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CHARLES STREET CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 04/24/2001 Fax:(978)740-9705 Abdel-Latif & Mercedes Hmitti 3 Charles Street Salem, MA 01970 PROPERTY LOCATED AT 3 Charles Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and. certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness, for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. R THE BOARD HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a m a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 01/31/2001 Fax:(978)740-9705 Kevin & Brian Thibodeau 6 Charles Street Salem, MA 01970 PROPERTY LOCATED AT 6 Charles Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State 'Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. - Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. R THE BOARD 9f HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I I A Q' 311 /F 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: 05/07/98 Fax:(978)740-9705 Harry Rocheville 6 Charles Street Salem, MA 01970 PROPERTY LOCATED AT 6 Charles Street- UNIT- # I 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 dwellingunit mustbeinspected.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 CERT.H. 218-97 3 � FEE $25.00 DATE: 04/10/97 MInB 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: 8 Charles Street UNIT 4 : 1 OWNER/AGENT; Gary Swartz ADDRESS: 8 1/2 Charles Street CITY/TOWN: ,Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1200 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 qe-,- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(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 Vl!�lP UNIT OWNER/LESSER / MA AGER//AGfENT J` C / U J J ADDRESS /�_ GLV(..•LS �� DRESS (dfti'KKK C e/ LCI/�� 1^14 /kl CITY l�4! ITY -Gj /I?i✓ y� 'RESIDENCE PHONE_ �• B SINESS PHONE (24 HRS.} !? �v BUSINESS PHONE 1/vi�.✓t/L4 �/� -- 1�- TOTAL NUMBER OF ROOMS: IS ROOM USE: 1.���� 3. L r / 4 . 5. 1 6. 7. 8, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FFIS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:-Y--I D �t-7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: LG ( a DATE FEE PAID: - ( O TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 11, 2003 Gary Swartz 8 Charles Street Salem, MA 01970 PROPERTY LOCATED 8 Charles Street Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply this p y with h s procedure, may result in a fine of Twenty $20.00 dollars per da for Y tY( ) P Y 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. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR p111111CHCAlth Prevem.Promote:Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIM13ERLEY DRISCOLL Iramdin@salem.com LrARRY RAMDIN,RS/11FI IS,Cl 10,CV-I;S MAYOR HFAI:rI I ACI`.';N7' CERTIFICATE OF FITNESS CERTIFICATE #364-13 DATE ISSUED: 10/4/2013 Property Located at: 8 1/2 Charles Street UNIT# 1 Owner/Agent: Robert Monegro Address: 8 Charles Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-335-1875 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 comply occupants, must IY with 105 CMR 410.000. P P 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 4 LAR MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS u BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR PubliCHealth rreem.rromme.wmem. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RARn)IN,RS/RF1IS,CI10,CP-FS MAYOR HEA1..11tl AGIi:N'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT I 1-0 rl v B Nv1 01970 UNIT#� . IS UPII DISIGNATED AS RIGHTtLEFD FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER r P OYl MANAGER/AGENT NO P.O. BOX ADDRESS nI' /q 1 ADDRESS CITY, STATE,ZIP �O�oM d l 1 7y CITY, STATE,ZIP RESIDENCE PHONE 9 �J�3 �- 1075 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L—K 2. 3. �L 4. 5. 13(Z `d 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I&RAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 9/ Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: J _ Type o it: Dwelling—Other—Check# r�_Check date: 0 r _ Notes: fCh11tlPYI1' rh �) t+ �CYJj lelj� Ot I C ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR Ith STREET, Prevem.Promote.Protect - TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Itai-ndin@salem.com LARRY RAbID1N,RS/R1.;I IS,CHO,CP-FS MAYOR Hi? 2�. w' � �" � , �]..+�d-' �� �` ` ���,,��� � ,0��3 �� ���,� r .,tA. ,h Y.\ CITY OF SALEM,MASSACHUSETTS )� BOARD OF HEALTHPubkH�__M 120 WASHINGTON STREET,47 FLOOR Prevent. mov.Preigm TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin(a.salem.com MAYOR LARRY RANillIN,xS/RGHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE`. $50.00 PROPERTY LOCATED AT �� Cfy��� �T�t� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORBAC&PLEASE CIRCLE ONE OWNER/LESSER ,a�5450T Z=7� MANAGER/AGENT NO P.O.BOX ADDRESS_ ADDRESS CITY,STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE 27 �77� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: yE ROOM USE: 1.,1/0/44/loots 2. 340 3. 'Td 4. 7t_?_) 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 PAYAB A U E PECTION APPLICANT'S SIGNATURE DATE — — %3 Inspectors use only Date on initial inspection: 3t6 1 113 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling / Other Check# Check date: r ,� Notes: <r-Ee2�h �� � I)n,,(J O 0 GQ t�i[iy1C`�� W PCfc�t i � �ement Inspector M CITY OFSALEM, MA4SACHUSE`I"I;S „ L'OARD,OF HE.') XT-1 120 9(/,ASI-11NG'roN STRE -r,4"'vi.Om 7'i u.. (478)741-1800 K LM13f3Rl..Li,Y 1a1tISC01'..1' F,\� (978) 745-0343 MAYOR lrainjA�s cu , om. I.A RRV RANIDIN,KS/RI?I IS,(;I f(7,CP-('S Facsimile Transmittal To: Fax # FRE: Date : Page(s): including this cover# Message: Board of Health News -------- --- — _____N_________ ____ _:For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 03/07/2013 05: 34 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 03/07 05: 34 FAX NO./NAME 919784750313 DURATION 00: 00: 26 PAGES; 02 RESULT OK MODE STANDARD ECM � �goNDIT CERT.# 790-00 n FEE $25.00 �, DATE: 12/14/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Charles Street UNIT #: 1 OWNER/AGENT: Nick & Kim Driscoll ADDRESS: 12 Charles Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-3137 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 WITHTHESTATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. _WOR THE ABOARD 0 F�HE-ALT_H JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT O ,ENFORCEME NS CTOR V 3.v ���N1M1i6 W`" CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tec(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT {a G C ISS UNIT# IS THIS UNIT DESItGNATE`D! AS RI T �LEE FRONT BACK PLEASE CIRCLE ONE � OWNER/LESSER i}u�� Vitt"` "1' —MANAGER/AGENT-.— No ANAGER/AGENT_,No P.Q. Box No P.O,Box ADDRESS �- r�Ls � ADDRESS CITY �S LY�7 CITY_ RESIDENCE PHONE Vo V1 l ._BUSINESS PHONE (24 HRS.) , BUSINESS PHONE TOTAL NUMBER �O_F�ROOMS: ' s ROOM USE: 1. THERE IS A TWENTY-FIVE($25,00)DOLLAR FEE,PANABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 1 APPLICANTS SIGNATURES ' DATE I_ IN PECTO`QRS USE ONLY DATE OF INITIAL INSPECTION. /�- �]' `� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_M _Q _..._DATE FEE PAID: /,2--/S1– 6 TYPE OF UNIT: DWELLING_OTHER__ CHECK# CHECK DATE " NOTES: — CODE ENFORCEMENT INSPECTOR 9/28198 I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/aur absence during said inspection. CX CA TENAN' LE SEE OWNER/LESSOR 12 12 C(7avtes S� #2�_Sa,�L►w� ADDRESS T�- -- ADDRESS ADDRESS OF UNIT '1y BE INSPECIfED __ l2�ll�00 TATE r Co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON4TH FLOOR SALEM, MA 01970 P' TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 419-03 DATE ISSUED: 7/11/2003 Property Located at:: 12 Charles Street UNIT#: 2 Owner/Agent: Nicholas Driscoll Address: 18 Glenn Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-740-3137 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. 1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Joanne Scott, MPH, RS, CHO Health Agent COf5E ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ,� BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FATNESS FOR H MAN HABITATION". PROPERTY LOCATED AT �` Gh6dt/ '5k UNIT# IS THIS UNIT DESIGNATED TED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER �1A40%S DPf W I MANAGER/AGENT No P.O. Box.Q g No P.O. Box ADDRESS c u 6 cr\r\ ks-' ADDRESS CITY JCi 0 CITY RESIDENCE PHONE � � ()S Q Ya BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.--3.-4. 5. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. ,&#j� J APPLICANTS SIGNATURE DATE-7 11d0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7/-///07• DATE OF REINSPECTION iU1 DATE OF ISSUANCE OF CERTIFICATE: 7////J DATE FEE PAID: 7/// la TYPE OF UNIT: DWELLING OTHER_ CHECK#Z7CHECK DATE / &4L? NOTES: (c ,ti_Zl COD P CEMENT INSP@ TOR 9/28/98 AmIn"A i n �m. CERT.# 36-99 FEE $25.00 DATE: 01/27/99 ��1MIN6� 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 Charles Street UNIT #: House OWNER/AGENT: Flora Tonthat ADDRESS: 30 Northey Street CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 741-2296 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 gOND1T 36 ���7Mnve CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CAO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN PROPERTY LOCATED AT "1 (,/(ar les Sl_".- UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OW7NER/LESSER 'F10Q TO/1�� MANAGER/AGENT 7Vo P.O. BoxD f 1 fi No P.O. Box ADDRESS U��tiet1 ADDRESS CITY �all''y� cy CITY RESIDENCE PHONE_ W - BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: -3 ROOM USE: 1 .-2.- . 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 -w/,—DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /� �,7— _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/-A7- 11 DATE FEE PAID:___ G TYPE OF UNIT: DWELLING OTHER__ CHECK# ` _CHECK DATE"- 7!y / NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TELL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGR86NBAUM@SAI.nM.CGM DAVID GREENBAUM - ACTING HEAL'Hi AGENT CERTIFICATE OF FITNESS CERTIFICATE#002-10 DATE ISSUED: 1/7/2010 Property Located at: 57 Charles Street UNIT#2 Owner/Agent: Jeannette Dionne Address: 57-59 Charles Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5464 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. FORT OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS "�� BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRE.ENBAUM&ALEM.COM DAVID GREENBAUM, 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--&r3 Ch Ol k S UNIT# IS THIS UNIT DISIGNATED((AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ` � 0 th-, ,,sW4.,�MANAGER/AGENT NO P.O. BOX (/ ^^ 1 LL ADDRESS �1r'rf_,fi �i �`��i i/�nA, ��Tia ADDRESS CITY, STATE,ZIP 1 . CITY, STATE,ZIP G d 7 e RESIDENCE PHONE 27A r/Lf�� . BUSINESS PHONE(24HRS) BUSINESS PHONE r TOTAL NUMBER OF ROOMS: J ROOM USE: I. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION ///� y , 2 APPLICANT'S SIGNATURE / {_ xo,,i ,, r � a � � Q DATE Inspectors use only Date on initial inspection: ho Date of reinspection: Date of issuance of certificate: //t) Date fee paid: 7 / d Type of unit: Dwelling ✓ Other Check# Check date: -1 Notes: IU((L LjF hot Ula Code Enfolfeelnent Inspector