1/ /M7:71/Lne e-r.. `/rvFi � , r.tlr�.7 ��,A A/GE.a AT Er72c. �J r�tirf.d �/aa // CaoG 7"/Oti � r�C.�ni.I r / Ale yy v ✓ e L/e. T' FAM 774ar v .l� �i 7'=/.fie/✓ !.`_4,4 /,.�o�ii 41-r /1rJ 7- LriO/C!s ,vA 4,7,C y �l/IP en7.5 kvr ST /_Ce %/ (-779 /AC / e/3 GCC i7/tccT //161s LJ A,e OC®✓ 7'141Ci. //,,,q 7Lr U .I..� r �/�t! G4. ic[-/... f cJi c?r�... ✓-��C�l y�ltir /ii r 7`11.1 v C,4 7-C Report Received by: 1 r Tr+ {nom_•' Date / � Time �Ltoz'// WHILE YOU WERE OUT M {� of / Phone Area Code Numbe/ Extension TELEPHONEDI I PLEASE CALL CALLED TO SEE YOU I WILLCALL AGAIN WANTSTOSEEYOU URGENT I RETURNED YOUR CALL Maeaeg Operator' //� �� AMPAD 23-021-200 SETS 0% EFFICIENCYe 23421-400 SETS CAR SS 3 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: 05/20/97 Fax:(508)740-9705 Diane Gallagher 80 Bridge Street Salem, MA 01970 PROPERTY LOCATED AT 80 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 FITNESS 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 (25) 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 he 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 approval 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 for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRH1,.NBAU\1aSAI J?N1.00\1 DAVID GRI7,ISNHAUAI ACTING HFALTH AG uNT CERTIFICATE OF FITNESS CERTIFICATE#327-10 DATE ISSUED: 7/15/2010 Property Located at: 81 Bridge Street UNIT# 1 Owner/Agent: David Frank Address: 81 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1025 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 BOF HEALTH /A ✓"' MJ DAVID GREENBAUM Gf� '— ACTING HEALTH AGENT CODE F RCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRETWBAUMna SALEM,COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness `l 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 UNIT#--L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER 0AJ10P FRA!` --- MANAGER/AGENT NO P.O.BOX ADDRESS Sl 1 i2 I D F'�_ _ ST ADDRESS CPl'Y, STATE,ZIP Slo/ P4/I, / CITY, STATE,ZIP M Pr © / RESIDENCE PHONE 1720p— 7,7 't' 6 12--S-BUSINESS PHONE(24HRS) 67 `/� /9 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: -3 ' ROOM USE: 1. L Q+ 2. 13 r 17 K,/3. 17- 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 I PAYAB AT TIME OF INSPECTION APPLICANT'S SIGNATURE / DATE _ 1 Inspectors use` only Date on initial inspection: ��� (oll0 Date of reinspection: f- kho Date of issuance of certificate: t� -7IIJ 110 Date fee paid: %�950 /0 Type of unit: Dwelling ✓Othe�r� Check#V(� Check date: U Notes: \0A In .h�i Fhrii�ik� Fu 6� fll�CP/Q - ��(�SS GwN Mcwj m T// .cAbm �OQS. I =•fGlk t0 , (OS4 tNe ® k L) �gr�ss 1 of dc v off rvwc(. b� ! ode EnfS 4ceent Inspector CITY OF SALEM, MASSACHUSETTS • BOARD OF HEuTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IJ(%HP.NBADMOSALLIM.COM DAVID GREENBAUM, ACTING HauTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and 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 during said inspection. f T ant/L ee Owner/Lessor Address Address S 1 6r1d-)C S'r- Sit F,, MA 01 970 Address on unit to be inspected ��- 2c_ i0 Date 1 OONDIT,� _ City of Salem, Massachusetts e Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHCalth MA 01970 P event Promote. Protea. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-109 DATE ISSUED: 4/1/2016 Property Located at: 83 BRIDGE STREET UNIT#1 Owner/Agent: Don Armell Address: 8 Hawthorne Boulevard City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(617)959-0489 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— ,--A� &1^1/ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ' CITE OF SALEM, MASSACHUSETTS BOARD OF I IF-um 120 WASHINGTON STREET,4Th'FLOOR P.I.M. th .TEL. (978)742-2800 FAX(978)745-0343 KINIBF_RLEY DRISCOLL kamdin(a7salem.com MAYOR LARRY RA MDIN,RS f RMS,C110,CP-M Hts,tt,Ti4 AGrN,r 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 3 ���' �,52 UNIT# I IS THIS UNIT ISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER�O n "M4kt MANAGER/AGENT NO P.O. BOX r- f ADDRESS is 1 cicJr�Q1� � ADDRESS CITY, STATE,ZIP © ( c(}0 CITY,STATE,ZIP RESIDENCE PHONE(o( - 9 5 04 Rj BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 f ROOM USE: 1. rev{ 2. 6. 7. 8. -CDIR 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THISS FEE IS PAYABLE AT THE YM OF INSPECTION APPLICANT'S SIGNATCJRE ��- DATE �' lzvl Inspectors use only Date on initial inspection: 031/3 o124 i C Date of reinspection: Date of issuanceofcertificate• 3 r Date fee paid: 0313012-0.49 Type of unit: Dwelling Other v Check# �_ �Z Check date: 0/?--01, Notes: - - — -- Co a cement pector CITY OF SALEM, MASSACHUSL•T'T'S IV BO.\RD OF FIE.ALTH 120 WASI-11NGTON STRLET,41° FLOOR PublicHealth TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinOsalenixom IVIAYOR L:ViRl'R,\N1DIN,RS/1213115,CI-IU,(:P-FS I-IHAI:11-1 AG1i.NT Release In accordance with Massachusetts General Laws Chapter I11; 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 discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected .�ra9 12a l c Date Updated 523/11 `OND-, City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, 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-16.244 DATE ISSUED: 7/18/2016 Property Located at: 83 BRIDGE STREET UNIT#2 Owner/Agent: Don Annell Address: 8 Hawthorne Boulevard City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(617) 959-0489 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 YAN sLarry Ramdin, MPH, REHS, CHO lHEALTH AGENT ZYTARIA ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHING']ON SIREr•.�I,4'"Ft,(W)R T'BL. (978) 741-1800 KIMBERLEY DRISCOLL FAX()78) 745-0343 MAYOR IxAME)INaQSA eM.cOM TARRY"RAMDIN,RS/REHS,CHO,CP-FS C,3Hi:ALTI-1 AGENT M 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 k533 �r �j°5-F �y • UNIT# IS THIS UNIT DISIGNAT`ED4S RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER --IS') /�t M P I� MANAGER/AGENT S&�'a-e No P.O.BOX ADDRESS 3 N 1 S ADDRESS d CITY, STATE,ZIP Sa)ee�. t—r�d� CITY, STATE,ZIP RESIDENCE PHONE ? "T 1 —®CI k1 BUSINESS PHONE(24HRS) BUSINESS PHONE Sa1� TOTAL NUMBER OF ROOMS: ROOM USE: 1. �tAc� 2. JJ��ti 3.�-v,'I� 4. lW 5. � 6. I�r.� 7. l3eoR 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 P kYAIXE AT THE TIME OF INSPECTION I APPLICANT'S SIGNATURE ' DATE Inspectors use only Date on initial inspection: t A y 12-016 Date of reinspection: it Date of issuance of certificate: 0772 M 016 Date fee paid: n7/1 Y120L4 Type of unit: Dwelling�Other Check# 76(3 Check date: 07/! Y12 � Notes: Pl:b room 4,� a S ofed WA r�& . Co of ement r r I CITY OF SALEM, MASSACHUSETTS + . BOARD OF HEALTH 120 WASHCNGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/11/06 Todd & Shila Duffy 483 Prospect Street Metheun, MA 01844 PROPERTY LOCATED AT 83 Bridge Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board ofH al�� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector co CITY OF SALEM, MASSACHUSETTS vQ' BOARD OF HEALTH 9� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 26-03 FEE $25.00 TEL. 978-741-1800 DATE: 01/16/2003 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 83 Bridqe Street UNIT #: 3 OWNER/AGENT: Todd Duffy ADDRESS: 483 Prospect Street CITY/TOWN: Metheun, MA ZIP CODE: 01844 24 HOUR PHONE: 815-8975 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 97/8-741-1800. FOR THE BOARD OOF� HEALTH JOANNE SCOTT, MPH,RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS60ARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97 8-74 1-1 800 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 5�4 UNIT# V IS THIS UNIT DESIGNATED AASS(RIGGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER `1214// /.L(; MANAGER/AGENT No P.O. Box / y No P.O. Box ADDRESS `�iy� �C�S�i' L��% - ADDRESS CITY CITY RESIDENCE PHONE l�b_� �3 S BUSINESS PHONE (24 HRS.) k_/�_6y 2f BUSINESS PHONE r TOTAL NUMBER OF ROOMS: ROOM USE: 1.41Y 2. 3. .Zt�_ 4. �CyC 511 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE IECTI41S USE ONLY l DATE OF INITIAL INSPECTION/_/6 _X' 137 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: x'16 5 DATE FEE PAID:,/--_) & 'a TYPE OF UNIT: DWELLING /OTHER_ CHECK#3�-3 g' CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CrrY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT-# 49br03 TEL. 978-741-1800 FEE $25.00 FAx 978-745-0343 DATE: 10/1/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8.7 BRIDGE STREET UNIT #. 1 RIGHT REAR OWNER/AGENT: MURRAY WILENSKY ADDRESS: 17A HERITAGE DRIVE, APT. 21 CITY/TOWN: SALEM, MA ZIP CODE: 01970 24 HOUR PHONE: 978_744_6670 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO T�D OF H,E�A.L�TH � (J/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 CITY OF SALEM, MASSACHUSETTS Q '� BOARD OF HEALTH 05 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR: JOANNE SCOTT, MPH, RS,'CHO MAYOR HEALTH AGENT a 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 ' /V r. b i; F �_r UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE KJ ONAGER/ �] pNT� ADD ESS x/7 SFE T/6F•, DADDRES CITY -slqZ�w iqr4S,s 0,'970 CITY RESIDENCE PONE SZ5'073y BUSINESS PHONE (24 HRS.) BUSINESS P�DNE 17 �4Z TOTAL NUMBER OF ROOMS: ROOM USE: 1. &T 2. L 1 / 3. N—/ 4. kgED 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1,0A DATE INSPECTORS USE Orv-- DATE OF INITIAL INSPECTION 9 -ID ,D 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: `1 I� 0 3 DATE FEE PAID: 9 TYPE OF UNIT: DWELLINGOTHER_ CHECK# .3 ?/6 C ECK DATE E (D 03 NOTE�� 1_ /G TG i d e &C•PZa,,q-... SMo%�s &7(P/I� -4 (oJe/L CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DC.RrFNRAUMnaSAEFIM.Cc NI DAVID GRI ENBAUM Ac,11W HISAI;I'll AGI';N'I' CERTIFICATE OF FITNESS CERTIFICATE#84-10 DATE ISSUED: 2/22/2010 Property Located at: 87 Bridge Street UNIT#2L Owner/Agent: 87 Bridge Street Realty Trust Address: 87 Bridge Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 412-353-9629 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 / VV DA IV D GREENBAU ACTING HEALTH AGENT CODE RCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSE-1-fS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL (978) 741-1800 10MBERLEY"DRTSCOLL FAx()78) 745-0343 RAY OR T)GRrENBAiJJM(a)SALEM. COM DAVID GREENBAUM. :kC HNG HEAL"t'H 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 <Q-7 R G .-\\P S7 - UNIT# �7L IS THIS UNIT DISIGNA'I:ED AS RIGHT LEFT'FRONT OR BAC PLEASE URCLE ONE OWNER/LESSER J��! C�F L-Ze 4 I l���j _ MANAGER/AGENT A 14,v 6o I /.e lfl-I NO P O.BOX J ADDRESS -7 ( �!_ ADDRESS---- AW 0/5' .7 C CITY, STATE,ZIP�;AT /�6 Cl��'j 7 CITY, STATE,ZIP RESIDENCE PHONE��9 �� BUSINESS PHONE(24HRS) [ BUSINESS PHONE TOTAL NUMBER OF ROOMS: 7` Cl JJ�Qom^ ROOM USE: 1. - 1'3e 1 c 2. Tkti / 3. 4. 914 /A 5. 6.G?, k?,e/F, 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 LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 7/7'Z`ZO( G Inspectors use only Date on initial inspection: 13/ //U Date of reinspection: Date of issuance of certificate: 3 ;lI� Il U Date fee paid: a Id d//6 Type of unit: Dwelling---j Check# �Uy� Check date: a /,cRho Notes: . (-bN r o(j(n — Q S(r P.A-F 4 --PX .S(TeelL .WY-RM in winJm\jS . Code Enforce a Inspector 00 CITY OF SALEM, MASSACHUSETTS l BOARD OF HF�ILTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 IUN MERLEY DRISCOLL FAx (978) 745-0343 MAYOR DGREr.NIMUMOSALIN.COM DAl'II)GREENBAUM ACTING HI]AI;II-{AGENT CERTIFICATE OF FITNESS CERTIFICATE#35-10 DATE ISSUED: 1/27/2010 Property Located at: 87 Bridge Street UNIT#2R Owner/Agent: 87 Bridge Street Realty Trust Address: 87 Bridge Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 412-353-9629 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 If' 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. FO TH B D OF HEALTH ,i � . . DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR •V CITY OF SM-ENI MASSACHUSET T'S BOARD OF HEAUM 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 KI MBERLEY DRISCOLL FAN (978) 745-0343 MAYOR DGRFENBA17;InSALF.M. COM DAVID GREENBAU1M, ACTING HEAI;1'H 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 'r 7 /?r,- 'sUNIT# Z 2. IS THIS UNIT DISIGNAT D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER P7 176)31— $"f 0&&)t r5MA � NO P.O.BOX ADDRESS K7 P r;tle f i ADDRESS CITY, STATE,ZIP_T(ert,�_ /YI 11 G / S 7 C CITY, STATE,ZIP RESIDENCE PHONE 3 7 Ir ' 2c?C-7,rK 7 BUSINESS PHONE(24HRS) y/Z' ?CZ 9 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. (:ierrst* . 2. Uv-uR00.. 3. 4,i T..(W- 4. 134 n/ 5. / 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /♦VVVVj — _ DATE 7 0�0 InsDectors use only Date on initial inspection: la d hol I Date of reinspection:, Date of issuance of certificate: r /./,:a x//0 Date fee paid: 115016 Type of unit: Dwelling Other 1r�,^ Check�# ��� Check date: / 7 Notes: r��U�� )Q (4 1)n �iNt V/,Cly � aM c 104L . • Code Enfor ent Inspector _3 1j ��ON111T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/27/2000 Fax:(978)740-9705 James & Cheryl Peterson 6 Montgomery Street Saugus, MA 01906 PROPERTY LOCATED AT 91 Bridge Street UNIT # House Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 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 department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist . R THE BOARD 0,W HEALTH REPLY TO 1611 anne Scote, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ' y � CITY OF SALEM, MASSACHUSETTS _ BoARD of I-tL.AU111 TEa.. (978) 741-1800 KIMI3l?t2Z i?Y I)RZSCOLI. FAX(978) 745-0343 MAYOR Ira din a s cm•com LARftYR,t'�•f[)lfi,i2SJR1iRa,t:Ittr,(;P-18 HFAI; tt AGI{N"I' CERTIFICATE,OF FITNESS CERTIFICATE#204-11 DATE ISSUED: 6/23/2011 Property Located at: 92 Bridge Street UNIT# 1 Owner/Agent: David Pabich Address: 141 Washington Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-979-9278 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 wth 105 CMR 410.000. Certificate valid for one year from date of issuaru3e or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. WTHORD OF HEALTH LARRYMDI RA N HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS B BARD of HEALTH 120 WASHINGTON STREET,4"'FLOOR TE'L. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAI I)ING..SN I.N.COM LAKRY RAMDIN,RS/1WHS,CI IO,CP-1-,S HFAI:I'II AGIwl' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" IEDISIG�ATED' FEE: $50.00PROPERTY LOCATED AT ,Q �'- UNIT#IS THIS DrRIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER'Doix/, Q 1Clot� MANAGER/AGENT ' 0AA%D NO P.O. BOX L ADDRESS ' �lfS��7�1ri ry� ADDRESS / S /Ct Wt e- CITY, STATE,ZIP �a�_ �H' 61 1 V CITY, STATE,ZIP (S`t 6L*T PA RESIDENCE PHONE BUSINESS PHONE(24HRS)199 i g BUSINESS PHONE TOTAL NUMBER OF ROOMS: 2 ROOM USE: I.LIV)41iehlk. g Cd 3. 4. 5. 6. 1 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,P ABLE B CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB E AT TIME OF INSPECTION - APPLICANT'S SIGNATURE DATE ( 17-Z /1 ,n Insnectors use onlv Date on initial inspection: ll����If Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling I/ Other-Check � " Check# iaa d U Check date: I / Notes: , . �f f�f nk 1`(/� SU�/Vl Howyr q -f 0-�< /k— Code Eor'L� nt Inspector x � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -' 120 WASHINGTON STREET,4°.FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1.RAMINNO[ A1.1W.COibt LARRY RANQ)IN,IiS/RFU N,CI FO,Cp-P'S HFAI.1'l l A(.I N'r Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and 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 during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FL(x)R KIMBERLEY DRISCOLL TEL. (978) 741-1800 MAYOR FAZ (978) 745-0343 Iramdinnsalenixom LARRY RANIDIN,RS/RIC]IS,O R>,(T-FS I IId:\I:1'I I AGI,N'I' Facsimile Transmittal To: f L�SJ4,q Fax # 57L N 9(,-/ Ll RE: �i k X� 54 Date Page(s): including this cover# Message: Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION! VERIFICATION REPORT TIME : 06/30/2011 05: 39 NAME : FAX : 9787450343 TEL : 9787411800 SER.H : 000BON341991 DATEJIME 06/30 05:39 FAX N0./NAME 919787449614 DURATION 00:00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEMty MASSACHUSETTS o a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 1/31/06 Bridge Street Realty Trust P.O. Box 4446 Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result In a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the f Heoh Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector • , PvQ�CO� � 9 • n � s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 05/18/99 Tel:(978)741-1800 Fax:(978)740-9705 James Bailey 81 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 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 eo exist. oa�F R THE BOARDi� REPLY TO tt, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 853-97 3 FEE $25.00 �tloa_ f<a DATE: 12/22/97 /MRd; CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNF3a PROPERTY LOCATED AT: 92 Bridae Street UNIT #: 2, OWNER/AGENT: James Bailev ADDRESS: 81 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685 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 AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD 0/ FAHEALTH / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �p� JS7:4 t cy C- Sl DHZT # OWNER/LESSER 5- 19 „A (} MANAGER/AGENT ADDRESS �{ *� j � ADDRESS CITY { CITY RESIDENCE PHONE C� S� Cf Ti" .J ? BUSINESS PHONE (24 HRS.) BUSINESS PHONE --- TOTAL NUMBER OF ROOMS: c1 r��� =Z L✓ ROOM USE: I.,S�w( 2. J.v c" ,_ 3. 4. 5. 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPABTM!NT THIS FEE ISS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE 1,2-3 `7r J: f I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:/ -'a Z. �j "7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTiFZCATE:,/,,,7 —1-, --?DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR µ h • 3 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: 11/17/97 Fax:(508)740-9705 James & Claire Bailey P.O. Box 3062 Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS 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 (25) 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 approval 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 for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR • ( M 3 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: 04/23/97 Fax:(508)740-9705 James & Claire Bailey P.O. Box 3062 Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS 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 (25) 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 approval 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 for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF EALTH REPLY TO Q-$'K�LGii� Joanne Scott, MPH,RS,CHO PABLO VALDEZ , HEALTH AGENT CODE ENFORCEMENT INSPECTOR I • 3 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: 09/11/96 Fax:(508)740-9705 James & Claire Bailey P.O. Box 3062 Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS 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 (25) 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 approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Mondav 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 for an inspection. SLE ENCLOSE n 3PrTTl1N 1n5 CMR 410.354 METERINr QP rAS k FT.FCTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO '-00Glx ,canne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR f i allo�r '8. CERT-# 284-01 FEE $25.00 ' �. DATE: 06/06/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT Tel. (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridge Street UNIT #: 2 Back OWNER/AGENT: Robert Chilton ADDRESS: 5 Middle Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 929-7380 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105' CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH // V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED A7 Y�' � �v S a • UNIT# IS THIS UNIT DESIGNATED AS RIGHT (LEFT F O Q PLEASE CIRCLE ONE OWNER/LESSER�fl�' C�t14°') MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS S ADDRESS CITY Miler- fi Ap-^I. VK CITY 0 19 K r RESIDENCE PHONE la k 'l'`I 24""7-16 o BUSINESS PHONE (24 HRS.) f BUSINESS PHONE S A� TOTAL NUMBER OF ROOMS:, Z ROOM USE: 1. +���5 2. $'`r to 3. 4. S. 6. 7 8. j THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �� C" DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6 - 6 --o ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -(9 - o/ DATE FEE PAID: TYPE OF UNIT: DWELLING,�OTHER_ CHECK# 6-0 '73' CHECK DATE o 6 _a NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 � a v��C0IdU1T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO _ HEALTH AGENT Tel: (978)741-1800 Fax. (978) 740-9705 05/31/2001 Robert Chilton P.O. Box 1299 Marblehead, MA 01945 PROPERTY LOCATED AT 92 Bridge Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 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 department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written Letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants- entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD 0'ff HEALTH REPLY TO oanne Scot , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS J m1! 7 BOARD OF HEALTH s 4 a 120 WASHINGTON STREET, 4TH FLOOR "f o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#72-05 DATE ISSUED: 2/2/05 Property Located at: 92 Bridge Street UNIT#3 Owner/Agent: Bridge Street Realty Trust/ Robert D. Chilton Address: 1 Sevinor Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 978-578-0253 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 If' 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 HEAL JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t:: _ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 / TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR/IHUMAN HABITATION". PROPERTY LOCATED AT �� Tjr1'rdg4 S�. UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1_( ob, - �1 ^ MANAGER/AGENT No P.O. Box q gB No P.O. Box ADDRESS I \ SCu i n oY- 62 d . ADDRESS CITY VV" 1,(t6-gj CITY W 01 '(4J__ RESIDENCE PHONE S� ' ¢- BUSINESS PHONE (24 HRS ) BUSINESS PHONF S ref`_ TOTAL NUMBER OF ROOMS: 7 1 ROOM USE. 1. _ 2 CI"` %3. - 4. 5 6. (7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE -��/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION______ DATE OF ISSUANCE OF CERTIFICATES __DATE FEE PAID:---/- TYPE OF UNIT DWELLINX OTHER__ CHECK #_1 _CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 (�_ CITY OF SALEM, MASSACHUSETTS ce;P_ V BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978=745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Rr.gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of rine City of. Salem Ordinance, undersigned owner/less3r and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized 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/our absence, ;-/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized from any loss or injury sustained of whatever nature and description occasioned by my/cur absence during said inspection. OkNE_ ,.. SCF. l.DD!iESS --- :,DDRESS P.DIIRESS OF UNIT TO INSPECTED CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c e, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 _ FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/12/05 Bridge Street Realty Trust/ Robert D. Chilton P.O. Box 4446 Salem, MA 01970 PROPERTY LOCATED AT 92 Bridge Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For he Board of HealthReply to J66nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector i 1 i CERT.# 782-00 3 FEE $25.00 �' DATE: 12/07/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridae Street UNIT #: 4 OWNER/AGENT: James Bailev ADDRESS: 81 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARDi� Op HEALTH �Q d � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR as �/MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 rt<It� to. UNIT#-Y IS THIS UNIT DESIGNATED AS RIGHTf LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER� Mri k / J,5L4 MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:-- ROOM USE: I./1/1c 4 5. THERE IS A TWENTY-FIVE($25.00}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF5,ALEM-HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE %te t' DATE C) - J�� C) "',I PECTORS USE ONLY ' DATE OF INITIAL INSPECTION �� 7 `p DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLIN�OTHER_ CHECK# C! CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 . e CERT.# 214-01 FEE $25.00 DATE: 05/04/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridge Street UNIT #: 5 OWNER/AGENT: Robert Chilton ADDRESS: P.O. Box 1299 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 429-7380 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" . I 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. it MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH � OANNE SCOTT, MPH,RS,CHO iHEALTH AGENT CODE ENFORCEMENT INSPECTOR 01 • z � 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 Tei:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT ( e- 6e 91✓ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER R? 60, - Chi 1�w (I MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS CO . P. IZ90/ ADDRESS CITY I/t/ll9fs�� a m f. CITY 06 9 4 Sf RESIDENCE PHONE .54-+^k BUSINESS PHONE (24 HRS.) (�0 7-4 z i - 73 9-0 BUSINESS PHONE TOTAL NUMBER OF ROOMS: z ROOM USE: tuL _, K2 13 fP3 4. 5.__ 6.__7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEJA HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ( � DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION - L" —b ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S _Gf `O ( DATE FEE PAID: S ' q / TYPE OF UNIT: DWELLIN%GX/�',_ OTHER_ CHECK# _37-0 5- 7 CHECK DATE '_ I NOTFG- CODE ENFORCEMENT INSPECTOR 9/28/98 p 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq.; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, I/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of.wiiatever nature and description occasioned . by my/our absence during said inspection. f 1 ANT/LESSEE 0 ER/1. S"15R t Z Q✓ �P S{ �YJ d.0. �5'ox /Z ^l 9 l�q�sle.6��- wlv5- ADDRESS ADDRESS sl. 5. ADDRESS OF UNIT T9 BE INSPECTED DAT E / . oxo v$ CERT.# 783-00 FEE $25.00 DATE: 12/07/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel (978) 741-1800 Fax (978) 740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridge Street UNIT #: 6 OWNER/AGENT: James Bailev ADDRESS: 81 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a 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 Tei:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 19,94,d<-,2 S r— UNIT#� IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER t7g1_1--mca9 MANAGER/AGENT No P.O. Box No P.O.Box ADDRE . ��f" ,S _. ADDRESS CITY � � - CITY RESIDENCE PHONE 5'74" 7 c-1`4'6S1 USINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: t ROOM USE: 1.�i� f 3.,��� 4. /49 JT 5. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE _ _ DATE PECTORS USE ONLY DATE OF InIITIAI_INSPE TION �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/.)- 7 DATE FEE PAID: TYPE OF UNIT: DWELLING�THER_ CHECK# 3 l 4 CHECK DATE NOTES: I i CODE ENFORCEMENT INSPECTOR 9/28/98 I ° CERT.# 207-01 FEE $25.00 DATE: 05/02/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridae Street UNIT #: 7 OWNER/AGENT: Robert Chilton ADDRESS: P.O. Box 1299 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 429-7380 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH e/;96 zza05,,,� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 0�6� a r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NNE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-IM Faz:(978)74"M IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It. 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT q 2 kr,3?e- SL. UNIT#-I IS THIS UNIT DESIGNATED AS RlraHT LM FRONT DMK PLEASE CIRCLE ONE OWNER/LESSER E16&� CklOvn MANAGEWAGENT No P.O.Bax No P.O.Box ADDRESS P. Q . D . 1 Z 9 `I ADDRESS CITY W Ar Wtke-, 1 Wt f} CITY 01 q�f RESIDENCE PHONE U t 7- q Z 4- 7390 BUSINESS PHONE(24 HRS.1 S a*^Q BUSINESS PHONE S&yvA-e-- TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 8, THERE IS A TWENTY-FIVE($:0.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �- 'APPLICANTS SIGNATURE ,. I/ /�1/ 4ATF VIIN$PECTORS USE ONLY DAA OF INITIAL INSPECTION 4' --), 'b 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �- 9l DATE FEE PAID- TYPE OF UNIT: DWELLING*OTHER— CHECK#SOS CHECK DATE _d f NOTES: CODE ENFORCEMENT INSPECTOR 9!28198 f . 0 CERT.# 208-01 FEE $25.00 'n DATE: 05/02/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 92 Bridae Street UNIT #: 8 OWNER/AGENT: Robert Chilton ADDRESS: P.O. Box 1299 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 429-7380 j AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH ��/& 149050,01- &OANNE SCOTT, MP HEALTH AGENT CODE ENFORCEMENT INSPECTOR i ' I SII i a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I?_ 73. eAik P_ AfR(em UNIT# $ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER P O b&4- Gk' 16 1 MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS P. O, b. I Z S 9 ADDRESS CITY MM61CA2pt CITY 04 A- 0 RESIDENCE PHONE Cb/7-4'29"7350BUSINESS PHONE (24 HRS.)__, &mj__ BUSINESS PHONE S AIK&- TOTAL NUMBER OF ROOMS: ROOM USE: 1. _2. 3. 4. 5._ —6,-- 7. 8 THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATF INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '�''.,) -0 / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S' ' � .-O f DATE FEE PAID- ` --' r r TYPE OF UNIT: DWELLING(�OT NOTES: JlL� HER— CHECK#SL1 S K CHECK DATE.S– " o CODE ENFORCEMENT INSPECTOR 9/28/98 J K CITY OF SALEM 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 RELEASE In accordance with Massachusetts General Laws Chapter Ill ; Code of Massachusetts R, !gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/we expressly authorize 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 frora any loss or injury sustained of whatever nature and description occasioned . by my/our absence during said inspection. 1�EA11NP%LESSEE OWNER/LESSOR A� ( p.S/}I?iAA hA m 0. 1 Z`!c� 04&6 ek. J M )4 ADDRESS ADDRESS U44 ADDRESS OF UNIT TO BE INSPECTED oa - oi DATE r ,J iml �v s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 04/24/2001 James Bailey 5 Middle Street Marblehead, MA 01945 PROPERTY LOCATED AT 92 Bridge Street UNIT # 8 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 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 department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. '(ajoR THE BOARD 0 HEAL H REPLY TO anne Scot MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR I1 °- CERT.# 212-01 FEE $25.00 DATE: 05/02/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 93 Bridae Street UNIT #: 3 OWNER/AGENT: Sunnv Xinslieh ADDRESS: 8 Moonev Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 618-3425 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. ,FOR THE BOARD OF HEALTH V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR of CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax.(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OFFITNESSFORL M 1N HABITATION". PROPERTY LOCATED AT _/ E� UNIT#Z, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER WNNL INSOFIA MANAGER/AGENT SPA A,, No P.O. Box �7 No P.O. Box ADDRESS ADDRESS CITYA o/1 75�PCITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 17F— ?!;c25 TOTAL NUMBER OF ROOMS: SI�JD,X,r ROOM USE: 1.xQ�2. (_U (30-04. f3a0 5. �C-0 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM THIS FEE IS P YAE1! AA THE TIME OF INSPECTION. APPLICANTS SIGNATURE /6 �i4�//�J DATE S . 2 2 ao I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5__/6// DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 5-A/,/ DATE FEE PAID: TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# IV? CHECK DATE NOTES: A/i 0691NR611/CEIWENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#30-07 DATE ISSUED: 1/25/2007 Property Located at: 95 Bridge Street UNIT#2 Owner/Agent: Jordan Castro Address: 2 Station Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-413-5268 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000. Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR L CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ' TEL. 978-741-1800 S 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 �� - } ate .��A. vFLt—IY� UNIT#a IS THIS UNIT DESIGNATED AS RIGHT LEFT &RON BACK PLEASE CIRCLE ONE OWNER/LESSEPL .�c V`l C&<- vMANAGER/AGENT�T4S;T- A� Ctk �\ No P.O. Box No P.O. Box ADDRESS r� - IR� ADDRESS CRM>✓ CITY C::Z-AI i_W\ CITYM RESIDENCE PHONE97k`SLA A- bSINESS PHONE (24 HRS.) LOV-1AP, BUSINESS PHONE 02k-\ �n 0 TOTAL NUMBER OF ROOMS: (r/ 8001.4 USE: I & THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR / \. DATE CTORS USE ONLY DATE OF INITIAL INSPECTION/—c7-5 07 DATE OF REINSPECTION j DATE OF ISSUANCE OF CERTIFICATE:/%�7-5-�'2�� G 7 I DATE FEE PAID: �� J' " TYPE OF UNIT: DWELLING,*OTHER_ CHECK# CHECK DATE/-.)--6;---o7 NOTES- COBE ENFORCEMENT SPECTOR 9/28/98 I CITY OF SALEM, MASSACHUSETTS �]! HEALTH AGENT s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#451-07 DATE ISSUED: 9/17/2007 Property Located at: 95 Bridge Street UNIT#3 Owner/Agent: Jordan Castro Address: 2 Station Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-913-1860 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH qANNETT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f li' - ��I�, n Xrr i ,Xdr l r WV!.K"Ie`Wd• ir2.-STST ..' no.F,awJ . pn4lldwko�glr .i,�. h,l...,�i71 C ilJ'SL TS ,�1 6"R0 GF HEALTH 120 WASHIN=10H STREET,4TH FLOOR / SALEM,MA 011970 TEL. 978041-1 BOO FAX 978.745-0948 STANLEY USOYICZ.JR. JOANNE SCOTT, MPH, R5, 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 9S 1K:� �l . i Ste( C !Y� UNIT ha IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE O4".jNER LES cRri� ��k � MANAGER/AGENTA�� F�1 ���5 � No P.O. Bax No P.O.Bax ADDRESSr� ADDRESS "'p" CITY I M Pc CITY t� RESIDENCE PHONE��� \CA-::' BUSINESS PHONE (24 HRS.)IIC� T ) �E � BUSINESS PHONE TOT AL NUMBER OF ROOMS" 4*:5 ROOM USE- 5 Y,� �-6- SE: 5Y,��_6._ 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEET, PAYABLE RY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT T HE TIME OF INSPECTION. APPLICANTS SIGNATURE ___ _ " __ _ _____ ________ __ _DATE „:7' " 1 PECTORS US1- ONLY 7/ DA i [ Of INiI IAL INSPECTION - ' - L )ATL Of= REINSPi=CTlON DATE OF ISSUANCE OFCER/`il{ ICATC� l Z -D 7 DAI i- ( i_E ('ALIS 9' � O TYPE 01- UNII DW[Lt INC- y O l HER CHECK !- j 3 Of CI IF(-,K DAT"[. � � ~ L NOI" S ijf o c...r� CR Z nI Ct?I)l I NI IOWA/ 1 11�Wt k '101; 1���1 r�-- ��.__ � � � ,. . �_ -- -: BOND CERT.# 90-01 3 FEE $25.00 DATE: 02/21/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel. (978)741-1800 Fax. (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 98 Bridge Street UNIT #: 1R OWNER/AGENT: Ravmond Youno ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO @. HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel. (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /� PROPERTY LOCATED AT 4W', 7!(I i 1NIT#/S�C IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-� ijlC�� MANAGER/AGENT No P.O. Box ! /1�71No P.O. Box ADDRESS F7/ a�L� <Cr ADDRESS CITY %// CITY -;?7G RESIDENCE PHONE 7yC/S-7,- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. A0 2. 4W 4. 5. 6. 7. S. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE_ �X/ j�/J�!/1�-�SC� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION !� -1.1-0 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-.9-�1 -01 DATE FEE PAID: a -,)-1 -O 1 TYPE OF UNIT: DWELLING/ OTHER_ CHECK# 3 6 3 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a s A CITY OF SALEM 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 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/we expressly authorize 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 loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TEAL .T ESSEE Off_ f i.�SSO 1 �I �J/ ADDR S S G ----- DDCiESS ADDR9§S OF UNIT TO BE iNSP CTED a ��-z2 DATE v } 1 � , � , 1 � � ,t' � t � J ������ � � � �1 �� C� ,, ,,- ,,_ BOND/T age• � CERT.# 295-01 3 _ FEE $25.00 DATE: 06/13/2001 ��MINE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT Tel: (978) 741-1800 Fax (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 98 Bridae Street UNIT #: 2L 3rd floor OWNER/AGENT: Ravmond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . / FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT X0 &�?EMENT I PEC Threshold needed leading into bathroom. Make Stove completly functionable. Make rear screen door function properly. ��coriar,� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel (978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATJ2 j n c SQL UNIT# Ct�j� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Z, MANAGER/AGENT No P.O. Box / No P.O. Box ADDRESSSi ADDRESS CITY----? ` CITY �j RESIDENCE PHONE 7NiI�'/$ BUSINESS PHONE (24 HRS.) BUSINESS PHONE '1 TOTAL NUMBER OF ROOMS: !r ROOM USE: 1. ,r-J 2. r*�/�_3. /f� �X 4. 2z 5. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OFSALEM7EE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURDATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4--A // DATE OF REINSPECTION 2 A. DATE OF ISSUANCE OF CERTIFICATE: 611.11 i DATE FEE PAID: A?Id/ TYPE OF UNIT: DWELLING ✓THER_ CHECK# 375/0 CHECK DATE-16 6a NOTES: L /'�9/[c_ Srd vc coh',/<ra4 fi�.,,c rt <;r(v — �i9iEc .P?i�.� S�iLCG✓ .2. o C06EU FO'�CEM EN-11'N SP ECTO R 9/28/98 CITY OF SALEM, MASSACHUSETTS 31. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 547-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0943 DATE: 10/23/2003 STANLEY USOVICZ, JR_ JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 98 Bridge Street UNIT #: 2R OWNER/AGENT: Ray Young ADDRESS: 87 Federal Street CITY/TOWN; Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 508-662-3882 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. F T E 0 H BOARD OF HEALTH 1 � .14� 777 L JOANNE SCOTT , ME H,R,�S ,CHO HEALTH AGENT k CITY OF SALEM, MASSACHUSETTS 7 '� BOARD OF HEALTH • i 120 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /� PROPERTY LOCATED AT_-- a UNtT# J� 1 / IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE5 MANAGERIAGENT No P.O.Box No P.O.Box ,P ADDRESS 7 /ls�.wt f (L ADDRESS CITY c", /G CITY RESIDENCE PHONE fS"7A _BUSINESS PHONE(24 HRS.) fivtr � • SVC, d ? BUSINESS PHONE / TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1.f 2_e-j,/__3. 2A,-e 4. , 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 1S PAYABLE AT THE TIME OF INSPECTION. t APPLICANTS SIGNATURE _L�7� /J'/7 DATE_ Z0�3 INSPECT RS SE ONLY DATE OF INITIAL INSPECTION /0 13 -03 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /8 -4 3 '0 3 DATE FEE PAID: /1) a' 3 TYPE OF UNIT: DWELLING OTHER— CHECK# 5 �? CHECK DATEi_v_'J 3 -v' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98