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BURNSIDE STREET �,coxolr�,� CITY OF SALEM, MASSACHUSETTS �"�' BOARD OF HEALTH Q. 120 WASHINGTON STREET, 4TH FLOOR � ' SALEM, MA 01970 sJ TEL. 978-741-1800 FAx 978-745-0343 STANLEY USOVICZ, JR. _JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 10, 2002 Raymond Young 87 Federal Street Salem, MA. 01970 Dear Mr. Young: As property owner of 2 '/: Burnside Street/ 58 Bridge Street, Salem, it is your responsibility to have a Certificate of Fitness for each apartment in the building. Our records indicate there has been only one Certificate issued since 1996. Upon receipt of this notice please contact this office at 978-741-1800 to make appointments for inspection of these units. Failure to respond and obtain these Certificates will result in court action being sought against you in Housing Court. Included with this notice are applications and tenant release forms for the Certificate of Fitness Program. For the oard of Health: Reply to: Jeffrey Vaughan Pablo Valdez Sr. Sanitarian Code Enforcement Inspector Cc: Building Inspector CERT.# 272-96 " FEE $25.00 DATE: 05/28/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 2 1/2 Burnside Street UNIT #: 1 OWNER/AGENT: Raymond Youna ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM 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 }IEALTH �Ttl-��e� r,i r� (JL4/ v✓ r/ V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r a, CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT G. „� �1 UNIT / / OWNER/LESSER MANAGER/AGENT ADDRESS ADDRESS CITY _�q�� CITY RESIDENCE PHONE �!' fS ��. BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE _ TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. f� -L 2. 0. 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 DEP THIS / IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATUREH L . T DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: "7'-<-_ DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE t>_ 6 DATE FEE PAID: TYPE OF UNIT: DWELLING �OTHER N ' CODE ENFORCEMENT INSPECTOR i May 23 , 199E �4• ,-, _,.,_ __ �0 Board of Health "Y2 D 1996 North St . Salem, MA 01970 Attn: Pablo Valdez Dear Mr .Valdez: Re: 58 Bridge St . , Salem, Unit #1 A new ceiling vent has been installed in the bathroom of the above mentioned unit by Kevin Talbot , a licensed electrician. Could you please send my occupany permit and I thank you for you.- help ourhelp in this matter. Sincer kaond L. You g RLY:m May 14 , 1996 p MAY 11 1996 ('041 . Salem Board of Health - 9 North St . Salem, MA 01970 Attn: Mr. Valdez: Re : 2 1/2 Burnside St. , Unit #1 Dear Mr.Valdez: in regard to the above mentioned unit , 2 1/2 Burnside St . , Unit 1 , 1 . Stove has been repaired by licensed plumber; 2 . Have contacted electrician to install bathroom fan in unit; will contact you when this has been completed. Thank you for your concern in this matter. /aymond L. Young RLY:m ;, SENDER: V .Complete items)and/or 2 for additional servides. I also Wish to receive the ., •Complete items 3,4a,and 4b. following services(for an w .Print your name and address on the reverse of this form so that we can return this extra fee: card to you. ' 1 ai j -Attach this form to the front of the mailpiece,or on the back it space does not 1, ❑ Addressee's Address permit. y •WNWRetwn Receipt Requested'on the mailpiece below the:article number. 