CARLTON STREET y
CERT.# 501-97
3 FEE 025300
DATE: 07/30/97
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: 1 Carlton Street UNIT #: 1
OWNER/AGENT: Kevin & Gloria Martin �-
ADDRESS: 1 Carlton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3594
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
-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
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 f LTZ�)7 (L��� UNIT I
OWNER/LESSER MANAGER/ACENT
ADDRESS/ �if�>dGT0I7 CJ7 ADDRESS
CITY � �e/y] CITY
RESIDENCE PHONE t, Q BUSINESS PHONE (24 RES.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: I . q —2 O "IVI�
5, 5. 7 . 8,
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEP NT THIS FEE IS PAYABLE AT THE TINE OF INSPECTION
APPLICA,rS SIGNATURE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: O '(7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:_? " ,�7� ( ?_ DATE FEE PAID: j
TYPE OF UNIT: DWELLING ,( OTHER____
NOTES : t�
I
I
CODE ENFORCEMENT INSPECTOR _
.�o CITY OF SALEM, MASSACHUSETTS
v�
of � gyp. BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
o' SALEM, MA 01970
ABghINB TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/26/05
Marjorie Renahan
1 Carlton Street
Salem, MA 01970
PROPERTY LOCATED AT 1 Carlton Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
r the Board of He h Reply to
panne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
I'p 120 WASHINGTON STREET, 4TH FLOOR
q SALEM, MA 01970
`�rI1XB TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
3/12/08
Robert Jendraszek
5 Carlton Street
Salem, MA 01970
PROPERTY LOCATED AT 5 Carlton 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 a as and electrics for residential tenants if there is not a written letting
P P Y pay 9 electricity 9
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.
oan�F r the Board of He th Reply to
��C
MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
• ' CITY Or SALEM MASSACHUSETTS
yf
BOARD OF HF1L'PH
r� 120 WASHINGTON STRFFT,4... FLOUR
'1T-,,j- (978) 741-18Q0
ICIM ERLE?Y DRISCOLL. F.X(978) 745-0343
MAYOR uGIMENBAUMQ1S,%J I:nLcOroi
DAVID G RI?RN BA UM,RS
AC'T'ING 1-11.AIXI I AGISN'I'
CERTIFICATE OF FITNESS
CERTIFICATE #532-10
DATE ISSUED: 11/16/2010
Property Located at: 7 Carlton Street UNIT# 1
Owner/Agent: Stephen Whittier
Address: 10 River Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6076
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
I
DA D GRE NBAUM,IRS
ACTING HEALTH AGENT CODE ENO ERrINSPECTOR
CITY OF SALEM, MASSACHUSETTS
_ BOARD OF HEALTH � U
120 WASHINGTON STREET,4"' FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR DGRF1`,N13AU%1 r@SAr Fin.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 7 C aj i-b In �1. UNIT#—L—
IS TUISIUNIT DISI NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER UAC t MANAGER/AGENT �—
NO P.O. BOX L
ADDRESS 0 i crFY n�l ADDRESS
CITY, STATE, ZIP S. t mII !"I / O l ry CITY, STATE, ZIP
RESIDENCE PHONE 11 7q�I- �O7G BUSINESS PHONE(24HRS)
BUSINESS PHONE tons
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. �In v� 2 1C[-4.„ 3. �roan^ 4 AAlAj ovn5 W rom-,,
6. 1 7. 8. 9. d 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 OFJ EECTION
APPLICANT'S SIGNATURE DATE 6 ( 0
Inspectors use only
Date on initial inspection: 11 hu 410 Date of reinspection: �—
Date of issuance of certificate: 11110/0 Date fee paid: //cc//()
Type of unit: Dwelling ✓Other Check# L39-7Check date: I///tPT/0
Notes: (Jan ( G� P/� WVIOW r S Mc,-, r-e1,q& bcjlb (o k;oOL-
bou
VVOAA , MSK c A.P.— o 4C h o s-cb .
Wn Scream for do�n� roern N0dow efOr f r
5 (Jeer for womoW .
4Cod� nforcement Inspector
7 Pv� o (5-" F{,-
Y
t�
C%1�
2 ��
� q; � S � � '
�_,
i
'A q� \ �
��. _. . _
f
CERT.# 418-00
_ FEE $25.00
DATE: 06/29/2000
s
9@/MINE fA
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: 7 Carlton Street UNIT #: 2
OWNER/AGENT: Stephen Whittier
ADDRESS: 10 River Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6076
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
i
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax:(978)740-9705
"MINIMUM STANDARDS OF FITNESS FORjHUMAN HA�ATION".
PROPERTY LOCATED AT �/7 CSC a ((( !L\ UNIT#
IS THIS UNIT DESIGN TED Sn I H FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER lRA I lMANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY I/ CITY
RESIDENCE PHONE - BUSINESS PHONE (24 HRS.)_
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_11nn
ROOM USE: 1. g2.
5M M 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM IJEALTH DEPART E T THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL OF INITIAL INSPECTION 6 4 0 U4 0 ' DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:t< -CT DATE FEE PAID: g,' ��� as
TYPE OF UNIT: DWELLING*OTHER_ CHECK#S 3 ` - CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
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 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 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 during said inspection.
'd u-
TENANT/LESSEE OWNER/LESSOR
ADDRESS -- --� ADDRESS— - — --
ADDRESS OF UNIT TO BE INSPECTED
DATE
CERT.# 182-98
ry FEE $25.00
3
�15t I1F= DATE: 04/02/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fan:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 7 Carlton Street UNIT #: 2
OWNER/AGENT: Stephen & Ann Whittier
ADDRESS: 10 River Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-6076
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
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-8705
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 7 /17 'jW7 UNIT #_
OWNER/LESSER . MANAGER/AGENT
ADDRESS / ADDRESS
CITY {��� CITY _
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 . l _ `2. �3.
5 1L/[1� 6 � 1. �a
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 SIGNATDRE_
l
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -,-�- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: -'p�-^ DATE FEE "PAID: yI
TYPE OF UNIT: DWELLING OTHER _
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01910-3928
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 11l; 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 , 1/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 age, is
from any loss or injury sustained of whatever nature and description occasioned
by my/our- absence during said inspection.
TE i ES -p
_.,_lA'\T%L1r.,5EE O ER i.�SSCR
l.Di L.Caa
ADDRESS _J
ADDRESS OF ONIL TO BE I ;SPECTED
D^;iE --
3 �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH 32798Fax: (9 8
AGENT ( )741-1800
Date: )7409 05
Stephen & Ann Whittier
10 River Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Carlton 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,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/13/2002
Sally Manninen
8 Carlton Street
Salem, MA 01970
PROPERTY LOCATED AT 8 Carlton Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
OR THE BOARD 0 HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 158-02
FEE $25 .00
TEL. 978-741-1800 DATE: 03/21/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO
MAYOR HEALTH. AGENT
CERTIFICATE. OF FITNESS
PROPERTY LOCATEDAT: 8 Carlton Street UNIT #: 1 Front
OWNER/AGENT: Sally Manninen
ADDRESS: 8 Carlton Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24. HOUR. PHONE: 141-0872
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE: ABOVE ADDRESS' HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE. UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." .
SECTION 410.400- (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( ):
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE. LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
J�OTT, MPH,RS,CHO
HEALTH+ AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
�� BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR iGyQ
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS fOR HUMAN HAB T ON".
PROPERTY LOCATED AT UNIT#_�
IS THIS UNIT DESIGNATED AS RIGHT LEFFRON BACK PLEASE CIRCLE ONE
OWNER/LESSER G flIh 1 4-eej MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS _, ADDRESS
CITY � Gy �QNV� J CITY
RESIDENCE PHONEh �// �USINESS PHONE (24 HRS.)
BUSINESS PHONE 9:J K2 %1 OU Z
TOTAL NUMBER OF ROOMS:
� r
ROOM USE: 1. ! 2. / K 3. ffi11y�
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALE ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. - _
APPLICANTS SIGNATURE Gly DATE
INSPE ORS USE ONLY
DATE OF INITIAL INSPECTION �' 'Y I --� ''- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:3--2- / Z-DATE FEE PAID:3
TYPE OF UNIT: DWELLIN% OTHER_ CHECK#CHECK DATE 2-_J-) 2—
NOTES:NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
.�o CITY OF SALEM9 MASSACHUSETTS
g� Al '�, BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
hIN6 SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
November 2, 2003
Juliana Tache
28 Shore Avanue
Salem, MA 01970
PROPERTY LOCATED 9 Carlton Street
It has come to our attention,that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
F the Board of Health Reply to
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
o a BOARD OF HEALTH
ii 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
STANLEY J. USOVICZ, JR. FAX 978-745-0343
MAYOR wW W.SALEM.COM
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#755-05
DATE ISSUED: 12/21/05
Property Located at: 12 Carlton Street UNIT# 1
Owner/Agent: Tom I3torski
Address: P.O. Box 684
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-375-3233
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
JO tVNE SCOTT, MPH, R , CHO Qdl�
HEALTH AGENT CODE ENFORCEMEN INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD HEALTH
STREET,
120 WASHINGTON STREET, 4TH FLOOR
S� SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 12 0,aC&00UNIT#-
IS THIS UNIT DESIGNATED 1AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER t9l)V �Dlo rs k i MANAGER/AGENT
No P.O. Box t� No P.O. Box
ADDRESS (,ZI BDX �o 9Y ADDRESS
CITY �ERLY CITY IISA• 0/9f�
RESIDENCE PHONE 999-24/°/-/641BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
120
ROOM USE: 1.- v r$ 2._ 3. 1 G�al4. L , R,
5.S1&&_6. T. 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 �ya L DATE Id--)I-O S
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION t7_ -2j o5 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 12-Zi "05 DATE FEE PAID: 12 " 'LI Zo S
TYPE OF UNIT: DWELLING �;( OTHER_ CHECK# 2J 0 3 CHECK DATE
NOTES:
i
CODE ENFO CEMENT INSPECTOR 9/28/98
��e0P1U1T
3
a
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
Fax: (978)745-0343
07/30/2001
Albert & Sandra Aversa
694 Main Street
Boxford, MA 01921
PROPERTY LOCATED AT 22 Carlton Street UNIT # 1R
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 6:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist .
F R THE BOARD OF HEALTH REPLY TO
oanne cot PH,R , HO PABLO VALDEZ
ealth Agent CODE ENFORCEMENT INSPECTOR
CERT.# 401-97
^' FEE $25.00
M DATE: 06/26/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 22 Carlton Street UNIT #: 2nd floor R.
OWNER/AGENT: Al Aversa
ADDRESS: 694 Main Street
CITY/TOWN: Boxford. MA ZIP CODE: 01921 24 HOUR PHONE: 352-2192
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
�X
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970.3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II , 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION". 1
PROPERTY LOCATEJJD1ATO� CK,r� I-TV N �`i UNIT 102PA
OWNER/LESSER r7L t4ver.5 MANAGER/AGENT
ADDRESS / IF�)� _ ADDRESS
CITYXJ �qt !� CITY
-,RESIDENCE PHONES- 7- 35.,Q oZ ! t BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS } U9—"
ROOM USE: I.. L&2 2."I.� 1 S rq 3. _3M eI7 A 4 .
5.
THERE IS A TWENTY-F 25. 0} E, P BLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH E S E Z A ABLE AT THE TIRE OF INSPECTION
APPLICANTS SIGNATURE DATH_ j1o2�
INSPECTORS USE NLY
DATE OF INITIAL INSPECTION:�_�(p�_ DATE OF REINSPECTION
DATE OF ISSUANCE" OF CERTIFICATE:�j�'�b.., "S'I� DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER_ �^
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1113/04
John 1. Nestel
169 Ocean Street
Lynn, MA 01902
PROPERTY LOCATED AT 22 Carlton Street Unit 3R
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 a Board of Health , Reply to
Jo nne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CONOIT
CERT.# 286-01
FEE $25 .00
DATE: 06/07/2001
'pB®MIS
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel: (978)741-1800
Fax: (978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Carlton Street UNIT #: 2 Back
OWNER/AGENT: Robert Turner
ADDRESS: 45 Clyde Street
CITY/TOWN: Malden, MA ZIP CODE: 02148 24 HOUR PHONE: 324-4186
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 976-741-1800.
FOR THE BOARD OF HEALTH
l, SCOTT, MPH,RS,CHO
HEALTH AGENT 40 ENFORCEMENT INSPECTOR
n
s
-61
��7M(NETA
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
120 WASHINGTON ST. 4TH FL
JOANNE SCOTT,MPH, RS,CHO - XIAK&BUMMEXREM
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT of 5/ CA fP ,- l S UNIT#Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONTK PLEASE CIRCLE ONE
OWNER/LESSER �dpe� /uzA1rpX MANAGER/AGENT614
No P.O. Box No P.O. Box
ADDRESS NS- (5 CXbr S7% ADDRESS
CITY M.4e_ber� CITY
RESIDENCE PHONE 7Fl 3zi(- Vi?4 BUSINESS PHONE (24 HRS)
BUSINESS PHONE 7,P/-a3/-/9��
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. LN .br3.66.) r7 4. 066
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.
APPLICANTS SIGNATUR DATE (� -/-O /
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 4�-7-Q/ DATE OF REINSPECTION G -j'o!
DATE OF ISSUANCE OF CERTIFICATE:6 _1 -0 1 DATE FEE PAID: � - l-G/
TYPE OF UNIT: DWELLING I/ OTHER_ CHECK# 7/ 7/ CHECK DATE(C-7—V
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
' , gONDIT
n �
a q
'��yMINB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT Tel: (978)741-1800
05/29/2001 Fax: (978)740-9705
Robert Turner
45 Clyde Street
Malden, MA 02148
PROPERTY LOCATED AT 24 Carlton Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
F THE BOARD �EALTH REPLY TO
anne Scot PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
I30ARI)OF HE. N11
120 WASHINGTON ST'REE"r,4°1 FLOOR
TGL. (978) 741-1800
KIMI313RLLY L�RISCOLL FA-X (978) 745-0343
MAYOR n
cqw
LARRIRAMI)IN,RS/RR.fiS,(A 10,CP-FS
Henl:rn ACI:Nr
CERTIFICATE OF FITNESS
CERTIFICATE#241-11
DATE ISSUED: 7/20/2011
Property Located at: 26 Carlton Street UNIT# 1
Owner/Agent: Chuck Hennigar
Address: 409 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 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 L
LARRY RAMDIN v
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
. BOARD OF HEALTH
120 WASHINGTON STREET,4TM FLOOR -TEL. (978) 741-1800 J�\4
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR I.RAMI)IN@SAI.13M.COM
LARRY RAMDIN,RS/REFTS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT C;X C,7_4L1 UyU S7- UNIT#_L_
IS THIS UNIITTDISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER (,//UCK �A✓M I(L GA MANAGER/AGENT
NO P.O.BOX a .
ADDRESS ' ' / /Md*—) 7C X%Z- ADDRESS
CITY, STATE,ZIP ��G�R� mQ- 0 J �I V-S CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 I'W d 2. k1Te/t:1L) 3. 4.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAZEATTIHIETIMEOFINSPECTION
APPLICANT'S SIGNATURE DATE , a# /
Losnectors use only
Date on initial inspection: _71MII I Date of reinspection:
Date of issuance of certificate: d U I Date fee paid: I/
Type of unit: Dwellin her Check#____2_L4 I Check date: /
Notes:
C e nfo cement Inspector
CITY OF SALEM, MASSACHUSETTS
o BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
nL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IAAMDIN@SALEM.COM
LARRY RA.MDIN,RS/Rl-'HS,CHO,CP-FS
HEALTFI AGFNT
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'e'nant/Lessee Owner/Lessor
ar-7
Address Address
m,4- 0 7+0
Address on unit to be inspected
Date
Updated V23111
u 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
06/10/2002
Nathaniel Lord
27 Carlton Street
Salem, MA 01970
PROPERTY LOCATED AT 27 Carlton 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.
FOR THE BOARD F HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
.may. _ ..
Ce
n
���MPlB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
04/24/2001 Fac:(978)740-9705
Elizabeth Dawson
33 Carlton Street #3
Salem, MA 01970
PROPERTY LOCATED AT 33 Carlton Street UNIT # 3 right
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m.- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
FOR THE BOARD OF HEALTH REPLY TO
oanne Scol<, MHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR