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CABOT STREET CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 10/18/05 Judith & Edward J Burge Jr. 3 Cabot Street#21 Saelm, MA 01970 PROPERTY LOCATED AT 1 Cabot 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. F the Board of Healt Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector n CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 04/12/2001 Bruce Lothrop 12R Perkins Place Peabody, MA 01960 PROPERTY LOCATED AT 3 Cabot Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article %III of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures. and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 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. i A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for ,residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FOR THE BOARD F HE LTH 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, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR W WW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#656-05 DATE ISSUED: 10/28/05 Property.Located at: 1-3 Cabot Street UNIT# 1 Owner/Agent: Judith & Edward J Burge Jr. Address: 1-3 Cabot Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 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 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 1 -3 CA,&f St- UNIT# j IS THIS UNIT DESIGNATED(AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER V-,) dj 3/[I( MANAGER/AGENT No P.O. Box I allo P.O. Box ADDRESS 1-2IwC�_,of 5� _W 2 ADDRESS CITY JA,I, n CITY ITT RESIDENCE PHONElj9-3V5- 31?3 BUSINESS PHONE (24 HRS.) BUSINESSPHONE 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. I APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/ 99 -Z� -P" DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 0-Y109 od� DATE FEE PAID:_--�-?- &C TYPE OF UNIT: DWELLINGOTHERCHECK# )7& 7 CHECK DATE 40"ted NOTES: / CODE ENFORCEMENT INSPECTOR 9/28/98 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a' • • 120 WASHINGTON STREET, 4TH FLOOR 9 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City Of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/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. SfIA S OWNER VSSOR -- l� / Ilco 6 ADDRESS ADDRESS gl" ADI?RLSS �F UNIT 1'0 3E INSPECTED Qa_a 005 u;Te- r ' UWE CERT.# 37-99 & H 3 FEE $25.00 DATE: 01/27/99 �/M1ryg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fav (978)740-9705 CERTIFICATE OF FITNESS l PROPERTY LOCATED AT: 4 Cabot Street UNIT #: lat Floor OWNER/AGENT: John E. Kieran ADDRESS: 6 Crestwood Lane CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-6778 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 G YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��CONUIT� � n 5ev � �03a /J r. y� 9 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT E/ CQA0_T ST _ Sgleft UNIT it SF?76oR IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER T,0 h F k!'21�611 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 6 Craty"I Qat Lc/9� ADDRESS CITY e"&4 l CITY RESIDENCE PHON� ��'17 , :�BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE C�¢– � —DATE_ /m INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / - 2 7. 9i—DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 7 7 /DATE FEE PW TYPE OFrUUNIT: DWELL INGk_OTHER__ CHECK #�►7 CHECK DATE _J'�' ff NOTES: i;^ � S ��e i �a�wa�o�wl C •� / IX, r". P .. CODE ENFORCEMENT INSPECTOR 9/28/98 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 06/09/98 Fax:(978)740-9705 John Kieran 6 Crestwood Lane Peabody, MA 01960 PROPERTY LOCATED AT 4 Cabot 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, OR THE BOARD�H REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.O 7Q1_gq i a � FEE: „$ 25.00 .. DATE: 10/5/9 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT UNIT / 4 Cabot Street 1 - First Floor OWNER/AGENT John E.' Kieran ADDRESS 6 Crestwood Lane CITY/TOWN Peabody, MA ZIP CODE 01960 24 HOUR PHONE 531-6778 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 pOF HEALTH ROBERT E. BLENKHORN, C.H.O. (/ HEALTH AGENT CODE ENFORCEMENT INSP'VTOR OFFICE USE ONLY 4 CERT. 1 a ? 1,olV�C.E �"P DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 -RO8ERT-E.$EENKHORtt - - - 9 NORTH STREET HEALTH AGENT - 508-741-1800 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 C AB6% 60D?� UNIT / / OWNER/LESSERTp ��f � `E/��% MANAGER/AGENT ADDRESSLANE ADDRESS CITY torz-A ew Y{ CITY RESIDENCE PHONE� L,0/­6 J7)F' BUSINESS PHONE (24 HRS.) BUSINESS PHONE 4�jk TOTAL NUMBER OF ROOMS: J of O ROOM USE: I .LiUr U6 2. D1 N Di` , k TGfi6i✓ 4• L3OQa�y S.d3£D/100� 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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURES cPi/ DATE Q, INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:;/#- Jj C 3 DATE .OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 16 1_,1 3 TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR c CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR JDIONNF.@SALEM.COM JAMT DIONNL ACTING HF.ALrL i AGENT CERTIFICATE OF FITNESS CERTIFICATE#514-08 DATE ISSUED: 10/14/2008 Property Located at: 4 Cabot Street UNIT#2 Owner/Agent: John E. Kieran Address: 6 Cabot Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR E B A O HEALTI-I 1 i JA ET TONNE ACTING HEALTH AGENT CODE ENO CEM NT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,e'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 7nz0NN•j?a 5ffl EM.COM JANET'DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT�lZk d l t�^ ,57— .2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER :TOGrh E I�r �{YJ!/! —MANAGER/AGENT �/ ADDRESS `a �' I o7— S7 ADDRESS my,STATE,ZIT' .So 1egw H14 0 l��o:J CITY, STATE,ZIT' RESIDENCE PHONE l 220 2YY—a-U2 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ _ / ROOM USE: 1. I_(`LL 2. P� 3. ��� 4. .132x✓ 5.geL 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS Y LE T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE f -?d Inspectors use only Date on initial inspection: 10`1`1`o k Date of reinspection: Date of issuance of certificate: i 6-1`i- 3K Date fee paid: 10. 1 y o$ Type of unit: Dwclling � Other Check# 31e! Check date: k)-!H•ak Notes: Code Enforcement Inspector .�ONUIT CERT.# 735-00 FEE $25.00 DATE: 11/16/2000 'pd�jMll� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, AS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OFFITNESS PROPERTY LOCATED AT: 5 Cabot Street UNIT #: 1 OWNER/AGENT: Raymond Vaillancourt ADDRESS: 14 Fairfield Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-8599 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. �O"R THE BOARD O HEALTH / 9 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 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 5 "(' a S %" UNIT 41- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSER R,R-�' �, - )%I COU R"'� MANAGER/AGENT No P.O. Bax No P.O.Box ADDRESS VA AP;0, S , ADDRESS CITY s 'M __—CITY—_ RESIDENCE PHONE`k`k� - Mt0,� BUSINESS PHONE (24 HRS.)—,— BUSINESS RS.) _BUSINESS PHONE TOTAL NUMBER OF ROOMS: A ROOM USE: 1. 8 2. %k 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 DATE6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -/!Ie� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE . — M- DATE FEE PAID: TYPE Of UNIT: DWELLINOTHER^ CHECK# CHECK DATE 4 a NOTES:_ _. CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET. 4TH FLOOR CERT.