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BUFFUM STREET CITY OF SALEM, MASSACHUSE-I TS BOARD OF HF4NiXH lu 120 WASHINGTON STREF"I',4...FLOOR I311b�CH'tA�Y�l rreem.rrmme.rm,a,. TFL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL 1ramdin&salem.com LARRY R,qNIDIN,WS/RFI IS,CI IO,CP-I'S MAYOR HFm:rkAGvN,r CERTIFICATE OF FITNESS CERTIFICATE #66-12 DATE ISSUED: 2/22/2012 Property Located at: 1 Buffum Street UNIT#1 Owner/Agent: James McCurdy%Carole Keller Address: 45 Winter Street City/Town: Nahant, MA Zip Code: 01908 24 Hour Phone: 781-595-6012 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH R�IN HEALTH AGENT COBV ENFOR E/ NSPECTO CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH y ' 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KIMBERLBY DRISCOLL FAX(978) 745-0343 MAYOR pcxactNBAUNfna 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." FEE: J� $_5x0'.00 I 0 n ' ' ' ` PROPERTY LOCATED AT �t-7W� ST . �atQ- A UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER3l M C4� I (aroI j- �Q{�-OPMANAGER/AGENT "-- ADDRESS Ht 'IW I VIV S' ADDRESS — -- CITY, STATE,ZIP N etI aA A co) CITY, STATE, ZIP RESIDENCEPHONE `I ` `� Cry BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF F1 ROOMS:_ J JI ROOM USE: 1. i11G�1F+7 2. Gvl�� 3. utrtl 1 hQ 4 bQt�t n1 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.F[EAL.TH..THIS FEE II�S PAYABLE AT THTIME OF INSPECTION APPLICANT'S SIGNATURE l_lJ2�G 5 `^'� DATEIZO 49 ) Q1 Inspectors use only Date on initial inspection: -)j/aa, Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: ]Dwelling Other Check# Check date: Notes: Co`fl k/ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I'A 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 3/18/08 Sandra Miranda TR 88 Windsor Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 7A Buffum Street Extention Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Joa�or the Board of It Reply to t MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector To Date lc/is19d Time 9: y ❑ PM WHILE YOU WERE OUT of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILLCALLAGAIN WANTS TO SEE YOU JURGENT RETURNED YOUR CALL Message Gf�LGGX-Q-e�c+;�2 n Operator AMPAD REORDER ®EFFICIENCY® xza-eoo ml� 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: 10/10/96 Fax:(508)740-9705 Michael & Heather Walsh 9 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 9 Buffum Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department •,`; to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented ors occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem. Health DeparEment_�;: '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 , Y dministrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum , andards of Fitness for Human Habitation, and in accordance with Chapter 11, Article III 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 nlem Health Department. This fee is payable at the. time of inspection. Inspection not be performed without receipt of payment. 4ilure to comply with this procedure, will result in a fine of 'twenty (20) dollars' for every day that the dwelling unit is occupied without approval of the Code •hent Division of the Salem Health Department. Ltact this department within 24 hours of receipt of this notice. (508) 741-1800.; Rru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m - 7 :00 p.m, or v't AO a.m. to noon to schedule an appointment for an inspection. SRQTTQN 105 CMR 410.354 METRRINGrOF GAS ELECTRICITY. Yours, OF HEALTH REPLY TO 3 ;ice MESH,RS,CHO PABLO VALDEZ .r, CODE ENFORCEMENT INSPECTOR • a V P1.•.. YL lj Air ?� CTTY OF SALEM, MAS;ACHUSEYfS BOARD OF IHnNLTH 120 WASHINGTON STREET,4."FLOOR PI1b1iCHeAlltll r..em.r,rmme.r.mem. TF-1- (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com LARIZT RA MDIN,Rti/RVFR,CI 10,01-1^S MAYOR HE,V;1'f l AGF.N'f CERTIFICATE OF FITNESS CERTIFICATE#280-12 DATE ISSUED: 7/11/2012 Property Located at: 10 Buffum Street UNIT# 1 Owner/Agent: Thomas Kapnis Address: 22 Webber Avenue City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-376-0486 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 IN Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN TARIAN HEALTH AGENT I f CITY OF SALEM, MASSACHUSETTS Ike BOARD OF HEALTH A0-4 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRJ\MutNQsAl,rsmt.COM LARRY RAMDIN,RS/REI IS,CI 10,CP-FS HEAlaij 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" 2 FEE: $50.000 / PROPERTY LOCATED AT I O Jr uf � c S� krl0 u /l�c UNIT#--_I- _ -�ISSTTHIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS IS �r li€ ADDRESS t CITY, STATE,ZIP I CITY, STATE,ZIP q S 1 RESIDENCE PHONE g �70 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:__. II ff 'n ROOM USE: 1. 2. I'tCJ�Ph 3. 4. 'Jim/ 5. 6. IVl?o 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 TIMEYF INSPECTION APPLICANT'S SIGNATURE Zl5)�,�7�Q q DATE—7 It /Z In only Date on initial inspection: /if �'l. Date of reinspection: Date of issuance of certificate: Date fee paid: Type of 't: Dwelling Other Check# Check date: Notes: 1, On Code c ent Inspector v� CERT.# 377-96. 3 FEE $25.00 DATE: 06/20/96 MrB 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: 10 Buffum Street UNIT #: S-2 OWNER/AGENT: Thomas & Stephen Kaonis ADDRESS: 10 Buffum Street CITY/TOWN: Salem. M'4 ZIP CODE: 01970 24 HOUR PHONE: 483-6038 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 ♦ 6 �liP lI CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY!CODE, -CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED Ton OWNER/LESSER �_r4PA745 MANAGER/AGENT cyg,y? _ c ADDRESS 1 C,2 `(j �ry� 5' ADDRESS - CITY_ ` A ( 7?7 CITY _ RESIDENCE PHONE 2y5':fJ�o `� BUSINESS PHONE (24 HRS.) BUSINESS PHONE /- Ct7 3"H6 09 g E s?evc-lr- TOTAL NUMBER OF ROOMS: ROOM USE: 1, 2. 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEK HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE DATE— -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: c�O ,�rp DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: .�Z-(v DATE FEE PAID: __,-� TYPE OF UNIT: DWELLING /I OTHER NOTES : ? t CODE ENFORCEMENT INSPECTOR 4 K 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Citv 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 Chat 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 OWNER/LESSOR ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STRF,ET,4r"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1D10NNF tiN PM COM JANE.F DIONNE ACTING HEA1 11 ALiEN'1' CERTIFICATE OF FITNESS CERTIFICATE#456-08 DATE ISSUED: 9/11/2008 Property Located at: 10 Buffum Street UNIT#S-3 Owner/Agent: Thomas&Stephen Kapnis Address: 36 Nancy Avenue City(fown: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-376-0486 or 978-210-4093 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate 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 *ANDIONNE ACTING HEALTH AGENT CQENFORCEMEE+1 INSPE TOR II I I �I�I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR i TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISCOTTcr AIS 1,r11 COM JOANNE SCOTT, HEAL'm 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 IS 1II1S UNIT DISIGNATED AS RIGHT LEFT FRONT OR SACK,PLEASE CIRCLE ONE OWNERILESSER -1--jxAy6 MANAGERI AGENT NO P.O. BOX ADDRESS .36 IyAvvCj AVU t ��c �� ADDRESS CITY, STATE,ZIP CTI Y, STATE,ZIP 7i'E3 - 3`76-0-1h6 C3'LL ?oM RESIDENCEPHONE ` '2i78 .iib - 5'//6 BUSINESS PHONE(24HRS) f9fl, -ZJL `fU33 Cu L__ 57s BUSINESS PHONE, TOTAL NUMBER OF ROOMS: ROOM USE: 1 $.z-.mcom 2 IR 3 Krk(in 4 pt-,V 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_ �� Yf.✓rr {'\caa� DATE 1 II Ins tors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: /// Date fee paid: Type of unit: Dwelling Other Check#_' Check- date: d 1 c lJ^5 'vt ^es Notes:_ i C i l-� 'A4 uv,, t� \u 2 ([w U 1v, C. V S c�'v rte_ lti-1 �l' F T uI h d ,�� 2fw l iiDo-esollf 161�ya," wil, �-r„J t� e {rzs an f;—Wt ih be 1�ra ern c"bov� /T l nforcement Inspector o CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 114-04 DATE ISSUED: 03/25/2004 Property Located at: 10 Buffum Street UNIT#3 Owner/Agent: Thomas Kapnis Address: 22 Webber Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-927-4958 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliancewith105CMR410.000: Massachusetts State Sanitary Code,Chapter 11"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r , JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR { CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH + • 120 WASHt NGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT� .�Ll— UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER S MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS 22 ,L ADDRESS CITY vtrl U %;' y{ CITY {< RESIDENCE PHON 'BUSINESS PHONE (24 HRS) - —� BUSINESS PHONE TOTAL NUMBER OF ROOMS: _ ROOM USE: 1. 2 3. k 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 HEA i H DEPART ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �7 APPLICANTS SIGNATURE L/I DATE b40 INSPECTQRS U E ONLY , DATE OF INITIAL INSPECTION 5 Fb DATE OF REINSPECTION DATE OF ISSUANCE OF CERTI/FICATE: 3- ,�-� 'D'r DATE FEE PAID: > 5 r0 TYPE OF UNIT: DWELLIN THER_ CHECK#CHECK DATE >_- -0 r NOTES: CODE ENFORCEMENT INSPECTOR 9/28/96 i � gONUfT CERT.# 318-99 FEE $25.00 DATE: 06/24/99 ��r111V61�� 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: 22 Buffum Street UNIT #: 1 OWNER/AGENT: W.H. Beebe-Center ADDRESS: 22 Buffum Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0400 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. JOANNE SCOTT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR „cu 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 ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION”. // PROPERTY LOCATED AT �L�uNIT#L IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT o�?. / No P.O. Box No P.O. Box ADDRESS ADDRESS yO FC�I1 Sl li CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) v BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: t, LR 2.__..12 A-L_3. ��_4.�� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ _DATE—^ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -I DATE OF REINSPECTION PATE OF ISSUANCE OF CERTIFICATE:_ LDATE FEE PAID:, `� f TYPE OF UNIT: DWELLINGtOTHERCHECK#CHECK PATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v��ONo1T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO 06/16/99 NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 W.H. Beebe-Center Fax:(978)740-9705 22 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 22 Buffum Street UNIT # let floor 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. F THE BOARD O REPLY TO oahne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 616-97 3 R FEE $25.00 DATE: 09/04/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 22 Buffum Street UNIT #: 1st floor OWNER/AGENT: W.H. Beebe-Center ADDRESS: 22 Buffum Stteet CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0400 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 ��l 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 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMANHABITATION". PROPERTY LOCATED �� AT �� #�/, p�y F F-0! � �� T If � ,SlI�� OWNERILESSER 67W /7 • 3 D ' �EN} /� MANAGER/AGENT 54100 c� 14)1-1- ADDRESS ADDRESS ADDP.ESS % o Fr-, CITY 5A r^ G`1Y1 O fid/ d CITY �ffz RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. K 14 2. /fir t�1 r(� 3 t 11 t t Il 4 5 rt)� 5. 6. 7. 8. THERE IS A TWENTY-FIFE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE T THE TIME OF INSPECTION APPLICANTS SIGNATTURE -I/� ,�9 '"7' WQ��< 4 DATE 4 / j / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:1___xi7_ DATE FEE PAID_ _ TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR —�, --- - — ---— _.� �_______..__..___ I _� _..`__ ----- __ I _-- — .� ----� '�I 9��--- -- —�— _ _ �_ '�-- i v_ I __ -- �- 7 �.�� 'G � � s' 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: 07/12/96 Fax:(508)740-9705 Anna Nicholson P.O. Box 1033 Marblehead, MA 01945 PROPERTY LOCATED AT 22 Buffum Street UNIT # House Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice- (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. _ SEE ENCLOSED T ON 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO - ! y�.rr..�. U! f✓:i Y'i.. Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR � 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 04/05/2001 Fax: (978)740-9705 W.H. Beebe-Center 22 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 22 Buffum Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD OF HEALTH REPLY TO q"oan=eSco6,) MHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CONDIT CERT.# 317-99 5 FEE $25.00 a 3 / DATE: 06/24/99 �ainllNerA I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 22 Buffum Street UNIT #: 2 OWNER/AGENT: W.H. Beebe-Center ADDRESS: 22 Buffum Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0400 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 S/ qMO":E T, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �OND/PA 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 Tec(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"". J, PROPERTY LOCATED AT �� Kd I zw UNIT#42— �GylG� 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 ADDRESS CITY CITY �cc ler IYIGZ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7 U ��/�'��UU BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: i.—L 2. 5. a 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION L --�'4� 'f Y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE - -f t DATE FEE PAID: � -a `f �/1�' TYPE OF UNIT: DWELLING�THER_ CHECK#/FQCHECK DATE NOTES: /f/ CODE ENFORCEMENT INSPECTOR 9/28/98 3 mr� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary [hat said inspection be done in my/our absence , !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized apen.s from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR i ADDRESS l ADDRESS / S'Wem /VtA o l q -70 ADDRESS OF UNI 7�'Y) B ISS E TEDED DATE CITY OF SALEM, MASSACHUSETTS '+ BOARD OF HEALTH _ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#205-04 DATE ISSUED: 05/13/2004 Property Located at: 25 Buffum Street UNIT# 1 Owner/Agent: Salvatore Pangallo Address: 27 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-8796 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F R THE BOARD OF r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS p y BOARD OF HEALTH �L • • 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT oZS ✓f��tv/ �_ UNIT#1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE O�WNE LESSERS F-1 -aIg2_MANAGER/AGENT oN P.O. Box No P.O. Box ADDRESS_s _�vj ADDRESS CITY 94(Y V�-1 CITY RESIDENCE PHONE_?? BUSINESS PHONE (24 HRS.) BUSINESS PHONE 29/63/-3/20 TOTAL NUMBER OF ROOMS: -3 ROOM USE: 1 Lig✓�bk 244--401 3j(-_ h 4.- 5.- _6. .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. n APPLICANTS SIGNATURE Y / DATES INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S- / 3 'D P__DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:f-/ 3 a � DATE FEE PAID: 5- -/3 I � TYPE OF UNIT: DWELLING /J_OTHER_ CHECK # CHECK DATES- / 3 NOTES: /\ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH th 120 WASHINGTON STREET,4"'FLOORr�emu«x�r TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lxamdin ,salem.com. LARRY IL1.64D1N,RS f RliP'{S,0-3,0,(:1'-1.5 MAYOR HcAIT1 I AG ENT CERTIFICATE OF FITNESS CERTIFICATE#95-13 DATE ISSUED:3/13/2013 Property Located at: 25 Buffum Street UNIT#1 Left Owner/Agent: Salvatore Pangallo Address: 27 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6796 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 IN Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY A140 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,fn,FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDINQSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" Q [ FEE: $50.00 PROPERTY LOCATED AT QS i1 U f]tI M a'fke-er UNIT#� IS THIS UNIT DISIIGGNATED AS RIGS ONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER ( (a l Va{ l 0 k r A b14a d o MANAGER/AGENT ADDRESS O tl FFV01 34V e-9-'r ADDRESS c a CITY,STATE,ZIP j e n i . ///�1/4. 0`19?0 CITY,STATE,ZIP RESIDENCE PHONE GI7 A .)V ,/ b 7 96 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBEROFROOMS:fi �/ I I i ROOM USE: 1. 1 Iyi,h� 2. -:Pubm 3. 6-Al 4. i�''7'cbevi 5. �IIJry 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 ATT TIME OF INSPECTION APPLICANT'S SIGNATURE DATE l &QIJ Inspectors use only Date on initial inspection: 3-13—` Date of reinspection: Date of issuance of certificate: �'�5 13 Date fee paid: Type of unit: Dwelling �Other Check# 3 Vy 3 Check date: Notes: Code Enforce nt hlspec E CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR P «1 Prevvet.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL ltamdin@salem.com satem.com LARRY RAbIUIN,RS/li]?I-IS,CL-10,CP-1+S MAYOR HEALTH AG1EN'r CERTIFICATE OF FITNESS CERTIFICATE# 125-13 DATE ISSUED: 4/3/2013 Property Located at: 25 Buffum Street UNIT#2 Owner/Agent: Salvatore Pangallo Address: 27 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8796 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 Ile 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 LAO RAM DIN HEALTH AGENT SANITARIAN Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT a S 8 V F7 j'M S l7 c('i� UNIT# a IS THIS UNIT DISIGNATED AS RIGH LEFT ONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER lvota he Pamatlo MANAGER/AGENT NO P.O.BOX ADDRESS Oi 1 t/Flrvw\ 1 { Qe-t ADDRESS CITY, STATE,ZIP S-�q/WV , / i/'� C) l 7)0 CITY, STATE, ZIP RESIDENCE PHONE 1 a - l7 - D 7 !�O BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ff ` �[ ROOM USE: 1. li /'n V44 2. �CdY"V" 3.brtlh {"141 4. Kkkvl 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 jj II ectors use only Date on initial inspection:L4 112 - Date of reinspection: v Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check #Check date: Notes: / CERT.# 44-98 < o-, FEE $25.00 31� (Fa DATE: 01/30/98 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: 33 Buffum Street UNIT #: 1 OWNER/AGENT: Jane Gradzewicz & Marianne Carlson ADDRESS: 33 Buffum Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 740-0343 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. F THE BOARD OF HEALTH JOANNE SCOTT, PH,RS,CHO HEALTH A CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO. NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax;(508)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE„CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT,33 � (,— .F wA UNIT # OWNER/LESSER ' V QA(-:) oA1') E' Cr-�xaYN MANAGER/AGENT\ ADDRESS 33 Q�>(�i- tG� ewiC Z ADDRESS CITYt��'ti 1 y t i O , i CITY — RESIDENCE PHONE�� BUSINESS PHONE (24 HRS.) BUSINESS PHONE J TOTAL NUMBER OF ROOMS: ROOM USE: 1._.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 BEALTH DEPARTMENT THI PAYABLE AT THE TIME OF INSPECTION / APPLICANTS SIGNATURECrJ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:Z—35 —IF D(A,rE OF REINSPECTION__ _ DATE OF ISSUANCE OF CERTIFICATE: / -30—f DATE DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER 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:(978)741-1800 Date: 01/27/98 Fax:(978)740-9705 Jane Gradzewicz & Marianne Carlson 33 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 33 Buffum Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not 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 ll/Joanne Scott, MPH,RS,CHO . PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 3/6/06 Arthur J.Turcotte, Nominee TR 13 West Circle Salem, MA 01970 PROPERTY LOCATED AT 34 Buffum Street Unit 2 Dear Sir/Madam: It has come to.our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector r r coxolr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 361-02 FEE $25.00 gq�hlN¢ TEL. 978-741-1800 D FAx 978-745-0343 ATE: 07/15/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 34 Buffum Street UNIT #: 3 OWNER/AGENT: Arthur Turcotte ADDRESS: 13 West Circle CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 639-0580 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD 0 HEALTH JOANNE SCOTT, MPH,RS,CHO 6/ HEALTH AGENT CODE ENFORCEMENT INSPECTOR co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH * 120 WASHINGTON STREET, 4TH FLOOR n ,I!n/ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3'? UNIT# 3te/, IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 12?1,OAor—� Cti�r � ADDRESS CITY 0L6 -- CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) q- 03-yo BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. K k 2. 6 ed 3._(3 C✓J( 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. --yam APPLICANTS SIGNATURE / SI.L �r �/ DATE d 2-- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION i /a—1s�' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:Z'-15_-I> >- DATE FEE PAID: » ?� TYPE OF UNIT: DWELLING/OTHER.., CHECK# CHECK DATE7_!\ -U NOTES: /� CODE ENFORCEMENT INSPECTOR 9/28/98 N CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t"FLOOR Pub&Health - STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iranadinna,salem.com - LARIIl 12.�MDIN, MAYOR RS�ItI^,HS, CERTIFICATE OF FITNESS CERTIFICATE#179-14 DATE ISSUED: 5/30/2014 Property Located at: 35 Buffum Street UNIT# 1 Owner/Agent: Eve Anderson Address: 8 Circle Street City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 978-604-9574 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. FORTH E BOARD OF HEALTH LARY N HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET 4Q1 FLOOR PablicHealth STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com - LARRY RAbfl)IN,RS/KEPIS,CI 10,CP-PS MAYOR HEAL TI-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" Q ( `FEE: $50.00 PROPERTY LOCATED AT 35 9\fiTKuM c�+ UNIT#_J_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER P\ft O (f (S()n MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS p n CITY, STATE,ZIP �Aka�`1t'FL CITY, STATE,ZIP 1\ I O� RESIDENCE PHONE 9J� 3 SII -O6) �] BUSINESS PHONE(24HRS) 9-73 BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: L &ACM 2. 66 r 3. k(� 4d1n rt-A5 Itv ,�j (CoQ 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 SIGNATUREr10.��( Inspectors use only Date on initial inspection: 5�3�/IU Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# J/C Check date: Notes: 4(_(K 14 @u Cy emom PI 1.twil laaAp, Lad06111 1S o 9 Vlty'1'L 0DVi j0gWAd+'t".t"_- (&-�_D � ad- � irk Code-Enfoycement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 -- STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/24/05 John Collins 36 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 36 Buffum 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 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. , br the Board of Hetaf h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CLTY OF SAL EM} IVIASSACKUSETTS BOARD OF HEALTH n e 120 WASHINGTON STREET, 4Tm FLOOR - SALEM, MA 011970 TEL 978.741-1800 FAX 9-78-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH-,. RS-,,CHO WIAYOR HEALTH AGENT 4/19/05 John S. Collins 36 Buffum Street Salem, MA 01970 PROPERTY LOCATED AT 36 Buffum Street Unit 2 Dear Sir/Madam: It has cometo our attention,thatyou-may beconsideringrenting,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 unttmustbe inspected-andcertified-prior to, allowing occupancy. The inspection will be conducted-in accordance with 105-CMR 4%..000; state Sanitary Code, Chapter 11: Minimum Standards of-Fitness for Humarr Habitation. Please notify us if you do not intend to rent the unit. Please contact this-department-within 24hoursof receiptof 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 complywiththis-procedure,may result in a fine of Twenty($20.00)dollars per day for every- day thatthe dwelling unit is occupied without a Certificateof fitness. A$25.00 check-payabletothe City of Salem isrequiredfor each unit inspectedatthe-time of inspection. A property owner is requiredto_pay gasandelectricity for residential tenants if there is not awritfen letting agreement statingthe-tenantthose utilities and if the meter(s)records electricity and gas use which is not used-exclusively bythat.tenant. The-Department of Public Utilities has billed property ownersforthea tenanYsentireutilitybitisretroactive to the,date of initial occupancy incases in whichcross-metering has-been-provento exist. F the Board of Heat Reply to anne.Scott MPH,RS,CHO Pablo Valdez Health Agent Code-Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT,# 637-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE; 12/30/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: I BUFFUM STREET, #1 UNIT #: 1 OWNER/AGENT: JAMES MC CURDY ADDRESS: 45 WINTER STREET CITY/TOWN: NAHANT ZIP CODE: 01908 24 HOUR PHONE: 617-727-7130 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-4 . 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 W AND 410-400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. F OF HEALTH JOANNE SCOTT, MPH,RS,CH0 HEALTH AGENT JEFfREY'W', VAUGHAN CODE ENFORCEMENT INSPECTOR " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I f-3UEPVAl 21 —UNIT# I IS THIS UNIT DESIGNATED ASI,(i GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT- No P.O.Box No P.O. Box ADDRESS 45 iAJtltil Z 5�' ADDRESS CITY �� —CITY 6' � C� 0 RESIDENCE PHONE ISI-�`7 -6012 BUSINESS PHONE(24 HRS) BUSINESS PHONE 017. 727'7130 TOTAL NUMBER OF ROOMS: ROOM USE: 1. let-( 2. �(U. 3. S'64 4. L�'P 5.Oeq 49 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 l �1G1 D INSPECTjORS//USE ONLY JJ DATE OF INITIAL INSPECTION —&A-01-62—DATE OF REINSPECTION N14 DATE OF ISSUANCE OF CERTIFICATE:_/e,) 3e%J DATE FEE PAID: /�/-364 _ TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# A'� _CHECK DATE W/ 0 NOTES:_ CODE E R ENT INSPEwo 9/28198 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR fPq 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 #43-08 DATE ISSUED: 1/28/2008 Property Located at: 39 Buffum Street UNIT#2 Owner/Agent: Adolfo A. Lopez Address: 39 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-9971 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 q _ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C DE ENFORCEMENT INSPE OR _ 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 /✓//Jv(\ TEL. 978-741-1800 FAx 978-745-0343 JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT 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". 39 PROPERTY LOCATED AT { zq S/ UNIT#-2J IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ADOt-7) /-0-Z MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS9IG/i✓� `S ADDRESS CITY_S/-)Z I� CITY RESIDENCE PHONE C BUSINESS PHONE (24 HRS.)_ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. L 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 I_ k _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ TYPE OF UNIT: DWELLING BOTHER___ CHECK#__1_001'�-f__CHECK DATE �.�_ _� JD 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 II �� •• q. 'ue. III . a CERTIFIEDIMAIL,,, nj (i• mestic Mail a Only;OFFICIAL USE t` Foals" $ O Certified Fee C3 postmark C3 Return Reoelpt Fee Here C3 (Endorsement Required) 1Wer,FOS (Eodoraeme�t Pequked) ri M Total Postage&Fees $ O t To (� rest,Apt Na; Of PO BOX NO. �0:lett.BP+4 I Certified Mail Provides: fewmalDZeoaeunr•oo"OA8d ■ A mailing receipt ■ A unique Identifier for your mailplece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. ■ Certified Mall is notavailable for any class of International mall. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mall. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt mar be requested to rovlde proof of delivery.To obtain Return Receipt sem ,please complete antl attach a Retum Receipt(PS Form 3911?to the article and add applicable postage to cover the fee.Endorse mailpieceRetum Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. • For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery'. ■ If a postmark on the Certified Mall receipt Is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt andppresent it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. CITY OF SALEM, MASSACHUSETTS m3L BOARD OF HEALTH m :9 120 WASHINGTON STREET, 4TH FLOOR � o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT January 11, 2008 Kenneth Mielcarz 42 Buffum Street Salem, MA 01970 Dear Mr. Mielcarz: I'm sending back your check for $75 because of a clerical error. The Certificate of Fitness is still $25 as of now. Please send a check for $25 to our office. I'm sorry about this inconvenience. Thank you, Joanne Scott Health Agent Sent certified mail: 7005 3110 0000 7160 4665 Sent certified Mail: 7005 3110 0000 7160 4269 2nd attempt 2/4/08 j *� CITY OF SALEM BOARD OF HEALTH . 120 WASHINGTON STREET, 4TH FLOOR SALEM, MASSACHUSETTS 019703523 � 0 0004380921 JAN 14 2008 7005 3110 M ` 4t%PS-ROM ZIPCODE 01970 0�� 8 �/ IJKenne ielcarz 42 ffum Street d FEQ 42U08 Iem, MA 01970 it OITY OF SALEM UNCLAIMED: BOARD OF HEALTH till till ail all,1111, 1,11 1 . ... J- - .. 1 ■ Complete dams 1,2,and 3.Also complete A Signature Item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we Can return the Card to you. B. Received by(Prfnted Name) C. Date of Delivery Attach this card to the back of the mail piece, or on the front if space permits. D. Is delivery address difterem from Rem 17 ❑Yes 7. Article Addressed to: If YES,enter delivery address below: ❑ No 1 I I jKenneth Mielcarz 1 42 Buffum Street" ' I I Salem, MA 01970 3. Service Type ❑Certified Mall ❑Express Mail iI ❑Registered ❑Return Recelpt for Merchandise I 1 ❑ Insured Mail ❑C.O.D. Re: 42—eWiffum Street HL 4. Restricted Delivery?(Extra Fee) ❑yes 2. Article Number 7005 3110 0000 7160 4665 i ;; I I {Transfer/lom service label) I - l iit ii \ i{ Ii� 14 1 PS Form 3811, February 2004 Domestic Return Receipt 1025955-02-M-1540 J • A CITY OF SALEM, MASSACHUSETTS BOARD OF HLN1311 120 WASHINGTON STRLET,4... FLOOR KIMBF.RLFY DRISCOIJ, TI L. (978)741-1800 MAYOR FAX(978)745-0343 Ir:undin e salem.com Ld RitY RSANIDIN,RS RI?Rs,C:HO,cl'-RS HISAM'j'1 A(;FNT CERTIFICATE OF FITNESS CERTIFICATE#29-12 DATE ISSUED: 1/15/2012 Property Located at: 42 Buffum Street UNIT# 'I Owner/Agent: Kenneth H. Mielcarz Address: 36 Riverside Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-578-5169 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 i LARR HEALTH AGENT CODE ENFORCEMEN SPECTOR �� r�{ �:� �, � '' � ��°� 7� f �.,� CITY OF S.ALEM5 -MASSACHUSETTS BOARD OF Flli.iL'I'H. 120 W iSHTNGTON STREET,4"'FLOOR TEL. (978) 741-1800 ICIMBERLEY DRISCOLL F.\x(978) 745-0343 NLIYOR LRlaMD1N(7a SALEM rob( L\RRY Rr\Nn71N, RSIR7311S,Ci-10,(:P-tiS IIC;�t;CrrAG1 N'T' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" Q FEE: $50.00 PROPERTY LOCATED ATtiUyf UNIT# IS' HIS UNIT DISIGNS R ATED AIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER (�GT%1 Wit"14 MANAGER/AGENT NO P.O.BOX ADDRESS, ADDRESS Stn }yerS% fl tTl CITY, STATE, ZIP 5,4190 tJ�� j,I�jS cy l7/q7p CITY, STATE, zip ._ RESIDENCE PHONE-q?F�l��6 / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: KO ROOM USE: 1 irJea. 2 01kY-7- 3 141&N 4 &D 5 Q�7 b. &Q 7. 8 9. 10 THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE to /02 6101(9, Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: — Type of unit: Dwelling_ Other Check# 5 3 Check date: ,-- Notes: Code Enforcement Inspector TRANSMISSION VERIFICATION REPORT TIME 01/30/2012 01:36 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 01/30 01:36 FAX NO./NAME 919787449614 DURATION 00: 00: 18 PAGE(S) 01 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978) 741-1800 K M BERLEY DRISCOLL FAx(978)745-0343 MAYOR UCIir r Nt}AUMSA1 F.M.COM DAVID GREENBAUM ACTING HFAIS}I AGENT CERTIFICATE OF FITNESS CERTIFICATE#820-09 DATE ISSUED: 12/3/2009 Property Located at: 42 Buffum Street UNIT#2 Owner/Agent: Kenneth Mielcarz Address: 42 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-9847 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 I D VIE BA ACTING HEALTH AGENT CODE ENF CEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREI3NBAUM(@SALLiM.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 gA lqn0�1 57 �« INA i�?IV40 UNIT# � IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE r . OWNER/LESSER r��.eNhc><-� 14 Mie%o-r7 "'"c - MANAGER/AGENT q:S ow-I,-,;— NO P.O. BOX ADDRESS Y-Z pp8 r, -4vtj �1 S-� r ADDRESS S`fC, e CITY, STATE,ZIP SclieK, / '/A5S L0I%70CITY, STATE,ZIP 37 RESIDENCE PHONE q7 6s- 579' 510 BUSINESS PHONE(24HRS) BUSINESS PHONE q7 57 f G e7 TOTAL NUMBER OF ROOMS: 7 ROOMUSE; 1. k(jr4ef1 2. 6. 6- 3. digi✓ly 4. w ✓inQ 5Pt 6. bed 7. bjj 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 /a 113 X/ Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: I I �'�f Type of unit: Dwelling Other Check#�� Check date: �a y U Notes: U 6A0/,) 40 CU(Y&- G&-7 S -1W v 'Ca Enf cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 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# 135-07 DATE ISSUED: 3/27/2007 Property Located at: 42 Buffum Street UNIT#3 Owner/Agent: Kenneth Mielcarz Address: 42 Buffum Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-578-5169 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHtNGTON STREET, 4TH FLOOR l SALEM, MA 01970 _ f TEL. 978-74t-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. } �^' " I JOANNE SCOTT, MPH, RS, C131d MAYOR HEALTH AGENT I IIS ! r APPLICATION FOR CERTIFICATE OF FITNESS _o__----- IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION PROPERTY LOCATED AT-'kWM � _UNIT IS THIS UNIT DESIGNATED AS/�RIGHT J LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�1LL11P- c w MANAGER/AGENT_. No P.O.Box //`�J� No P.O.Box ADDRESS_, ` ✓t ! .-ADDRESS—, CITY _Sfty f� CITY RESIDENCE PHONE 7Y-- Z�AJ�BUSINESS PHONE (24 HRS.)_ BUSINESS PHONE---_ TOTAL NUMBER OF ROOMS: ROOM USE: 1._, THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. J- APPLICANTS SIGNATURE .1„�� AI, �� ,� _DATE°+ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION, --`7 -O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTRFICATE:3"a v7 " "E FEE PAID 73 - �L 7 -p.7 TYPE OF UNIT: DWELLING �_�OTHER._.__ CHECK H_I q a CHECK DATE 5 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 Ce�T s CERT.# 769-00 a ; FEE ' $25 .00 'aFr ..... DATE: 12/04/2000 �MIIVg 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: 52 Buffum Street UNIT #: 1 OWNER/AGENT: Anthony Mirabito ADDRESS: 15OR Dodge Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 232-0088 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' �ONUIT� 9-019 a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR �HUUMAN HABITATION". PROPERTY LOCATED AT 6 -_ &X-AU6��n. � iGVY UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERI hj� A� Wgdk k MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS 1" Q 1 wJ( 36I7J , CITY i CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J 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 V✓w"�- DATE 2- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /. - - Y -'O° DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �) - Y -ao DATE FEE PAID:/ 1 -L�( v " TYPE OF UNIT: DWELLING OTHER_ CHECK# 5_ _CHECK DATE L NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR p11b1iCHC81�1 Prevent.Prama¢.Pro!<c[. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL h-aindin@salem.com LARtiI'RAMllIN,RS/RI31-1S,CFIO,(;P-FS MAYOR H1:SA1:1'F1 AG E:NP CERTIFICATE OF FITNESS CERTIFICATE#73-13 DATE ISSUED: 2/27/2013 Property Located at: 55 Buffum Street UNIT# 1 Owner/Agent: Naumkeag Realty/Peter A Copelas Address: 135 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-317-5454 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. OR THE BO D OF ALTH LARRY RAMDIN HEALTH AGENT SANITARIAIT TRANSMISSION VERIFICATION REPORT TIME 02/27/2013 23: 55 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 02/27 23:55 FAX NO. /NAME 913398831325 PAGE(S) DURATION ©0: 00: 17 RESULT NG MODE STANDARD NG: POOR LINE CONDITION TRANSMISSION VERIFICATION REPORT TIME 02/27/2013 23: 41 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 02/27 23: 41 FAX NO. /NAME 913398831325 PAGE(S) DURATION 00: 00: 31 RESULT NG MODE STANDARD ECM NG: POOR LINE CONDITION TRANSMISSION VERIFICATION REPORT TIME 02/27/2013 23: 40 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 02127 23:40 FAX NO. /NAME 913398831325 DURATION 00: 00: 17 PAGE(S) 00 RESULT NG MODE STANDARD NG: POOR LINE CONDITION ` CITY OF SALEM, MASSACHUSEYFS x� Bo,\iu)oir HL,:u,n-r 120 kPAS1-IING'rON STREFr,40'FI-0012 1'ta,. (978)741-1800 1iIMBLRL L:Y 1�R[SCOLL PAX(978)745-0343 MAYOR Iraindin salein:coin Ln R.RY RA NfDIN, Its/RHi is,CI1o,n,-Fs .. Facsimile Transmiittta/l� /1t' /�� Fax # 33 I l _ V�, RE Date : / l Page(s): including this cover# Message: ea �.✓ Board of Health News ----------------------------------------------For Your Information OFFICE HOUR: 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 2 CITY OF SALEM, MASSACHUSET'T'S BOARD OF HEALTH 120 WASHINGTON STREET,C FLOOR Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY 1L\billlN,RS/KEPIS,CF[O,CP-PS HEAISFI AGF.NT 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(`. $150.00 PROPERTY LOCATED ATt TS ,L/v i-u,vl J a \ UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE�l / OWNER/LESSER CSV a-' 2 MANAGER/AGENT /q, A -L.617Q. k NO P.O..BOX L ADDRESS ADDRESS 0-.WlE- CITY, STATE,ZIP 'L� � MAR- O( C( , ]T`Y, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 78 3► ri 5 5-S BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L P- 2. �A� 3 4 i C 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 FEM PAYABLE AT THE TIME OF ECTION APPLICANT'S SIGNATURE 2� �� DATE 2.-ZZ-13 Inspectors use only Date on initial inspection: a i a.�11/3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of 't: Dwelling Other Check# Aa� Check date: i lNotes O Code di ement Inspector 4� --�--� , �Z � �� a��; � � ��'� 1 �� . � � -��"�n� �l� �� ass � /.�,��, �� S_ � ' � (soh) �� a�� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 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#253-07 DATE ISSUED: 5/30/2007 Property Located at: 52 Buffum Street UNIT# 1R Owner/Agent: Anthony Mirabito Address: 85 Constitution Lane City/Town: Denvers, MA Zip Code: 01923 24 Hour Phone: 978-979-0804 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR S: CITY OF SALEM, MASSACHUSETTS �� , BOARD OF HEALTH 3 O7 • w 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 AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS �� (( r FOR HUMAN HABITATION". PROPERTY LOCATED AT �'� 1,]J \�A_Iat UNIT#-L IS THIS UNIT DESIGNATEDS RIG�HE/FT /FRONT AC PLEASE CIRCLE ONE nT OWNER/LESSER nljLlo�/ 1 � I�rr1�� wANAGER/AGENTI �pu �k / No P.O. Box { _I f No P.O. Box ADDRESS S,! ' N �11� 1��L.J ADDRESS CITY RESIDENCE PHONE —BUSINESS PHONE (24 HRS.) BUSINESS PHONE �32-?77`--77^a /J,�- TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 3. 4. 5. __6._7._8,__ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _DATE ��U INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S', -3 pti_� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE._ -,30-' ? DATE FEE PAID: �� U -77 TYPE OF UNIT: DWELLI OTHERCHECK #� � ( _CHECK DATE _S_ 3 ° NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 'r v�CONUI},� 6 ' � Q m CERT.# 387-01 a f = FEE $25 .00 DATE: 08/14/2001 �MIryE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street Tel: (978) 741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 52 Buffum Street UNIT #: 2 Floor Front OWNER/AGENT: Anthony Mirabito ADDRESS: P.O. Box 3031 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 887-9377 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 qJe1=O1TT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Nut CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 -745-03(978) IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: „ (978) vit "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". V*'� " Q0 . PROPERTY LOCATED AT _2 S — UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER& Y' V-rA kiO MANAGER/AGENT No P.O. Box No P.O. Box 32� ADDRESS - �� 03ADDRESS CITY CITY RESIDENCE PHONE/�23�Z aO SSBUSINESS PHONE (24 HRS.) BUSINESS PHONE D32-3-2,0 0 S-'S— TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ATE U J INSPECT RS USE ONLY DATE OF INITIAL INSPECTION , W / 6/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -bDATE FEE PAID: SS l /Y TYPE OF UNIT` DWELLINGVOTHER_ CHECK#-a U D CHECK DATE b' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 91 120 WASHINGTON STREET, 4TH FLOOR IP q. SALEM, MA 01970 g TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#40-08 DATE ISSUED: 1/28/2008 Property Located at: 55 Buffum Street UNIT#2 Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5074 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 JOA NE SCOTT, MPH, RS, CHO U HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERL.EY DRISCOLL FAX (978) 745-0343 NL1YOR Loco rr e sv.r:nl.COM NNPSCO'IT, - FI1::AL:11I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." FEE: $-7 PROPERTY LACATED AT 5 J �ifJ Y UNIT# S T IS U IT DISIG ED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX / ADDRESS_ - _/ " 3S0-!- �/� ADDRESS CITY,STATE,ZIP d-A4 ,I l f/77 t2l 7 7 r CITY,STATE,ZIP RESIDENCE PHONE 979 3/I.'� � {�BUSINESS PHONE(24HRS) BUSINESS PHONE -9;76 TOTAL_ NUMBER OF ROOMS: ROOM USE: 1. 2. 3. � j 4. 5. / 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE(9'"OLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE AL DATE/-1/7-6 pInspectors use only Date on initial inspection: — 46 — b ,W Date of reinspection: Date of issuance of certificate: / a-v — 0 Date fee paid: Type of unit: Dwelling Other Check# 1 b 3 Check date: ( — I -7 —0 ? Notes: Code Enforcement Inspector l CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH o s 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# 132-07 DATE ISSUED: 3/22/2007 Property Located at: 55 Buffum Street UNIT#3 Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5074 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, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL, 978-741-1800 FAX 978-745-0343 _ STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT & aCJ e� S f UNIT# 3 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 /3S _t ADDRES.S�y1 � CITY�S . M /! CITY /0 RESIDENCE PHONE 970 -317- 346/v BUSINESS PHONE (24 HRS.) BUSINESS PHONE �J�8_7'��' - d77 _ TOTAL NUMBER /OF.,ROOMS: ___ Q ROOM USE: 1.�� y� _2. /-,;4r 3. 4.,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. APPLICANTS SIGNATURE 4.,.v d _DATE 3^ INSPE TORS USE ONLY DATE OF INITIAL INSPECTION 3 2 e) —DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:3 -,�'2--07 DATE FEE PAID: TYPE OF UNIT: DWELLIN' _OTHER_ CHECK# J a-6 7CHECK DATE3 a Z ° 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a � o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 5129/08 Linda Mirabito 8 Nichols Lane Middleton, MA 01949 PROPERTY LOCATED AT 56 Buffum 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 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 meters)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of H iter hReply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ,r g�00NW 0 CERT.# 214-99 ST ? FEE $25.00 _ R DATE: 05/04/99 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: 56 Buffum Street UNIT #: 1P OWNER/AGENT: Linda Mirabito ADDRESS: 150 R. Dodge Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-2542 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 . S FOR THE BOARD OF HEALTH a L4,11- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �ONDIT � 7 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 FOpR HU/ ( MAN HABITATION". NE PROPERTY LOCATED AT J 0 iJu4 -1 X14 . UNIT# 11C IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ^dA Mira �• MANAGER/AGENT `, �4AI/ /u No P.O. Box /-S'b did n� No P.O. Box ADDRESS/7n SP J ADDRESS CITY Ll CITY RESIDENCE PHONE72/- YSB '395 BUSINESS PHONE (24 HRS.)n-9.27-Z i yZ BUSINESS PHONE // TOTAL NUMBEROFROOMS: /'O / ROOM USE: 1. i� �/ �. 2. /iS t -/ 3. + e / ' 4. ///2 5. Sit 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. /,A / / APPLICANTS SIGNATURE Lc/ V DATE $" / �` y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5-, 47'� -ff DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7 -!�� 'tel f DATE FEE PAID: S- ' (L4 �( TYPE OF UNIT: DWELLING �OTHER_ CHECK# 5 v2S CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 vg�cor+w�� CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 9 aap`" TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT 6/11/08 Anthony Mirabito 85 Constitution Lane Danvers, MA 01923 PROPERTY LOCATED AT 56 Buffum Street Unit 2st&3rd Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. —12:00 p.m: Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F the Board of Heal Reply to annScottPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector • ✓ �"� CERT.# 100-98 3 R FEE $25.00 DATE: 02/20/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 56 Buffum Street UNIT #: 2F OWNER/AGENT: Linda Mirabito ADDRESS: 15OR Dodge Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-2542 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR �Plnn 2.1 +e•`TR�,M.iY�.4!.^.Ti .i�.m �4"� v..T � y, ygai� Y o{.slk .�-'.�"4 tr+ rte: qY'x >n kt cs Nx°� � r r,•y,�p wrti 3g ,q � " acre �p, x r,:s, si' .Y tr v"�$ » � s .CtiR E•: q 1 �.n� 4* s- � ri'l Y ,�# t"ti" \r'�''d J Y tC . � ti.°+t" 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 LI, 105 CMR 410.000 "MINIMUM STANDARDS. OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT OWNER/LESSER L MANAGER/AGEN(T� ADDRESS /Sb /�. (n O 6(02 �� ADDRESS --QgA4 CITY �Vee CITY r (� RESIDENCE PHONE. 5 7P' /• Z 7. ' Z S�{ Z BUSINESS PHONE (24 HRS.) -Cs A L BUSINESS PHONE �1h-e TOTAL NUMBER OFjjROOMS- ROOM USE: }e 1. ,F// Uf 2. Sea( 3. 4 . `i iz_ THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CMECR.OR MONEY ORDER TO THE CITY OF SALEM•HEALTH DEP NT IS FEE I P ABLE AT THE TIME OF INSS/PICTIONNn Q APPLICANTS SIGNATURE c DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ?j�F� a DA"TE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: Z �Yd ( � DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR !h CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH a 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 5/18/06 Linda Mirabito 8 Nichols Lane Middleton, MA 01949 PROPERTY LOCATED AT 56 Buffum Street Unit 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of H alth Reply to `/(,/QIP_ Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector xn,r CITY OF SALEM, MASSACHUSETTS "� A7Q BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 J' TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ. JR. JOANNE SCOTT. MPH, P.S, CHO MAYOR HEALTH AGENT 02/08/2002 Linda Mirabito P.O. Box 3031 Beverly, MA 01915 PROPERTY LOCATED AT 56 Buffum Street UNIT # 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the =.hove 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 PuLlic Utili `ies haz 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. IOR THE BOARD HEA TH REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent ^'_enc Fn'o^n^cnaor'm T"Tcnt'^TOR ,.., ... x� fir, Y' IFF V b CERT.# .340-00 FEE $25.00 DATE: 05/30/2000 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: 56 Buffum Street UNIT #: 2L OWNER/AGENT: Linda Mirabito - ADDRESS: P.O. Box 3031 CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-2542 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. 9- 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 a V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 - i IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax:(978)740.9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 6 u.lFC�-N �Sa h2/L -UN IT# Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-j-f;CCG Mi 1`q6 ; ty MANAGER/AGENT�� No P.O. Box No P.O. Box O U o ADDRESS_ 0 G (So X, 363 / ADDRESS X CITY i�u l�✓l.a C� CITY ---rc—)Os; / l 1 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. ,. 5. 6.-T-13. 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 34 0 INSPE ORS USE ONLY DATE OF INITIAL INSPECTION 30 (9 ')DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:: 5---919 -01)ATE FEE PAID: TYPE OF UNIT: DWELLING_OTHF CHECK# I ' g o CHECK DATE 5 -3 0 -0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v��CONUIT I� � B � ��Mlryg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978) 741-1800 10/02/2000 Fax:(978) 740-9705 Peter Copelas 135 Boston Street Salem, MA 01970 PROPERTY LOCATED AT 57 Buffum 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 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 . THE BOARD O HEAL H. REPLY TO anne 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 DCREE.NBAM@,SA1X.M.coM DAVID GR GENBA u M,RS ACTING 1413AI:;PFf AGENT CERTIFICATE OF FITNESS CERTIFICATE# 136-11 DATE ISSUED: 4/29/2011 Property Located at: 57 Buffum Street UNIT#2 Owner/Agent: Peter Copelas Address: 135 Boston Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5074 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 yAU DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR f CITY OF SALEM, MASSACHUSETTS I 1 BOARD OF HEALTH I �. 120 WASHINGTON STREET,4"FLOOR 31 TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUNIOS N.F M.COM DAVID GREENBAUM,RS 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 HABI_TATION." FEE: $51l--0.00 PROPERTY LOCATED AT J 7 � C�u I IL 5 '_ UNIT# IS THIS UNIT D/I�SIGNAT/ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER A: e/ MANAGER/AGENT �e2e CU/� � f NO P.O.BOX L� /3. / / ADDRESS (/ o S .�yt t ADDRESS CITY, STATE,ZIP d {M 01970 CITY, STATE, ZIP q /� / /S� RESIDENCE PHONE BUSINESS PHONE (24HRS) !7F 7 3-T /[ BUSINESS PHONE TOTAL NUMBEROFROOMS: S ROOM USE: 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 P,,PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Lr�4 411 Date of reinspection: Date of issuance of certificate: Ll d 1 Date fee paid: Type of unit: Dwelling ✓ Other Check# 3S (f Check date: / Notes: Code Enforc 171 spector