CENTRAL STREET i
•' ��W •(n CERT.# 693-97
Y"• FEE $25.00
R
DATE: 10/02/97
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: 4 Central Street UNIT #: 2A
OWNER/AGENT: David H. Butler
ADDRESS': 14 Hunt Street
CITY/TOWN: Danvers MA ZIP CODE: 01923 24 HOUR PHONE: 774-2105
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
yTTTT f! ti(/}
µ
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 -14 < EplV Y, �� UNIT I
OWTTER/LESSER G/� /( // I3t��l-PY MANAGER/AGENT 13Z/
ADDRESS /* /� ��� / ADDRESS
CITY ��cf/�! t Y d�7 CITY ✓��/iU(/
RESIDENCE PHONE_? BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 3. c/ et�/ 7
5. ;ece'F4 6.
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 TIMES OF INSPECTION
APPLICANTS SIGNATURE_ 4�0 - p'� DATE /0 Z �F -7
INSPECTORS USE ONLY
i
DATE OF INITIAL INSPECTION: Y" DATE OF REINSPECTION_
DATE OF ISSUANCE OF CERTIFICATE:� DATE FEE PAID:_-/4 2
TYPE OF UNIT: DWELLING( OTHER
NOTES : J�
CODE ENFORCEMENT INSPECTOR
A '
3 +
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO - NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
RELEASE
l:n accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
R.Igulations 410.000 et. seq. ; State Sanitary Code Cliapter 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 , !/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—.--s
from any loss or injury sustained of whatever nature a.nd de.scriptinn occasioned
by my/cur absence during said inspection.
GC/S�a S i
?E19, N'i/LESSEE OWNER/LESSOR
A.DO—RE-Ss - ADDRESS
ADDRESS OF UNIT TO BE INSPECTED
y
t
I CERT.# 692-97
s _ FEE $25.00
3
%F^� DATE: 10/02/97
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: 4 Central Street UNIT #: 2C
OWNER/AGENT: David H. Butler
ADDRESS: 14 Hunt Street -
CITY/TOWN: Danvers, MA ZIP CODE:- 01923 24 HOUR PHONE: 774-2105
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 -
µ �
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
jAT �YyG�p'�lVfIYaG S� rUNIT #
` OWNER/LESSER lf� j(/ /fit '/���" � MANAGER/AGENT V taIJI�.�Tc
ADDRESSj/j rJ� yr I ADDRESS
CITY ��ry ( /� I J � CITY / clrVC2Y �0
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.
5. -6.-7.-8
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM' HL'ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TINE OF INSPECTION
APPLICANTS SIGNATURE / )
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION =.'2 � DACE OF REINSPECTION ____
DATE OF ISSUANCE, OF CERTIFIICATF.:Z(}_-a- - `j.7 DATE FEE PAID: /j� 7
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
3
X11 �fP
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
l HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
RELEASE'
]:m accordance with Massachusetts General Laws Chapter 11 l ; Code of Massachusetts .
Regulations 410.000 et. seq. ; State Sanitary Code Chapter I1 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.
L. the event it is necessary that said inspection be done in my/our absence , i_/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agcn u
from any loss or injury sustained of whatever nature and description occasionei
by my/cur absence during said inspection.
Jr
TENANT/LESSEE OWNER/LESSOR
�f cENf/`�t�ST M71CJf/ _) 11' A /ix
ADDRESS --- — ADDRESS— --- ------- —
ADDRESS OF UNIT TO BE INSPECTED
D',TE.
Lr s c
CITY OF SALEM MASSACHUSETTS
BOARD of HEALTH IV
120 WASHINGTON STREET,4."FLOOR PabventlicmHealth
otc,Protect
TEL. (978) 741-1800 FaX(978) 745-0343
KIMBERLEY DRISCOLL Itamdin@salem.com
LARRY RanlurN,IIs/R3i IS,Cf D,C11-FS
MAYOR
I-IP,AI:17d AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#309-14
DATE ISSUED: 9/15/2014
Property Located at: 4 Central Street UNIT#3C
Owner/Agent: 1805 Customs House R/T
Address: 16 Hunt Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
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 If' Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Y RAMDIN � �
HEALTH AGENT SANITARIA
• CITY OF SALEM, MASSACHUSETTS
S BOARD OF HEALTH
120 WASHINGTON STREET,4T"FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LR\MDIN&ALF.M.COM -
LARRY RAMDIN,RS/RFHS,CHO,CP-FS .
HEALTH AGENT,
Application for Certificate of Fitness
IN ACCORDANCE WITH STA'L'E SANTTARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT _ Ct A1;r1a L 5-)r' UNIT# 3 G
IS THIS UNIT DISIGNATED'AS RIGHT LEFTACK FRONT OR BPUASSE CIRCLE ONE
OWNER/LESSER 1�C7' CuS� � r1/_< /P TI fANAGER/AGENT ZC V/.9n/eL TZ p r
NO P.O.BOX
ADDRESS �6U/✓/ ADDRESS :�A G-01/7Y*1, 5 r1
CITY, STATE,ZIP //b/Vli ✓S 9// CTTY, STATE,Z1P
RESIDENCE PHONE 9 Zk 7 -210.5 BUSINESS PHONE(24HRS) 97,? 93 6 Lq 73 L
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. /-V -A�4 2. 1'/fCO-r.✓3. A,-A 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OEeINSSPEC�TION
APPLICANT'S SIGNATURE y�'�/ DATE
/ Inspectors use only
Date on initial inspection: C�1 �S I Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_Check date:
Notes:
CodAnbr6ement Inspector
• • CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,e'.FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRIMD1N&, LEM.COM
LARRY RAMDIN,RS/RENS,CHO,CP-FS
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter 11 and Article XHI 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. Itwe 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.
v
Tenant/Les Owner/Lessor
Address Address
G-
Address on unit to be inspected
Date
Updated 5/23/11
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
T
HIMBFRLEY llRISCOLL EL. (978) 741-1800FAX (978) 745-0343
MAYOR Iramdin@salem.com
salem.com
LARRY RANIDIN,RS/RHI IS,C.HO,CP-FS
HEN:PIi A(-,FNT
CERTIFICATE OF FITNESS
CERTIFICATE # 167-11
DATE ISSUED: 5/26/2011
Property Located at: 4 Central Street UNIT#2D
Owner/Agent: 1805 Customs House RT
Address: 16 Hunt Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
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
4ff�
LARRY RAMDIN
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�pry
• CITY OF SALEM, MASSACHUSETTS r
• �` BOARD OF HEALTH / !�
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KINMERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUNI&ALEM.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 4 Central St UNIT# 2 D
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNERILESSER 1805 Customs house realty trust MANAGER/AGENT
David H Butler
NO P.O.BOX
ADDRESS 16 Hunt st ADDRESS
CITY, STATE,ZIP Danvers Ma CITY, STATE,ZIP 01923
RESIDENCE PHONE 978 774 2105 BUSINESS PHONE(24HRS) 978 836 0730
BUSINESS PHONE 978 836 0730
TOTAL NUMBER OF ROOMS: 5
ROOM USE: 1.Lv Rm 2.Kitchen 3. Bath 4. Bed rm 15.Bed rm 2
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE
IS PAYABLE AT THE T OF INSPECTION
APPLICANT'S SIGNATURE '" `—�'� DATE .�p
Inspectors use only
Date on initial inspection:��a U 1, Date of reinspection:
Date of issuance of certificate: S c Date fee paid:
Type of unit: Dwelling VGther Check# aqatl Check date: 5 as /
Notes: C c4ebf2o ) lln I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°i FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUM@SAJ.EM.COM
DAVID GREENBAUM,RS
ACTING HEALTH AGENT
Code Enforcement Inspector
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.
enant/Lessee Owner/Lessor Ol ,11'o jF�,rl r
Address Address
ce,,Tr,,L z D
Address on unit to be inspected
5� Zzza
Date
CITY OF SALEM, MASSACHUSETTS
Y' 6
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAZ(978) 745-0343
MAYOR IDIONNE&AUN.COM
JANET DIONNE
.SENIOR SANITARIAN
CERTIFICATE OF FITNESS
CERTIFICATE#418-08
DATE ISSUED: 8/25/2008
Property Located at: 4 Central Street UNIT#3D
Owner/Agent: 1805 Customs House Realty Trust
Address: 16 Hunt Street
CityfTown: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
— ---—
----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
+JATDIONNE XAk c�✓�U'
SENIOR SANITARIAN CODE ENFORCEMENT INS ECTOR
• CITY OF SALEM, MASSACHUSETTS L l�
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR Iscorres LFm COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00
PROPERTY LOCATED AT 44CENTInL 'S;� UNIT# -3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER /k(2 S C A T MANAGER/AGENT 125L �41f/-C'
NO P.O.BOX
ADDRESS /� yt/N/ T ADDRESS
CITY, STATE,ZIP k)tet/✓L'T �5 CITY, STATE,ZIP G��vn/c 1rS &7f 0/f/--T
RESIDENCE PHONE BUSINESS PHONE(24HRS) y 7,7 W D �3y
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. U RAM 2. 3. Xtfc 4—N4. ITG_l 1 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE �Q DATE_042S O
Inspectors use only
Date on initial inspection: 9--LS – OT Date of reinspection:
Date of issuance of certificate: 8 - Lee rC Date fee paid: �-- 7S-<;, V
Type of unit: Dwelling ✓ Other Check# 2 j Sri Check date: Fr4 TS ter'
Notes: ,"Y, %a'
ode Enforcement Inspector
s
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ]scowksm.rM.COM
JOANNE SCOTT,
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to
inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/out absence.I/we expressly authorized the same and for
my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its
authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
D
Tenant/Lessee Owner/Lessor
//- �-&NfiG` s r i6 1�l//V�
Address Address
44 e -r-1V7r--,Z- s)— 3
Address on unit to be inspected
Date
1 6 CITY OF SALEM, MASSACHUSETTS
�L HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#440-07
DATE ISSUED: 9/6/2007
Property Located at: 4 Central Street UNIT#3E
Owner/Agent: 1805 Customs House R/T
Address: 14 Hunt Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
/F R HE BOARD OF HEALTH
T
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
s' CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH *OLd7
120 WASHGTON STREET,4:m FLOOR
IN
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAx(978)745-0343
MAYOR 1scOT1'a@sw:r:M.COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION."
PROPERTY LACATED AT ZI Crawl Pc.L UNIT# 3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �YOS=CUs'ro ta/5 �lvU� l MANAGER/AGENT ,Uy%17 /3L/-/7 c
NO P.O.BOX ��/
ADDRESS—/,(/ /!,,,V/ r S-r ADDRESS
CITY,STATE,ZIP 27*tiu V�z-- y� CITY,STATE,ZIP A119 0152- 3,
RESIDENCE PHONE 4 7Y 77. 2/DS BUSINESS PHONE(24HRS) 9 7,Y_� k,?Z 077"
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1. IL V Rt" 2. .ofT l ekd 3. ,�o//llbt 4, k/7c5. uT�
6. 7. 8. 9. 10.
THERE IS A TWENTY-FIVE($25)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
APPLICANTS SIGNATURE DATE
Inspectors use only
Date on initial inspection: G a Date of reinspection:
Date of issuance of certificate: 0 — 6 _ c 7 Date fee paid:
Type of unit: Dwelling Other Check# -a-0 7 Check date: c7
Notes:
Code Enforcement Inspector
CITY OF SALEM MASSACHUSETTS
�! HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
.JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#382-07
DATE ISSUED: 8/14/2007
Property Located at: 10 Central Street UNIT#2E
Owner/Agent: 1805 Customs House RT
Address: 16 Hunt Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
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 r
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
et /� X2,0
to CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR 3�a
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH. RS. CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER IS 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".-
PROPERTY LOCATED AT 'f✓ C-?--A/'T✓,ct` S T UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER CV572>'VS f/O AGE�JAGENT NAV/Q I3C/TL ti'
No P.O.Box ,J No P.O.Box
ADDRESS^ I'd ver ADDRESS /1 7-3
CITY CITY m4
RESIDENCE PHONE -F 7:F-77# CO SINESS PHONE(24 HRS) g36 a7 3D
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOM USE: L l V RiO 2. Be//OM 3. 1) c yrAk
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. c
APPLICANTS SIGNATURE® �i gz-'e� DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION I - ( �t "0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: J� �7 DATE FEE PAID 3 a
7
TYPE OF UNIT: DWELLING OTHER— CHECK# CHECK DAT �Zj -v
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
�v��counlr� 0i
q
��9ep�MrNe��
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978) 741-1800
06/29/2000 Fax:(978) 740-9705
1805 Customs House RT
14 Hunt Street
Danvers, MA 01923
PROPERTY LOCATED AT 10 Central Street UNIT # 3A
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances; Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7 :00 p.m. and Friday 8:00
a.m. - 4 :00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD HE TH REPLY TO
,,OR
t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 366-96
3 R FEE $25.00
DATE: 06/17/96
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 11 . Central Street UNIT #: 3A
OWNER/AGENT: 1805 Customs House RT
ADDRESS: 14 Hunt Street
CITY/TOWN: Danvers. MA ZIP CODE: 01923 24 HOUR PHONE: 745-3003
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IPJ COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
OR THE BOARD RF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusefts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT TSI:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY!CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT j ' 3�
OWNER/LESSER If/OS Ge/S�Ol�i S S MANAGER/AGENT J rr VIP /$#t,✓f�r r
ADDRESS / �I� C//✓yT S ,a ADDRESS
CITY �!'A1V-r }S li" . 1 CITY
RESIDENCE PHONE 77/,( BUSINESS PHONE (24 HRS.) -714.1'
5 �
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: A?
ROOM USE: 1. 1,/V/ 417 An. 4. 6/ 4/-r/✓
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
INSPECTORRS USE ONLY
DATE OF INITIAL INSPECTION r -7 t (v DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:_C;v( 7_: �DATE FEE PAID: 5 l? f (y
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
r
r.
`w'MIPB�
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: 06/11/96 Fax:(508)740-9705
1805 Custom House Realty Trust, David & Brenda Butler, Trustees
14 Hunt Street
Danvers, MA 01923
PROPERTY LOCATED AT 10 Central Street UNIT # 3A
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
i
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT-4- 457-94
s FEE: $ 25.00 "
DATE: 6/10194
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970
JOANNE SCOTT.MPH'RS.CHO NINE NORTH STREET
HEALTH AGENT Tel:(504)741.1Boo
Fax:(508)740.9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 10 Central Street UNIT / 3A
OWNER/AGENT Pasauanna Developers, Inc.
ADDRESS 31 Collins Street Terrace
CITY/TOWN Lv MA ZIP CODE 01902 24 HOUR PHONE 744-1083
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND, IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER 11, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
i
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
CODE ENFORCEMENTINSPECTO
HEALTH AGENT
a�ypO"0{. OFFICE USE
RESIDENCE
CODE
a �
3'ec01WWz
CITYOF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
(617) 741.1800 APPLICATION FOR CERTIFICATE OF FITNESS
In Accordance with State Sanitary Code, Chapter II, 105 CMR 410.000. "Minimum
Standards of Fitness For HumanlHabitation".
PROPERTY LOCATED AT /Q ,J UNIT #
OWNER/LESSER Pasquanna Developers, Inc. MANAGER/AGENT Patrick DeIulis
ADDRESS 31 Collins St. Terrace ADDRESS same
CITY Lynn, MA 01902 CITY
RESIDENCE PHONE 617-599-6820 BUSINESS PHONE (24 HRS.) 508-744-1083
BUSINESS PHONE 617-599-6820
TOTAL NUMBER OF ROOMS: 2
ROOM USE: 1 . 2,- 3, 4 .
5. 6. 7. 8.
FEE: $25.00 PAYABLE TO - CITY OF SALEM HEALTH DEPARTMENT
OFFICE USE
TOTAL SQUARE FOOTAGE: SQ. FT.
TOTAL SQUARE FOOTAGE FOR SLEEPING PURPOSES : SQ. FT.
DATE OF INITIAL INSPECTION: — ct � DATE OF REINSPECTION;
DATE OF ISSUANCE OF CERTIFICATE: - /0 ' / DATE FEE PAID: ,( - / (j 'Cf f
TYPE OF UNIT: DWELLING ROOMING_ OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR APPLICANTS SIGNATURE DATE
f? CITY or SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 W,�SHINGTON STREET,4.-.FLOOR
�1b)I1CHC8��}1
TEL. (978) 741-1800 FAX (978) 745-0343
KJA413ERLEY DRISCOLL L amdin@salem.com
LARRY 1LVN4)IN,Rti/RlFl IS, CII( ,(;V-I;S
MAYOR Hi.:AI: i I C;i7.N r
CERTIFICATE OF FITNESS
CERTIFICATE # 136-12
DATE ISSUED: 4/4/2012
Property Located at: 10 Central Street UNIT#3G
Owner/Agent: 1805 Custom House R/T
Address: 16 Hunt Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-836-0730
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
LARRY RAMDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS 3l�_/dam
BOARD OF HEALTH
120 WASHINGTON STRFET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR I.RA" xNCa)SAI.ncCOM
LARRY RAMDIN,RS/RFHS,CHO,CP-FS
HEAT:M AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT /O C e ni7r s Sr UNIT# 3 C—
IS
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER IY05' /PT MANAGER/AGENT12.,I/i O /5ZJ
NO P.O.BOX
ADDRESS & /)(/niT 57 ADDRESS a
CITY, STATE,ZIP 00 n/t/`r I-S CITY, STATE,ZIP e'-3
y'
RESIDENCE PHONE �- :;?(Os BUSINESS PHONE(24HRS) ?7� O 7 3 C7
BUSINESS PHONE—J-7 l � TZ 73'
TOTAL NUMBER OF ROOMS: �f
ROOMUSE: LItying /?l9. XlTe4-rl- 3. 91,l%l)
6. 7. 8. 9. 10,
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE T =OESPECTION
APPLICANT'S SIGNATURE a DATE
Inspectors use only
Date on initial inspection: 4 -y- VL Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelline w Other Check# L2-\ � Check date: t31 �^IN-
Notes:
Code Enf cement Inspector
S^
CITY OF SALEM, MASSACHUSETTS
vg BOARD OF HEALTH
.h 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
�s
��MME TEL 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
06/27/2002
Daniel & Debra Nelson
230 E. Teresa
Camano Island, WA 98292
PROPERTY LOCATED AT 20 Central Street UNIT # 301
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.
4ORTHE BOARD 0 HEA_LTH REPLY TO
anne Sco MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
l
A r CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
04/11/2002
Daniel & Debra Nelson
230 E. Teresa
Camano Island, WA 98292
PROPERTY LOCATED AT 20 Central Street UNIT # 301
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.
IR THE BOARD 0 .HEAL H REPLY TO
oannneScott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
I
I INS
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tei:(508)741-1800
Date: 02/05/97 Fax:(508)740-9705
M. Karl Kleiner
1022 Mantank Drive
Frank River, NJ 08731
PROPERTY LOCATED AT 20 Central Street UNIT # 305 .
Dear Sir/Madam:
i
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: Minimixm
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.r,. 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 �OCFHEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
4: G
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Date: 01/22/99 Fax: (978)740-9705
Olga G. Stratouly
2 Londonderry Road
Marblehead, MA 01945
PROPERTY LOCATED AT 20 Central Street UNIT # 307
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.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY.
Very truly yours,
jF;;,TFE BOARD OF EALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r —
L h
3 �
1�1 Y F
MING
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 12/02/97 Fax:(978)740-9705
Olga G. Stratouly
2 Londonderry Road
Marblehead, MA 01945
PROPERTY LOCATED AT 20 Central Street UNIT # 307
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
�0[d0
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
05/07/2001 Fax:(978)740-9705
Scott Peterson
20 Central Street #310 �� U
Salem, MA 01970
PROPERTY LOCATED AT 20 Central Street UNIT # 310
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.Habitat ion.
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.
Joa�R THE BOARD O� REPLY TO
tt, MPH,RS,CHO PABLO VALDEZ
. HEALTH--AGENT .,.-- CODE ENFORCEMENT INSPECTOR
` r
City of Salem
Board of Health K�,r
9 North Street
L
Salem, MA 01970-3928 5I -k
MAY-8'01 � Q
as 55 : f.
811545US-PCSrAGE
Scot Peterson
MAYA 4 2001 ❑ A VED - LEFT NO ADDRESS
ATTEMPTED - NOT KNOWN L
CITY OF SALEM 9t" 0 UNCLAIMED ❑REFUSED
HEALTH DEPT. 9 ❑ VACANT ANO MAIL BOX runrFn rarEs
ti ❑ DECEASED UNtT&aermce. lei
Tem
0 INSUFFICIENT ADDRESS
�~oFe ❑ FORWARDING ORDER EXPIRED
ED NO SUCH STREET O NUMBER
(PEEL OFF-UPDATE CUSTOMER LIST)
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FEB 2 6 2001
CITY OF SALEM
HEALTH DEPT.
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CITY OF SALEM BOARD OF HEALTH
` - Salem,.'Massachusetts 01970-3928.
JOANNE SCOTT;MPHR RS,CHO - `NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
Fax: (978)740-9705
02/14/2001
Pasquanna Developers Inc.
31 Collins Street Terrace
Lynn, MA 01902
PROPERTY LOCATED AT 20 Central Street UNIT # 404
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.
PCIR THE BOARD OF HEALTH REPLY TO
anne Scot, MPH,RS,CHO - - - - PABLO VALDEZ
Health Agent CODEENFORCEMENT INSPECTOR