# 492-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: FAX 978-745-0343 10/2/03 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 6 CABOT STREET UNIT #: 1 OWNER/AGENT: JOHN E. KIERAN ADDRESS: 6 CRESTWOOD LANE CITY/TOWN: PEABODY ZIP CODE: 01960 24 HOUR PHONE: 978-745-0332 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR / D5 Y CITY OF SALEM, MASSACHUSETTS 4q 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 FOR HUMAN HABITATION". PROPERTY LOCATED AT � alfa 1 S'r 1=S! 6G- UNIT#: IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE5 ,7_0 nh—, �' MANAGER/AGENT . No P,O.Box No P.O.Box ADDRESS r ADDRESS CITY %�u, tbdgT CITY RESIDENCE PHONOW�g/ Z —BUSINESS PHONE(24 HRS.) BUSINESS PHONE '72f TOTAL NUMBER OF ROOMS:__ ROOM USE: 1.L 1'✓ 2. /L3. ^u/r 4. i 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. l% r APPLICANTS SIGNATURE _DATES 0 r INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f 3 U 'U 3 .DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:, �- 3 6 -6,3 DATE FEE PAID:?! TYPE OF UNIT: DWELLIN G� /OTHER„ CHECK #,2CHECK DATE NOTES: [laS CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH gj 120 WASHINGTON STREET, 4TH FLOOR . c 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# 118-05 DATE ISSUED: 2/18/05 Property Located at: 7 Cabot Street UNIT#2 Owner/Agent: Raymond Vaillancourt Address: 14 Fairfield Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-8599 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. /! FOR THE BOARD OF HEALTH j /r JOA/NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I& '� BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR , A� SALEM, MA 01970 VV TEL. 976-74 1-1800 , Q'bT� FAX 976-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT '1 camt UNIT If IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERtLESSER 4%4'lk4-1—-4"U lAt MANAGER/AGENT �No P.O. Box {p� No P.O. Box ADDRESS ADDRESS-_ CITY s4krm CITY —_ RESIDENCE PHONE`'j�lt`l'A'A- $'fk9 BUSINESS PHONE (24 HRS.)- BUSINESS PHONE 3G W— TOTAL NUMBER OF ROOMS: '-\ ROOM USE: 1..,1 2.�k�3. V-t 4.L- 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 (_ � _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 1 -) 7 °=DATE FEE PAID. 2 7 -0 TYPE OF UNIT: DWELLIN4)fOTHER___ CHECK #_ .[_[1...__�CHECK DATE 1- ) 7 t v NOTES:—_ -- /(—\ --- - .. - --- —-- ------ - CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 ICNMERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1)GRI?I3NIIAUNI@SAI,I",M.00M DAVID GREL+'N B,\.0 M,RS ACTING HILAI:I'I1 AGENT' CERTIFICATE OF FITNESS CERTIFICATE# 123-11 DATE ISSUED: 4/21/2011 Property Located at: 10 Cabot Street UNIT# 1 Owner/Agent: Robert Barnard Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 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 W' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARP,40F HEALTH /1 V (� DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a 3 BOARD OF HEALTH 120WAl-IING'I'ON S'I7tEE"I',4°1 FLOOR •TEL. (978) 741-1800 IQMBERLEY DRISCOLL F,�x(978) 745-0343 MAYOR i)Gai�t.Nlsnux(@SAI.[:r.I.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 HABITATION." FEE: $50.00 PROPERTY LOCATED AT bO T+ c vl i' I- Sa,1'UAA M 4 O 141 7 V UNIT# O h 'e IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER )'Jtr--�- MANAGER/AGENT NO P.O. BO ADDRESS-O )SOY S a- ADDRESS CITY, STATE,ZIP S GLI Qiv✓l r 1 Q> C1--10 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 1 S " a11 II� S -IS TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1.b ed vv)-v— 2;ect nnm=- 3. 1;4tjj j=4.K 4}i�- 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 \t APPLICANT'S SIGNATURE r —A U �,.� DATE I/ Inspectors use only Date on initial inspection: d Date of reinspection: Date of issuance of certificate: 1 I Date fee paid: qIA11,11 Type of unit: Dwelling ✓ Other Check#_Check date: Notes: "J Urn Co Enfor went Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR ENBAUM&ALldM.COM DAVID GREENBAUM,RS ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Z11452 &�- T e Owner/Lessor 1 In oabol� 02 0 a ►c S� StLAO � �i o ti 7v. Address I^� I Address 10 0 Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR PablicHealth ' Prevent.Promote.Protan. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL liamdi.n@salem.com LARRY RAMDIN,RS/REF1S,CHO,CP-F.S MAYOR HF AI.rFl AGENT CERTIFICATE OF FITNESS CERTIFICATE#346-13 DATE ISSUED: 9/24/2013 Property Located at: 10 Cabot Street UNIT#2 Owner/Agent: Robert Barnard Address: P.O. Box 52 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-223-5756 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN 4 � / 3 �J ,z, ,•� l T1 \t. � v� tai :', i .-•:� A t7 t- .`reit 7v s:if...RTY} l_i. ., i JK -t) s $) li:'4 R Application for Certificate of Fitness C11 3I 2jgd-I 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 10 C( �,3 QL* 0')f UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNERILESSER t 1 h t, 6 Ct.0 n ua k MANAGER/AGENT NO P.O.BOX ADDRESS n . 6r)/ � - ADDRESS CITY,STATE,ZIP S e1 1 Cl-� 0 CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE--9-11Z ' S� S L TOTAL NUMBER OF ROOMS: ROOM USE: 1,6A ww--A� 2-4d ruv-o. 3. I i'U h k"&-4.�i 41A5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION q APPLICANT'S SIGNATURE DATE / Inspectors use only Date on initial inspection: 9 Date of reinspection: Date of issuance of certificate: S Z Date fee paid: (;')'f' t-5 Type of unit: Dwelling 1/ Other Check#- 12)C /�C Check date: 'T Notes: Q.t$a m- Spill Cn�Xv��" f J %:4-. Code Enforcement Inspector } CITY OF SA:LF,M, MASSACHUSETTS TS x` Bo..;\2D OF FIE;U:.:PFI 120 WASHINGTON S`I`pr iE r,4'n I'i.om T"ia_ 0178) 741-1800 i7,IvIT313RLE:Y Y>K,ISCt>Li. F',\x(�78) 745-0343 MAYOR lzamdinfa}satein.com LARRY RA MIA N,tzsltttti�s,c;i u�,ra>as Iii:;\i;ru AcisNr Facsimile Transmittal To: a ,X Fax # — RE: z Q Date Page(s): including this cover# Message: Board of Health News ---—------------ 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 NOUN TRANSMISSION VERIFICATION REPORT TIME 10/01/2013 03:02 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 10/01 03:02 FAX NO. /NAME 919785313809 PAGE(S) DURATION 00: 00: 37 RESULT OK MODE STANDARD ECM s CONDIT +� CERT.# 415-99 FEE $25.00 DATE: 08/05/99 c�PmVg CA 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: 21 Cabot Street UNIT #: 1 OWNER/AGENT: Thomas Cudmore ADDRESS: 21 Cabot Street, 2nd floor CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8390 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 c JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CQNLV n 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 Tei: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMANHUMAN HABITATION". PROPERTY LOCATED AT �j Co,60 Y S{ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 7&AYk& l SjAm(,rC MANAGER/AGENT nw« No P.O. Box1 No P.O. Box ADDRESS 21 CG lyn+ S;-- Z,1 IPADDRESS CITY CITY RESIDENCE PHONE _7 4 S - Ci U BUSINESS PHONE (24 HRS.) BUSINESS PHONE if TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. 2.-3.-4. 5. 1--- 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 n� �_ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 5 ^ ,i I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ',) "Ir� DATE FEE PAID: 0 - "(7 5 TYPE OF UNIT: DWELLINGtOTHER_ CHECK# 3 a 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 Ae8 03 183 02:36 PH BALEN HEALTH +5087408705 Page 2 Y n CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT.MPH,AS,GHQ NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)'740-9705 RELEASE l.n accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 810.000 et. seq.; State Sanitary Code Chapter- TT and Article XIII of Oie City of Salem Ordinance, undersigned owner/lessor and tenant/lcssee of a unit of residential property, hereby authorize the Salem hoard of Health or its author- ized agents to inspect the residence identified below in accordance with the aiorcmenti.oned statutes, regulations and ordinances. In the, event it is necessarV that: said inspection be done in mylour absence, I/we axpre-ssly authorize the same and for my/our successors and assigns hereby ralcase and discharge the City of Salem, Salem Board of llealth and its authorized areuz iret,n any loss or injury sustained of trhatever nature in' description oceasir,aed by my/our absence during said inspecti.op. hz�' '/LESSE�•�v� >- WNECi/LESSOR - -- - - - ADDCJ,,' 5 (R z ADDRESS 2 Or T AiR?StH�5- Of' UN11: TCi Hi 1M1'3PE:C:'i'ED ---. .. Lost Cat O Cat Chert has been missing since Wed. J e 16th from 27 Elm st. He is years old, short haired, all black a ept for one white spot on his chest and a on his belly. He has ye wish eyes. He's very friendly, but sometimes s with strangers. ce he has not yet been sighted anywhere we think th ither h stuck in someone's cellar or garden shed,,or perhaps someone taken him in thinking he's a stray. If you know of anyone who has and t please let us know. He is very loved and very missed. Ple a mention Ch as many people asyouu can. Thanks so much t II the people who have ady called us and been on the lookout r him. Evzen & Anna, 27 Elm St, (781) 639-8071 q CITY OF SALEM, MASSACHUSETCS „y BOARD OF HEALTH • 120 WASH/NGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 490-03FEE $25.00 TEL. 978-741-1600 DATE: FAX 978-745-0949 10/2/03 STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 21 CABOT STREET UNIT #: 2 OWNER/AGENT: TOM & JENNIE CUDMORE ADDRESS: 21 CABOT STREET CITY/TOWN: SALEM ZIP CODE: 01970 24 HOUR PHONE: 508-566-2096 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 (g) 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. ;zz OF HEALTH 'ld /11Jf//r V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS D BOARD OF HEALTH t f • : I20 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOYtCZ, JR. JOANNE SCOTT, MPH, RS, CHO ' MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT& I COW Si UNIT 03 IS THIS UNIT DESIGNATEDAS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE TAMi OWNER/LESSEI) �MLR h)d-fnQ_Q MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS(:D 1, b0n�n �V ADDRESS CITY -7lq Q CITY RESIDENCE PHONE 3AI- 6'&�)9U BUSINESS PHONE(24 HRS)__ a BUSINESS PHONE �'���'S UO �O TOTAL NUMBER OF ROOMS: IL/ 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. 0cjj4lcv (� APPLICANTS SIGNATU( �EDATE t' 'a 0 SUS ONLY INSECT R DATE OF INITIAL INSPECTION / ' 3 0'"" 0'J DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: G( 3 U 3 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER,._ CHECK#P�l s CHECK DATES �i o – a� NOTES: / — CODE ENFORCEMENT INSPECTOR 9/28/98 EDNO City of Salem, Massachusetts Board of Health 9 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 Prevent Promote Protect. KimberleyDriscollTel. (978) 741-1800 Fax. (978 745-0343 ) Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17.232 DATE ISSUED: 8/3/2017 Property Located at: 23 CABOT STREET UNIT #1 Owner/Agent: Raul Herrera Address: 15 Cherry Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI.@IGTON SmmhT,4°'FLOOR TEL(478)741-1800 KIMBERLF,Y DRISCOLL FAX(478)745-0343 MAYOR .sALaz i LARRY RAMDIN,RS/RFMS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WTTH STATE SANTI`ARY CODE, CHAF'M 11, 105 CMR 410.000 "MIN1N1111M STANDARDS OF FrrNESS FOR HumAN HABPTATION" FEE: $50.00 PROPERTY LOCATEDAT�r� IS THIS UNrf DISIGN&TED AS RIGAU LEFUFRONT OR MEASE CntCLL+ONE , OWNER/LESSER ��cul 1+e rr�V MANAGER/AGENT IO Y.O.BOX ADDRESS IS, C he-h/'`� S } ADDRESS CITY,STATE,ZCP S' o. CITY;STATE,ZIP RESIDENCE PEONE JLGj l—'4 BusINFSS PONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:,_._ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 4. 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 jX C— FlEl.k60 DATE j_ Inspectors use only Date on initial inspection: Date of reinspection Date of issuance of certificate: Date fee paid Type of unit: Dwelling,,. Other Check# CJ_ ..__Check date.- Notes: ate:Notes: Code Enforcement Inspector CONDIT City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor; Salem, P _ Prevent. P omot MA 01970 e. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-233 DATE ISSUED: 8/3/2017 Property Located at: 23 CABOT STREET UNIT#2 Owner/Agent: Raul Herrera Address: 15 Cherry Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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. e Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITE' OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STR.Eh•T,4°'FLOOR TEL(978)741-1800 KIMBF.RI.EY DRISCOLL FAX(978)745-0343 MAYOR LRAMDTN@ ALEM CAM LARRY RAMDIN,RS/RF..HS,CHO,CP-FS HEALTH AGENT Appheation for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ,%IM UIsrI STANDARDS OF FITNESS FOR HUMAN HABITATION" 11 FEE: $50.00 PROPERTY LOCATED AT 9 C1 tt�� S{ UNIT# is TMSUMrr DSIGK&TED AS RWU LEFr FRONT OR BAC&PLFASE CIRCLE ONE OWNER/L.FSSER ( WKN Crr_.,� MANAGER/AGENT _ NO P.O.Box ADDRESS 1 C GI o r i C ADDRESS CITY,STATE,ZLP Sulk jAA, �1% CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(241JRS) BUSINESS PHONEi TOTAL NUMBER OF ROOMS:__,_ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT=S SIGNATURE In�tors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid Type of unit: Dwel ing_,._„_Other Check#� C� Check date: Nates: I Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS + s BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 ICNIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENnAUNI&A.EM.COM DAv1D GRI 3Ir,NBAUM,RS G ACTINHj:Ai;TI-1 AGIF,NT CERTIFICATE OF FITNESS CERTIFICATE#47-11 DATE ISSUED: 2/14/2011 Property Located at: 24 Cabot Street UNIT# 1 Owner/Agent: Joseph Bates Address: 15 Lincoln Street#204 City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 781-789-5225 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 DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALE 1, MASSACHUSETTS �- I c BOARD i)NIIL�Lra 120�ti'.��i-otic t�»\ SIitH:r:I' 4"`P�.cx>R .Ixr_ (978) 741-1800 KnTBERLEY DRISCOLL IMAX (978) 745-0343 MAYOR COM DA\'ID 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 HABITATION." FEE: $50.00 PROPERTY LOCATED AT aLI CaW 5treef UNIT#_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLENS�E'CIRCI.E ONE OWNER(LESSER �' n2+ `7a 5 MANAGE AGENTParo.,-oun� RSsoC i4�S L C NO P.O.BOX 1 ,, (� pp ADDRESS ID Kkj!I99n 7N2 ADD SS IS Ll,c,In Shope i�204- CITY, STATE,ZIP(1 k4e57-1 2141 MJ}.0 CITY, TATE, ZIPCO44e�7,A4. W. C3\S RESIDENCE PHONE-79(-24 S- 8 2?6 Z BUSINESS PHO 'Ii(24HRS - S -ZZ BUSINESS PHONE (h o I TOTAL NUMBER OF ROOMS: S ROOM USE: 2. Zr°Wori 3.6vir r,Ag, 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 I BLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Z- 19- I Inspectors 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: Notes: Cod,Elent Inspector d cQNDtTCity of Salem, Massachusetts lu { = �1 Board of Health =9 120 Washington Street, 4th Floor, Salem, PI lull. Un MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-145 DATE ISSUED: 1/30/2014 Property Located at: 24-U4 CABOT STREET UNIT#4 Owner/Agent: Nicholas Cote Address: 146 School Street City/Town: Taunton, MA Zip Code: 02780 24 Hour Phone:(508) 801-9745 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN + CITY OF SALEM, MASSACHUSE'T'TS BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PI1b,1CIEIC81t1t. STREET, Prevent,Promote.Protect. TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com L.�RRY RAMI IN,R4/R HS,(;I-TO,CF-Iti MAYOR HILAJ;ni AGT?NT CERTIFICATE OF FITNESS CERTIFICATE#20-14 DATE ISSUED: 1/30/2014 Property Located at: 24 Cabot Street UNIT#2 Owner/Agent: Nicholas Cote Address: 24 Cabot Street#4 City/Town: Salem, MA Zip Code: 01,970 24 Hour Phone: 508801-9745 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B RD OF EALTH LARRY RAMDINy HEALTH AGENT SANITARIAN . 9 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 7 120 WASHINGTON STREET,47'FLOOR PubBeHemn TEL:(978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL immdm@salem.com MAYOR 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 'NIINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 ^ L PROPERTY LOCATED AT Z`� �G� g'� a1$ /r nn f A UNIT# 1 IS Tins UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER. � l'44( a S C 0 4 F�1 / , MANAGER/AGEN`I 1 W6UsS,�� ` ,<6c �4 �p a` —A "1 ADDRESS N 6 . Xp m) 51 n A� CITY,:STATE,ZIP �(�� M /I . U I��� CTfY,STATE ZIP �CPUV1�Oh fyi� i /7'a��O RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 15 ROOM USE: 1. 2 !n 3. 4. k: �(l4n 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, ,GC�eI�!( � " DATES - J"�L� } Ins ectols use only Date on initial inspection: Date of reinspection Date of issuance of certificate: ) \a- Date fee paid: ) Type of unit: Dwelling ✓OtherCheck#Q Check date: Uo�� Notes: Code Enforcement Inspector u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET,4"r FLOOR1�I1b1�CHe I'th TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL h-amdin@salein.com LARRY RA AIDIN,RS/RF:FIS,CI{p CP-FS MAYOR I-hALXI-t AG U.N'I' CERTIFICATE OF FITNESS CERTIFICATE#464-12 DATE ISSUED: 12/7/2012 Property Located at: 26 Cabot Street UNIT#2 Owner/Agent: John Harris Address: 218 Washington Street City/Town: Topsfleld, MA Zip Code: 01983 24 Hour Phone: 978-887-5999 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 B ARD EALTH LARRY RAMDIN HEALTH AGENT RIAN .�-� �-a �' ��..�c�� ��=�-� ��� 5 .� � - �7�� �� ��a -����� r M CITY OF SALEM, MASSACHUSETTS • (3 BOARD OF HEALTH - 120 WASHINGTON STREET,41°FLOOR TEL. (978) 74171800 KI vIBERLEY DRISCOLL Fax(978) 745-0343 MAYOR LRAMDINQSAI.P.NLCOM LARRY RAmmN,RS/Rl;l IS,CI IO,CP-FS HE;\IILII A(;11: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" 9 /J <FEE: $50.00 PROPERTY LOCATED AT o_6 L A- pT JT, ��12 + i /Lj/q UNIT# 0Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER JD _e_i S MANAGER/AGENT NO P.O. BOX ADDRESS Z16 Wd2171vL7D1i S; ADDRESS CITY, STATE,ZIP 7DPSC/&Z.13_ M19 01?F S CITY, STATE,Zip RESIDENCE PHONE USINESS PHONE (24HRS) BUSINESS PHONE 97; .SOS- 1?L3 7 TOTAL NUMBER OF ROOMS: 5- ROOM ROOM USE: 1. &0 2.,i 2. ,0 h 4111 3 Li UIN/9 4 A.1)2•bitW 5 619"Thi 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 O"o� _ � � DATE 12--37-26,12- Ins ectors 2-5-20/ZInspectors 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: Notes: Cod rcement Inspector e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IQ1V1BFRLEY DRISCOLL FAX(978)745-0343 NL4YOR L,tA1111AN00 sl lII ILOA I I...ARRY RADIN,RS/It I2I IS,CI IO,CP-VS IfI:Ai."litA(;r r Release In accordance with Massachusetts General Laws Chapter 1 11; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during s�id inspection. ftLN £L- G f}SrozifAl }&r;15 Tenant/Lessee Owner/Lessor EAea- Address Address Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSET I'S 10 BOARD OF HF-1L1'H 120 WASHINGTON STREET 4".FLOOR PublicHealth TEL. (978) 741-1800 Fax(978) 745-034.3 KIMBERLEY DRISCOLL 1ramdin salem.com MAYORLARRY1LAMDIN,I2S/REli S,CHO,CP-IiS H1:�.A1xfi AGF.N'I' CERTIFICATE OF FITNESS CERTIFICATE#61-13 DATE ISSUED: 2/4/2013 Property Located at: 32 Cabot Street UNIT# 1 Owner/Agent: Sigfrido Velasquez Address: 32 Cabot Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-3756 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITA N ® CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 6/ 120 WASHINGTON STREET,4"'FLOOR %blicHealth Preventromote.Netter. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR L:vtRY aAnn)1N,Rs/Rr=t IS,c:1 u>,CT-FS H13AL'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" FEE: $50.00 PROPERTY LOCATED AT 3 Z co-Jo 0+ 5T UNIT# IS T�HIIS UNIT DISIIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER SlgJCy J0 VG(/Q5� U4?_ MANAGER/AGENT NO P.O. BOXP 1 ADDRESS 32 cp- JSr 4-PT Z ADDRESS CITY, STATE,ZIP 5Aa 14e^ M A 0Ifi) CITY, STATE,ZIP RESIDENCE PHONE ^ BUSINESS PHONE(24HRS) BUSINESS PHONE J?- _ (00 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE-A E E gF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use on v Date on initial inspection: aI��I3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#-Check date: Notes: (z O / fill f (kx I Uri I i wird ty bmeft 64bbYn �n Code nfo ment Inspector rM T M( V) y CITy OF SALEM, MASSACHUSETTS BOARD OF HEALTH § 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 wW W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#371-06 DATE ISSUED: 712612006 Property Located at: 32 Cabot Street UNIT#2 Owner/Agent: Sigfrido Velasquez Address: 32 Cabot Street City[Town: Salem, MA Zip Code: 01976 24 Hour Phone: 978-210-3756 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,1 H, RS, GHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 2�J���� BOARD OF HEALTH J 6 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 32 P)0 1 S ) UNIT# 2- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE c n I / 5 ' OWNERILESSER at i�n�� U UPlL MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 2 CaA'' - '-,> I ADDRESS CITY 52'Ac� • M. A . CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) c/�X' 210- 3756 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._�� �'_2. ��� 3. 11 fri 4. C�1v�nnl`�cq 5. Vej1 6. 1� 27. be 3 8, 10� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAL EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE dLY DATE OF INITIAL INSPECTION ee "A DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE7id--& -0 L D� .y DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK#sr _ _t2 CHECK DATE? NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 444-03 DATE ISSUED: 8/26/2003 Property Located at:: 33 Cabot Street UNIT#: 1 Owner/Agent: Mark A. Stevens Address: 69 Summer Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-3353 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. 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. 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 Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR •Rug 21 03 01 :57p Joanne Scott Salem BUR 978 745 0343 P•2 �. Cr rr OF SALEM, MASSACMUSIZT' BOARO OF HEALTH ' • 120 WASHINGTON STREET,4TH FLOOR SALGM. MA 01970 TEL, 978-741.1 SOO FAX 975-745.0343 STAN{FY USOVIC7„ JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABiTATION'. PROPERTY LOCATED AT �4 60 i- —2f---U N I #.,,,L IS THIS UNIT DtSIGNATED AS R G cT TL FT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER- Q K— S e✓%�I,"AGER/AGENT No P.O.Box NO P.O.BOX ADDRESS S�k L" d 5 ADDRESS_ __ - CITYm t2y-4 - _ _CITY RESIDENCE PHONE al M8USINESS PHONE 624 HRS.)- BUSINESS RS/BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROAM USE: 5. THERE IS A TWENTY-FIVE(525.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY Of SA M HEg�TH DEPA TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPEC � /� APPLICANTS SIGNATURE DATE s x r 2-� 6.3 INSPECTOR UGLY �! DATE dF INtTiAL IN�PF,�CT10tV S!' 1 'C^ -- 02 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�''.�'L a-16ATE FEE PAID: TYPE OI'UNIT: DWELLIN _OTHER_,— CHECK# (��_ _CHECK DATE. NOTES: - I _ CODE ENFORCEMENT INSPECTOR 9128/98 i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 a FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City Of. Salem ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. I:i the event it is necessary that 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 agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence :luring said inspection. 4 -let/ T/LES' r. (LESSOR lam° } y AD�DI'RESS ADDRESS ADDRESS OF UNIT Tt BE INSPECTED r DATE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 ' Rug 21 03 01159p Joanne Scott Salem BOH 979 745 0343 P•3 J CI'f'If 4)=' SALEM, MASSACHUSETTS BOARD OF HEALTH ! • t20 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TFL. 978.741-1800 FAX 978.745-0843 STANLEY USOVIC),.Ia. JOANNE SCOTT, MPH, AS, CHO MAYOR HEALTH AGENT APPLICATION FOR CF.RTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION*. PROPERTY LOCATED AT 33 CC-10647 S i_ ____UNIT#2- 19 THIS UNIT DESIGNATED ASIg GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER+LESSER4004.IL A SjCVCA*;, MANAGERIAGENT _.