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BROADWAY z i ` CITY OF SALEM, MASSACHUSETTS BOARD Orr HF u-,i,x 120 WAS[]INGTON S-rRcrr,4"' 11.()(lit TIL. (978) 741-1800 _ l 1MLiL:R1..F Y DRISCOLL FAX (978) 745-0343 MAYOR Iramdin@salem.com LARRY RAMI)IN,RS/IiI'sl IS,(1110,fP—FS HIi,\1:1'11 AGIiN'r CERTIFICATE OF FITNESS CERTIFICATE#384-11 DATE ISSUED: 10/13/2011 Property Located at: 86 Broadway UNIT# 1 Owner/Agent: Ana Correa Address: 86 Broadway City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants,must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L� LARRY AMDIN HEALTH AGENT CODE FORCEMENTINSPECTOR � 7e i �J y � �sg53 � � ti CITY OF SALEM, MASSACHUSEI I'S � BbAlu>OF HFL,v1:i u 120 W,ASFIINGTUN STRL@T,4.° H2OOR Tu- (978) 741-1800 K1M131,;RLEY DRISC OH FAX (978) 745-0343 MAYOR x,iun � (()%I)%I I--A NO'RAMIAN, N,x.110,(T-FS I-Ir txil AGr,N'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT Y0O,. � V03UNIT# IS TH1S UNIT DISIGNATED AS RIGHT LE FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER—b IJ I, QP - C- f " MANAGER/AGENT NO P.O. BOX + `e G�,� M ADDRESS �1vv � O�C'��' T J 1 ADDRESS CITY, STATE,ZIP <' t c�� © �C\ i� CITY,STATE,ZIP RESIDENCE PHONE I18 1 ` \ t 3 S BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 99 ROOMUSE: 1 �J����tM2 ( 2c� cw3 !'lC�k�wt 41.uriucl 5.�iu�^\ 6 ,\kcVeti 7,V�aAA -ccim8. 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 n �j} , 1, 20 DATE IO' I� ' 2�I Inspectors use only �r Date on initial inspection: Date of reinspection: Date of issuance of certificate: /011,311 / Date fee paid: Type of unit: Dwelling ✓her Check#--&A--Cheek date: Notes: Code Enf rcemen Inspector TRANSMISSION VERIFICATION REPORT TIME : 10/26/2011 00: 07 NAME : FAX : 9787450343 TEL : 9787411800 SER.# : 000BON341991 DATEJIME 10/26 00: 07 FAX N0. /NAME 919784750313 PAGE(S) DURATION 000:00:24 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPORT TIME 10/27/2011 22:09 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 10/27 22:08 FAX NO. /NAME 919784539150 PAGE(S) DURATION 00 :00:31 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IDIONNEna sAl reM COM JANE r DIONNr' ACTING HEAL'rl I AGENT CERTIFICATE OF FITNESS _ CERTIFICATE#,495-08 .,_ ,,; DATE ISSUEQc,10/9/2008 , ,. - ....�.,:. a Property Located at: 88 Broadway UNIT# 1 Owner/Agent: Anna Su Address: 20 Bemis Street City/Town: Newton, MA Zip Code: 02460 24 Hour Phone: 617-969-5251 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 1 p OS CMR 410.000: Massachusetts State SanitaryCode Chapter apter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BO D OF HEALTH JAA 0NNEl.L ACTING HEALTH AGENT CODE ENFORCEME SPECTOR CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH ` 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNE SALLM.COM JANET DIONNE, 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 g8 <S UNIT#�_ nn IS THIS UNIT DISIGNATED AS RIGHT L RONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER t-1 rjCQ- �S MANAGER/AGENT NO P.O. BOX n B ADDRESS—a O ewyV ,R s �• ADDRESS q CITY, STATE,ZIP N 2LU-61 1 n�- CITY, STATE,ZIP �Y A o a �60 RESIDENCE PHONE L O- 9 3—614 9 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: _1_. 2. 3. 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME/OF INSPECTION �7 Q APPLICANT'S SIGNATURE l DATE_{ O—'1 —Ou Inspectors use only Date on initial inspection: /C)- 07 -08' Date of reinspection: Date of issuance of certificate: 16 ' 9 'a F Date fee paid:l a - to Type of unit: Dwelling-5::f Other Check# 3 Check date: )C3 - a Notes: �)nA� Code Pn'f'orclimecctor HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier loanne.Scott Salern BOH 978 745 0343 Oct_A)2008 10:13am List Fax Date Time identification Dumtian L - Oct 16 10:13am Sent 919787449614 0:35 2 OK Result: OK black and white fax - coxa CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, ATH FLOOR SALEM, MA 01970 TEL. 978.741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Facsimile Transmittal To: `1Ae-e"r\ Fax# �i 5( � U /�/ i RE: 6�6 G-n ct t t) Date : /0/25,2 Page(s): including this cover# Message: 71 Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON V4. CERT.# 316-98 3 FEE $25.00 00i DATE: 05/22/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fan:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 88 Broadway UNIT #: 1 Front OWNER/AGENT: Anna Su ADDRESS: 20 Bemis Street CITY/TOWN: Newton, MA ZIP CODE: 02160 24 HOUR PHONE: 969-5251 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 �a wX ei� Q JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 14 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO - NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS 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 9K l2�'�C'� ( dt,'_-1 t UNIT#—L_ IS THIS UNIT DESIGNATED ASIR GHT LEFT F O BACK PLEASE CIRCLE ONE OWNER/LESSER R Y V1 a S Vl MANAGER/AGENT ADDRESS,_ O AC- vAnej _`i S, 1— ADDRESS CITY Al P.i..1 CITY IV� 6 n,—Q_16 0 RESIDENCE PHONE 611 _ �1i�-_ ; BUSINESS PHONE (24 HRS.) BUSINESSPHONE rWj- ay6 -c 9 � `,Y3 TOTAL NUMBER OF ROOMS: V ROOM USE: 1. 2.-3.-4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE C �l 4. L GZ,,+ �. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z q �? DATE OF REINSPECTION P DATE OF ISSUANCE OF CERTIFICATE: .S_�o z�2ATE FEE PAID: J� . 2� cin TYPE OF UNIT: DWELLING OTHER NOTES: llui ;, ii�v dWtNFORCE4ENT INSPECTOR 5/19/98 City of Salem, Massachusetts Board of Health 10 120 0 Washington Street, 4th Floor, Salem, P1111W>1CH a MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-35 DATE ISSUED: 2/10/2017 Property Located at: 88 BROADWAY UNIT#2 Owner/Agent-: 88 BROADWAY REALTY TRUST/ MATTHEW NEWHALL Address: 389 CHATHAM STREET CityfTown: LYNN, MA Zip Code: 01902 24 Hour Phone:(782) 9747379 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS BOARD OP HE,iLTH th 120 WASHINGTON STREET,4`"FLOoR TEL.(978)741-1800 FAX(978)745-0343 KIMBERLFY DRISCOLL lramdin@5alem.com MAYOR LARRY ILIMDIN,RS/1?7�HS,C1 10,CP-FS HE ALPI I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT Fl? Bro4dw UNIT# IS THIS UNIT DISIGNATE AS MOT LEFP FRONT OR BACK PLEASE CIRCLE ONE � OWNER/LESSER F S $rocsdway ker 9{y -l%. f MANAGER/AGENT MAfFI,wI A e&A-. // NO P.O. BOX ADDRESS_ e'9 C-/!A&2M R ADDRESS Pd Bca FidE CITY, STATE,ZIP___Ip,,, MA a 19d Z CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE II(24HRS) k-1 ? 7`'/-7 3-74 BUSINESS PHONE—!P/ 17y -73-7q 1"lltk114tt�J•(Rc�1C1� �c.ebt��Y� I,Gov✓t. TOTAL NUMBER OF ROOMS: 5r ROOM USE: 2 Kitti,4n 2 L+v.n� CM3 �trti«. Raa„. 4. t3�d Y S. B�tlrau3n 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE /Tb b,2o�7 InsRectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid:�j Type of unit: Dwelling Other Check#_Check date:__d1 ______ Notes: !! 44 Code Enforcement Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR APreveb, CmHCe.B�,th TEL. (978) 741-1800 Fax (978) 745-0343 IQMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY RAMllIN,RS/RENS,C140,CP-Pti HEALI'II AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. O� I Tenant/Lessee O /Ices r 'Z0 �rOPiC�/fia //l //T/� 3F9 Cb� cw, S� Cy�/H, /�A o r9u2 Address Address 89 rvao(u S'%len, 0,4 0/ 970 Address on unit tote inspected z -G-/7 Date updated 5/23/11 CITY OF SALEM, MASSACHUSETTS • ' BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANCINI(@SAI.nM COM JANET MANCINI ACTING Hu'AL'im AGENT' CERTIFICATE OF