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BRISTOL STREET CITY OF SALEM, MASSACHUSETTS HEALTH AGENT • w 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#409-07 DATE ISSUED: 8/23/2007 Property Located at: 6 Bristol Street UNIT# 1 Owner/Agent: Gary Blattberg Address: 10 Naples Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6640 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 ANNE 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 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 G gAt OL S TR-Gt l UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERC*AY MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 10 AIA ?LAS ✓� c' ADDRESS CITY 5M k'V1 I,^YL4 dly]J CITY ,r,�� RESIDENCE PHONE 9'7'6 8 b2 c�. 4 U1 BUSINESS PHONE (24 HRS.) S/ r"'C r BUSINESS PHONE 5' ' C TOTAL NUMBER OF ROOMS:_ }, ROOM USE: 1.x1 �G14 2. dtea . 13K1>-III-, 5. L.I v IRA 6. & /y" 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. =^�y� APPLICANTS SIGNATURE-- � `—, DATE S1lZ��al INSPECTORS US LY DATE OF INITIAL INSPECTION ��_DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:__ TYPE OF UNIT: DWELLIN OTHER_ CHECK # 15S 3 CHECK DATE �� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Pp"g 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#27-06 DATE ISSUED: 1/20/06 Property Located at: 6 Bristol Street UNIT#2 Owner/Agent: Gary Blattbera Address: 10 Naples Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-882-4469 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 i=NETT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CrrY OF SALEM, MASSACHUSErM BOARD OF HEALTH 120 WASHINGTON STREET,4T" FLOOR all SALEM, MA 0 1970 TEL� 97e-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-(, of_�) UNIT N IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OV C RES|D[NCGPH0N "7 / V66;) 7 BUSINESS PHONE (24 HRS) � BUSINESS PHONE � TOTAL NUMBER 0FRO0M&__��___�_ � ROOM USE� 1` 5.--__--�-_8.__-_--_--7 ___-_-�-_-�8--�---_-_-� THERE YS /\TWENTY-FIVE ($25O0) DOLLAR FEE, PAYABLE 8YCHECK 0RMONEY ORDER T0THE CITY OFSALEM HEALTH DEPARTMENT THIS FEE |SPAYABLE ATTHE TIME DFINSPECTION. t,E 07NLY APPLICANTS S|GN8TUHE ��OAJE)/ °< INSPECTORS US ! DATE OF INITIAL INSPECTION , - �,o - 0 e6_DATE 0FRG|N5PECT|0N_ _ DATE 0FISSUANCE OFCERTIFICATE: d~e ~�0 AATEFEC PAID /'' 20 TYPE OFVN\T DVVELL| 0TMER CMEcK � / / /'� CHECK DATE 'I/ / ' ' � ' ~ ��NOTES, g/2x/93