__ No P.O.Bc NO P.O.Bax ADDRESS su __AODRE55 _ CITY skk 77 CITY RESIDENCE PHONE 9t O Zn 3 BUSINESS PHONE(24 HRS.) _ BUSINESS PHONE .— TOTAL NUMBER OF yyROOMS: ROOM USE: 5L I!. 6,9(2�THERE IS IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTIO APPLICANTS SIGNATURE DATE_ ¢3 INSPECTORS USE ONLY j}�T�QF JiTfAf IN^+f3 CTIdN 5�' T9 _DATE or REINSPECTION. _ DATE OF ISSUANCE OF CERTIFICATE:_-a& O �D9ATE FEE PAID:_ TYPE OF UNIT: DWELLIN�OTHER__ CHECK#_L,i"61 CHECK DATE.. NOTES.t, t? CODE ENFORCEMENT INSPECTOR �~ 9128198 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • e 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 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Cade Chapter 11 and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor:and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/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. — 0 2NERi EOSSOR uldAi zILL SEr. / 33 -- ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE Al IV <D Vv y ��ONUIT V CERT.# 666-00 FEE $25.00 DATE: 10/19/2000 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: 33 Cabot Street UNIT #: 3 OWNER/AGENT: Mark A. Stevens ADDRESS: 33 Cabot Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2883 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 CONWT � f t � U it � a ��MiN6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT�J CA407 �' UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER!i alt S VI;V _MANAGER/AGENT�9r�Z� G- No P.O. BoxNo P.O. Box ADDRESS_3. �,J _ ADDRESS CITY_ ,�5L 6 AA_ CITY RESIDENCE PHONE203_ BUSINESS PHONE (24 NRS)4AIS ' 33S- BUSINESS PHONE__ TOTAL NUMBER OF ROOMS' ROOM USE: 1. 2. 4., 8. THERE IS A TWENTY-FIVE($25.04)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 P'""A'4 d7g DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION�q -0 n DATE OF REINSPECTION__. OATS OF ISSUANCE OF CER7IFIGATE:/b (4: DATE FEE PAID%6 1 a TYPE OF UNIT: DWELLIN� THERv CHECK#-a (, __CHECK DATE 1: ' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 4 6 IP � 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 ) ) 1 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Lhat said inspection be done in my/our absence, !/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 b my/our abselnc/e during said inspection. A.T'/ ESSEE GW R/i,ESSOR ADDUSS MIA if 1l�DDR°SS r-ruDRESS C.F UNIT To BE INSPECTED O.';TE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/4/06 Conrad Rousseau 4 Mayflower Road Winchester, MA 01890 PROPERTY LOCATED AT 34 Cabot Street Unit 1 F 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 He th 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 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#760-05 DATE ISSUED: 12/21/05 Property Located at: 34 Cabot Street UNIT# 1 Owner/Agent: Cambry Realty Trust Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-307-2400 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR/THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' oNorT,��! ZE 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 Fax: (978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 31 54GTSr. JXt(fe"Z, Al 0'W74> UNIT# IS THIS UNIT DESIGNATED AS RIGH GHT LEFj ON BACK PLEASE CIRCLE ONE OWNER/LESSER{- 4' ;BJh r # ! MANAGER/AGENT C�,ok8tg p2cR. WC7 - No P.O. Box No P.O. Box ADDRESS 31 ADDRESS--Z t � CITY �G,c(-1e1l0 AtWYI' CITY /f/Lf�i�` �x`/tO Yj RESIDENCE PHONE� �"� 2 X253 $k!&N�ESS PHONE (24 HRS.) BUSINESS PHONEb'� TOTAL NUMBER OF ROO�MS J_ : ROOM USE: 1. il_j► 5. %fes 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 12-b-US DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 1Z 11 -09 DATE FEE PAID: I z- zi "GS TYPE OF UNIT: DWELLING OTHER_ CHECK# (0 S CHECK DATE V Z Z)-as• NOTES: L_?n 1L C2 c tiiGD ti}14�U1W N� N A\ (§SS v .s�T CODE tNFORCEMENT INSPECTOR 9128198 w eco CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH y, 120 WASHINGTON STREET, 4TH FLOOR Sa SALEM, MA 01970 .pBplc' TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT - CERTIFICATE OF FITNESS CERTIFICATE#482-05 DATE ISSUED: 8/3/05 Property Located at: 34 Cabot Street UNIT#2R Owner/Agent: Conrad Roosseau Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH v JONE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r�r/� 1 y..+. �;��R r a r,.M ro :•:: `� L.�,. ; .:`i�J ..�:' ,. .. .. "...i'h.�-4x��' vb !" Crfy OF SALEM, MASSACHUSETTS BOARD OF HEALTH 4 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-74 i-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 t�/ cT �r UNiT u a IS THIS UNIT DESIGNATED AS RIGHT LEFT ERON BACK PLEASE CIRCLE ONE ri- OWNER/LESSER—CeaAy UOS„>Ea4? MANAGER/AGENT_�!r/f u+ l2r No P.O. Box No P.O. Box ADDRESS, QTIa�+ G.__Bv2 ADDRESS CITY�,�jLe� GITY RESIDENCE PHONE 2,'' 63 a u l] BUSINESS PHONE (24 HRS )_ BUSINESS PHONE TOTAL NUMBER OE ROOMS S 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 �.�Q NSPFCTO'S USE ONLY DATE OF IIINITIAL_INSPE DATE OF RLINSPECTION DnTI_ CLF ISRUANC'I- OI C1'R II iCA'1'17--Z� 'f� r DAI F FL-E PAID 2-`12;Lf ---17 L � / 7a IYPL= OF UNU` DVJELLINC�/L.(')THFi CHECK r_�f�.,,_�C;idF,C4C t;�Al-E - la)(J1. 4-I11 ( )Ii(:[ x1FN! 1(!5111-0 1 011 ' CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#408-07 DATE ISSUED: 8/22/2007 Property Located at: 34 Cabot Street UNIT#3 Owner/Agent: Conrad Rousseau Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 639-1595 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 2.= JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 YOTLI TEL. 978-741-1600 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 ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 6 72�-2 UNIT It IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Cd4m1YI MANAGER/AGENT No P.O. Box 9 / No P.O. Box ADDRESS c���L c ADDRESS CITY ��lfr�� 6 CITY RESIDENCE PHONE 3� pp2Yw BUSINESS PHONE (24 HRS.)7N`3Q1 -_Z(fu) BUSINESSPHONE TOTAL NUMBER OF ROOMS: r ROOM USE: 1._�fL 2. (�4 _3. l –_4. 5. --6.-7.-8.-- THERE . 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. ,,pp-��..��, APPLICANTS SIGNATURE ` _DATE—� INSPECTORS USE ONLY X DATE OF INITIAL INSPECTION " 9 –DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:)'%!'> l DATE FEE PAID:�'� - TYPE OF UNIT: DWELL 1!* OTHER___ CHECK # �_3—CHECK DATE NOTES: f CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#759-05 DATE ISSUED: 12/21/05 Property Located at: 34 Cabot Street UNIT#3F Owner/Agent: Cambry Realty Trust Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-307-2450 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 JO/ANNE SCOTT, MPH, RS, CHO HEALTH AGENT COD ENFORCEMENT INSPECTOR ,��orvor� 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 Tei:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT FL Gg t'T S(- Sf� +r,�(� �.'?C' _UNIT#-3 IS THIS UNIT DESIGNATED ASiR GHT LEFT R N„,PBACK PLEASE CIRCLEONE OWNER/LESSER Crtn?(*W( 424?"-(z fV4 MANAGER/AGENT a/'llfi0 No P.O. Box — No P.Q. Box ADDRESS1�Z� _ /�`&R- &C ADDRESS 31 /1,zf7< XC,_ CITY__/ YI �(�rFt7fi�46S 1” 5 CITY 0/yV, 1 c It 'l RESIDENCE PHON � O1 `'2._ 1243 SSS PHONE (24 HRS.�(G3d¢-2y'_�v BUSINESS PHONE T 63�- TOTAL NUMBER OF ROOMS: Sl ROOM USE: THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE C/�� y� _DATE b 'f 2L Ct INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I2-2i -os DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:1 L� _DATE FEE PAID: TYPE OF UNIT: DWELLING X OTHER_ CHECK#_CHECK DATE )� L NOTES: i2Atua\ Ya�itJ'+t Y=5`t�,c�e i� �ViatJb i�lr COD RSC ME�7 NI 3PECTOR 9/28/98 CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#383-07 DATE ISSUED: 8/16/2007 Property Located at: 34 Cabot Street UNIT#4 Owner/Agent: Cambry Realty Address: 31 Atlantic Ave City/Town: Marblehead, MA Zip Code: 01945 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 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 OFF HEALTH f JNNE SCOTT, MPH, RS, CHO H%ALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH { 120 WASHINGTON STREET, 4TH FLOOR li SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO I Kimberley Driscoll HEALTH AGENT _ Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT �r� ✓� I_ -� UNlT #_(,_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER_ �f(��Z_ _ ^%fl_MANAGER{AGENT��-? / z No P.O. Box No P.O. Box ADDRESS,,��_��// --ADDRESS______, . C-13 CITY._ RESIDENCE PHONE`7tZ � �'�*?BUSINESS PHONE (24 HRS.)