BROAD STREET 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: 11/21/96 - - - Fax:(508)740-9705
Kassirer One Broad Street Condo Realty Trust
150 Hickory Road
Weston, MA 02193
PROPERTY LOCATED AT 1 'Broad 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.
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.
Eachdwelling 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 CMP 410.000; State Sanitary Code, Chapter 11: Minmi.un
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the Citv of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
Thereis 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. 'hat the dwelling unit is occupied without approzal 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,
Verytruly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
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 Tel:(978)741-1800
Date: 06/15/98 Fax:(978)740-9705
Philip Burke & Marcia Daley
2 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 2 Broad 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 l: 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
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
blicHeal
120 WdSHINGTQN STREET,4t"FLOOR PathPrevent.Promote.Protect.
TEL. (978) 741-1800 Fax(978) 745-0343
KIMBERLEY DRISCOLL Iramdinna.salem.com
MAYOR L.\RRl'RA MDIN,RS/RliliS,CI IQ CP-FS
HEALTII AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 107-14
DATE ISSUED: 4/3/2014
Property Located at: 21 Broad Street UNIT#21
Owner/Agent: James Zissulis
Address: 36 Intrepical Circle
City/Town: Marblehead, MA Zip Code: 01945 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
r Il fi�•
L*Fk
Y RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, NIASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOORPPCm„H ��
TEL. (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL Itamdin@salem.com
MAYOR LARRY RAMDIN,R.S/KERS,CRO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION”
FEE: $50.00
PROPERTY LOCATED AT__r l I r UNIT# �(
ISIS Tins
UNIT DISIGNATED AS RIGHT LEFT FRONT ORB_ACK,PLEASE CIRCLE ONE
OWNER/LESSER_�/ �(JSy/CS ;` 2 §MANAGER/AGENTZC ,-)/is
NO P.O.BOX
ADDRESS 36 Z14- 1/0 ted C<<r<—& ADDRESS
CITY, STATE,ZIP 7 r L (p �e-9 c CITY, STATE,ZIPS !gC—
RESIDENCE PHONE ZUf L a g I I I Z BUSINESS PHONE(241IRS) :Z� l V/ Z l 274
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_ i
ROOM USE: 1. 14 2 Uinii� 31 tv INRs 4. kgUl-, 5. begAr
6_be jd r-r�1 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid: 14-3-)!j
Type of unit: Dwelling ✓ Other Check#j 4 1 Check date: y 3T
Notes:
ode Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
9 120 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
April 1, 2003
John O"Neill
28 % Broad Street Unit B
Salem, MA 01970
141
PROPERTY LOCATED AT 28 Broad Street Unit#�2LL&3L
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
'� BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
Apr03
1 1, 20
John O"Neill
28 '/2 Broad Street Unit B
Salem, MA 01970
PROPERTY LOCATED AT 28 Broad Street Unit#2L&3L
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
- •t'' - � "`cam+'_ _ .. � „
CERT.# 664-99
t, fps FEE
DATE: 111/02/1/02/.
I, 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: 28 1/2 Broad Street UNIT #: 1 Left
OWNER/AGENT: Veronica Morgan
ADDRESS: 28 1/2 Broad Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1168
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 E NFORCEMENT S
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800
Fav(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT Si— UNIT# j
IS THIS,UNIT DESIGNATED AS RIGHTLEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER I/L 4tcA Wre_Csp _MANAGER/AGENT S�
No P.O. Box No P.O. Box
ADDRESS02� b 9-j ___ADDRESS
CITY '36L87W CITY f-1A
RESIDENCE PHONE :7!�Sj-1I G BUSINESS PHONE (24 HRS.)
BUSINESS PHONE Sh,-v
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. let7' 2. Lx) 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.
cI
APPLICANTS SIGNATURE � � ! DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION //Ij4V DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�7/�DATE FEE PAID:,//-/--
TYPE OF UNIT: DWELLING_OTHER_ CHECK#3�o�CHECK DATE Ol-11W-9!�'
NOTES:
Sdm� --
CODE EWORCEMENT INSPECTOR 9/28/98
CITY OF SALEM. HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
9 NORTH STREET
508.741-1800 ,{
r �
DATE: May 6, 1994 /y /
Poplar Court Realty Trust / gyilf
D.A. Lass & Peter O'Brien, Trust es
66 Dearborn Street
Salem, MA 01970
PROPERTY LOCATED AT 282 Broad Street UNIT 0 1 T.
DEAR SIR/MADAM:
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.
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 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
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.
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 �eceipt 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 CHR 410.354 METERING OF GAS & ELECTRICITY
Very t6ly`yours,
FOR THE BOARD OF HEALTH REPLY TO:
PABLO VALDEZ
Code Enforcement Inspector
HEALTH AGENT
NK
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
04/30/2001
Gephart Real Estate Trust c/o Cornelia & Dal Gephart
RFD Box 930
Windsor, VT 05089
PROPERTY LOCATED AT 29 Broad Street UNIT #
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 %III 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 24hours 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 9X HEALTH REPLY TO
oanne Sco MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
i
CERT.# 283-99
m FEE $25.00
5) DATE: 06/07/99
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: 32 Broad Street UNIT #: 1F
OWNER/AGENT: Eric Glass
ADDRESS: 32 Broad Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2644
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 _
% 4�c
,JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT <ODE ENFORCEMENT INSPECTOR
k N
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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". /
PROPERTY LOCATED AT � � 2 F[J UNIT#`
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Sf MANAGER/AGENT
No P.O. Box '\ C No P.O. Box
ADDRESS ADDRESS
CITY CITY
RESIDENCE
'1 7�
RESIDENCE PHONE 7 U.SINESS PHONE (24 HRS.) 7 3 5 C2
BUSINESS PHONE 73 r7 LZ� X77 /
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._ 2. 3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.001 DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALW IWALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 1,A/9g DATE OF REINSPECTION`
DATE OF ISSUANCE OF CERTIFICATE: In 7 DATE FEE PAID: 6`71
TYPE OF UNIT: DWELLING OTHER_ CHECK# /SSU CHECK DATE L/>/9
NOTES: 6,k.
�� Z-��z_
GenET-9FOWtMENT INSPECTOR 9/28/98
ease t
.4 1q
C
M1 7
/~ q73 -5 yC) 7 ,r
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CI 10 NINE NORTH STREET
HEALTH AGENT tel:(5081741-1800
Fax'.(508)740.9705
RELIVA5E
In accordance wirh Me s6arhusetts Con eral flows Chaprer II I ; Code of Massachusetts
Regulations 4 )0.000 or. seq. ; State Sanitary Code Chapter 11 and Article X11I of
rlie City of Salem Ordinance, undersigned owner/lessor and tcnauL/leSSec of a unit
oi residential property, hereby authorize the Salem Board of Health or its author-
Wed 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 mytour absence, 1/we
expressly authorize the same and for my/our successors and assigns hereby rclease
and discharl;c the City of Salem, Salem Board of Health and its authorized agent:
Rom any loss or injury sustained of wharever nature and description occasioned
by my/our absence during said inspection.
OWN
30'1 ql T (a t MA-0!5.7o
-----. --- ---- ---._.. - _
AD:t RI.S 5
05FIFI OF UNIT TO Bi I.NSPECTF.p
DAiE
t )` E vt k7- f�
> 79 IST
3 -
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT.MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 06/17/98 Fax:(978)740-9705
Eric Glass
P.O. Box 4571
Salem, MA 01970
PROPERTY LOCATED AT 32 Broad Street UNIT # 1F
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
CERT.# 145-97
3 �
FEE $25.00
DATE: 03/06/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SGO1l7,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(50%740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 32 Broad Street UNIT #: 1F
OWNER/AGENT: Eric Glass
ADDRESS: P.O. Box 4571
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-2644
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
GI"TY 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, LOS CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT � UNIT I i
OWNER/LESSER El I C_. (VA-55 MANAGER/AGENT
ADDRESS Nb X GIS .I i 31 ,c Sj' ADDRESS
CITY lc 1 1 Q. P tq?-o ' CITY
-,RESIDENCE PHONE 5-08 ?'4JL( . -�_(z>g4( BUSINESS PHONE (24 HRS.)
BUSINESS PHONE _
TOTAL NUMBER OF ROOMS:
ROOM USE: I. ¢l� 2.Ljl �
5. b. 7. 8.
I
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM' HEALTH DEPAR THIS FEE IS PAYABLE AT THE TIM OF INSPECTION
APPLICANTS SIGNATURE -- DATE —
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: �J 7 DATE OF REINSPECTION _ `?
DATE OF ISSUANCE OF CERTIFICATE: r"b 2—DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:" -- —
CODE ENFORCEMENT INSPECTOR
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: 02/26/97 _ Fax:(508)740-9705
Eric Glass
P.O. Bo.� 4571
Salem, MA 01970
PROPERTY LOCATED AT 32 Broad Street UNIT # .F
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.
SFE 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
„g S CERT.# 282-99
s m FEE $25.00
E DATE: 06/07/99
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: 32 Broad Street UNIT #: 1 Rear
OWNER/AGENT: Eric Glass
ADDRESS: 32 Broad Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2644
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 D ENFORCEMENT INSPECTOR
v���ON01T
C
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 52 zm� 5y UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 7�5� ADDRESS
CITY /1�1 v}�/_ CITY L{�y ZR��p
RESIDENCE PHONE 9/ GV�V'�BUSINESS PHONE (24 HRS.) __r z JGFp��
BUSINESS PHONE 3 7 GC;>
T01AL NUMBER OF ROOMS:_ ll � '
ROOM USE: 1. Sri 2.�3. v 4.__�l )}
5. 6.-7.-8. ��TT
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE I DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 66./" DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 46/& DATE FEE PAID: 4A,�eg
TYPE OF UNIT: DWELLING OTHER_ CHECK# /SSD CHECK DATE 'ZZIA
_26NOTES: Dl.
CgBrrz EWORIBtMENT 111SPECTOR 9/28/98
>n,tn nt Alln
*3na runs fay rase 1 ..
M1 �
ra
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,R5,CI 10 NINE NORTH STREET
HEALTH AGENT Tel:(506)741-1800
Fam(5081 7401705
RELEASE
j%gInactt
cordance wirh Massachusetts General Laws Chapter IIi ; Code of Massachuses
P.? gulations 410.000 at. seq. ; State Sanitary Code Chapter II and Article XIII of
rhe City of Salem Ordinance, undersigned owner/lessor and tcnaut/lessee of a unit
of residential property, hereby authorize the Salem Board of Health or its author-
ized agent.n to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done io Qour absence, !/we
expressly authorize, the some and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agent.,
from any loss or injury suntained of wharever nature and deseription occasioned
iIby my/our absence during said inspection.
- CUNER YSSORTfLr. --.._-- —' - -
A y 115 it IT(eM AIA- CK t 10
Ai111lZE:S$ S-C$
AIYUNI°•SS DF UN1^' '1'�1 Hf•. tASPF CThaa
I
DATE
Vr
�.