2. ❑ Restricted Delivery y « •The Return Receiptwill show to whom the article was delivered and the date it delivered. Consult postmaster for fee. .D 0 a 3.Article Addressed to: 4a.Article Number d m ¢ a Raymond Young P 3 16( r179 0 87 Federal Street018 4b.Service Type u P > Registered ertifled M Salem, MA 01970 � � � m w ���i�n� Express Mail ❑ Insured c LU b m c Q `, ❑ Return Receipt for Merchandise ❑ COD o 7.pate of Delivery w Z (22 Burnside St. , Apt NI o' T m 5.Received By: (Print Name) Ute' 8.Addressee's Address(Only if requested w and fee is paid) t ¢ t— n 6.Signature!A dresse9 or Agent) x PS Form 3811,beceirber 1994 Domestic Return Receipt -Cla I UNITED STATES POSTAL SERVICE Postage& Mail Postage&Fees Paid 00 USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • ti I MAY 141996 ESalem Health Department' 9 North St. Salern, Mass. 01970 I I I I I { P 316 592 179 us Postel sgrvice Receipt for Certified Mail No Insurance Coverage Provided Do not use for Intemational Mail See reverse Sent to Street&Number Post Olfioe,Slate,&LP Code Postage $ Certified Fee Special De6rery Fee Restricted Delivery Fee N Return Receipt Showing to Whom b Date Delivered •� Retum Reoe4l SImirgmWhom. Dam,6 Addressees Addms CDTOTAL Postage 8 Fees s M Postmark or Date 0 U) Stick postage stamps to article to cover First-Class postage,certified mall fee,and chargee for any selected optional services(See front). 1. If you wem this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the anile at a post office service m window or hand it to your rural center(no extra Marge). m 2. If you do not wars This receipt postmarked,slide the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mal the article. N 3. 8 you want a return receipt,write the certified mal number and your name and address on a return reoeipt card,Form 3811,and attach it to the from of the article by means of the gummed ends ff space pannhs. Otherwise,affix to back of article. Endorse from of amide '$ RETURN RECEIPT REQUESTED adacem to the number. 4. If,you'wam delivery restricted to the addressee, or to an authorized agent of the addressee,ecdorse RESTRICTED DELIVERY on the from of the article. ' PJ 5. Enter fees for the services requested in the appropriate spaces on the from of this receipt. N return receipt is requested,check the applicable blocks in hem 1 of Form 3811. ti 6. Save this receipt and present it 0 you make an inquiry. a • 4 h 3 - 1� SIF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT May 8, 1996 Tel:(508)741-1800 Fax:(508)740-9705 Raymond Young 87 Federal Street Salem, MA 01970 Dear Mr. Young: In accordace with Chapter III, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, an inspection was conducted of your property at 2 112 Burnside Street Apt. 1 conducted by Pablo Valdez, Code Enforcement Inspector of the Salem Health Department, on May 7, 1996. An inspection of the dwelling unit at the above address has revealed that it does not comply with the Massachusetts State Sanitary Code Chapter II: Minimum Standards of Fitness for Human Habitation. Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the Salem Health Department and the unit may not be rented or occupied until the noted violations have been corrected and a reinspection has been made. VIOLATIONS: SEE ENCLOSURE: ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Please note that some of the necessary repairs may require permits from the Building, Plumbing, Electrical, Fire or other City Departments. These must be obtained before the work is commenced. FOR THE BOARD OF HEALTH REPLY TO JOANNE SCOTT PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERTIFIED MAIL P S16 592 179 Este es un docurnento legal importante. Puede que afecte sus derechos. Enclosure 10, CITY OF SALEM HEALTH DEPARTMENT ` 1 <' Nine North Street Salem,Massachusetts 01970 Enclosure Raymond Young 2 1/2 Burnside Street Apt. #1 / Bathroom - No Winduw /y3 The owner shall provide for each habitable rgc#h cont ning a toilet bathtub or shower ventilation to the outdoor consisting of window, skylight/t atur and mechanical ventilation. Kitchen stove has a leak- Provide a stove an ven in good working order, either repair of replace the stove in the apartment. • RV, I'MR met •, SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 a / 1 't 0 Lu w e t/ t e, G VL c. h4hi I46 /.e goy Co vu 9 A tc) Ie r 13 p-3-h - u a v e f ov -�i I'I 'f/ o w o h � , S L) /1 kc O U-1 / .o DL) x CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT May 8, 1996 Tel:(508)741-1800 Fax:(508)740-9705 Raymond Young 87 Federal Street Salem, MA 01970 Dear Mr. Young: In accordace with Chapter III, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation, an inspection was conducted of your property at 2 112 Burnside Street Apt. 1 conducted by Pablo Valdez, Code Enforcement Inspector of the Salem Health Department, on May 7, 1996. An inspection of the dwelling unit at the above address has revealed that it does not comply with the Massachusetts Slate Sanitary Code Chapter If: Minimum Standards of Fitness for Human Habitation. Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the Salem Health Department and the unit may not be rented or occupied until the noted violations have been corrected and a reinspection has been made. VIOLATIONS: SEE ENCLOSURE: ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Please note that some of the necessary repairs may require permits from the Building, Plumbing, Electrical, Fire or other City Departments. These must be obtained before the work is commenced. FOR THE BOARD OF HEALTH REPLY TO JOANNE SCOTT PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERTIFIED MAIL P 316 592179 Este es un documento legal importante. Puede que afecte sus derechos. Enclosure CITY OF SALEM HEALTH DEPARTMENT 1 . Nine North Street Salem,Massachusetts 01970 Enclosure Raymond Young 2 1/2 Burnside Street Apt. #1 Bathroom - No Window The owner shall provide for each habitable room containing a toilet bathtub or shower ventilation to the outdoor consisting of window, skylight, natural and mechanical ventilation. Kitchen stove has a leak- Provide a stove and oven in good working order, either repair of replace the stove in the apartment. CITY OF SALEM, MASSACHUSETTS ojr BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#441-04 DATE ISSUED: 09/28/2004 Property Located at: 2 1/2 Burnside Street UNIT# 1 F Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1572 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 'S JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR j �.IT�'��dP,S1lCEM1'�iIASSACIItUSE-[P'S AL'Flft i• - - It 20,WASHINGTON$TtiREEF•4Tr1 FLo_ OR y + s0197�0 TEL. 978-741-1800 / / ( =� FAx 978-745-0343 W 777 STANLEY USOVICT, JR. -JOANNE SCOTT, MPH, RS', CHO ' MAYOR HEALTH AGENT ' � Y APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 i "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 21 Burnside St. Salem, MA UNIT #1F IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSER Raymond Young MANAGER/AGENT_ _ No P.O. Box No P_O.Box ADDRESSi 87 Federal St. ADDRESS CITY_ a1 m. MA-_01970 CITY i RESIDENCE PHONE 918-745-1512._BUSINESS PHONE (24 HRS.)-978-745-1572 BUSINESS PHONE _ TOTAL NUMBER OF ROOMS:----4— ROOM USE: 1._QT--2_. yg 3."_gg__ ._4. BRz 5. 6. 7. 8. THERE IS A TWENTY-FIVE {825.00 DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE H DEPARTMENT THIS FEE IS PAYARLE AT THE TIME OF INSPECTION. APPLICANTS SIGNAI URE _ -D TE 9/28/94 _ INSPECT ORS USE LY DATE OF INITIAL INSPECTION_ ! _'Oc DATE OF REINSPFCTIONN__ __ DATE OF ISSUANCE OF CERTIFICATEDATE FEE PAID ! �T TYPE OF UNIT DWELUNY OTHER D-41-CK !I CHECK DATE NolFs. LOkZ CODE ENFORCEMENT INSPECTOR 9128!98 _ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR ��. SALEM, MA 01970 q TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#76-05 DATE ISSUED: 2/1/05 Property Located at: 2 1/2 Burnside Street UNIT# 1 L Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-1572 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, 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, CHO , / HEALTH AGENT CODE ENFORCEMENT INSPEC R 1 _ CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 / /D TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 21 Burnside St. UNIT! dist Flr. Left IS THIS UNIT DESIGNATED AS aRl_GHTQEED FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Raymond L. Young MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 87 Federal St. ADDRESS CITY Salem, MA CITY_.. _ RESIDENCE PHONE 978-745-1572 BUSINESS PHONE (24 HRS.) Same BUSINESS PHONE 978-745-1572 TOTAL NUMBER OF ROOMS: 3 Plus Bath ROOM USE: 1._T.R 2. ng 3--KIT 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY . ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU _DATE119nin�_ INSP TOR UTONL DATE OF INITIAL INSPECTION �- IV � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE&,�)-, DATE FEE PAID:_,_ TYPE OF UNIT: DWELLIN OTHERCHECK riDg CHECK DATE _ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 -- STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts P.r-gulations 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 tile- aforementioned l:eaforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence , !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge. the City of Salem, Salem Board of Health and its authorized splcnts front any loss or injury sustained of whatever nature and description occasioned b7 my/our absence during said inspection. Raymond L. Young TT_. A.NT/LESSEE — - OWNER/iFSSOR -- -------------- 87 Federal St. , Salem, MA Ai)D!:ESS --- – F.DDRESS 212 Burnside St. , Salem, MA 1st Flr. Left P.DIMESS OF UNIT TO BE INSPECTED 1/20/05 „n u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR J SALEM, MA 01970 CERT.# 406-02 TEL. 978-741-1800 FEE $25.00 FAx 978-745-0343 DATE: 08/05/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 2 1/2 Burnside Street UNIT #: Middle OWNER/AGENT: Raymond Young ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. F R THE BOARD OF HEALTH (! JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR o �- CITY OF SALEM, MASSACHUSETTS 46 6 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". c� PROPERTY LOCATED AT-2� (/i2�{i�' l �'1 UNIT#1 IS THIS UNIT DESIGNATED /ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER (/" MANAGER/AGENT ' No P.O. Box No P.O. Box ADDRESS t ADDRESS CITY � � CITY RESIDENCE PHONE19'4 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUTABER OF ROOMS:_ 9 ROOM USE: 1. Kd 2. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAl TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE ®2 I SP TZ USE ONLY DATE OF INITIAL INSPECTION 9 — S z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - U _"' DATE FEE PAID: 3 -J —0 TYPE OF UNIT: DWELLING vOTHER_ CHECK# 3 ( 0 CHECK DAT -5 -D 7- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 97 8-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/23/2002 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 2 1/2 Burnside Street UNIT # Middle Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant . The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD qg HE44TH REPLY TO loanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR . 0 CITY OF SALEM, MASSACHUSETTS 3� 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 05/01/2002 Raymond Young 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 2 1/2 Burnside Street UNIT # 2 Rear 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 HEALTH REPLY TO JR anne Scot't, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 6o CITY OF SALEM9 MASSACHUSETTS �- BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �fP SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#43-04 DATE ISSUED: 02/11/2004 Property Located at: 8 Burnside Street UNIT#: 1 Owner/Agent: Michael F. Brown Address: 10 Burnside Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 774-4808 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. F R THE BOARD/�H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - �CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i~ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOUR,,HUMAN HABITATION". PROPERTY LOCATED AT �L) t�1.S(�D� UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER NIc qw OW I�MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS__jC I?QAW(PZ SL ADDRESS_ CITY S&LZ l CITY RESIDENCE PHONE 7YCIEbl— LC. OC - BUSINESS PHONE (24 HRS.) C �2c�0 BUSINESS PHONE NdOU_,C1- TOTAL NUMBER OF ROOMS: `t ROOM USE: 1. KttCIi�' 2. �l M_ RR 4.�Z 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. ��JJ APPLICANTS SIGNATURE 711 P-4eAfL DATE �t INSPECTORS USE ONLY 1 DATE OF INITIAL INSPECTION 1 1 a `f DATE OF REINSPECTION_. DATE OF ISSUANCE OF CERTIFICATE:,2 -1 1 U � DATE FEE PAID: '7- — 1 1 -o `/ TYPE OF UNIT: DWELLING ..OTHER— CHECK# CHECK DATE 2- NOTES:—.._.. CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH $j 120 WASHINGTON STREET, 4TH FLOOR f SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/9/05 Michael 8 Linda Brown 8-10 Burnside Street Salem, MA 01970 PROPERTY LOCATED AT 8 Burnside 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 Healtthh� Reply to C??- J Anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 14, 2003 Mike Brown 10 Burnside Street Salem, MA 01970 PROPERTY LOCATED AT 8 Burnside Street Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. or the Board of He Ith Reply to (Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector City of Salem, Massachusetts r_ Board of Health 120 Washington Street, 4th Floor, Salem, PtablicHealth y p o MA 01970 Present Promote, Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-274 DATE ISSUED: 8/30/2017 Property Located at: 9 BURNSIDE STREET UNIT#1 Owner/Agent: Tom Gagnon Address: P.O. Box 8860 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)7444149 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. �S &fre Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN A CITY OF SALEM, MASSACHUSETTS BOARD OF HEALLji 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 ICMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LARRYRANIMN,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" A,0 S± $50.00 V� PROPERTY LOCATED AT 1 (3o (y� o IX,0 S± UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER O YI &0q l O✓t MANAGER/ANT NO P.O.BOX PO. - dX ADDRESS_& QI t � R p ADDRESS CITY, STATE,ZIP 5Q(Q M. 11b CITY, STATE,ZIP RESIDENCE PHONE Sts USINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ nn ROOM USE: 1. • 2. L R 3. 6,0& 4. 13P-4 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS I-FffiT THE TIME OF INSPECTION p APPLICANT'S SIGNATURE/ G DATE f Inspectors use only Date on initial inspection: Date Date of reinspection: Date of issuance of certificate: Date fee paid:WZZO Type of unit: Dwellin Other ''// Check#g21 Check date: �2����� IZ Notes: gg i - ; .16v K 4c5,1(1111— nof n ,, f e, eG or hap�A �nr �ecCoe- d n rcemen[ pector ' CITY OF SALEM, MASSACHUSETTS �0 T r �vQd BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 97 a SALEM, MA 01970 CERT.# 410-02 FEE $25 .00 sgggM'� TEL. 978-741-1800 DATE: 08/06/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 9 Burnside Street UNIT #: 1 Left OWNER/AGENT: Chase Realty Trust ADDRESS: P.O. Box 8860 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 509-7292 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. qFOR T.HE BOARD OF HEALTH / zll- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 .. 4 F w�.«_..-..p. . M�r,f++.�1°«"",w ':.. i...' <. .a _ •,x,�,...s, .,i Y*5�-":"�„'�'�s'� '-+ e.,. a�p,4 ' �` \..11 i Vt' JHLGIvI, IVIHSSHv..n uSG i S �CON01 BOARD OF HEALTH n ' 120 WASHINGTON STREET, 4TH FLOOR ' O� SALEM, MA 01970 /�,r//Q i �s 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-tY 6 L)2h) " 511p S UNIT#- IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT BACK PLEASE CIRCLE ONE ! OWNER/LESSER G L MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS ADDRESS CITY S L��� CITY M 7 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE �� `'�d 1-7 TOTAL NUMBER OF ROOMS: 2 ` ROOM USE 1 2 3 4: J THERE IS A,TWENTY-FIVE($25.00) DOLLAR`FEE, PAYABLE BY"CHECK OR MONEY ORDER,TO.THE CITY OF'SALEM HEALTH DEP TMEN THIS FEE IS',PAYABLE AT THE l TIMEOFaINSPECTION.,,.- F ' ` `I APPLICANTS SIGNATOR < DATE g INSPECTORS USE ONLY. " DATE OF INITIAL INSPECTION 6''� t' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEk-G -0-1DATE FEE PAID: R- TYPE OF UNIT: DWELLING OTHER EH€i<�IZ# /_'! o;740'6CHECK DATE-9 NOTES: i CODE ENFORCEMENT INSPECTOR ' 9/28/98 I � If a i b.LY I( WA ..1..a1 r a Y City of Salem, Massachusetts tj*�,U#" Board of Health 120 Washington Street, 4th Floor, Salem, Pul>SiCH@81th MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CH Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-483 DATE ISSUED: 12/8/2016 Property Located at: 9 BURNSIDE STREET UNIT#2 Owner/Agent: Tom Gagnon Address: P.O. Box 8660 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7444149 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. P—-2r� --�-;/,j P I I ) d(� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN e CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4111 FLOOR TFL (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN a@SALPM.COM . LARRY RAMDIN,RS/RF.HS,CHO,CP-FS HEALTH AGFNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 �J PROPERTY LOCATED AT �� aV&/I//:I P�52� UNTrlt IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER C ,ff&C� lai�� MANAGER/AGENT NO P.O.BOX ADDRESSX�� ref✓1 VYI ADDRESS CITY, STATE,ZIP CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: T ROOM USE: 1. I1 I I 2. (, 1 �� 3. 66'b 4. . 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION (/ APPLICANT'S SIGNATURE79 �/1�-- DATE ) �y(/ Inspectors use only Date on initial inspection: h.- (�19l)LQ Date of reinspection: �r / Date of issuance of certificate-pt—L I a Date fee paid: Type of unit: Dwelling Other Check#':J�?�FZCheck date: VCG Notes: Codenforcem nt Inspector e • CITY OF SALEM, MASSACHUSETTS IV BOARD OF ILALTH 120 WASHINGTON STRLET 4"'FI,oOR plltllicHC8lt , Frevcm.I'ram"t".I'mircl. TLL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdinna,salem.com LARRY RAbIDIN,RS/R} h[S,C[-LO,CV-FS MAYOR HLAI;n i A(;FN'r' CERTIFICATE OF FITNESS CERTIFICATE#194-14 DATE ISSUED:6/4/2014 Property Located at: 9 Burnside Street UNIT#3 Owner/Agent: Tom Gagnon Address: P.O. Box 8860 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-509-7292 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFHEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN ® CITY OF SALEM, MASSACHUSETTS 190 BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PablicHealth > prawn,Promote.protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY RANIDIN,RS/R@HS,C1 10,(:P-1'•S HL'AI;I'H AGENT' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" Q FE/E:: $50.00 PROPERTY LOCATED AT ( �l �/C S I UNIT# IS THIS UNIT DIISSIIGNATED AS RIGHT LENT FRONT OR BAM PLEASE CIRCLE ONE ) OWNER/LE �H0) N S ►C C��G—/V(6K MANAGER/AGENT O'M �rI�IG—/Voll NO P.O.BOX �y X ADDRESS L 766 SA(-cm , M l4 dMOADDRESS CITY, STATE,ZIP J , CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE�� TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. ��( l 2. ( 1/ 3. 13(% 4. 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ��ii �/ DATE 0/ Inspectors use only Date on initial inspection:_(�r�4— Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwell= ��� Other Check#Check date: Notes: )l. �2 Y�I1�.l 11,Ls � lQMgAA S�aI(T Code nfo •ement Inspector vg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 02/21/2001 .Scott Galber 9 Belleair Drive Swampscott, MA 01907 PROPERTY LOCATED AT 10 Burnside 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. i 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 isnot used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. _ OR THE BOARD .. HEALTH REPLY TO Joanne Sc t, MPH,RS,CH0 PABLO VALDEZ Health Agent CODE .ENFORCEMENT INSPECTOR r CERT.# 650-99 FEE $25.00 DATE: 10/28/99 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: 10 Burnside Street UNIT #: 1 OWNER/AGENT: Scott Galber ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 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 i MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . { NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH ,J VJOANNE SCOTT, MPH,RS,CHO vv HEALTH AGENT CODE ENFORCEMENT INSPECTOR i w � 3 ra CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /D l Uh/�5�}9 f Sl UNIT#1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER d '� MANAGER/AGENT No P.O. Box S[,Df No P.O. Box ADDRESS ,D ki/f ADDRESS )c CITY �5� �r // CITYZ� / RESIDENCE PHONE N k 6% BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. D 3. 410 4. 40 5. 6. 7. 8. THERE IS A TWENTY-FIVE($2 .00) DOLL R F E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF AL M HEALT DE ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. Z� APPLICANTS SIGNATOR DATE/�_ � INSPE ORS USE ONLY DATE OF INITIAL INSPECTION/o - XX '4 S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/"0 -),F-f 5 DATE FEE PAID:/�gv Y TYPE OF UNIT: DWELLING 1�_OTHER_ CHECK#4�o Q _CHECK DATEQ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 A v6��ONDIT � CERT.# 255-01 1 FEE $25.00 s9@. .�..,. DATE: 05/18/2001 �/MMg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Tel: (978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Burnside Street UNIT #: 2 OWNER/AGENT: Scott Galber ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR G �w' 01 �C7�Ng 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 Tet (978)747-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". U12rfS71�� 5 t_.. PROPERTY LOCATED AT�Q /.� --UNIT# 2, IS THIS UNIT DESIGNATED A/S'+RIGH Tp} LE FRO BACK PLEASE CIRCLE ONE OWNER/LESSER�5C _17GL —MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_j- �( L K._DfiLVE ADDRESS CITY 61 'SCO �f �0 CITY, RESIDENCE PHONIf' �E s L(4b ZZ—BUSINESS PHONE (24 HRS.} BUSINESS PHONE P/ TOTAL NUMBER OF ROOMS:A ROOM USE: 1. t � _2. 3. 4. kIv'— 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.0 } OLLAR FE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEP M T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 7�y APPLICANTS SIGNATURE __DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS 'r �' , (—) /—DATE OF REINSPECTION ._ DATE OF ISSUANCE OF CERTIFICATE-5�-/ Y - a 1 DATE FEE PAID:,:1 ' d l TYPE OF UNIT: DWELLING (/OTHER_ CHECK#_ Q_i�_ ,�-CHECK DATE � 1 NOTES:._-. _—.. CODE ENFORCEMENT INSPECTOR 9/28/98 �XOW � � a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax: (978)740-9705 03/16/2001 Scott Galber 9 Belleair Drive Swampscott, MA 01907 PROPERTY LOCATED AT 10 Burnside Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative. Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD HEALTH REPLY TO Joanne Sco t, 6MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR " CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX (978) 745-0343 MAYOR Iramdin o salem.com LARRY RAMDIN,RS/IWI-IS,CI 10,(:RFS HF.ALTIi A(i ENT CERTIFICATE OF FITNESS CERTIFICATE#157-11 DATE ISSUED: 5/13/2011 Property Located at: 15 Burnside Street UNIT#3 Owner/Agent: Carol Augulewcz Address: 27 Nelson Avenue City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 BOARDOFHEALTH LARRY RKIVIDIW HEALTH AGENT CODE AFORCEMENTINSPECTOR CITY OF S LEN't, MASSACHUSETTS lz BO ARDoi III \u iI ` jj�) (978)x7741-1800 " La.�xiit K1%413l�RI.l_,Y DRISC01.L F y-x ()78) 745-0,43 MAYOR Ct)_m � 1�,1['IDC�RLI:;ti13,1U1i,R5 ACTING Hc:v.:Ix AGH\1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT STz2 r-r7` UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERJLESSER C7"VL MANAGER/AGENT NO P.O. BOX �7 NE(-So�/ ff ✓� ADDRESS ADDRESS CITY, STATE,ZIP B re y CI`1"Y, STATE, ZIP M14 RESIDENCE PHONE f3� BUSINESS PHONE(24FIRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: LY4kh#N 2.)6tJ1a#rt 3. OFMcf 4.4 f✓/✓c 4#ry 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 Inspectors use only Date on initial inspection:__ l Date of reinspection:�� Date of issuance of certificate: 13 11 _ Date fee paid:_ Type of unit: Dwelling I Other Check #j __Check date:___�D P1 _ Notes:__ Co Enfo cement Inspector