__ BUSINESS PHONE �.__.. TOTAL NUMBER OF ROOMS: ROOM USE: 1 -+-]; 'C._, 1 60� 3 5.--EI�-- -- ._._'._._.------------ 8 - - - THERE IS A TWENTY-FIVE(S25.00) DOLLAR FEE. PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT Tt;E TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTOREUUSE ONLY DATE OF INITIAL INSPECTION__-!�' 1& -0.7 DATE_ OF RENSPEC110N. DATE OF ISSUANCE OF CERTIFICATE S�4_b' DATE FEE PAID.,_- _' 6 TYPE OF UNIT: DWELLK� OTHER __. CHECK U19,q3 - CHECK DATE NOTES_.._ 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 J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#287-05 DATE ISSUED: 5/4/05 Property Located at: 34 Cabot Street UNIT#4L Back Owner/Agent: Conrad Rousseau Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-639-0047 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 T E BOARD OF HEALTH JOANNE 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, R5, 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 (yHABITATION". PROPERTY LOCATED AT___2._y ��cy _- � G UNIT #t IS THIS UNIT DESIGNATED AS RIGHT _EFT RON AC PLEASE CIRCLE ONE OWNERILESSER �. SJc —MANAGER/AGENT . No P.O. Box No P.O.Box ADDRESS_ Gr___ADDRESS_ CITY__ l CITY RESIDENCE PHONE' J7C IZy� BUSINESS PHONE (24 HRS.) BUSINESS PHONE` TOTAL NUMBER OF ROOMS: ROOM USE: 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 ^` TDATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ASK —DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE.' gt---V�)_DATE FEE PAID: aJccy 0 3 TYPE OF UNIT: DWELLING/k OTHER CHECK#7—�, CHECK DATE NOTES_ -- --- CODE ENFORCEMENT INSPECTOR 9/28198 CITY OF SALEM, MASSACHUSETTS n ® 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 CERTIFICATE OF FITNESS CERTIFICATE#252-07 DATE ISSUED: 5/30/2007 Property Located at: 34 Cabot Street UNIT#5 Owner/Agent: Conrad Rousseau Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 639-0047 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 - -- %' , t JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Mqy 3 ,?��� FAX 978-745-0343 F ay .JOANNE SCOTT, MPH, R5, CHO Kimberley Driscoll HEALTH AGENT N�ITy Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT , Ut /f 9UT SP; S4 F UNIT# (!5 IS THIS UNIT DESIGNATED A,S77RIGHT LEFT FRON BACK PLEASE CIRCLE ONE �� OWNER/LESSER Lc{ -F9,XA) MANAGERGENT� /�� -y No P.O. Box 77 �N No P.O. Box ADDRES�S�/ S� 7N�cr! ADDRESS CITY UPC) CITY RESIDENCE PHONE 70?"ZVGkj BUSINESS PHONE (24 HRS.) ` Z3 BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: ROOM USE: 1.144e;,_ 2, 3. 4 THERE IS A TWENTY-FIVE (525.00) 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�J�� �d _ INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS_- 30i07 _.DATE OF REINSPECTION_____-___. DATE OF ISSUANCE OF CERTIFICATES --0f°?DATE FEE PAID:_S- _ ^_ 7 TYPE OF UNIT: DWELLI OTHER___ .CHECK # DCHECK DATES_" J NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t CERT.# 152-96 FEE $25.00 DATE: 03/14/96 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: 34 Cabot Street UNIT #: 6 OWNER/AGENT: Conrad Rousseau ADDRESS: 118 Pleasant Street CITY/TOWN: Marblehead MA ZIP CODE: 01945 24 HOUR PHONE: 639-0047 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 J i _ CITY OF SALEM BOARD OF HEALTH --- — -- ------Salem,MassacWae.t 01M-3928--- JOANNE SCOTT,MPH,RS,CHO '_ . NINE NORTH STREET HEALTH AGENT --- - -_ Tel:(508)741-1800 APPLICATION FOR CEHTIFICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE NITS STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUUjMAN/HABITATION1. PROPERTY LOCATED AT L � �'f UNIT # OWNER/LESSER CU I�/F� f[�J MANAGER/AGENT ADDRESS Q � `� /' ADDRESS CITY 4/J (" eoy CITY RESIDENCE PHONE (\C�. 62 MjBUSINESS PHONE (24 HRS.) _..BUSINESS PROM . �9 I TOTAL NUMBER OF ROOMS: t ROOM USE: 1. 2. Y 3. ° �- 4. 5. 6. 7. 8. THERE IS A TWENTY FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY 'ORDER TO THE CITY OF SALMI-WALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TM OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 3—1 y �/ (� DATE OF REINSPECTION — DATE OF ISSUANCE OF CERTIFICATE: Z y 6 DATE FEE PAID: TYPE OF UNIT- DWELLING/ OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#45-08 DATE ISSUED: 1/29/2008 Property Located at: 34 Cabot Street UNIT#6(3R) Owner/Agent: Cambry Realty Trust Address: 31 Atlantic Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTHr qo-�t� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARD HEAL ,jS 120 WASHINGTON STREET,, 4 4TH FLOORSALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT#C� C IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�- MPtl RCi� 6K9/ MANAGER/AGENT\GY? =W�J No P.O. Box No P.O. Box ADDRESS p,4,A1T1C ifte ADDRESS CITY CITY CITY RESIDENCE PHONE / BUSINESS PHONE (24 HRS. _2SG� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._ / _2._ 3.&' 4. 5.�L 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 `I -08 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/-.hk- Ok DATE FEE PAID: �9 TYPE OF UNIT: DWELLINCjI,�-'OTHER_ CHECK# S CHECK DATE-I/- )J� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 250-97 Y 5 n $ FEE $25.00 Ia' /RFs DATE: 04/23/97 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: 35 Cabot Street UNIT #: 2 OWNER/AGENT: Cabot-Berube R.T. ADDRESS: 35 Cabot Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0284 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 C®// HEALTH AGENT CODE ENFORCEMENT INSPECTOR Pending: Front Room windows repair broken sashcords and replace lock. N (NLk./ � �/tsiD�7r�.._ y7dwJ �/<E/�GU � U,t��� r� du.e� !..,�-c�l�-- . 3�S. 1F= _ • �sq GIN 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 FOR HUMAN HABITATION". PROPERTY LOCATED AT �rT/.J� .� / / UNIT 1-0— 010IF-MESSER CA?00 N[ER �/ / o MANACER/AGA*iT ADDRESS S�/r'[ ADDRESS / eiJ AtS30T 571' CITY 1 /� CITY y� !A i .,RESIDENCE PHONE ! p ^ 0 � BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6 ROOM USE: 1. Ifs 2- _ yr 1V 3. O/Wk+• 04D Pow 5.49 9 go 6. 13ED R, 7. —8.— THERE .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 INSSP/EECTION APPLICANTS SIGNATURE �Gt�iJL/c7 A DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: - 3 -�( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -T DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR � , S �� � 1 1k� ' � � a 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: 03/20/97 Fax:(508)740-9705 Cabot-Berube Realty Trust 35 Cabot Street Salem, MA 01970 PROPERTY LOCATED AT 35 Cabot Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11 : Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 ,354 METERING OF GAS & ELECTRICITY Very truly yours, FFO(�(RR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAk(978) 745-0343 MAYOR IDIONNEna&M.HM.COI JANIi]'DIONNE ACHN(i H13A1;1'1 I AG VNT CERTIFICATE OF FITNESS CERTIFICATE#552-08 DATE ISSUED: 10/28/2008 Property Located at: 36 Cabot Street UNIT# 1 Owner/Agent: Maria Rivera Address: 34 1/2 Cabot Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:, An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid onlyif there is a valid Certificate of Occupancy. F R HE O D HEA4TH J NET DIONNE ACTING HEALTH AGENT CODE ENFORCEMENT INS CTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH ----moi 120 WASHINGTON STREET,4P'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SCarr e sAL EM.COM JOANNE SCOTT, 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: $50.000 / PROPERTY LOCATED AT _ �� .5+rc--�—� f, a lera1. UNIT# IS THIS UNIT/DIISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER I" ta' I� I � ��`- -MANAGER/AGENT NO P.O. BOX ADDRESS Sof V?