CERT.# 333-98
FEE $25.00
11 �F DATE: 06/02/98
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: 32 Broad Street UNIT #:. 1 Rear
OWNER/AGENT: Eric Glass
ADDRESS: P.O. Box 4571
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-2644
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 I1, "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
�. `✓_ /cu` ��`
HEALTH AGENT ODE E OORCEMENT INSPECTOR
f
MAY 29 '98 12: 91 PM SALEM HEALTH +5087409705 Page 2
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
EET
JOANNE SCATTi MPH,RS,CHH h'iN�t978)7 1-I WO
Tel:{47g)749-99�
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Rax:99781740-9105
IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER 11, 105 CMR 410-000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT_3620_' .—UNIT#...(k:�
IS THIS UNIT DESIGNATED AS -RIGHT LEF1r "" "�=_ PLEASE CIRCLE ONE
OWNEWLESSER_ 55 MANAGEWAGENT_,��,7
AD�RESnS_�o �`,�7� .. ..—ADDRESS— � �'--
Ci-',Y c�ojLorM..-.—_. .... ...__CITY_., _.. --
RESIDENCE PHONEq _ BUSINESS PHONE (24 HRS)____
BUSINESS PHONE–I-? y,.S4` �Ji�C�fi �1 �J cob l TSS
TOTAL NUMBER.OF ROOMS: c 3�
ROOM USE; 1.? _. 2.�16
5.
THE E IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY
'ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION
APPLICANTS SIGNATURE _—DATE
IN sPECT O.flS-V_ E-4NLY
DATE OF INITIAL INSPECTION_.. _Z19,1/9 DAT€OF REINSPECTION/,. -/1(Z.
DATE OF ISSUANCE OF CERTIFICCAATE:-_¢/l/yb'DATE FEE PAID: �/h�' —_....
TYPE OF UNIT' DWELLING, v OTHER-..__.
NOTES;
LYcA "A /iew �.�'�lA,�Gv � G,iwc�a�,,s i:v lc�7c%td
coD rI;;. c
5179198
MA$ 2S 'SE 12: 31 PM SALEM HEALTH
+5037405707 Pago 3
« 4
CrrY OF SALEM BOARD OF HEALTH
Salem,Ma.mohusetts 01970.3928
JOANW SCOTT,MRH,AS,CHO NINE NORTH STREET
H-ALTHAGENT TO:(500)741-1000
fav:j5M 740.9705
RY?UASP
In accordance with Massachusetts Ceneral Paws Chapter 131; Code of Massachusetts
Regulations 410.000 et, $eq:; State Sanitary Code Chapter II and Article Xlil of
tNe City of Salem Ordinance, undersigned ownerllesaor and tenant/lessee of a unit
ot residentia-I 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.
i
In the .event it is necessary that said inspection be dooc in my/our absence, !/we ,
expressly authorize the safes and for ny/aur successors and assigns hereby release
and discharge the City of Salem, Salem Board of H4,alth .aiid its authorized agents
frog any loss or injury sustained of whatever nature and description occasioned
by my/our absence dUlTing said inspection.
1
T. HY/ ssER OW R d.ESSOR
55RES3 ADDRESS
ABM,= OF UNIT TO BE INSPECTED
8
Z,
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH .
Salem, Massachusetts 01970
�. )
ROBERT E. BLENKHORN � � ' 9 NORTH STREET
HEALTH AGENT 1
508-741-1800 ✓� �_ D��°/� p
DATE: September 28, 1993 v C�4 -j /0 I
John S. & Joy P. Colter
34-Beverly Avenue
Marblehead, MA 01945
PROPERTY LOCATED AT 32 Broad Street UNIT 4 1R
DEAR SIR/MADAM:
Ithascome to our attention, that you are about to allow rental of a dwelling unit
at the above address.
It is -inctmtbent 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.
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-
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.
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 withi6.24 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 & ELECTRICITY
VeYy.' 6iit ly'yours';
FOR THE BOARD OF HEALTH REPLY TO:
E PABLO VALD$Z
Robert E. Blenkhorn, C.H.O.
Health Agent Code Enforcement Inspector
—_
n tr
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
02/05/2001
David Pabich
32 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 32 Broad 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; 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.
OR THE BOARD HEALTH REPLY TO
Joanne Sc t, MPH,RS,CHO PABLO VALDEZ
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 Tel:(978)741-1800
Fax:(978)740-9705
01/31/2001
Eric Glass
P.O. Box 4571
Salem, MA 01970
PROPERTY LOCATED AT 32 Broad 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; 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 $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
..- , --,� ���� REPLY TO
anne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.d 313v92
FEE: _$ 25.00 ..
DATE: 4/23/92
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN - 9 NORTH STREET
HEALTH AGENT
508-741-1800
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 32 Broad Street UNIT I 3rd floor
OWNER/AGENT John S. Colter
ADDRESS 34 Beverly Avenue
CITY/TOWN Marblehead, MA ZIP CODE 01945 24 HOUR PHONE 617-631-7444
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
ROBERT E. BLENKHORN, C.H.O.
HEALTH AGENT C015EINFORCEMENT INS CTOR
OPY ICI! tl:C ONLY
DATV
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF IiEALTH
5alcm. Massachusetts 01470
0 NORTH sma
ROSERT C 9LCNKHORN
HEALTH AGENT
(bill r4l'to00 (APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE`'UITH STATE SANITARY CODE; CICAPTER U. 105 CHR 410.000 "HINCHIM
—STARDARDS-UF FITNESS FCtR. HUNAN HABITATION':. _
a a BSC S�. F��oY
PROPERTiG LOCATED A !
T UNIT
OUNERlLESS R �d 5 CD//6'' '`.HANAGERIACEUT
-ADDRESS ?T ..Ipf/'�IJ-Ti'V � ^ ADDRESS'
CITY P�a^0�{�1�+I1 j� CITY
RESIDENCE PHONE BUSTHESS.PHONE C24 HRS.)
, � 7yy3
BOSINESS PHONE _
TOTAI4 NUMBER OF ROOMS-
- fi
-ROOM' USE:` 1 Z 2. 3. -4.
5. 6. 7,. 8.
THERE IS A TWENTY-FIFE (2 .00) DOLLAR FEE, PAYABLE BY CUECK OR HONEY -ORDER TO TEE
CITY OF SALEM HEALTH DEP IIT M IANCE' AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE _ DATE
INSPEC-TOKS USE ONLY
V
DACE OF INITIAL INSPECTION: 7� —p3 UATE OF KEINSPECTLON
DACE OF ISSUANCE OF..CEKTI///F''''ICCATEEE: j Gf y DATE FEE PAID:
TYPE OF UNIT: UNELLINC y OTILEK
NOTES:
r" ^ �. � •� CERT.# 111-96
• 3 � y�
FEE $25.00
DATE: 02/28/96
M�
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: 42 Broad Street UNIT #: 1
OWNER/AGENT: Philip & Karen Pelletier
ADDRESS: 27 Bradford Loot)
CITY/TOWN: Georgetown, MA ZIP CODE: 01833 24 HOUR PHONE: 774-8840
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
uJOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
,
I
CITY OF SALEM BOARD OF HEALTH
--
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fan:(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, UNIT UNIT I
OWNER/LESSER A /��.11,y MANAGER/AGENT �L,,,
�✓ " .d l -
ADDRESS � �r� , rr� g o fs ADDRESS
CITYrq=�,,� v /"j.� CITY
RESIDENCE PHONE '�CJ :c ?1~c� �\�� BUSINESS PHONE (24 RES.)
BUSINESS PHONE S49 . . 775` ear t{G —
TOTAL NUMBER OF ROOMS: 9
ROOM USE: 1, �( �C k�� 2. LiG `4� 3. C((M6,— ��aa j 4 . (Jc �If roc 4-
5. 6. 7. 8.
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEH'HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
/
APPLICANTS SIGNATURE i� �2" j � DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: e2 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: C/ lo DATE FEE PAID:
TYPE OF UNIT; OWELLING}I OTHER
NOTES: �`
CODE ENFORCEMENT INSPECTOR
f
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 .Genera 1 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 Lhat 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 whatever nature and description occasioned
by my/our absence during said inspection..
TENANT/LESSEE 0 NER/LESSOR
ADDRESS ADDRESS //}Jy Jam,,
ADDRESS OF UNIT TO BE INSYECTED o
Qa"elf 6
DATE
��eOND(T
6 � g
n smi
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
08/0(/2001 Fax: (978)745-0343
Thomas J. Pelletier
61R Summer Street
Salem, MA 01970
PROPERTY LOCATED AT 42 Broad Street UNIT # 4
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.
�®RARDHEALTH REPLY TO
ne Sco E, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
,K,�ONDIT
n
a M
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
09/14/2000 Fax:(978) 740-9705
Philip & Karen Pelletier
27 Bradford Loop
Georgetown, MA 01833
PROPERTY LOCATED AT 42 Broad Street UNIT # 6
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.
OR THE BOARD HEALTH REPLY TO
JoanneeSSco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
vv
3 Al �1P
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: 05/09/96 Fax: (508)740-9705
Philip & Karen Pelletier
27 Bradford Loop
Georgetown, MA 01833
PROPERTY LOCATED AT 42 Broad Street UNIT # 6
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
(.i
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
ICIMBERLEY DRISCOLL Fax(978) 745-0343
MAYOR DGRF1;NBAUM(!SAJEM.00%1
DAVID GRI5I^;NBAUM
ACTING Hl:e\Ul'1-I A(;1-',NT
CERTIFICATE OF FITNESS
CERTIFICATE#314-09
DATE ISSUED: 7/14/2009
Property Located at: 44 Broad Street UNIT# 1
Owner/Agent: JDS Realty Trust
Address: 34 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-1607
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 BOAR OF HEALTH
DAVID GREENBAUM
ACTING HEALTH AGENT ODE NFORCEMENT INSPECTOR
.CO
CITY OF SALEM, MASSACHUSETTS
V C BOARD OF HSE,-\LI'H /
r
120WASHINGTON STREEl',4"FLOOR
TFL. (978) 741-1800
IC NIBERI_EY DRISCOLL FAX(978) 745-0343
MAYOR I DGaLswsAL)MQa SAIrei.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."
/ J J FEE: $50.00
PROPERTY LOCATED AT t I 0 IZ�) 5( UNIT#
IS THIS UNIT DISIGN"AT�EDpA,S,�RIGHT LEFT FRONT OR BACK,PLEASE C m al
1
OWNER/LESSER Ti w�cs�tt! MANAG AGENT �qf�
NO P.O. BOX
ADDRESS /' ADD SS nae-
CITY,
( (JI ti e —CITY, STATE,ZIP SP.t-ODM-t- 8L CITY, STATE, ZIP_ e�
RESIDENCE PHONE BUSINESS PHONE (24HRS)
BUSINESS PHONE-77,r—.. T &0
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. V, , 2. ( C 3. �I , 4. -(72 � >, 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50kDOLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE ISP ABLE AT THE E INSPECTION
APPLICANT'S SIGNATURE n DATE—!//
q Inspectors use only
Date on initial inspection: ���� 1 Date of reinspection:
Date of issuance of certificat 7//q/0 Date fee paid: I) y Oq
Type of unit: Dwelling Other Check# h7 (Q Y Check date: 7//3/01
Notes:
Code Enforcement Insp r
,y Ag np9 06, 02 ,3,7 , " JoanneSc tt Salem� HOH X979 .,74SHIFT=
3 Y
1 gt`+. 1 i riA-J
}a4� ` 4,.' •� : +s� .. n� e �. aaa
CITY OF SALEM, MASSACHUSETTS
" BOARD OF, HEALTH' "
r 120 WASHINGTpH STREET. 4TH FLOOR
SALEM, MA 01970
TEL. 978.74 1-I SCO
QNA7i FAX 97$-74$-0949 '
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
tzr•.I.r,Ase
In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts
Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article X111 of
the City of Salem Ordinance, undersigned owner/lessor and tenaot/lesSce of a unit
OF residential property, hereby authorize the Salem Board of Health or its author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
W the event it is necessary that said inspection be dour in my/our absence , i./we
expressly authorize the same and for my/our successors and assigns herrpy release
and discharge•. the City Of Wen;, Salem BOW of Health and its authori ze.d agcons
frog any loss or injury sustained of whatever naturc and description occasioned
by my/Jnur absence during said insoecti.an.
Y".11il:l�f%i.L.,�Ij?i . . _._. owI(`i ILK/ADDRESS
'.�'.$ -
f3. ... -
oc �t� s
......._ - . . .
i
f
CITY OF SALEM, MASSACHUSETTS
of BOARD OF HEALTH
c
IIA 120 WASHINGTON STREET, 4TH FLOOR
4„ o 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#554-07
DATE ISSUED: 11/13/2007
Property Located at: 44 Broad Street UNIT#2
Owner/Agent: John Spinale
Address: 34 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-1607
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
J ANNE SCOTT, MPH, =SCHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS ✓y�� L/
BOARD OF HEALTH-'
�� 120 WASHINGTON STREET, 4TH FLOOR V ((
t SALEM, MA 01970
TEL. 978-741-1800 _ -FAX 978.745-0343 - - �
JOANNE SCOTT, MPH, RS, CHO f
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS i
IN ACCORDANCE WITH STATE SANITARY CGDE: CHAPTER II, 105 CMR 410,01
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ✓J
PROPERTY LOCATED AT----�/Y— - e` i _UNIT
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT SACK PLEAS LE ONE ,
OWNER/LESSER 1MGe.>«c-.. MANAGERIAGENT !u Q.. ��� 0 I L01
NO P.O. B No PA. Box � 0� 'IT,
ADDREUS `� -_-_____ADDRESS U
c - �
CITY _CITY
RESIDENCE PHONE________"____BUSINESS PHONE (24 HRS.)_`—__
BUSINESS PHONE-0"30 `_
TOTAL NUMBER OF
Jrj
RCOI',1 USE: 7 . 2 3._.. 4.. ._
THERE IS A TWENTY-FtwJALE00H)EA
OLLA FE✓ , YABLE BY CHECK OR (MONEY
ORDER 1-0 THE CI Y OF LTH EPA ( T THIS FEE IS PAYABLE Al' THE
TIME OF INSPECTION. -77
J
APPLICANTS SIGNATURE —
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION_j�--_� _ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE/)-_� ? DATE FEE PAID_, f T
TYPE OF UNIT DWELLING^ „ OTHER CHECK ;' CHECK DATE J - ( S -� ,f,
NOTES:
CODE ENFORCEMENT INSPECTOR 9128?98
CITY OF SALEM, MASSACHUSETTS `J+✓ /j f}
BOARD OF HEALTH (,•(I "� I
120 WASHINGTON STREET, 4TH FLOOR ✓
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO ---�
Kimberley Driscoll HEALTH AGFNT _
Mayor — E
C '
APPLICATION FOR CERTIFICATE OF FITNESS
r
1N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4,1j0.0,00'' ~'
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'.
PROPERTY LOCATED AT ___ .. _UNIT #__I,,
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASfs f'i ` r�LE ONE
OWNEFVLESSER �~ ,vv tti_ MANAGER/AGENT_
No P.O. B x No P.O. Box jjj �0 y�
ADDRESS �A __-5C77-
-ADDRESS ((��
CITYV14aCITY ------ Q ((P<2o
RESIDENCE PHONE_______-_BUSINESS PHONE (24 HRS)___-_.___„_
BUSINESS PHONEq`P -
TOT AL NUMBER OF ROOMS:_
R�
RCOI.h USE: i 2 t1-.. . .3 - 4.
.
i
I THERE IS A TWENTT Ftt 5.00) DOLLA FEE, YABLE BY CHECK OR MONEY
ORDER TO THE C Y OF SALE HEALTH EPA f T THIS FEE IS PAYABLE AT THE
TIME OF INSPECT! N. / J
i�PPLICANTS SIGNATURE _-.--- --------DATE /� / � ~� 17
LN
PECTORS USE ONLY
DATE OF INITIAL INSPECTION f, ,j 3 .DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTFICATV)_- �. _DATE FEE PAID:-. .-/-//- f ,3
TYPE OF UNIT DWELLING _.OTHER ,- CHECK ' CHECK DATE
NOTES
ICODE ENFORCEMENT INSPECTOR 9f2R/98
City of Salem, Massachusetts
f a
Board of Health
120 Washington Street, 4th Floor, Salem, PublicHealth
MA 01970 Prevent. Promote. Protect.
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO
Mayor Iramdin@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-80
DATE ISSUED: 3/4/2016
Property Located at: 44 BROAD STREET UNIT#3
Owner/Agent: John Spinale
Address: 34 Bridge Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-1607
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
4�
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
/
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4"'FLOOR PabhCHealth
> Prreem.Promote.Protect.
TEL. (978) 741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL lramdin salem.com
MAYOR LARRY]L\MDTN,RS/liEl-IS,CI{Q,CV-FS
HEALTI-1 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 u l �h U'4` , `�1 UNIT4
IS\THIS UNIT DISIGNATED AS RIGHT LEFT Fg6kT OR BACK.PLEASE CIRCLE ONE .
OWNER/LESSER--KC �i u ��?�!\ L( � MANAGER/AGENT
NO P.O. BOX I ' ✓
ADDRESS "l Al
✓ ADDRESS /
CITY, STATE,ZIP aA &R C- CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE Q 7�— L `1 J��G 7
TOTAL NUMBER OF ROOMS:— J
ROOM USE: 1. 2. S7 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 THI�AE-ISP�ABLE
�A IE T E OF INSPECTION
APPLICANT'S SIGNATURE DATE 3 �P
Inspectors use only
3 /'/
Date on initial inspection: '3 I I'(� Date of reinspection:
Date of issuance of certificate: Date fee paid: 3 6
Type of unit: Dwelling Other Check# 9��Check date: a1 a 5h/6
T
Notes:
Code Adbrment Inspector 1 p��
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
CERTIFICATE OF FITNESS
CERTIFICATE#515-06
DATE ISSUED: 10/19/2006
Property Located at: 45 Broad Street UNIT# 1 F
Owner/Agent: William T. Lach
Address: 5 Roosevolt Avenue
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-843-7377
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 1THE BOARD F HEALTH
� O
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
c:
CITY OF SALEM, MASSACHUSETTS
- BOARD OF HEALTH
• y 120 WASHINGTON STREET, 4TH FLOOR �•J
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 AT51_—�� IT #_I_�
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
I OWNER/LESSER_W _T 1^Y_CJMANAGER/AGENT_
No P.O. Box No P.O.Box
ADDRESS E 8pz z _j4IJ9 ADDRESS_
CITY VA $�—f /� SS _ CITY—
AL
RESIDENCE PHONE '12<X 72"1 6a?91 BUSINESS PHONE (24 HRS)25 a0 _$7�,_3 %5,32,9
BUSINESS PHONES2�d,, 9� Yb29 _
TOTAL NUMBER OF ROOMS:
ROOM USE: t.._ ( 2. L V_—_3. cS_/ln2_4._.��Qe1_D���ee
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE- /
INSPECTORS USE ONt�Y ff �7
DATE OF INITIAL. ltilSPLCTIOi! /aT�� J0b . .DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE,jO"I$ O DATE FFE PAID
x�
TYPE OF UNIT: DWELLING OTHER_ _ CHECK 44 #173 3 CHECK DATE lt9
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
�v6�CONUIT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tet: (978)741-1800
06/06/2001 Fax: (978) 740-9705
Timothy Rantz
24 Norman Street #201
Salem, MA 01970
PROPERTY LOCATED AT 45 Broad Street UNIT # 1 Left Back
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 6:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
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 HE L H REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
lvg��ormrr,��
5
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT - Tel:(978)741-1800
Date; 01/14/99 Fax: (978)740-9705
Timothy Rantz
24 Norman Street #201
Salem, MA 01970
PROPERTY LOCATED AT 45 Broad Street UNIT # 1R
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.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR DGRr11iNIiAUN,I ,SAI.ENT.cONI
DAvtn GREENBAUM
ACTING;HEA]:I'FI AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#448-09
DATE ISSUED: 9/2/2009
Property Located at: 45 Broad Street UNIT#2
Owner/Agent: William T. Lach
Address: 5 Roosevolt Avenue
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 508-843-7377
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
DAVID GREENBAUM
ACTING HEALTH AGENT CWE ENFORC NT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL.(978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM&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: $50.00
PROPERTY LOCATED AT r / 9.7- UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE
OWNER/LESSER W✓Lk! T Wil* MANAGER/AGENT -Cp�ln-tQ -
NO P.O. BOX
ADDRESS S Apc2So� Ve-L-T- 14 UQ- ADDRESS
CITY, STATE,ZIP 1p-,/1)Jle uu CITY, STATE,ZIP
++ MS - / -73
r
RESIDENCE PHONE 92 FS ? (/o-Z3 / BUSINESS PHONE( 4IFRS)
BUSINESS PHONE Z7$ 22���
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. rl iT 2. 41 JiWS 3. QD davn 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-0
k_HEALTFLTHLS FEE IS KYLE AT THE T F INSPECTION
APPLICANT'S SIGNATURE QCCA- DATE Q,2,
/ Inspectors use only
Date on initial inspection: I a,�� Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#.— Check dater
Notes: Grano(M z L-,± u,af'e r IS +-Uy-r)___d r 0 t A) 1A 4EnW1fS VVInVP, i l(1
Code orcement Inspector
a %
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT 11/15/99 Tel:(978)741-1800
Fax:(978)740.9705
Ray Despotopulos
51 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 51 Broad Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of. the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
k 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
9787741-1800, to schedule an appointment for an inspection. Our office hours are Monday
4, 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
I 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
'j"
anne Scottt, MPO PABLO .VALDEZ
HEALTH AGENT - CODE ENFORCEMENT INSPECTOR -
i
i
4
Ce
a �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
04/30/2001 Fax:(978)740-9705
Kay Despotopulos
51 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 51 Broad 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
isnot 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.
OR OARD 9F HEALTH REPLY TO
\\
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
I
I
I
r
g:74-1
4 M1
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET -
HEALTH AGENT 11/15/99 Tel:(978)741-1800
Fax:(978)740.9705
Kay Despotopulos
i 51 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 51 Broad 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
Il. 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
i which cross-metering has been proven eo exist.
OR F R THE BOARD OREPLY TO
?oanne Scott, MPH,RS,CHO PABLO:VALDEZ
HEALTH AGENT _ - CODE ENFORCEMENT INSPECTOR
1
CTTY OF SALEM, MASSACHUSETTS
BOARD OF H&1LTH
120 WASHINGTON SrRL.F.T,4°i FLOOR PubliCHealtb
T-FL. (978) 741-1800 FAx (978) 745-0343
KIM1314ALISY DRISCOLL kamdin@salcm.com
LARRY 7L\n4U1N,RS/RFJ IS,Cl 10,GI'-IS
MAYOR HvAIXI I AGENT'
CERTIFICATE OF FITNESS
CERTIFICATE#384-12
DATE ISSUED: 9/13/2012
Property Located at: 52 Broad Street UNIT# 1
Owner/Agent: Edward Callahan
Address: 7 Stone Street
City/Town: Beverly, MA Zip Code: 01915 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
fl
LARRY RAMDIN
HEALTH AGENT SANITARIAN
r �
CITY OF SALEM, MASSACHUSETTS �� l�
BmRD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
IYevenL Pmmnlc.Ptolv[I.
TEL. (978) 741-1800 FAX (978) 745-0343
KIMBERLEY DRISCOLL Itaindin@salem.com
Lr\RRY RAI2E
billIN,RS� HCP
S,Ch1U, -FS
MAYOR
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 52- U S�, SAL�f/ UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENTG D4//��{p 7. Cj�G t�4if�F r/
NO P.O.BOX
ADDRESS—7 S%o IZ> S % ADDRESS
CITY, STATE,ZIP /`,4 CITY, STATE,ZIP
RESIDENCE PHONE7S, 1 2 �' 9 90 BUSINESS PHONE (24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 41-x0 2. /i 4 D 3. %cr/� 4 L/'v 5 0%t!
6. t/>no!;o4,7. 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 THETIMEOF INSPECTION
APPLICANT'S SIGNATURE DATE
�1 Inspectors use only
Date on initial inspection:Tl Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#__Check date:
Notes:
Cj4e:y&rcement Inspector
D City of Salem, Massachusetts
n Board of Health �,�L��
120 Washington Street, 4th Floor, Salem, P«PubCmH�alth
MA 01970
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-17-63
DATE ISSUED: 317/2017
Property Located at: 52 BROAD STREET UNIT#2
Owner/Agent: Edward Callahan
Address: 7 Stone Street
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(976) 927-7590
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL(978)741-1800
KIMBF.RLFY DRISCOLL FAX(978)745-0343
MAYOR LRAMQIN@a SALEM.COM
LARRY RAMDIN,RS/RF.HS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE: $50.00
PROPERTY LOCATED AT -5-7-- 4AZZ--"f ri/// UNIT# 2
IS THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OVRAM PLEASE CIRCLE ONE
OWNER/LESSER Z='P469rO T MANAGER/AGENT
NO P.O.BOX
ADDRESS S7D/e!G 5 7 ADDRESS
CITY, STATE,ZIP z�Z--7 GSL / 1-,�54 O/7/5 CITY,STATE,ZIP
RESIDENCE PHONFEy17 � y'Z 7 7!5-9a BUSINESS PHONE(24HRS)
BUSINESS PHONE 7 3 — Z `f-7
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
Ky 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 �i�/ti-�"� �lial�'`� DATE r�
Inspectors use only
Date on initial inspection: 11-�-�I Date of reinspection:
Date of issuance of certificate: lT Date fee paid: I
Type of unit: Dwelling Other Check _Check date: I
Notes:
6� �
Code Enfor went Inspector
1
7 '
GOMM
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#537-07
DATE ISSUED: 10/30/2007
Property Located at: 52 Broad Street UNIT#3F
Owner/Agent: Edward Callahan
Address: 7 Stone Street
City/Town: Beverly, MA Zip Code: 01915 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
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• i 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 B tZ 11 .577 UNIT#
FRONT 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT ACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS 577 ADDRESS
CITY z>'&7 y// �i9 CITY
RESIDENCE PHONL Pe?� ->9-'73_70 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. __2_3_4.
5. _6._7._&
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 94 3� 09
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION A' -3 y _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEI'23 o�DATE FEE PAID:_ /0 - 3u - 4�
TYPE OF UNIT: DWEt,L6�0THER CHECK # (o 7 f CHECK DATE "U=_30 -"
NOTES: _—
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
a
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
04/03/2002
Lindsay & Patricia Morsillo
53 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 53 Broad Street UNIT #
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 OE, HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
IZU WASHINGTON MKLE1,4L R
TEL. (978) 741-1800
KINMERLEY DRISCOLL FAX(978) 745-0343
MAYOR UGRFUN BAUM&ALFM.COM
DAVID GREENI3AUM
ACTING HEADI'H AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#24-10
DATE ISSUED: 1/22/2009
Property Located at: 57 Broad Street UNIT# 1
Owner/Agent: Roderick Parker
Address: 57 Broad Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
A f
An inspection o 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
DAVID GREENBAUM
ACTING HEALTH AGENT CODE ERF4RCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°i FLOOR (/��•I
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUNI&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."
r� FEE: $50.00
PROPERTY LOCATED AT cJ2 S�T UNIT#
IS THIS UNIT DIOSIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �OD�e�L(� 1 die tC=g� MANAGER/AGENT
NO P.O. BOX
ADDRESS ±kd S7 ADDRESS
CITY, STATE,ZIP S A L=a.. , M f� c:iCtZG CITY, STATE, ZIP
RESIDENCE PHONE c( 1` 3'20- —OQ S ct BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: I.Su��Ru+ 2.(.-.wLue ?w 3. Nlzitox Ff, 4. Kt7i.uxl�l 5. Bt 0ecnr'
K f3anscna 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE � �� DATE '%
Inspectors use only
Date on initial inspection: AU Date of reinspectio '
Date of issuance of certificate: ,A a �U Date fee a��i V/0-
paid.
Type of unit: Dwelling��ther Check# 38Check date: 0
Notes: il1kW `r1 cofn _ f o^ U -UM G
-i-i rn v C1At +el1p ur f-j nc .wbrro� C
�vv2 In Ch{g Cid o Pw _4G/,i
eleO{rl(d pl�k3 G�IICNI ,
Code rcement Inspector v\ P0qA G fT r
�C � L�
,
} ��v CERT.# 357-96
FEE $25.00
DATE: 06/13/96
�bry�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 59 Broad Street UNIT #: 2
OWNER/AGENT: Michael Zanantis
ADDRESS: 184 Bridge Street
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-9365
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTP'tENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�j�f�tfl VAL�2.Z
CITY OF SALEM BOARD OF HEALTHY
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,AS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY!CODE, CHAPTER II, 105 CMR 410:000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT en,oa L�e� ._ MT I
OWNER/LESSER Hl.G-.t� Zrt e elll 715$ MANAGER/AGENT
ADDRESS ADDRESS
CITY &�-Le 2 K, /f/J+g - 0 (,q/1, CITY _
RESIDENCE PHONEtj Qc�: 023- 5� BUSINESS PHONE (24 RES.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: l �
ROOM USE: l Grvr, y 2. //rna,.� 3. 6esCrm 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 D NI THIS I , PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION::f; DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:� -k--DATE FEE PAID:
TYPE OF UNIT: DWELLIN OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
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: 06/03/96 Fax:(508)740-9705
Michael Zapantis
184 Bridge Street
Beverly, MA 01915
PROPERTY LOCATED AT 59 Broad 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,
FOLjt THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 355-96
3 FEE
DATE: 0 06/12/6/12/
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: 59 Broad Street UNIT #: 3
OWNER/AGENT: Michael Zaoantis
ADDRESS: 184 Bridae Street
CITY/TOWN: Beverly. MA ZIP CODE: 01915 24 HOUR PHONE: 927-9365
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
Irk
4 rp
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 ,/�g ,�&ro q ��„,e- e� �,1 jeng UNIT /
OWNER/LESSER M,C Kin C� �yJ MANAGER./AGENT
ADDRESS �r. - ADDRESS
CITYPti/er�yf� l� l�1 CITY
RESIDENCE PHONE .Sb e'fA{ 7 q. [t- BUSINESS PHONE (24 HRS.)
BUSINESS PHONE --
TOTAL NUMBER OF ROOMS:_ tf
ROOM USE: I . ,�ijtc c,. 2, �iyi-. , �, 3. 4 . roe,,,
5. !A&r 6.
THERE IS A TWENTY-FIVE 5.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH D TMENTS E IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE —'. _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:-L2-�_�q DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: - Z C�
� t (�j DATE FEE PAID: ��—
TYPE OF UNIT: DWELLING y OTHER
NOTES: C
CODE ENFORCEMENT INSPECTOR
r
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: 05/30/96 Fax:(508)740-9705
Michael Zapantis
184 Bridge Street
Beverly, MA 01915
PROPERTY LOCATED AT 59 Broad 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.
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 10 MR 410,354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
l
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
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 Tel:(978)741-1800
01/25/2001 Fax:(978)740-9705
Charles Stasinopoulos
70 Broad Street
Salem, MA 01970
PROPERTY LOCATED AT 70 Broad Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 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 t, M S,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
.m 120 WASHINGTON_R STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 126-02
FEE $25.00
s TEL. 978-741-1800 DATE: 03/07/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 70 Broad Street UNIT #: 2
OWNER/AGENT: Charles Stasinopoulos
ADDRESS: 70 Broad Street
CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 457-3391
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 y
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
III
l
CITY OF SALEM, MASSACHUSETTS /
BOARD OF HEALTH
• i 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,yam' TEL. 978-741-1800
'�Q'� 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 ' D fS.PDXL/S cST UNIT#
IS THIS UNIT DESIGNATED AS RIGHT i_EFT(FRONBACK PLEASE CIRCLE ONE
OWNER/LESSERLI�aS /06m)li�S MANAGER/AGENT Aeo ,!� Zl 4,P_1J COOt-')Ajee�
No P.O. Box z No P.O. Box
ADDRESS -% 2, a,t� ST- ADDRESS 39 1-,�4— /400_
CITY 's/;;L/ CITY A6W46IZ
RESIDENCE PHONE '7 &" 5 ' BUSINESS PHONE (24 HRS.) 61-7
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. K i T 2. t o 3.�4. Q/L
5.-JY - 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY
-OF SAL M HE4TH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 3 -7--O b-- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:3-7--o ' DATE FEE PAID: 3 `-7 --z-) z
TYPE OF UNIT: DWELLIN( /OTHER_ CHECK# 3 7 71- CHECK DATE 3 w Z
NOTES: 'J(\
CODE ENFORCEMENT INSPECTOR 9/28/98