FITNESS CERTIFICATE #649-08 DATE ISSUED: 12/22/2008 Property Located at: 90 Broadway UNIT# 1 Owner/Agent: Anna Su Address: 20 Bemis Street City/Town: Newton, MA Zip Code: 02460 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 J T MANCINI TING HEALTH AGENT CODE ENNORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS �,u BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1DI0NNFB SA1.F M.COiv'I JANET DIONNE, 1 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." rr FEE: $50.00 PROPERTY LOCATED AT � Q UNIT#_1_ IS THIS UNIT DISIGNATED AS RIGHT LERY FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER_ nl N R S � MANAGER/AGENT NO P.O. BOX ADDRESS h `6PJWVIS S r• ADDRESS II'1 CITY, STATE,ZIP N eAn1 tO V` n CITY, STATE, ZIP `f d RESIDENCE PHONE (I Q- ,M - 10+ ( BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L Rw,2. bifw 6a 6eo1 kvA W RLnj 5 PP� Kiser 6. 7. 118. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE C DATE 0 -Q Q - O Inspectors use only Date on initial inspection: 12- 22• d $ Date of reinspection: Date of issuance of certificate: I Z- 21-a� Date fee paid: ) 2- ^ Lt ,d $ Type of unit: Dwelling ✓ Other Check# 7 t Check date: 1 L - 2_Z_ o Y Notes: Code Enforcement Inspe or HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Jan 06 2009 3:45pm Last Fax Dom- Time TV& Identification Duration Pales 4=111 Jan 6 3:44pm Sent 919787449614 0:25 1 OK Result: OK - black and white fax CITY OF SALEM, MASSACHUSE-i'TS BOARD OF HEALTFt 120 WASHINGTON S"rREET,4'..FL<JOR (978) 741-1800 K NIBERLEY DRISCOLL FAX{978)745-0343 NLNYOR Tram s:Ilem.Com I TARRY IUMI)IN,RS/RIU IS,c(lo,(:I,-I;5 I-IVAJA1i A(;vN'i' - CERTIFICATE OF FITNESS CERTIFICATE #507-11 DATE ISSUED: 12/2/2011 Property Located at: 90 Broadway UNIT#2 Owner/Agent: Anna Su Address: 211 Lower Bay Road City/Town: Sanbornton, NH Zip Code: 03269 24 Hour Phone. 617-283-6147 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRk RAMDIN HEALTH AGENT CODE ENFMCEMENT INSPECTOR ii I • CITY OF SALEM, MASSACHUSE-1-fS ►-�/��j BOARD OF HF-LITH W 120 WASHINGTON STREET,4°1 FI..00R TEL. (978) 741-1800 IUMBERL EY DRISCOLL FAX (978) 745-0343 MAYOR YANIDINQSALINNICONI LARRY RA iYIDIN, 16/1W1 IS,(:110,(:p-IN Hrm:I'II A(;1W1' 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 2)ro S� -" UNIT# IS THIS UNIT DISIGNATED AS RIGHT E FRONT OR.BACK.PLEASE CIRCLE ONE OWNER/LESSER A h h A MANAGER/AGENT NO P.O. BOX n ADDRESS I �O We T- 8aM PA ADDRESS CITY, STATE,ZIP SC(M �D f VI�t9 VI CITY, STATE,ZIP N H RESIDENCE PHONE-62.1-J—,,c�8 _ 6 g BUSINESS PHONE(24HRS) BUSINESS PHONE pp TOTAL NUMBER OF ROOMS: O ROOM USE: 1. 2. 3. 4. 5 6. 7. 8. 9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE L Inspectors use only Date on initial inspection: o o I Date of reinspection: Date of issuance of certificate: f chi )a I I I Date fee paid: AV/ Type of unit: Dwelling �--' Other Check#Check date: /a Notes: Code nforc entInspector k CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublicHealth STREET, Prtvent.Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL tramdin@salem.com salem.com LARRY RAMDIN,RS/RIi.HS,CHO,(;P-IrS MAYOR HEAl.,-n-I AG LNP CERTIFICATE OF FITNESS CERTIFICATE#45-13 DATE ISSUED: 1/10/2013 Property Located at: 96 Broadway UNIT# 1 Owner/Agent: Cornell Realty Trust Address: 4 Centennial Drive City/Town: Peabody, MA Zip Code: 01960 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 IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1 LARR MDIN HEALTH AGENT SANITARIAN tl l� CITY OF SALEM, MASSACHUSETTS BOARD OF HF�ALTH 120 WASHINGTON ti rxrr T,41Y FLOOR b�cHoaltfi Prpveni.1'rnmote F'n:lcn. TEL.(97S)741-1800 FAX(918) 745-0343 KIMBERLEY DRISCOLL Iramdin salem.com MAYOR L,�axYxA�II>IN,IZS1RC;lls,cl3o,cr-tis FTIs\L:TI I AC;UNT 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� IS THIS UNIT DISIGNATED AS RIGEFT FRONT OR BACK,PLEASJE CIRCLE ONE OWNER/LESSER C A/L,'tL /QL-jL-F� ;eAQ! L MANAGER/AGENT_ 7'-�70mh .-j CAM_t& ADDRESS. 1 _,GL" NAllAL, /M ADDRESS. YP,4�'Nr-Lr JJ CITY, STATE, c/ CITY, STATE,ZIP--51 1 LG�? !VJC/ 9G RESIDENCE PHONE 7 _� G g 9 fi BUSINESS PHONE(24HRS).. BUSINESS PHONE a,6W TOTAL NUMBER OF ROOMS:- ROOM OOMS:ROOM USE: 1, 2. 3, 4. 5. 6L 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 9 APPLICANT'S SIGNATURE �-- DATE /� r (C�,�i Lectors use only . Date on initial inspection:--jam _ Date of reinspection: a f Date of issuance of certificate: !� f Date fee paid:_rr�� Type of unit: Dwelling Other Check# Check date: o� Notes: t Oth .s tft fl c� f06,&L> ,j 0 CkM1Vb Sfi CQQ n� e_s ih bV lnc ea+Z17 � oYt� extfryd �c�fe�,. �n.osl' be,,Iw tz.c( t�.xnd bei Cod-��et ement Inspecto .gONU1T #� CERT.# 806-00 FEE $25.00 a DATE: 12/22/1900 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 98 Broadwav UNIT #: 1 OWNER AGENT: Ed & Kristina Litwin ADDRESS: 98 Broadway, 3rd floor CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 922-3000 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 JOOTCHO �� G HEALTH AGENT CODE ENFORCEMENT INSPECTOR _ �vg�Co� 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 Tee(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 Sly R rLr ,:� UNIT#-L5+ F/6ilZ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERFL ±9r;Sli4tk_ Lr 1w; m MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS '7k- nrDr ;!�nL (LADDRESS CITY RESIDENCE PHONE97j- 7 'Ll -335-SBUSINESS PHONE (24 HRS.) 978 `' -30o0 Xa BUSINESS PHONE 14 Uv TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONi?Ar/04 DATE OF REINSPECTION �✓/� DATE OF ISSUANCE OF CERTIFICATE: a-) s DATE FEE PAID: /d1dj16o TYPE OF UNIT: DWELLING 4-4 THER_ CHECK# ZaS/ CHECK DATE i4�)a NOTES: �) le. CODEC- NO RC ENT I PECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 1, 2003 Edward Litwin 98 Broadway Street Salem, MA 01970 PROPERTY LOCATED AT 98 Broadway ;Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. 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 eoN�IT� CERT.# 445-00 FEE $25 .00 DATE: 0 07/11/7/11/ 2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel (978) 741-1800 Fax (978) 740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 98 Broadway UNIT #: 2 OWNER/AGENT: Edward Litwin, Jr. ADDRESS: 98 Broadway Apt. 3 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-3393 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 '11?� Q (VJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR q Q. ��7MINB DO�. 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 Tee (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 c16 Arno6kL)rit.A UNIT# a IS THIS UNIT DESIGNATED AS RIGHT LEFT I FROI BACK PLEASE CIRCLE ONE a OWNER/LESSER F CUrcl C I� �I(_MANAGER/AGENT Sr, No P.O. Box // // No P.O. Box ADDRESS ''F8 ADDRESS CITY le k—\ CITY RESIDENCE PHONE � 79 7y/ 33 S3BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF(ROOMS: ,< ROOM USE: 1. d n2. A 14. eJ 031'-- 5. 31' —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 DEP RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ` APPLICANTS SIGNATURE/ w DATE �740d INSPECTORS USE LY DATE OF INITIAL INSPECTION 7— // -0-0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-7-l! -0 Z:> DATE FEE PAID:7—/ TYPE OF UNIT: DWELLINC-/OTHER_ CHECK# 2 5-S CHECK DATE 7-//-v NOTES: p CODE ENFORCEMENT INSPECTOR 9/28/98 g Toxo CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 560-02 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 11/01/2002 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 99 Broadway UNIT #: 1 OWNER/AGENT: Paul Lyons ADDRESS: 351 Jefferson Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, 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 E SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ecu CITY OF SALEM, MASSACHUSETTS �"g ''� BOARD OF HEALTH u * 120 WASHINGTON STREET, 4TH FLOOR lO SALEM, MA 01970 '°qB ^^� TEL. 978-741-1800 AtlP� 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 7J /%/lG',+Wh )c UNIT#-L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-'P/4U L=�461✓3 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3S! ADDRESS ' CITY sf4_ - CITY -� RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ > J ROOM USE: 1. 2. Z-- 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPEC ORS USE ONLY DATE OF INITIAL INSPECTION //- / -a-Z- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE://--/-V''- DATE FEE PAID:,& TYPE OF UNIT: DWELLING,�OTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS s1! BOARD OF HEALTH g; 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ye4 TEL. 978-741-1800 ' FAX 978-7A5-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/3/05 Paul J. Lyons 351 Jefferson Avenue Salem, MA 01970 PROPERTY LOCATED AT 99 Broadway Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m, to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For he Board of Health Reply to J nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# lil-97 • ' �. FEE $25.00 �1j !F DATE: 02/24/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 102 Broadway UNIT #: 102A - OWNER/AGENT: Chris Cruaer ADDRESS: 37 Coranercial Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9511 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 A JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ° 1 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,%low, CHO NINE NpRTN STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, _CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ON `\ S OWNER/LESSER C�N \ C V MANAGER/AGENT \ � ADDRESS CO .�vC c �� i ADDRESS \ C- v Q CITY CITY RESIDENCE PHONE .a � 3� t � BUSINESS PHONE (24 HIES.) 11 � ' BUSINESS PRONE TOTAL NUMBER OF ROOMS: ROOM USE: 1, 2.��V 4 , 5. 6. THERE IS A TWENTY–FIVE (25. DO P ABLE BY CHECK OR MONEY ORDER TO TUE CITY OF SALEM-HEALTH DE TH. a' P ABLE AT THE TIME OF INSPE ION APPLICANTS SIGNATURE. �— INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_2 -7 DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: a 7 DATE FEE PAID: 2 — f -r'7 TYPE OF UNIT- DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR i CERT.# 64-00 3 R FEE� 25.00 0DATE: 02/01/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 102 Broadway UNIT #: 2 Left OWNER/AGENT: Christopher Cruaer ADDRESS: 37 Commercial Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-3016 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 ,J i V -JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i Nut 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�� 3 UNIT#-a L IS THIS UNIT DESIGNATED AS IGH LEFFRONT BACK PLEASE CIRCLE ONE OWNER/LESSERe//-4/S Cle&G-,2. MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS .3 3j--ADDRESS CITY /�AretS�J✓�a?� �A ��yY� CITY RESIDENCE PHONEW � BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1AGv�_ 2. oAtgti3. 1�4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. Q APPLICANTS SIGNATUREDATE dd- O/-0v INSPECTORS USE ONLY DATE OF INITIAL INSPECTION - l -o v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Q ( - O b DATE FEE PAID: � - I - o TYPE OF UNIT: DWELLING40THER_ CHECK# 02 S? CHECK DATE �2 - I_� 4 . NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 -� 1 �gONNt1tIT & CERT.# 302-00 FEE '$25.00 DATE: 04/24/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 102 Broadway UNIT #: 2 Right OWNER/AGENT: Christopher Cruger ADDRESS: 37 Commercial Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-3016 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 JO_ ANNSCOTT, MPH,RS,CHO / HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 � I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /Oa Arwgclain UNIT#a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERC � MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 7 � m�ADDRESS CITY. V CITY RESIDENCE PHONE 9Y/ G 3/ --3o/t, BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: - ROOM USE: 1. 2. 3. I 4. 5. 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_ OT/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION !Zlagtjo DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: YI2.400 DATE FEE PAID: 6"-/,—tTZ) TYPE OF UNIT: DWELLING ✓OTHER_ CHECK#_CHECK DATE �. NOTES: Cei-liAf CVCr S� 6 � v57L AkT CODE ENFORCEMENT INSPECTOR 9/28/98 3 , Cop ♦ratans�J CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E.BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 DATE: October 20, 1993 •.._„g u c Elaine M i aitinen P.O. Box 605 Richmond, N.H. 03410 PROPERTY'LOCATED AT 102 Broadway UNIT 0 2R 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 most 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 .' .K 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 P 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) 141-1800 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 MBTERING OF GAS 6 ELECTRICITY Very 16i6f 'yours, FOR THE BOARD OF HEALTH REPLY TO: &,.rE 6-r. PABLO VALDEZ Robert E. Blenkhorn, C.H.O. Health Agent Code Enforcement Inspector CERT.# 379--97 3 FEE $25.00 3} jIF- DATE: 06/19/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 107 Broadway UNIT #: 1 i OWNER/AGENT: Kathleen Whalen ADDRESS- 7 Lewis Road Apt. #4 CITY/TOWN: Winchester. MA 'LIP CODE: 01890 24 HOUR PHONE: 270-5115 AN INSPECTION OF YOUR VACANT DWELLINC/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 41.0 .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 f' r i HEALTH AGENT CODE E ORCEMF,NT INSPECTOR NOTE: Front room left window - repair window, reinstall lock. Bathroom wall-tub joint should be recaulked. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT f 7 1: 'c� C LJ UNIT I OWNER/tE V 6 hCcew NAGER/AGE_NT ADDRESS �t?,1 rt ! � ADDRESS qq CITY CITY f✓1# (�! (' 'RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.) BUSINESS PHONE 6 1 �" 0 TOTAL NUMBER OF'b� 'R��O��OMQQS:� ROOM USE: I. OWV2, Cr?c�itiarUYPt_3. t 4 ._ THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEEISAT THE TIM OF INSPECTION APPLICANTS SIGNATURE fE DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_ (��/ //_ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_ �y _DATE FEE PAID-:_____ ���,/�'�4. TYPE OF UNIT: DWELLING OTHER NOTES : IvT CODE INSPECT CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800. KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR UGREENIIAUM& IRM.COM DAVID GRI;U.NBAUM - ACTING HEelI.,TI-i AGI3NT CERTIFICATE OF FITNESS CERTIFICATE#640-09 DATE ISSUED: 12/18/2009 Property Located at: 113 Broadway UNIT#Left Owner/Agent: Sarwari Siddiqui Address: 197 Essex Avenue City/Town: Gloucester, MA Zip Code: 01930 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 BOARP OF HEALTH I' DAVID GREENBAUM ACTING HEALTH AGENT CODE E O CEMENT INSPECTOR P Ak CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRP.l NBAUM@SALEM.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." D FLEE: $50.00 PROPERTY LOCATED AT !13 Rreip c 0 WA l/(L 1GI le �,, UNIT# L IS THIS UNIT DISIGNATED AS AIGHT LEFT'FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 510D)'b Vl MANAGER/AGENT NO P.O. BOX A n ADDRESS ADDRESS I y7- eSa 4 T CITY, STATE,ZIP v I(Sy �QS�I i CITY, STATE,ZIP /tt/Yi 0/ q3 RESIDENCE PHONE q qBUSINESS PHONE(24HRS) BUSINESS PHONE 1 �� I G - ` L L TOTAL NUMBER OF ROOMS: A q ROOM USE: 1. K1�Z 2. L fin, 3. � 4. 9�C"� 5. ST�e 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors^use only Date on initial inspection: 101 Date of reinspection: Date of issuance of certificate: �� G Date fee paid: Type of unit: Dwelling �ther Check# 3��Check date: a G Notes: T( Imo, tto 'L I-),w Code Enforcement Inspector r CITY OF SALEM, MASSACHUSI I"I'S BOARD OF HEALTH - pl1b�1C�'I,P.BIth 120 WASHINGTON STREET,4'FL(X)R rr."t.erumvw.ermeet. TEL. (978) 741-1800 FAx(978) 745-0343 KJMBERLEY DRISCOLL kamdin(a�salem.coon L,\RIIY RAMDIN,RS/RBHS,CHO,Cl I S MAYOR HE;,\L`PH AGENT CERTIFICATE OF FITNESS CERTIFICATE#102-13 DATE ISSUED: 3/1412013 Property Located at: 113 Broadway UNIT#Right Owner/Agent: Sarwar Siddiqui Address: 197 Essex Avenue City/Town: Gloucester, MA Zip Code: 01930 24 Hour Phone: 590-4922 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR MDIN HEALTH AGENT SANITARIAN s� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR Pub11OHC81t71 , Prevent.Promote.Pmlect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdinna salem.com MAYOR _ LARRY IZ<1hIIDIN,RS/RGFIS,CHO,CP-PS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE`. $50.00 / PROPERTY LOCATED AT 113-R B a'(}(1 [j 4��j !P� M A 0 I g 7o UNIT# r- IS THIS UNFr DISIGNATED ASR[ HT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER 50 T W a tI S j q r lir i MANAGER/AGENT NO P.O.BOX ADDRESS 19-7 —P 55t is // �V P ADDRESS CITY, STATE,ZIP_ Pry C QAef M t 0 I g 7 0 CrrY, STATE,ZIP 9 4-q2- 2— } RESIDENCE PHONE 9 78 -i7 q(7 —q-9 Z Z BUSINESS PHONE(24HRS) 9 7 l� — �q O — 4-q Z Z. BUSINESS PHONE TOTAL NUMBER OF ROOMS:5 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION // APPLICANT'S SIGNATURE �a DATE 3 I I Inspectors use only Date on initial inspection:y (3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit Dwelling Other� Check#_Check date: Notes: t CCS �Q rToY (ti CCU �Pi1lAkRA becl 50 g f C6&knVcement Inspector m� u? CITI' OF SALEM, MASSACHUSE'T'TS ~lJr BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubliCHeatth - rre�am.rmmmc.rr ma. TEL. (978) 741-1800 FAX(978) 745-0343 I�IMBERLEY DRISCOLL llamdin@salein.com LnIUIY ItADIDIN,ItS/RrlIs,CHO,(T-FS MAYOR Hf.?ALfI I AGI-,N'1' CERTIFICATE OF FITNESS CERTIFICATE#490-12 DATE ISSUED: 12/20/2012 Property Located at: 120 Broadway UNIT#2 Owner/Agent: Acacio Pinto Address: 6 Dennis Court City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA AMDIN HEALTH AGENT SANITAAIAN CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREFiue 4".F1,OOR P61iCHealth r. ,,n. rmmmc.r. mm. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramditi@salem.com MAYOR Lr\RRl'RAMDIN,RSlRIi:EfS,CIIO,(:I'-FS I4FAIA1 f AG11NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 1FEE: $50.00 PROPERTY LOCATED AT /10 �rnc,�I V Ss�i� UNIT#_�_)L IS THIS UNIT DISIIGGNAT/ED AS RIGHT FT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �rCC cJ lIln CMANAGER/AGENT NO P.O. BOX ADDRESS f'i>h� r'l ADDRESS CITY, STATE,ZIP ��t�ocl� /l'I� CITY, STATE,ZIP 0/`"6 RESIDENCE PHONE 22Y ���� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Jr ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE `—�, �Z� G� — DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit:R welling Other // Check#Check date: l 'fL Notes: n b d„PS c_.l� V\. ufli1C:.,� - 2i% ; r- , 1 zi' r' -0i c O `, y5 �� to`&_VnPdcement Inspector