_ C� 'L,{Jr7� 5+y'e_e-k ADDRESS CITY, STATE,ZIP 9aA C'�, M)4 01 g7Zi CITY, STATE,ZIP RESIDENCE PHONE(g19) _74U-794'q BUSINESS PHONE (24HRS) BSSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L 1 2. biZ 3. l?2Df- 4. 9)DF- 5. 13))/?- 6. 16-TC- 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE, Lr.2 1 `lp elm DATE JO .40y- Inspectors use only Date on initial inspection: 1 `2-7-- 0'j Date of reinspection: Date of issuance of certificate: l o - 2_!R- dY Date fee paid: /o- 2$ •a 8' Type of unit: Dwelling Other Check# jCheck date: JO <:)R, Notes: I Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ' sr" • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCarr .SAieM.COM- JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. t Ten t/Lessee Owner/Lessor 310 C'albvt S'�, S'Q lam, �� 2� Address Address Address on unit to be inspected Date �codw CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' i 9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �9 --' TEL. 978-741-1800 mrvB FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@a SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT - Facsimile Transmittal To: Fax # RE: 3� 0-b o b �� Date : / 7 � ,'Z/ � zS Page(s): including this cover# Message: Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Nov-06-200&1&28am Last Fax Data _ Time_..- I=— Ldentificadon - D.u[attnn_ , a es_ suit Nov 6 10:28am Sent 919787449614 0:36 2 OK Result: OK— bleek and white fax 4 GITY OF SALEM, MASSACHUSETTS V CC��-,��� BOARD OF HEALTH • • 120 WASHINGTON STREET. 4TH FLOOR CERT.# SALEM, MA 01970 86-04 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 3/11/04 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, ft5, CH0 MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 37 CABOT STREET UNIT #: 2 OWNER/AGENT: THOMAS GALE ADDRESS: 37 CABOT STREET CITY/TOWN: SALEM ZIP CODE, 01970 24 HOUR PHONE: 978-836-1576 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 1I, "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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO T�D OF q�HEALTH tf JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS A. BOARD OF HEALTH .�v ♦ w 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATUNIT#�. IS THIS UNIT DESIGNATED AS RIGHTLEFTFRONT BACK PLEASE CIRCLE ONE OWNERILESSER_7: 2QWdS tTd1PMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3 �? CO ADDRESS_ CITY $C!!e nq M4f CITY RESIDENCE PHONE 92 ST 7-ef- 56 S IZUSINESS PHONE (24 HRS.)JJ_6_ '67 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._ L- 2. �� 3. f3_f4. £_ r 5._B!'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 t�i � �y DATE 3 -9 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3 -9 `'Q __DATE OF REINSPECTION. DATE OF ISSUANCE OF CERTIFICATEI -f -0 0 DATE FEE PAID:-3 "" f!D TYPE OF UNIT: DWELLINGOTHER,_ CHECK#_Z4 4 B CHECK DATE NOTES: —.-- I CODE ENFORCEMENT INSPECTOR 9/28198 CERT.# 241-97 . FEE DATE: 04/20/97 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: 37 Cabot Street UNIT # : 3 OWNER/AGENT: Tanin Sasaluxanon ADDRESS: P.O. Box 3919 CITY/TOWN: Peabody. MA ZIP CODE: 01961 24 HOUR PHONE: 531-3725 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 r A OFFICE USE ONLY CERT. i 'AY DATE: CITY OF 5ALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01470 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508.741-1800 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 UNIT # OWNER/LESSER TP,N IN S N S 1� MANAGER/AGENT ADDRESS P -G_- (.�oE ADDRESS CITY P F-At9�__t,7 Mfg .°t�bl -3�1t CITY RESIDENCE PHONE .VP —S 3 — 7 S BUSINESS PHONE (24 HRS. ) BUSINESS PHONE �oSs ^S1t 3 T TOTAL NUMBER OF ROOMS: (V ROOM USE: 1 . 2. 3. 4 . 5. 6. 7. 8. I THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE DATE— INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 4{_T��Z nDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLIdG_S!�__ OTHER NOTES: CODE ENFORCEMENT INSPECTOR 'ONDITA City of Salem, Massachusetts t �. � � 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-16-28 DATE ISSUED: 1/29/2016 Property Located at: 38 CABOT STREET UNIT#2 Owner/Agent: Raynaldo Dominguez Address: 38 Cabot Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)210-3747 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN ` U CITY OF SALEM, MASSACHUSETTS BOARD OF H& LTH 120 WASHINGTON STREET,4`"FLOOR PublicHealth Prcvml.Promote Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin(@salem.com MAYOR LARRY R.�MUIN,RS/REHS,C1-10,CP-FS HEr\1,1'I 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 �' ` ® ST UNIT# IS THIS UNIT DISIG/NA' D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Gl l ted! u2 2UANAGER/AGENT NO P.O. BOX �y ADDRESs�5 C:A40' / s� ADDRESS 7 CITY, STATE,ZIP fG7&' , CITY, STATE,Zip--a �/ G RESIDENCE PHONE / �'-� D 7 7BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ I� ,4rr" r ROOM USE: 1. � �� 2.Z�✓ld^�( 3. 1-iv/nk�n++4. la"� 5. 2 6K, h -. 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 PA LE AT THE E OF INSPECTION APPLICANT'S SIGNATURE G pis///2 DATE L �— Ins ectors useon Date on initial inspection: 01 12VZI r, Date of reinspection: Date of issuance of certificate: OS I2A(7n14 Date fee paid:0.2/2 2016 Type of unit: DwellingJz—Other Check#_Check date: p 1 2 2(91 II 1�. r Notes: qoO rvcc'�"zr lied -{.urpled no Bedao ne�rnnt "n aoce of Art:: wLm w wi lh km ie ih Crf" Code Enforcement Inspector CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 11/29/99 Tel:(978)741-1800 Fax:(978)740-9705 Wash & Bobbie Cooper 39 Cabot Street Salem, MA 01970 PROPERTY LOCATED AT 39 Cabot Street UNIT # Dear Sir/Madam: It has come to our attention, thjat 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. , $OR THE BOARDi� H REPLY TO . Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I ,a CITY OF SALEM, MASSACHUSE'T'TS IV BOARD OF HEALTH 120 WASHINGTON STREET,4°4 FLOOR pt1�111CHP.81Y11 Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com LA121tP 1zAMUIN,RS/RGHS,CIR>,CP-FS MAYOR HEAL:n--i AGFsNP CERTIFICATE OF FITNESS CERTIFICATE#438-13 DATE ISSUED: 12/10/2013 Property Located at: 40 Cabot Street UNIT# 1 Owner/Agent: Michael Kiley Address: 27 Sandra Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-979-7489 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH tie— LARRY - HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH pp \ 120 WASHINGTON STREET,4"t FLOOR P111111CHeaIth Prevent Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdinna,salem.com MAYOR LARRY1L\b�IllIN,RS/KEPIS,CIfO,(a'-P'S HEAI: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 L t(V C 6T 2�>t. t n�_ _�_ UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK LEASE CIRCLE ONE OWNER/LESSER k�t A MANAGER/AGENT NO P.O.BOX c� ADDRESS—Z] J V ADDRESS CITY, STATE,ZIP T e V Y< r �/�� CITY, STATE,ZIP RESIDENCE PHONE vl� 2L `Z 7 '� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CTPY OF SALEM BOARD OF HEALTH THIS FEE IS/PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _V,1A_a )Ie DATE 2 `q I I,3 ' Inspectors use only Date on initial inspection: 1�(�il Date of reinspection: 1' Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other heck#Check date: Notes: i i'1 4 Code ement Sspector i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTfI 120 WAST TNGPON SrREt:T,4"'FLOOR KIMBFRLEY DRTSCOLL TEi.. (978)741-1800 Fax (978)745-0343 MAYOR Lramdin@salciii.com LARRY RADIDIN,RS/RI;I]S,CI-IO,(:P-N; 111';Wrii A(;FNT CERTIFICATE.OF FITNESS CERTIFICATE#492-11 DATE ISSUED: 12/6/2011 Property Located at: 40 Cabot Street UNIT#2 Owner/Agent: Miley Kiley Address: 25 Sanding Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-979-7489 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. R ORD OF HEALTH t LARRY RAMDIN HEALTH AGENT CODE MFORCEMENT INSPECTOR �G 'gym /�^h/ G / � / �'�� v � ���� 9, , H�a-► r CITY OF SALEM, MASSACHUSETTS J BoARD OF HFA:n-I 120 WASHINGTON STREET,4°1 FLOOR TEj,. (978) 741-1800 iQMBE:RLFY DRISCOLL FA% (978) 745-0343 MAYOR 1AAN1DIN0a SA1.N%1 ro%a LARRY'R.,VMDIN, 126/RH IS,CI 10. I-W:\1;1'11 A(;I':N'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $500./.00 PROPERTY LOCATED AT �D CGvb oI fly �C(�2/✓1 UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE - F OWNER/LESSER IC�ar e X, Ivy MANAGER/AGENT NO P.O. BOX -I ADDRESS 2 �GI�C k /R ADDRESS CITY, STATE, ZIP�a dd y. �aQ (�) CITY, STATE, ZIP RESIDENCE PHONE' � y BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. Ik 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 T E OF INSPECTION APPLICANT'S SIGNATURE DATE./)- /-, Inspectors use only Date on initial inspection: o /! Date of reinspection: Date of issuance of certificate: a (P // Date fee paid: a !I Type of unit: Dwelling her Check# a y Check date: Notes: n C1L Code nforc went Inspector CITY OF SALF",M, MASSACHUSE 1 I:s 120 VQAtif-f[NGPON ST'Rt3fsT,4°1 I't.t)c�R fY:r.. (978) 741-1800 K1M13BRLE;Y llRISCOI_L F,\x (978)745-0343 MAYOR Iramdin salcm.com LA ItRY RANIDIN, WS/ItI;I IS,C110,CP-FN Fin;�l;rn AcF•NT Facsimile Transmittal To: Fax # q1 � RE: I �C��it Date : Page(s): including this cover# Message: Board of Health News ----- ------ --For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 12/08/2011 04:22 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 12/08 04: 21 FAX N0./NAME 919784539150 DURATION 00:00:25 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS a e BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#91-06 DATE ISSUED: 3/2/06 Property Located at: 40 Cabot Street UNIT#3 Owner/Agent: Michael Kiley Address: 25 Sandra Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-979-7489 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 JOANNE SCOTT, MPH, RS, CHO 4�0 La W", HEALTH AGENT CODE ENFORCEMENT INSPECTOR •, yaF ': Cdh's^ ... • xra^EGi:Xoa is" ` -K.,S€ �° M ufa�`,txi.•n n .+ . . CRY OF SALEM;MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 l FAX 978.745-0843 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 ' >�6 f� ,j �� �_!,____UNIT #_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON ACK PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGENT No P.O. Bo �-`— No P.O.Box ADDRESS � _ADDRESS CITY ' CC��- RESIDENCE PHONE _0_ - BUSINESS PHONE (24 HRS.)._,,__ BUSINESS PHONE (T` 6-q fi- �YX� TOTAL NUMBER OF ROOMS: J t ROOM USE- 1.�„2.__.�3.�_ q 5-__6._.7._8._ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALTH DE•PAA TMEW THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ✓�^�' `Y/ \ APPLICANTS SIGNATURE `_`. -- TE__ � --� INSPECTORS USE ONLY ATE OF INITIAL INSPECT��_ G% DAT"E Of- REINSPECTION. DATE OF ISSUANCE OF CERTIFICATE ��� �,.__.DATE FEE PAID. a z TYPE OF UNIT: DWELL OTHER CHECK #. l/a3 CHECK DATE j NOTES: _ 71 I CODE ENFORCEMFNT INSPECTOR 2ttt98 P City of Salem, Massachusetts / 1 > q Board of Health 120 Washington Street, 4th Floor, Salem, Pub Prment�mote, Pr0[eel- MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent i CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-228 DATE ISSUED: 8/1/2017 Property Located at: 41 CABOT STREET UNIT#1 Owner/Agent: Arlene Craig Address: 5 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-6451 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. !� ^ J Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �nxe1� 120 WASHINGTON STREFT,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I I AMI)IN a�SAJE.n1.Cona LVZRY RiAMDIN,KS�RIdHS,CHO,CP-FS n L//Jf1i/ 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 �q l C�J6 a / A_ QV!770 UNIT# IS HIS UNIT DISIGNATED AS R GHT LF_FT� A NT OR BACK,PLEASE CIRCLE ONE O W NERILESSER A NO P.O.BOX / 117- ADDRESS W aj g w ADDRESS p CITY, STATE, ZIP_ J CITY, STATE, ZIP RESIDENCE PHONE °2� ✓� �J`�yf ( BUSINESS PHONE (24HRS) BUSINESS PHONE ' 29 - 0)— 9q6? TOTAL NUMBER OF RROrOOMS:_ ROOM USE: 1. k- �— 2. 3. 4. &441A(41 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_41/�G7 Inspectors 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: Notes: Code Enforcement Inspector Nn City of Salem, Massachusetts � r Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaIth Prevent.Pumante. Pr.iect, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17.215 DATE ISSUED:7/19/2017 Property Located at: 41 CABOT STREET UNIT#2 Owner/Agent: Arlene Craig Address: 5 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-6451 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. sy Larry Ramdin, MPH, REHS, CHO SANITARIAV HEALTH AGENT CITY 014 SALEM, MASSACHUSl3111S BOARD OF HEALTFI 120 WASHING1"ON STREET,4T" FLOOR TEL. (978) 741-1800 1QMBERLEY DRISCOLL FAY(978) 745-0343 MAYOR LRAMUIN&SALEM.COM LARRY RAMDIN,RS/RFTIS,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" ,D�� FEE: $50.00 PROPERTY LOCATED AT ���OUIr t UNIT# IS THIS UNIT DISIGNATED AS RIGAT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER r MANAGER/AGENT NO P.O.BOX �1,�-. ADDRESS S ADDRESS CU CITY, STATE,ZIP / CITY, STATE,ZIP RESIDENCE PHONE_ 63 �' �P `�Sj ( BUSINESS PHONE(24HRgS) c� BUSINESS PHONE TOTAL NUMBER OF ROOMS: r ROOM USE: 1. 44 2. J)k 3. TV( ( 4.fo;r- 5. 8� 6.AA 7. A 9- 8. 9. v10. 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 X�Oiir ( (iL DATE �� 7 r7 /� Inspectors use only Date on initial inspection:7ZZ 0j_ Date of reinspection: Date of issuance of certificate:=Tloi Date fee paid: Wj2/24LVZ Type of unit: Dwellin Other Check# 3Y5-7 Check date: 7aY Notes: Code n ce ent sped • CITY OF SALEM, MASSACHUSE'T'TS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR PablicHealth PmvcnL Promote.Prolec,. TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com Lr\RRI:'Rr\NID1N,Rti/R13FI5,(11-10,(T-FS' HFi.ALLIi A(;ENT CERTIFICATE OF FITNESS CERTIFICATE#287-13 DATE ISSUED: 8/14/2013 Property Located at: 41 Cabot Street UNIT#2 Owner/Agent: Arlene Craig Address: 55 Wadden Court City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-9460 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 SANITARIAN �l CITY OF SALI W, MASSA(.JUST_?TTS U BOARD of HuAixH 120WAI IING'T'ON SrRIT'I 4"'FLOOR PublicElealth m ,.. TEL. (978) 741-1800 1^'Ax(97 8) 745-0343 KIMBERLl3Y DRISCOLL Itatudin u salem.com MAYOR LA ItRY'KA MD IN,liti/Rlf I IS,C t10,CP-I:4 IIvlm:t'tl A(!FNI' 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 LOCA"ED AT C ) � V z UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE, OWNER/LESSER_ ,� q .o —ham MANAGER/AGENT ADDRESS _Sj(6 E LG ADDRESS CITY, STATE,ZIPCITY, STATE, ZIP69/"F01�'55^ RESIDENCE PHOT,F �S/�3��o % BUSINESS PHONE (24HRS) 6 Bb' SS PHONE 7V 0? TOTAL NUMBER OF,�ROOMS: ) `o ROOM USE: 1._/4( 2. .IQ 3. /_ 6? 4. ZR 5./5�f 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 C c 1_ _DATE Inspector<.use only Date on initial inspection: Date of reinspection:_ Date of issuance of c xtificate: / Date fee paid: Type of unit: Dwelling Other Check# 1 7_ Check Notes: I��Q -bm-RALP-N kec rn C �- dv if Iussa/q/ ) Cocleyntic&gment It spector CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 9 o' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Randell Emmett 42 Cabot Street Salem, MA 01970 PROPERTY LOCATED AT 42 Cabot 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. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 02/02/2000 Fax:(978)740-9705 Federal National Mtg. ASSOC. 3900 Wisconsin Avenue NW Washington, DC 20016 PROPERTY LOCATED AT 42 Cabot 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 HE.. REPLY TO JR 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 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 04/11/2002 Randall Emmett & Ray Vallisgers 42 Cabot Street Salem, MA 01970 PROPERTY LOCATED AT 42 Cabot Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. JOROA�R'DOF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR