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CEDAR STREET CEDAR STREET u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#009-05 DATE ISSUED: 1/3/05 Property Located at: 7 Cedar Street UNIT# 1 Owner/Agent: Fairmont Realty Address: 14 Summer Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-4260 An inspection of yourvacant 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 Levy 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 'O 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 7 _ .al S� UNIT #� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER a> MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS �y�� u ADDRESS CIT1 j�l/S CITY RESIDENCE PHONE",p, 710 2l6 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 77A7711-AIZl TOTAL NUMBER OF ROOMS: ROOM USE: 1.9-AA 2. 4. � 1 5.__6._7.___8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. l . APPLICANTS SIGNATURE J� DATE &,J-46' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION IhA( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /b/df-DATE DATE FEE PAID: /$/,dd� TYPE OF UNIT: DWELL IN4e OTHER_ CHECK #Pd2 7d CHECK DATE A�d NOTES: CODE E FO CEMENT INSPECTOR 9/28/98 + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR Pub1iCH@8Ith STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com LARRY IvAMDIN,as/REHs,c.Ho,chis MAYOR HEAI:I'H AGENT CERTIFICATE OF FITNESS CERTIFICATE#382-13 DATE ISSUED: 10/17/2013 Property Located at: 7 Cedar Street UNIT#2 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � � ,4UAJ LARPFir.RAMDIN HEALTH AGENT SANITARIAN . CITY OF SALEM, MASSACHUSETTS \ BOARD OF HFALTH 1� 120 WASHINGTON STREET,4"'FLOOR - — - - TFL.(978)741=1800 - KTMBF1UEY DRISCOLL FAX(978)745-0343 MAYOR I RAMDIN&S1i i+N c oaI I.AIt6 RAWAN, I31ir11:1'41 AGI{N'I' Applicati®n 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 I OC AT //�� Tr IS TMS UNDP LSIGNATED AS RIGHT LEWr FRONT OR BACK PLEASE CIRCLE OM OWNER/LESSE ------P, �ra hM✓ n n��2�z I d �l MANAGER/AGENTT � 171 1{j2 NO P.O.BOX [f �Cj /�OqZ� ADDRESS I 3 L (a ' �aA')�e S t- DRESS // o✓1FL� Ll Pf t CITY, STATE, /Tt vi m /rl I CITY, STATE ZIP 01�>l� RESIDENCE PHONE g 7?- l t�'�-(. (n'�_BUSINESS PHONE(24HRS) R 7 S- 74-Zi-D 35(�_ BuswmsmoNE TOTAL NUM 3ER�iOF ROOMS: J ROOM USE: 1 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 I AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATUREDATE /O Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: �cJ ')3-� Date fee paid: kD -)-7'-)0 Type of unit: Dwelling v'othex Check# )S" ' 1 Chwk date: S 2 S I Notes: Code Enforcement Inspector CON City of Salem, Massachusetts I A . a Ua Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCH68Nh MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16385 DATE ISSUED: 10/7/2016 Property Located at: 7 CEDAR STREET UNIT#3 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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. JAXerj B Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN s CITY OF SALEM, MASSACHUSETTS BOARD OF 14EALTH 120 wAs; NGTON STREET,4"'FLOOR _ TET::(978)741=1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1.RAMUN&A1-111-COM LAlili�'R,\Af171N,Rti/RI?Ilti,41(0,C;I'-I CI I i.0;1'I I.AC IsN'I' Application for Ceriff ea$e 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�1�(J�f ��1 UNIT IS TITS UNIT DISIGNATEDAS�IG did LEFT FROM i OR BACYC PLEASE CIRCLE ONE OWNER/LES �a ( n lo,tl�e rz 14-�j MANAGER/AGENT�� f 7� . �—� NO P.O.BOX f 0 Cx 4-&(r�—� a�JPPS g'Alov �- DRESSYFOSba i_�aerey '�-7� CITY,STATE, \ /off ) CITY,STATE,ZIP M A )J AA C)1040 RESIDENCEPHONE pf7E�' �-(� (n(a BUSINESSPHONE(24HRS) R7S" 7�l: 0, BUSINESS PHONE ! 79-71 S 03 )G' TOTAL NUMBER,,OF ROOMS:0 ROOM USE: 1. 2 c 3. 4 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THIN CITY OF SAL EM BOARD OF HEALTH THIS F AYABLLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE W-1//Q a4gDATE c3/70 Inspectors use only Date on initial inspectiond OZal/2 0I-6 Date of reinspection: Date of issuance of certificate:. �/2DJ�6 Date fee paid: Type of unit: Dwelling_�Other Check#_Cher date: �0/02� Notes: / orcemeft inspector T CERT.# 271-98 3 T". FEE $25.00 DATE: 05/08/98 m -J+% 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 Cedar Street UNIT #: 4 OWNER/AGENT: Fairmont Realty ADDRESS: P.O. Box 466 CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-4260 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 e 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 S.ANITARV CODE, CHAPTER II, IOS CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT OWNER/LESSER -M„d„L ,` MANAGER/AGENT ADDRESS '—� 4f ADDRES01 CITY wv2.<3 CITY LV 'RESIDENCE PHONE BUSINESS PHONE (24 DRS.) 77`/V40 i BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM USE: 1.� 'u�j 2• RG/jn_3.{�Wina 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEP IS FEE S PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGN;TURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�fT� DATE FEE PAID: gJ TYPE OF UNIT: DWELLING ,lam OTHER NOTES: ` CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ` Lf BOARD OF HEALTH _ 120 WASHINGTON STREET,4'"FLOOR PI1b�iCHC81t11 Prevent Pmmore.Pml h TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com _ LARRY RAMllIN,RS/RPGHS,CI-IO,C11-175 MAYOR - HI'iA]:n-I AGI N'f CERTIFICATE OF FITNESS CERTIFICATE#15b-14 DATE ISSUED: 5/8/2014 Property Located at: 10 Cedar Avenue UNIT# Owner/Agent: Gary Pierce Address: 9 Oakview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 ARD HEALTH g 440 LARRY RAMDIN HEALTH AGENT SANITARIAN W-A ta>as cam. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR PublicHealdi Prevent.Promom.Prolecr. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRI'RAnIDIN,RS/REkIS,C1 10,CP-IS MAYOR I-ImI.nI AC LNT 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 �O L ph c / y UNIT# IS THIS UNITDI�SIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER /0 �l � MANAGER/AGENT NO P.O. BOX ADDRESS— ADDRESS CITY, STATE,ZIP Sh18 CITY, STATE, ZIP RESIDENCE PHONE F!y E L tl LI4 Yj I BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 M- r,, 2 eo Lcrt2d 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE Lt. DATE Inspectors use only Date on initial inspection: SISI 4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of.unit: Dwelling Other Check#Check date: 5w t Notes: �� Code En or went Inspector O 120 Pabmall oh V%D P.I3UCY Dt:I5C01..t. Irgu n[t+aa:grn_cc In Nf_#Y'(�R i 1 '.:11:1' i Artik'f Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. 5eq ; .State Sanitary Code Chapter TI and Aiticle XJ1I of the City of Salem Oniinaace, undersigned trivnerrlessor and tortant-lessee of unit ofresitioutial Ixoperty, hereby authorize the Salem&jard :if Health or its authorized agents to inspect the residence identified below in accordance With the atbremcntioncd statwes,regulations and ordinances. In the event it is necessary that said inspecturn be done in rry%nut absence. ihve expressly authorized tL^e same and for my/our successors and assigns hereby release aful discharge the City of Sa?em. Sal=Board of licalth and it authorized agents frorn any lose or injury sustained of whatever nature ar.?i description occasioned by my/out ahserce during said inspection. erran"ee LO,— o 4�4121 Ale Address Address Address on unit to be irtspected 1�ate Updauxr 5 13,11 • ND�, City of Salem, Massachusetts lu Board of Health �{�� 120 Washington Street, 4th Floor, Salem, Prer}�NY11V He PCii tees MA 01970 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-15-354 DATE ISSUED: 10/23/2015 Property Located at: 23 CEDAR STREET UNIT# Owner/Agent: Shawn M. O'Brien Address: 21 Cedar Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7445363 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 A JYL Larry Ramdin, MPH, REHS, CHO SANITA IAN HEALTH AGENT y CITY OF SALEM, MASSACHUSETTS BOARD of HEALrI-1 'Ieq 120 WASHINGTON SIREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIllIN(C SAI nM.COM LARRY RANIDIN,RS/REI-IS,CHO,CP-FS HFJll.TFI 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: $50100 PROPERTY LOCATED AT 0(—) CeAA V UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �r E MANAGER/AGENT 2Y1 NO P.O.BOX L ADDRESS l ADDRESS �Q�Gf �y CITY, STATE,ZIP C% b� s2 ®��/� CITY, STATE,ZIP ��.fL'f p �� 611/ �7D RESIDENCE PHONE �// !�-�7 BUSINESS PHONE(24HRS) /�O J7�-3 BUSINESS PHONE D' / ��YL� TOTAL NUMBER OF ROOMS: 6 ROOMUSE: L 2-BI3. 5. 6 8. 19. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE AT HE TIMES OFAiKSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection:141:1202- Date of reinspection: Date of issuance of certificate: D T Date fee paid: 1z)22/J 5- Type of unit: Dwelling Other Check#3106 Check date: 1-012112615- Notes: .012112615- Notes: C e for ment Ins ctor i CITY OF SALEM, MASSACHUSETTS ` . BOARI)OF HEALTH 120 Wt1SHINGTON STREET,4"`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 NlAYOR LILINIDNQ7 ALEM.COM LARRY RANMIN,RS/REI-IS,C1 10,CP-FS HIfA1.;1'H 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. r enant/Lessee Owner/Lessor Address Address a3 W/� Address on unit to be inspected lr Date Updated 5/23/11 J �ONDIT,t� City of Salem, Massachusetts W On 44 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith 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-15-251 DATE ISSUED: 8/28/2015 Property Located at: 25 CEDAR STREET UNIT#2 Owner/Agent: Shawn M. O'Brien Address: 21 Cedar Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 744-5363 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 0,--A4� a Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN W% KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REHS, CHO, CP-FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4T" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDIN(a7SALEM.COM 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 ()kD Oe�a� SafeA- UNIT#� IS THIS UNIT D,InSIGN�ATTED(�AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE QQ OWNER/LESSER �`1YD W 1/\ ,t\ V \SC I Ef� MANAGER/AGENT Spw e- NO P.O.BOX ( `- c ADDRESS `- Qd�`I CITY, STATE,ZIP I4?yy\ U ITI O CITY, STATE,ZIP m RESIDENCE PHONE I I 0 - �'17 -c�5303 { BUSINESS PHONE(24HRS) �1? BOSS PHONE TOTAL NUMBER OF ROOMS: \I _ ` �Q ROOM USE: 1. q� 2. Ole 3. 5 ) . 8. 9. 10. 4,'r"1 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 SIGNA ty \ (T _ �� DATE / ] �� Inspectors use only Date on initial inspection:l0`//L1"LO1 Date of reinspection: Date of issuance of certificate: Date fee paid: OV2W210 4,;- Type SType of unit: Dwelling Other Check#3221 Check date: CD/2642O1 Notes: KIMBERLEY DRISCOLL MAYOR LARRY RAIADIN, RS/RENS, CHO, CP-FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4T" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 LRAMDINQQSALEM.COM Code Enforcement Inspector Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H 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. Uwe 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. C ,A4.- Tenant/Lessee UOwner/Lessor Address Address d5 . Address on unit to be inspected Date CERT.# 572-96. FEE $25.00 DATE: 08/21/96 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: 35 Cedar Street UNIT #: 3 OWNER/AGENT: John Casey ADDRESS: 17 Flint Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-1495 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. FIIOR THE BOARD OE HEALTH X(1'�j.-�Y.;sc-Z..�/�,c%Ji".''�-"'" LCL'{/ �✓ J�OANNE 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 Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT3SS t UNIT I OWNER/LESSER j tj�A) l L MANAGER/AGENT T— ADDRESS r 7 F1, z f' 3j- ADDRESS CITY V* ��r7IL( CITY RESIDENCE PHONE177 I � 9 S— BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE 7-f 7 /r7 TOTAL NUMBER OF ROOMS: ROOM USE: I. d4;0:lkR_G j 3 5. 6. 7. g, 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 PAYABILE AT THE TIME OF pINSPECTION(� APPLICANTS SIGNATURE f ( DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:' TYPE OF UNIT: DWELLING. OTHEcR�-- NOTES: CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS J BOARD or HF-m-TH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRF:riaiinUMfi—sAi,PM.coM DAVID GRI3I?NBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#355-09 DATE ISSUED: 7/31/2009 Property Located at: 39 Cedar Street UNIT# 1 Owner/Agent: Debra Ingemi Address: 4 Ancient Rubbly Way City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-9266 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. FOROARD OF HEALTH DkDREENBA ACTING HEALTH AGENT CO E ORCEMENT INSPECTOR a' 'Oul 27 08 O1z02p Joanne Soott Salem BOH 878 745 0343 p. 1 r q CITY OF SALEM, _1S9,CHUSETTS 1 omu)(w I IH.AI:CI I 1211 W:�s(nNCT(1ta ti'1'Rratl' �° 1�Looli 1ly;t..(9?R)741 1800 KINIBERLEY DRISCOI.,I. 1 ,\x(978) 145-0343 MAYOR COM D..A%T1D(;R.l?t:.NBAU\I, A(vl'ING Ill%.Aixi 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." /y PE E:$50.00 J PROPERTY LOCATED AT— r vuq� 7T _ UNIT# / �IS'1'HIS LFRIT bisidNkTED AS RRCIIT LKlrl'FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER < 7 MANAGER/AGENT No P.O.Box // ,,// ADDRESS. ,l V lI,I'ieud li ADDRESS CITY, STATE,ZII C( l�� l Cl'1'Y, STATE ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)_. BUSINESSPHONEJ�,�_ _� yyak6__ TOTAL NUMBER OF ROOMS:_ Y � � ROOM USE: I 2. +n(�r 3. 11yiI'l� 4. F/(N_v.. 7. 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 ABLE.AT"I'Iil 'IME OF INSPECTION APPLICAN'T'S SIGNATIIRE +'� ..... ( DATE94f& p� Inspectorsuseonly Date on initial inspection:_ 31 I Date of.einspectioxt: _ Date of issuance of certificate�:_1_� Q�_ Date fes paid:_T/ � Type of wxit: Dwclliu3 V OSher Check# q'� Chak date:_:z. .,) Notes: k6LY 1/1 Ju n down .i4a- ` . ()/I h0,q*..-.— N1d�t�1"4vch___�ti��nQ �rnv al, Code En.orecuient 1n3pex v 'Jul 27 08 01j02p Joanne Scott Salem BOH 878 745 0343 - p. 2 i CITY Or SALEM, MASSACHUSETTS BOARD 011 1-11;'U TH 120 WASHINGTON Srutsitl 4...Fj oi, 1131,.(978)741-1800 1'I M 111?IU.T?Y'D1tIfiCC)J,I. h.a,N(978)745-0343 MAYO[t IX;RITNkiAUUQNAIjUNi.C,01I DAVIDGREENBAUINi. ACTING Hii-alxsi AavNi 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 authoriisd 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/wc expressly autfrcrrizW Clic carne iurd for my/our successors and assigns hereby release and discharge the City of Salem, Salem.Board of Health and its authori7orl agents from any lose or injury sustained of whatever nature and description occasioned by rny.,Oul absence during said inspection. �/ — ant/Lessee 41,ncrLmor n1f1 Address Address Address on unit to be inspected �or " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4:"'FLOOR - PubhcHealth Pre.."",.r."moss.rra"m. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL tramdin e salem.com MAYOR LARRY RA bIDIN,RS/RH EHS,CO,CV-FS HI:;\I;YFi AGENT CERTIFICATE OF FITNESS CERTIFICATE#458-14 DATE ISSUED: 12/1/2014 Property Located at: 39 Cedar Street UNIT#2 Owner/Agent: Debra &Peter Ingemi Address: 4 Ancient Rubbly Way City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-921-9266 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 LAR"RAMIDIN HEALTH AGENT. SANITARIA i CITY OF SALEM, MASSACHUSETTS • . BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 j KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ]RAMDIN&SALF.M.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HFAJ m-r AGI=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" 3 2 �I FEE: $50.00 / PROPERTY LOCATED AT .�d tl Z ST0.1,e6k –UNIT IS THIS UNIT D SIG ATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER �a 75xRkj —MANAGER/AGENT NO P.O.BOX ADDRESS N fin ie 61L1GLf CGf c (�GJ�1 ADDRESS CITY, STATE,ZIP �/ CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: JJ // / _J / ROOMUSE: 1kr9aer1 2fUfi1% 3. {d1lrte' 4. f3PG/ 5. ,6eW 6. Ie-d 7. 8. v9. 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 ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ! hy Inspectors use only Date on initial inspection:"! Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# cr2 Check date: Q ) Notes: Code nT&G inentInspector .f r i A�h, CITY OF SALEM MASSACHUSETTS 120 WASHINGPON STREET,4...FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 MAYOR FAX(978) 745-0343 lramdin t�i salem.com LARRY RAMDIN,RS/RF I IS,0110,CP-VS HPAI:CH AC R.NT CERTIFICATE OF FITNESS CERTIFICATE#177-11 DATE ISSUED: 6/8/2011 Property Located at: 39 Cedar Street UNIT#3 Owner/Agent: Debra Ingemi Address: 4 Ancient Rubbly Way City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 921-9266 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 HEALTH AGENT CODE ENFORCEMENT INSPECTOR 06/06/2011 01:14 9707450343 PAGE 01 CITY OF SALEM, MASSACHUSETTS 09—If� ��1( B(),W O HPALTIR 120 WcSS1IING*VON 5'rPW,r,4"'FLcx>tt TEL. (978)741-1800 KIM13MEY DRISCOLL FAX(978)745-0343 ALWOR LmKww9§4wM r M LARRYRAMIAN,RVIM-1-IS,CW)( CP•I.'S I•IrAf;n-i At3NN'1` Application for Certificate of Fitness IN ACCORDANCE WrM STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FE `� f / E: $50.00 PROPERTY LOCATED AT( ) -1(� t �"ed al �9-- ^ UNIT# IS THIS UNIT DISICNATED AS RI HIT L1CuFT FRONT ORRAC PLEASE CHICLE ONE ow�vER/LESSER E � /'�/��j/1� n��ty MANACER/AGENT Alt}P01DR S ,J / n? &Z ✓ ao _ ADDRESS --- � � ! ,f ADDRESS my,STATE,ZIP lle� OLE! J CITY, STATE,ZIP RESIDENCE PHONE n l� �r�J" BUSINESS PHONE(24HRS) BUSINESS PHONE "//1-1V V 9-aA-- TOTAL NUMBER OF ROOMS:,,. ROOM USE: 1. 2. yt 3. U1 4, 6,Od 5, 5. 7. $. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CRECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEA14TH TFIIS FEE IS WYABLE AT TIDE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Zj Inslrec yrs, use only Date on initial inspection: t C[kill 1 Date of Mmpection: Date of'issuance of certificate: Date fee paid: 'I`ype of unit: DweUinB,,,,_�Zotlter Check#------ Check date: � (� Notes: on- YJ n 0 v ' SUUA-f (L lGit >� Cod afore ..entInspector 06/06/2011 01:14 9787450343 PAGE 02 (CITY OF SALEM, MASSACHUSETTS BOARD OF+H&1T,11-1 120 WASFT1i3GTONSTRL:HT,+4°1 ftLCO)R '11m.(473)741-1400 j XTMBMEY DRISCOLL F+�x(473)745-0343 MAYOR tants s is+�yr't1M Lnxxv R,�nzt>TN.RS/luau;;,Cito,c:P-z�; Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.OW ct. Seq. ; State Sanitary Code Chapter It 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 Hca"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. enan� Owner/Lessm 1I` �✓�i (� A&w Address Address 39 Address on unit to be inspected Dat updatm 5/231 t CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 08/08/96 Fax:(508)740-9705 Peter & Susan Vaillancourt & Raymond & Mary Jane Vaillancourt 40 Cedar Street Salem, MA 01970 PROPERTY LOCATED AT 40 Cedar Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a-m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410,354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 120-02 03/06/ TEL. 978-741-1800 FEE FAX 978-745-0343 DATE: 03/06/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 44 Cedar Street UNIT #: 2 OWNER/AGENT: Annemarie Sobutka ADDRESS: 44 Cedar Street, #1 CITY/TOWN:--Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7883 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 i CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR s SALEM, MA 01970 TEL. 976-741-1800 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 `? �K��- S�- i UNIT# a� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER RN N'iM'QX�,�- ,�AB1)7' d2ANAGER/AGENT No P.O. Box (, No P.O. Box H ADDRESS CuDmak s � ADDRESS CITY S �J(Af, lnll�_ CITY RESIDENCE PHOI` S PHONE (24 HRS.): BUSINESS PHONE r TOTAL NUMBER OF ROOMS: lV 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 'g" L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: i L -b z6ATE FEE PAID: 2 - TYPE OF UNIT: DWELLI OTHER_ CHECK# CHECK DATE �9 G -47 z- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �CONUIT - n n CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 02/20/2002 120 Washington Street, 4° Floor JOANNE SCOTT, MPH, RS,CHO Tel: (978) 741-1800 HEALTH AGENT Fax (978) 745-0343 Anne Marie Sobutka 44 Cedar Street, #1 Salem, MA 01970 PROPERTY LOCATED AT 44 Cedar Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. i 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. I A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which 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 goan/ne Sco t, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I I CITY OF SALEM, MASSACHUSETTS + e BOARD OF HEALTH 120 WASHINGTON STREET,4`H FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONW Qsm,r.m.COM JANE;I'DIONNL. ACTING HI•:ALTII A(;E,NT CERTIFICATE OF FITNESS CERTIFICATE#607-08 DATE ISSUED: 11/18/2008 Property Located at: 46 Cedar Street UNIT# 1 Owner/Agent: Thien Se Pou Address: 20 Lynn Street City/Town: Lawrence, MA Zip Code: 01843 24 Hour Phone: 978-390-9559 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. FO THS B&RDF, �LTH AN DIONNE ACTING HEALTH AGENT CODEEN C MENT I PECTOR CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH V 120 WASHINGTON STREET,4`FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNF SALEM.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 4�2 Cedar ,rf reef UNIT#-j IS THIS UNIT DISIGNATED AS RIGHT LEVY FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER IliL) SP l MANAGER/AGENT Ni� PDU . '. NO P.O. BOX ADDRESS 2D Wilyi Siyeel ADDRESS Some CITY, STATE,ZIP f_CH„YP rP H Ofd(f 3 clTY, STATE,ZIP RESIDENCE PHONE qJ $R5� BUSINESS PHONE(24HRS) cA2 2AD%Srl BUSINESS PHONE NIA TOTAL NUMBER OF ROOMS: L , ROOM USE: 1 1<i•fch&l 2 I iLinu 3 "rO n 4 6x(vWM 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT T1- BOARD IME OF INSPECTION �lAt APPLICANT'S SIGNATURE �7G[ DATE it Inspectors use only Date on initial inspection: I/ - I F- c$ Date of reinspection: Date of issuance of certificate: 11• I F o Z Date fee paid: J I- )P-- Type of unit: Dwelling L,— Other Check#_15_5 Check date: /I•dbV-e7- Notes: Code Enforcement Inspector ��,�ONDIT - CERT.# 239-01 FEE $25 .00 DATE: 05/10/2001 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: 46 Cedar Street UNIT #: ? OWNER/AGENT: Kenneth Velardi ADDRESS: 186 Abbott Street CITY/TOWN: N. Andover, MA ZIP CODE: 01845 24 HOUR PHONE: 689-0267 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 OFHEALTHAND 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 qo*�Ie)4� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � .0/ ' • ��conmlT,1,� ,�� 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 Tel:(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _34 CgV4;lL X UNIT#_�— IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER Ae;CW Ve7Z JAVI MANAGER(AGENT No P.O. Box No P.O. Box ADDRESS AF-4 699 aTT ,S f ADDRESS CITY�(/o_ ,�) Nndvr'h_ CITY RESIDENCE PHONE 97.? GJ9 0.1 C )' BUSINESS PHONE (24 HRS.) BUSINESS PHONED/ 7 9'7) J Yyr TOTAL NUMBER OF ROOMS: Y ROOM USE: 1. LEC1111' 2, E_PMgJ. Orv'"' L/!/IVCC ga" 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. G� APPLICANTS SIGNATURE A�^ _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S- 1 O —O ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '/D ' 1 I DATE FEE PAID: TYPE OF UNIT: DWELLINX OTHER_ CHECK# g 3.5 CHECK DATE NOTES:\h wJ o 'nti 7 v ,,dA,g A-j R� 1; e 5w c-,1_.r C RPUOA u�d, Qav T CODE ENFORCEMENT INSPECTOR 9/28/98 � � �CUImIT 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 05/02/2001 Kenneth Velardi 186 Abbott Street N. Andover, MA 01845 PROPERTY LOCATED AT 46 Cedar 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 R THE BOARD OF HEALTH REPLY TO anne cot PH,R HO PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR 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 J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#70-05 DATE ISSUED: 2/2/05 Property Located at: 46 Cedar Street UNIT#3 Owner/Agent: Kenneth Velardi Address: 186 Abbott Street City/Town: N. Andover, MA Zip Code: 01845 24 Hour Phone: 689-0267 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � / ` ^ ^ ' ` CITY OF SALEM, MASSACHUSETTS / ' BOARD orHEALTH /zuWASHINGTON STREET, 4TH FLOOR SALEM, wAn,s7o � TEL, e7o'r41 /aou » FAX 978-745-0343 ��" � srxwLs, usov/rz, JR JOANNE SCOTT, �,p*, uo, C*« ma,on HEALTH AGENT APPLICATION FOR CERTIFICATE OFFITNESS INACCORDANCE WITH STATE SANITARY CODE, CHAPTER O. 105CMR 410�0Q0 "MINIMUM STANDARDS OFFITNESS FOR HUMAN HA0TAT|0N" � PROPERTY LOCATED AT ----UNIT #_�~ >STHIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLE4sECIRCLE ONE OWNERJLESSE ANAGER0VSENT WmP.0. Box WoP.O. Box � ADDRESS Cz ADDRESS ! ------------ ------�-----��--------- � . C —CITY----- RESIDENCE |! Y RES|DBNCEPH0NBUSINESS PHONE <24HRS. BUS|NESSPHONE TOTAL NUMBER 0FRONMS: | ROOM USE l� 1�_-Y-�)��.3._ --j---�--'--___ THERE |SATWENTY-FIVE($25V0) DOLLAR FEE, PAYABLE BYCHECK 0gMONEY . ORDER TO THE CITY 0FSALEM HEALTH DEPARTMENT THIS FEE YSPAYABLE ATTHE TIME 0FINSPECTION. APPLICANTS SIGNATURE ATE , DATE OF fNlTIAL_ INSPECTION DATEOFRE|NSPECT|0N r ° DATE UFISSUANCE 8FCERTIFICATE/ DATEFEEPA|DJ TYPE 0cUNIT: DVYELUNGERCHECK # /3ZrOT �_CMECKDATE NOTES:— CODE ENFORCEMENT INSPECTOR {)TES:___C0DEENF0RCEMENT |NSPECT0R 9/28/98