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CHASE STREET
• y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR. DGRFT,NBAUM@SALBM COM DAVID GREFNBAUM ACTING HFM.:I'i AGIi,N'I' CERTIFICATE OF FITNESS CERTIFICATE # 266-10 DATE ISSUED: 6/3/2010 Property Located at: 1 Chase Street UNIT # 1 Owner/Agent: Robin Adler Address: 478 Warren Mtn Road City/Town: Roxbury, VT Zip Code: 05669 24 Hour Phone: 802-505-9147 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 DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFbfZCEMENT INSPECTOR KIMBERLEY DRISCOLL .MAYOR DAVID GREENBAuM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAR (978) 745-0343 D(3RF ,ULLA M LF-`, . 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_ Is TRIS DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE AGENT ADDRESS `t1bj�'IX`.Jbn 6A ADDRESS CITY, STATE, Z CITY, STATE, ZIP VC —0;U09 RESIDENCE PHONE _1VA �" BUSINESS PHONE (24HRS) �c� 5—W.-9) `0 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 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 tns�etitvra ubcvuiX Date on initial inspection: /oI Date of reinspection/: Date of issuance of certificate: (Q 13_/0_.—.— Date fee paid:t3 Tvne of unit: Dwelline L, -Other Check #___g i ! Check date: f �� Code nfor ement Inspector KIMBERLEY DRISCOLL MAYOR DAVID GRI^.ENBA UM AC17NG HEAL;n-I AGkNP To: Fax # RE: _ Date CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGREFNBAUM(@SAI,I?M COM Facsimile Transmittal Page(s): including this cover # Board of Health News -------------------- —---- ---------------------- _------------ For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 06/14/2010 03:23 NAME 918024852252 FAX 97B7450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/14 03:23 FAX N0./NAME 918024852252 DURATION 00:00:25 PAGE(S) 02 RESULT OK MODE STANDARD ECM JOANNE SCOTT. MPH, RS, CHO HEALTH AGENT CERT.# 335-98 FEE $25.00 DATE: 06/03/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 C9J:Ylllf �15�7 V Y_?�_al01Y941_�FX9 PROPERTY LOCATED AT: 1 Chase Street OWNER/AGENT: JoAnne Boale ADDRESS: 1 Chase Street CITY/TOWN: Salem MA ZIP CODE: 01970 UNIT #: 1L 24 HOUR PHONE: 744-6910 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 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 j � J -CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 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 �JSL S P �✓ UNIT # -� (3 3 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 -1-L IS THIS UNIT DESIGNATED ASRIGHT (LEFT FRONT BACK PLEASE CIRCLE ONE MANAGER/AGENT CITY CITY RESIDENCE PHONE 7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE %yS- qJ�%� G{ 2`5 TOTAL NUMBER OF ROOMS: / ROOM USE: 1. i7/%r 2. dmf 3. ki-rclN.� 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 I IME OF INSYE4I IL APPLICANTS SIGNA INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (A/191 _DATE OF REINSPECTION��9 DATE OF ISSUANCE OF CERTIFICATE: 6 e- DATE FEE PAID: G r TYPE OF UNIT: DWELLING OTHER NOTES: ^i e%/4 4-1,9 - ei ?T,r m SgSAI Coca/ , 5.«0// 7c -t '� b7 -CFA- r4o-� a 4 � _o._; COD 5/19/98 CERT.# 774-97 FEE $25.00 DATE: 11/13/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,,CHO HEALTH AGENT PROPERTY LOCATED AT: 1 Chase Street OWNER/AGENT: William Kelley ADDRESS: 1 Chase Street CITY/TOWN: Salem MA ZIP CODE: 01970 UNIT #: 1R 24 HOUR PHONE: 744-6910 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740.9705 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 k ,106E ENF RCEMENT INSPECTOR r 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 TI, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT OWNER/LESSER ia_. j ADDRESS RESIDENCE PHONE 2 —iGj BUSINESS PHONE TOTAL NUMBER OF ROOM ROOM USE: 1,-���2.�---�3 5.. 6. 7 MANAGER/AGENT ADDRESS UNIT BUSINESS PHONE (24 HRS.) 8. THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP NT THIS FEF,jIS PAYABLE AT THE TINE OF INSPECTION APPLICANTS SIGNATURE(j, INSPECTORS USE ONLY DATE OF INITIAL INSPECTION :/j/� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:— �j�/j ,y _DATE FEE PAID:_ TYPE OF UNIT: DWELLING Lf OTHER NOTES:_.. "Mono DTO CEMENT r� ,) e CERT. 11 213-94 Sp FEE:.,$ 25.00 _ •2'`° »M� �� DATE: 4/6/94 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 9 NORTH STREET 508-741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 1 Chase Street OWNER/AGENT William J. Kel ADDRESS 1 Chase Street CITY/TOWN Salem, MA ZIP CODE 01970 UNIT 1 1 24 HOUR PHONE 744-2651 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, CODE FORCEMENT INSPECTOR ACTING HEALTH AGENT OFFICE USE ONLY CERT. i DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 -ROBERT -E. 86ENK44OR14- - _ 9 NORTH STREEI HEALTH AGENT soe-Tai-teoo 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 _S P JZ_ , NIT_ ;1 OWNER/LESSER �i /_ ��.0 ' Me MANAGER/AGENT--S ADDRESS �l./! S p , ADDRESS CITY_S,2.4,"� M CITY 'RESIDENCE PHONE, :_2,�', /o'S BUSINESS.PHONE (24 HRS.)_ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.�2._,G3. 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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE DATE p - INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: TYPE OF UNIT: DWELLING OTHER NOTES: - CODE FFORCEMENT INSPECTOR DATE FEE PAID: M /[uZ CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 508-741-1800 DATE: March 29, 1994 William J. Kelley 1 Chase Street Salem MA 01970 PROPERTY LOCATED AT 1 Chase Street UNIT 0 DEAR SIR/MADAM: 1 Right 9 NORTH STREET It has come to our attention, that you are about to allow rental of 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. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter III, Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, 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 upon issuance of Certificate. Failure to comply with this procedure, will resuU 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 8a.m. - 4p.m., Thursday 8a.m. - 7p.m., or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY Very ttuly yours, FOR THE BOARD OF HEALTH ACTING HEALTH AGENT REPLY TO: PABLO VALDEZ Code Enforcement Inspector f Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-98 DATE ISSUED: 6/2/2015 Property Located at: 1-1.113 CHASE STREET UNIT #3 Owner/Agent: Angel Cuevas Address: 98 Foster Street City/Town: Peabody, MA Zip Code: 01960 10 PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (978) 210-8077 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/RI?hIS, CHO, CP -I -S Hli',AI. H A(:P:NT CITY OF SALEM, TT MASSACHUSETTS BOARD OF HEALTH 120 WAS HI;E:T REET, ' FLOOR 741-1800F745-0341A1.A367.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 IS THIS UNIT DISIGNATED RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE AGENT NO P.O. BOX pQ ADDRESS `U' M_SL-626 ADDRESS CITY, STATE, ZIP ?AO��y CITY, STATE, ZIP NO- 0060 RESIDENCE PHONE USINESS PHONE (24HRS) 9 .2-10 S-0 7 Z . BUSINESS PHONE '7 2 y 5_1( 2 23 S TOTAL NUMBER OF ROOMS: V/ ROOM USE: 1. Ll V " S 2. i�IdYkl 3. 1�ekLv"', 4. Aea�Am-"- 5 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHI�Q* OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FED49'PAYABL$AT AE TjPO SIE F INSPECTION APPLICANT'S Inspectors use only #(,S q? KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 41° FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 Iramd.in ,salem.coin CERTIFICATE OF FITNESS CERTIFICATE # 315-14 DATE ISSUED: 9/19/2014 Property Located at: 2 Chase Street UNIT # 1 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 LARRY RAMDIN, RS/RP-1 IS, CHO, CP -FS Hi,"m,'n I A(IF:N'I' 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 ILAR19RAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR, DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON S'1'RLET, 4T.. FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGREENI3AOMQSALEM. CONI 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 2-- S'T UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT' FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER '?-% Y' -cmc_ MANAGER/ AGENT NO P.O. BOX I ADDRESS ADDRESS I 0 ` `v`�S CITY, STATE, ZIP. , STATE, ZIP RESIDENCE PHONE SBS "6 BUSINESS PHONE (24HRS) 17 BUSINESS TOTAL NUMBER OF ROOMS:—Z ROOM USE: 1. 2. L\/ 3. 53M3Q s` 4. 5. >V%F 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 TE Qrl�%kk�{ Inspectors use only Date on initial inspection: �1 ^ )4 " Date of reinspection: Date of issuance of certificate: C) ' )S - I 1 Date fee paid: C'r Type of unit: Dwelling_L,-� Other Check # heck date: Notes: Inspector Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-25 DATE ISSUED: 1/26/2016 2 CHASE STREET UNIT #2 Marie Gagnon 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 O PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: (978) 884-8856 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSE"T"TS BOARD OF HEALTH 120 WASHINGTON STREET. 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 DGRFEN13AUM&ALEM. CONI 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. IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE OWNER/LESSER MANAGER/_ AGENT NO P.O. BOX -cj ADDRESS —% ADDRESS CITY, STATE, ZIP'TO�S� � �i 1' / O % t3 CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) ME BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 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 Inspectors use only Date on initial inspection: Jam/ 6 l l Date of reinspection: Date of issuance of certificate: Date fee paid: 7 Type of unit: Dwelling Other Check # /, 5 iU I _Check date: "/76 Notes: Code Enforcement Inspector \-z Iz.?> %,T - JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 739-00 FEE $25.00 DATE: 11/14/2000 CITY OF SALEM BOARD OF HEALTH Salem. Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 2 Chase Street OWNER/AGENT: Juanita Dion ADDRESS: 2 Chase Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 3 24 HOUR PHONE: 744-6286 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 _? 39I JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tec (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR// --HUMAN HABITATION". r/ PROPERTY LOCATED AT _L�` G rt �$ e S+- fi UNIT # J IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box p. y 'No P.O. Box ADDRESS '� C SLG S.� �l ADDRESS CITY VA CITY—,-- RESIDENCE ITY_RESIDENCE PHONE -7Y -BUSINESS t.,1e�PHONE (24 HRS.)— BUSINESS PHONE TOTAL NUMBER OF ROOMS:- ROOM OOMS: ROOM USE: 1.i_ 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 OF INITIAL INSPECTION /-0'9 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,// -/((-0 J DATE FEE PAID:,&-::L� " TYPE OF UNIT: DWELLING BOTHER_ CHECK #_2 .- —/CHECK DATE CODE ENFORCEMENT INSPECTOR 9128198 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 - CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4 Chase Street OWNER/AGENT: Henry T. Gagnon Realty ADDRESS: 16 Lockwood -Lane CITY/TOWN: Topsfield, MA ZIP CODE: 01983 CERT.# 111-02 FEE $25.00 DATE: 03/04/2002 120 Washington Street — 4`h Floor Tel # (978)-741-1800 Fax # (978)-745-0343 UNIT #: 1 24 HOUR PHONE: 887-8406 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. FTHE BOARDOF EALTH JOANNE SCOTT, MPH, RS,CHO e;�^ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 'Z�"iFa<+'s-�..G ' an- _ a �''I..f sof s g'S * £Y: t �•t _ .. _ u� PITY OF SALEM BOARD OF HEALTH j Salem, MassachuseV6 01970-3928 Ji)ANNE SCO -t.. id:-: :, ^S, CH6 NINE NORTH STREET HEALTH AGENT Tel: (508) 741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax: (508) 740-9705 IN AG.CORD?.NCE.Y,ITH STATE`SANITPRY:CODE, jCHAPTER.11,'105 CMR 410-000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATY. Y7 S 2 S _ . UNIT I 't -- OWNER/LESSER. -:.,: ,;;htnry T, 6MAon Rep MANAGER/AGENT' ADDRESS. leo L0M, D ,LFYIJE ADDRESS SRME C-ITY T biro IM Q 3 CITY. =RESIDENCE PHONE CSoe.� 887'&� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: .� ROOM USE: 1. /�i 2. 5. 6. THERE IS A TWENTY-FIVE 025.00) I CITY OF SAI HEALTH DEPARTMENT APPIICAiiTS SIGNATORE %'7 V 4. _7, 8, FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE FEE IS AYABLE AT TEE TM OF INSPECTION DA _�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION- DATE OF REINSPECTION _ DATE OF ISSUANCE OF CER TI�FIICATE: Z DATE FE�� D� Z' TYPE OF UNIT: DWELLING Y OTHER ' NOTES: 3 c- r/� a 'Ua CODE 'ENFORCEMENT 'INSPECTOR n JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 4 Chase Street OWNER/AGENT: Henry T. Gagnon ADDRESS: 16 Lockwood Lane CITY/TOWN: Topsfield, MA ZIP CODE: 01983 CERT.# 272-01 FEE $25.00 DATE: 05/30/2001 Tel: (978) 741-1800 Fax: (978) 740-9705 UNIT #: 1st Floor Front 24 HOUR PHONE: 887-8406 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH J� qv*�- 'ftOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r—' JOANNE SCOTT, MPH, AS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01974-3928 6( APPLICATION FOR CERTIFICATE OF FITNESS , SIVE yD MAY t 3 2441 HE�EPH Df. IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 `� 5f t . 61 f V UNIT # NINE NORTH STREET Tel: (978) 741.1800 Fax: (978) 740.9705 IS THIS UNIT DESIGNATED 'ASIR GHT F F BACK PLEASE CIRCLE ONE OWNER/LESSER �P)1YI1 �jaq o MANAGER/AGENT�`)(�VY)C _ ADDRESS 16 L 1c l id LAnf_ADDRESS CITY Ma. CITY • i .,firdl BUSINESS PHONE�SLlYT1 ,i TOTAL NUMBER OF ROOMS: � ROOM USE: 1._ , _ 2. 3. 4. 5. 5.__ 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS DATE OF INITIAL INSPECTION 5� / DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE--3v":DATE FEE PAID: / TYPE OF UNIT: DWELLINu _ OTHER__ CODE ENFORCEMENT INSPECTOR 5/19/98 KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH -" ---130-WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 82-15 DATE ISSUED: 3/26/2015 Property Located at: 4 Chase Street UNIT # 2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 lu PublicHeatt 1 Prfvfnl, Pr...1f. Protect. LARRY RAbDIN, RS/RF:I-IS, CIiO, Ce -Fs HEAL, n i AGENT 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. JE E_BOAF� O LARRY RAMDIN HEALTH AGENT SANITARIAN KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS c / _l� BOARD OF HEALTH c� 120 WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 e FAX (978) 745-0343 DGREENBAUM&ALEM. COM NAP c1 3 0 2015 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 '--A (-— S'1— UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER 'I--A41Z0j- MANAGER/ AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE, ZIPt-1—CITY, STATE, ZIP RESIDENCE PHONE 9-1R- W8-1' gc65%10 BUSLNESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: _ 'I. 2. >� 3. 4.� -�/ 5. v�Tc b�,J 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 Inspectors use only Date on initial inspection: a,E,66 Date of reinspection: Date of issuance of certificate. Date fee paid: Type of unit: Dwelling Other Check #,/ �--...Check date: ... _... . Code EnfbiVemt Inspector Kimberley Driscoll Mayor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 520-06 DATE ISSUED: 10/31/2006 Property Located at: 4 Chase Street UNIT # 3 Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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 or HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Kimberley Driscoll Mayor CrrY of SALEM, MAssACHusM'rrs BOARD OF HEALTH 120 WASHINGTON STREET, ATH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 979-745-0343 JOANNE SCOTT, MPH. RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT c ' `af _S UNIT #_3 IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJ�Pi9.�_ _C3�P+iriaCJ'4 MANAGERIAGENT_ No P.O. Box No P.O. Box ADDRESS ADDRESS CITY,�SXSSL-vim CITY RESIDENCE PHONE 'A1$ — 1;rMBUSINESS PHONE (24 HRS) q 7.8v g x:8$5 BUSiNESSPHONE 9-t$-8$�-885be TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A TWENTY-FIVE ($23.0 ORDER TO THE CITY OF SALEM TIME OF INSPECTION. APPLICANTS SIGNATU t 'CHECK OR MONEY FEE IS PAYABLE AT THE MR ,v: DATE OF INITIAL INSPECTION ,O....w5 -0_to _. „DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFIGATE/dam (' DATErFEE PAID:_JO0_ ' . G TYPE OF UNIT: DWELLING i OTHER_ _. CHECK It ?I o a/CHECK DATE /_10 - 3 0 ' d G NOTES:..,_ . t:. CODE ENFORCEMENT INSPECTOR 9128198 Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-182 DATE ISSUED: 6/28/2017 5 CHASE STREET UNIT #A Kyle Daddieco 685 Broadway Lot 58 City/Town: Maiden, MA Zip Code: 02148 Ed PublicHealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRISCOI:L MAYOR LARRY RAMDIN, RS/RBIIS, CFO, CP -FS HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4°1 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 LRAMDIN @ SALEM.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" 4 FEE: $50.00 IS THIS I1NCP DISIGNATED AS RIGHT LEFT' FRONT OR RACK. PLEASE CIRCLE ONE OWNER/LESSER S-A Ck4.7e, f2-� MANAGER/ AGENT NO P.O. BOX�j ADDRESS �0 R� i O C �J G l L (?ADDRESS 5q V2-1 CITY, STATE, ZIP pN /vl 0d24TY, STATE, ZIP Grit e_ RESIDENCE PHONE BUSINESS PHONE (24HRS) ra (%- S �J ooq 90 S RECEIVED JUN 072017 CITY OF SALEM BOARD OF HEALTH PROPERTY LOCATED BUSINESS PHONE TOTAL NUMBER OF ROOMS: C2 ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYAE BOARD OF HEALTH THIS FEE IS PA)�WME A APPLICANT'S SIGNA Date on initial CHECK OR MONEY ORDER TO THE CITY OF SALEM OF INSPECTION Inspectors use only Date of reinspection: Date of issuance of certificate: Date fee paid: /0 Type of unit: Dwelling Other Check #Check date:_�% Y j b, bD Code Enforcement Inspector Kimberley Driscoll Mayor Property Located at: Owner/Agent: Address: City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17.183 DATE ISSUED: 6/28/2017 5 CHASE STREET UNIT #B Kyle Daddieco 685 Broadway Lot 58 City/Town: Malden, MA Zip Code: 02148 PablicHeaith Prevent. Promote. Protect. Larry Ramdin, MPH, RENS, CHO Health Agent 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT r/ : CITY OF SALEM, MASSACHUSETTS BOARD of HaAL LH 120 WAST-IINGTON S'LRLJiT, 41° FLOOR '1)u,.(978)741-1800 KIMBERLEYDRISCOLL FAX(978)745-0343 RECEIVED MAYOR LRAMD1N@SALEM.(:0M LARRY RAMDIN, RS/RF.HS, CHO, CP -FS JUN O 7 2017 HEALTH AGUNT CITY OF SALEM BOARD OF HEALTH 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 IS THIS UNIT DISIGNATED AS NO P.O. BOX Co CITY, STATE, ZIP f 1 UNIT# LF.Fr FRONT OR BACK, PLEASE CIRCLE ONE J ' MANAGER/ AGENT �` C® CITY, STATE, ZIP sc-- Q RESIDENCE PHONE BUSINESS PHONE (24HRS) C4 R BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHICK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY T OF INSPECTION APPLICANT'S SIGNATURE DATE 0 inspectors use only Date on initial Date of reinspection: Date of issuance of certificate: Date fee paid: 6,7— P7 Type of unit: Dwelling Other Check #__Check date:��D , bQ Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR sem. leo.' SALEM, MA 01970 9q�� .TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 261-08 DATE ISSUED: 6/3/2008 Property Located at: 6 Chase Street UNIT # 2 Owner/Agent: Rafael Brea -Diaz Address: 6 Chase Street #1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-853-7181 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH J NN�, MPH, RS, CHO HEALTH AGENT CODEFORCEMENTINSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET, 4'" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYORSCl .OTI'&ALEns. 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 THIS 6IT DISIGNATED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE OWNhFJLhSSI1KT,jj" Vf-- MANA(iMAUEN1 NO P.O. BOX ADDRESS 6 CAiA 5E S T QO& ADDRESS CITY,STATE,ZIP —64Z £/yl CITY,STATE,ZIP Qlq'7D 7 RESIDENCE PHONE ft- $a3 = ©l kl BUSINESS PHONE (24HRS) 9?r &--5-3-/1 k/ BUSINESS TOTAL NUMBER OF ROOMS: 4 - ROOM USE: 1. 3.&D IW Al 4. gv-cnen 5. t WUworn 6. - 7. wvi ruN 8. 9. 10. Qpp m THERE IS A TWENTY-FIVE 5) DO LAR FEE Y CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEAL THIS E I ABLE' TIME OF INSPECTION APPLICANTS !/ Inspectors use only Date on initial inspection: tom - 3 0r Date of reinspection: Date of issuance of certificate: �0 - 3 Date fee paid: Type of unit: Dwelling ✓ Other Check #-!!wn Check date: Enforcement -3- o & ClITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Ralph Erps 20 manning Street Salem,MA 01970 PROPERTY LOCATED AT 8 Chase Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. — 4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. -- 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection, A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross -metering has been proven to exist. F r the Board of Hea h oanne Scott MPH, IRS, CHO Health Agent Reply to Pablo Valdez Code Enforcement inspector STANLEY J. LISOVtCZ, JR. MAYOR CITY OF SALEM, 14A5S-AC- USE7T-S $OARo OF HEALTH.. 120 wASHiNQTON STREET, 4TH FLoctR SALEM, MA 01:970 TEL. 978.741- 80P- i:Ax 978-745-0343 JOANNE. SCOTT,- MPH, RS; .CHO HEALTtLAoENT EERTtFtCATE QEfTNEW CERTIFICATE-# 50 -05 DATE ISSUED: 8/10105 Property Located at: 6-Chase-Street-UNtT#-2 Owner/Agent: Rafael Brea Address: B Chase Street #1 City/Town: Salem, MA Zip -.Coder, 04170 -24 -Hour Phone- 82,5=otet An inspection of your vacant Dwelling/Rooming .Uniit-atthe-abeve-addresshas-bean approved and is In complianoe with 105 CMR410.000 .Massachusetts: State -Sanitary -Code. Chapter -Ir. Minimum Standards of Fitness for Human Habitation" Therefore, this Certificate is issued by the Code Enforcement Division of the=Salmi 8pardtof Health and the unit may now be rented.aWoi occupied., Maximum Number ofoeeupants, muacemply-with- 105CMR,4tO♦00ft. Certificate valid for one year from date ofissuance.oruntitthe current tenantvacates,:whichever is later. This Certificate of Fitness isvalid o,*If-there-ie aystWCertTicetwofOccu?ancy: FOR THE BOARD OF HL J NESCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR STANLEY USOVICZ, JR. MAYOR 'OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 976-741-1600 FAX 976-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT" APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT _ T _ _UNIT 4_^ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEIYLESSFR 9 6,6,VS4fDj� & MANAGER/AGENT__,_ No P.O. Box_ No P.O. Box CITY 5�/, , — —CITY RESIDENCE PHONE del d% BUSINESS PHONE (24 HRS.)--- BUSINESS RS.)_BUSINESS PHONE �7J k'3.3 -7l 1f/ TOTAL NUMBER OF ROOMS:__` ROOM USE: THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEI SALT}:,{{ L7FPgRTMENT THIS FEF_ IS PAYABLE AT THE y TIME OF INSPECTION, ._ APPLICANTS SIGNATUR_ .. -. _ / _ - DATE /s --- t rl :-lp I1S USE ONLY DATE OT INITIAL _INSPI-Cl_ION b X � DATE OF RLiNSIl CTICN DATE Of- ISSUAlA(, 01 C4a`iTIi=KATE 27,.-Y .=� DAl i_ i Li- Pr:it7- alp � CI1i=CK e�>v t;I f[=CK DATE �. - TYPE OF ONIl DWI_EI_It�OiFiE I NOTEt> CI Oi I-NIUWSj Ml Ni IVI il.C1014 H KIMBERLLY DRISCOLL MAYOR LARRY RrA hfDIN, RS/M;'I IS, Clio, CF -FS HFA1;nIAGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HFAI:H-I 120 WASHINGTON STREET, 4„, FLUOR TSL. (978) 741-1800 FAx (978) 745-0343 Iramdin@salem.com CERTIFICATE OF FITNESS CERTIFICATE # 173-11 DATE ISSUED: 5/31/2011 Property Located at: 9 Chase Street UNIT # 1 Owner/Agent: Donald Belmonte Address: 118 Syeamore Road City/Town: Melrose, MA Zip Code: 02176 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH /A 1ff� d A, LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR KJ'1v-fBF.RLF?l' DRISC,011. MAYOR DAVID ACTING Hr_aLiifAcrxT CITY OF S.ALEitiT, MASSACHUSETTS BOARD OF F II tL'rI-i 120 W \SnING'n?� `, I RI -1 'I , 4 " FLOOR tf,L. (978) 741-1800 ! �� 1' ,, (978) .'�45- 0 343 j Lu Pi �ttPi Otte mic>:v.i �iC c).�I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT—7 L haPS Vt • i UNIT#_.__ IS THIS iNIT DISIGNATED AS RIGHT LEFT FRONT OR SACK, PLEASE CIRCLE ONE OWNER/LESSER 3jf1m0�_C —MANAGER/AGENT S' NO P.O. BOX _i i CITY, STATE, ZIP J� E MG. O ~'G l %fo CITY, STATE, ZIP RESIDENCE PHONE�—BUSINESS PHONE (24HR BUSINESS PHONE 51411-' TOTAL NUMBER OF ROOMS:_._,„_,,._ ROOM USE: 1 4 2 L i R'h 3 i__-) 4 Myi, 5 B t2oo vi, 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 �,(�� �L DATE Inspectors use only Date on initial inspection:_-_` I111 Date of reinspection:_., Date of issuance of certificate: s bib, !! Date fee paid: 1 Type of unit: Dwelling L-16ther Check #104h' Check dater 1 ! t Notes: zy_&n' it1 f Code E orcem nt Inspector TRANSMISSION VERIFICATION REPORT TIME 06/13/2011 02:16 NAME 919787449614 FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/13 02:15 FAX NO./NAME 919787449614 DURATION 00:00:25 PAGE(S) 02 RESULT OK MODE STANDARD ECM KIMBERLEY DRISCOLL MAYOR DAVID Gitm;NBAUM, RS A(.I7NG HEA1:11l Auwr To: \ Fax# on`6 nqq 9( 0 RE: Date CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 Fax (978) 745-0343 DGR 1 q `,NBAUMQSA] EM.COM Facsimile Transmittal Page(s): including this cover #-02— Board of Health News ------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON ,IMPORTANT MESSAGE M DATE I� TIME' M�ap.SY�LZi I�,Lh'Y�DSI �T OF t ��-�i '>1 52 PHUONE? R' C�O -1)-) �^ CODE NUMBER EXTENSION U FAX U MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED CAME TO SEE YOU PLEASE CALL WILL :CALL AGAIN: RUSH WILL FAX TO YOU WANTS TO SEE YOU RETURNED YOUR CALL MESSAGE L I P FS -T<s S V i I P (—' o✓V-1). '5r ^\—v%'i Y Ss Rf:�-E R �,c-Z' Pax <:AA cl'14r- 740 • SG,))\ SIGNED Vmps FORM 4009 ��■���III MARE IN U.S.A. TRANSMISSION VERIFICATION REPORT TIME 06/13/2011 02:18 NAME 917816629830 FAX 9787450343 TEL 9787411800 SER.H 000BON341991 DATEJIME 06/13 02:17 FAX NO./NAME 917816629830 DURATION 00:00:20 PAGE(S) 01 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD RD OF HF,ALTH f 120 WASHINGTON STREET, 4:n FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR JJIIONNE@ AI.I:M.COM JANITP DIONN V ACHNG HIsA];n-I AGENT CERTIFICATE OF FITNESS CERTIFICATE # 596-08 DATE ISSUED: 11/25/2008 Property Located at: 9 Chase Street UNIT # 2 Owner/Agent: Donald Belmonte Address: 118 Syeamore Road C4/Town: Melrose, MA Zip Code: 02176 24 Hour Phone: 781-910-4757 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 CerVicate of Fitness is valid only if there is a valid Certificate of Occupancy. FNHEE B AR O HEAL (H JTONNE ACTING HEALTH AGENT i ODE ENFORCEMEN NSPECTOR KIMBERLEY DRISCOLL . MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 JSCO'rr@SA1,rN1 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 IS THIS NO P.O. BOX LEFT FRONT OR BACK PLEASE CIRCLE AGENT CITY, STATE, ZIP �r4� (OtA , CITY, STATE, ZIP Gi 0 ?-1 2.(:7 RESIDENCE PHONE__ i0i9S Z%S7 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. jc i T 2. �i V kM 30M u 4. Re 0n, 5. I7t c (N 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 Inspectors use only Date on initial inspection: — 1- - 6 y Date of reinspection: Date of issuance of certificate: Date fee paid: // - 2_.1 Type of unit: Dwelling ✓ Other Check # P5 V5'L'L) Check date: Notes: CITY OF SALEM, MASSACHUSETTS # BOARD OF HEALTH 120 WASHINTGTON STREET, 4°` FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR IK()—rnn�sntrnt. COM JOANNE SCOTT, I IEAI.TH AGENT Release In accordance with Massachusetts General Laws Chapter 11 l; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/Icssor and tenant/Iessee 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. Tenant/Lessee Address Date OwneAessor Address Address on unit to be inspected I IMBERLEY DRISCOLL MAYOR JANE"I' DIONNE ACTING HEALTH AGENT To Fax RE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4". FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 IDIONNIi@[ ALPM COM Facsimile Transmittal Date : �l�a O�� Page(s): including this cover # Board of Health News-------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Plain Paper Fax/Copier Last Fax Fax History Report for Joanne Scott Salem BOH 978 745 0343 Nov 25 2008 4:59pm Date Time Type Identification Duration Pages Result Nov 25 4:58pm Sent 919787449614 0:35 2 OK Result: OK - black and white fax JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem. Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Chase Street OWNER/AGENT: Laurier Bouchard ADDRESS: 8 Chase Street CERT.# 382-01 FEE $25.00 DATE: 08/06/2001 120 Washington Street Tel: (978) 741-1800 Fax: (978) 745-0343 UNIT #: 1 CITY/TOWN: Sales, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0645 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 i� JOANNE MPH,RS,CHO HEALTH AGENT V CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 30.61 JOANNE SCOTT, MPH, RS, CHO - 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978)-745-0343 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT TCC A -A S rzf S7 UNIT # 4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER &1b"v1ANAGER/AGENT No P.O. Box No P.O. Box ADDRESS G)AA< L ADDRESS CITY S A LL 71 CITYA V RESIDENCE PHONE 915- 17 Sl?b `&BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.IZ 2. (_ 3. �17 4. 7 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 SIGNA ,°f-z�� zoZ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6 - 6 —0 ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Si- F 'C' / DATE FEE PAID: � ( � ,tea TYPE OF UNIT`. DWELLING OTHER_ CHECK # Iq -I 1 a- CHECK DATE NnTFS- // CODE ENFORCEMENT INSPECTOR JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS CERT.# 223-01 FEE $25.00 DATE: 05/07/2001 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 PROPERTY LOCATED AT: 11 Chase Street UNIT #: 1st floor left OWNER/AGENT: Robin Bilazarian c/o Trust of Bernice Waldman ADDRESS: 51 Horseshoe Drive CITY/TOWN: Mount Laurel, NJ ZIP CODE: 08054 24 HOUR PHONE: 744-0168 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT / s '� r ! )� — . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800 Fax: (978) 740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 11 O "A -p-. Sy , so-a� UNIT # 1St IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER(LESSER D�reGAAt3t3o-TrgMANAGER/AGENT o o(No P.O. Box No P.O. Box ADDRESS.Si ADDRESS 133IIa . uo2114 S'1" CITY + LAQCEA-� NZI btOtiy CITY _S/lLlr-M, SASS Gli?G RESIDENCE PHONE St56-a31-90i I BUSINESS PHONE (24 HRS.) {i 6 I bg BUSINESS PHONEKb'�YS-F305� X13 TOTAL NUMBER OF ROOMS: S ROOM USE: 1. il-r-* 2. Lk M3. bi W 0Pq 4. 13e -DV m1M 5. l7e i)2 m 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 SI DATE OF INITIAL INSPECTIONS- ' %— o l DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S ' 6 I DATE FEE PAID: o,���/� TYPE OF UNIT: DWELLINGJ OTHER_ CHECK #1C(_��CHECK DATEr �� J NCITFC• /X� CODE ENFORCEMENT INSPECTOR 9/28/98 y CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH _ S) 120 WASHINGTON STREET, 4TH FLOOR CERT.# 301-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 06/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 11 Chase Street OWNER/AGENT: Robert Jerin ADDRESS: 114 Hale Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 UNIT #: 2 24 HOUR PHONE: 758-8697 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 H JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT �— COAD E ORCEMENT NSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741 -1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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 I I C NA S C S7 UNIT # 02 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ICoGzr7 3'egtr4 MANAGER/AGENT-1219Y M600ik✓ No P.O. Box No P.O. Box ADDRESS /LSG H#',r 51 ADDRESS II0N09Sr S7 CITY 6 e✓,ce W CITY S ig (-e ti RESIDENCE PHONE G,iF 1S�469a- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1.4N 2.Di%Q 3. K.-Cj4,ejv . 13eg 5. Up 7 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 61 30 lo? DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: IAoldT DATE FEE PAID:" i TYPE OF UNIT: DWELLING ✓OTHER_ CHECK # //� CHECK DATE 3` NOTES--) Slitter f tiw, Gam/// />l!a 1 G�a�r u t c CO E RCEMENT NSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS y �m; BOARD OF HEALTH 5S 120 WASHINGTON STREET, 4TH FLOOR Po' SALEM, MA 01970 ,qTEL. 978-741-1800 '�%MINB FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 153-08 DATE ISSUED: 3/27/2008 Property Located at: 14 Chase Street UNIT # 4 Owner/Agent: K. Ricky Thompson Address: 12 Read Street City/Town: Salem, MA Zip Cade: 01970 24 Hour Phone: 978-836-7502 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 TD OF HEALTH JOANNE SCOTT, MPH, ,IIRS, CH—O HEALTH AGENT KIMBERLEY DRISCOLL MAYOR JOANNE SCOTT, HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET. 47 FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 ISCOTIgSALEM. COM Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." 1a3 PROPERTY LACATED AT /4/ C /iSF s % UNIT#--'� IS THIS UNIT D[SIG NATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE, AGENT S 4-M-2_. NO P.O. BOX ADDRESS CITY,STATE,ZIP SG -I e m CITY,STATE,ZIP r -M 4 U i 1 7 0 RESIDENCE PHONE O l 9 - % q!5-60,6 5 BUSINESS PHONE (241IRS) q,? & - 8 36-,76 6 2 - BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: Intina 3.Liv I 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 Inspectors use only Date on initial inspection: - , 2 7 �y X Date of reinspection: TE'37/09 Date of issuance of certificate: 3 ,X 7 —9 B Date fee paid: PL 7 - d8 Type of unit: Dwelling-A/-�Other Check # 9a- 3 Check date: q a,7 U Y Notes: Code Enforcement Inspector STANLEY J. USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 325-05 DATE ISSUED: 5/26/05 Property Located at: 16 Chase Street UNIT # 2 Owner/Agent: Hugo Rodriguez Address: 16 Chase Street #1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-3947 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH JO NN�, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,/1�,,,1 ✓�) TEL. 978-741-1800 1 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 Il, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT DESIGNATED AS G T LEFT FRONT BACK PLEASE CIRCLE ONE i OWNERILESSER MANAGERIAGENT No P.O. Box , P ! No P.O. Box CITY_s%P, Y✓1, CITY RESIDENCE PHONE/7 f�X�Jt-�G71h-17A//jBUSINESS PHONE (24 HRS.) _ BUSINESS PHONEW40'�� =0 TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. 2. 3. 4 5.-6.-7 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 OF INMAL INSPECTION eJ `� a S' DATE OF REINSPECTION_ _ DATE OF ISSUANCE OF CERTIFICATE-� 'j �� DATE FEE PAID:_'�_� — r TYPE OF UNIT_ DWELLINC OTHER..___ CHECK #_��2_��_ _CHECK DATES_. NOTES: CODE ENFORCEMENT INSPECTOR 9128198 .: JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Chase Street OWNER/AGENT: Hugo Rodriguez CERT.# 325-01 FEE $25.00 DATE: 07/12/2001 120 Washington Street Tel: (978) 741-1800 Fax: (978)-745-0343 UNIT #: 3 ADDRESS: 16 Chase Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3947 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 JO�i OTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS 3,-;25-61 120 Washington Street Tel: (978) 741-1800 Fax: (978)-745-0343 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /C 2L -e 5 -/ UNIT # - IS THIS UNIT DESIGNATED AS OWNER/LES No P.O. Box LEFT FRONT BACK PLEASE CIRCLE ONE P.O. Box v CITY p CITY RESIDENCE PHON % USINESS PHONE (24 H BUSINESS PHON TOTAL NUMBER OF ROOMS:__ ROOM USE: 2"_ 3. 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 OF INITIAL INSPECTION 7' / 1 -a % DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.;? -/,? -01 DATE FEE PAID:_?-;- -o/ TYPE OF UNIT` DWELLING CODE ENFORCEMENT INSPECTOR CHECK #_16 7 eCHECK DATE % -/J- a/ 9/28/98 KlNIBERLEY DRISCOLL MAYOR JAN i':1' DIONN i:s ACTING Fi FAL 11 I. AG FNT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4'" FLOOR TEL. (978) 741-1800 FA1(978) 745-0343 IDIONNE ai4A1 IA ct .QM CERTIFICATE OF FITNESS CERTIFICATE # 540-08 DATE ISSUED: 10/23/2008 Property Located at: 16 1/2 Chase Street UNIT # 1 Owner/Agent: Eduardo Holguin Address: 16 1/2 Chase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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. FOR THE BOAI�13-01` HEALTH ,VNE'\DIONNE AM, ACTING HEALTH AGENT 0, KIMBERLEY DRISCOLL MAYOR JANET DIONNE, ACTING HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 TDIONNE&A .EM. 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." PROPERTY LOCATED AT IS THIS UNTO DIS i isi�• :6a CITY, STATE, ZIP GHT LEFT' FRONT OR BACK, PLEASE CIRCLE ONE AGENT ��O CITY, STATE, ZIP_ RESIDENCE PHONE IBUSINESS PHONE (24HRS) BUSINESS PHONE � , TOTAL NUMBER OF ROOMS: ROOM USE: THERE IS A FIFTY ($50) DOLLAR FEE, PAYAB - BY C OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE Or THE E 91R INSPECTION APPLICANT'S SIGNATURE DATE 10JZ / Inspectors use only Date on initial inspection: 1 O la3 I dg Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check # Check date: bcvSevnrvtl' Inspector .r 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 # 478-04 DATE ISSUED: 10/19/2004 Property Located at: 16 1/2 Chase Street UNIT # 2 Owner/Agent: Ricardo E. Guerrero Address: 16 1/2 Chase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-8395 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 'FPR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT y CODE ENFORCEMENT INSPECTOR Q, STANLEY USOVICZ, JR. MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL.. 978-741-1800 FAX 978-745-0343 ' JOANNE SCOTT, MPH, RS, CHO 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 _�� %? C�{�S�c SE UNIT # ? IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE No P.O. Box v No P.O. Box ADDRESS 1�5' S7= ST- ADDRESS CITY c'Z / .&�Ael CITY RESIDENCE PHONE( S3566SINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS:___ ROOM USE: 1. 2. 3. 4. 5.Ir,;6. p r�o� 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERRTIIFICATE: O DATE FEE PAID: .D —/? ti TYPE OF UNIT: DWELLING /OTHER— CHECK #_:76P .(_CHECK DATE/ 4 v CODE ENFORCEMENT INSPECTOR 9/28/98 Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-329 DATE ISSUED: 9/1/2016 Property Located at: 18 CHASE STREET UNIT #2 Owner/Agent: BSIx, LLC Address: 43 West Shore Drive City/Town: Marblehead, MA Zip Code: 01945 LIP Pub�cFIealth Prevent. Promote. Protect. Larry Ramdin, MPH, REHS, CHO Health Agent 24 Hour Phone: (781) 910-7823 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. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 3 KIMBERLEY DRISCOLL MAYOR LARRY RAMDIN, RS/REI-IS, CHO, CP -FS HEAL'rii AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4`" FLOOR 1)-],. (978) 741-1800 FAX (978) 745-0343 LRAMDIN SALEM.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 / d' IS THIS TWIT Sf., 15A,6.1" Inn; O) 0 70 OR BACK PLEASE CIRCLE ONE AGENT yl/l��lCa<-Q>• �k¢.tcaQ �roQ/eric,� CITY, STATE, ZIP CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE Zff-1 %fid —7 9'Z 3 TOTAL NUMBER OF ROOMS: ROOM USE: %here-"r0dericK-7%@wKsti,cc> � 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 Inspectors use only. Date on initial inspection: /5 % &y2Q9 Date of reinspection: Date of issuance of certiticat%e•,� OZi; Date fee paid: C O 12 'M Type of unit: Dwelling +/ Other Check # 2q.6 Ci Check date: 09� ME? ��.... Kimberley Driscoll Mayor City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Tel. (978) 741-1800 Fax. (978) 745-0343 health@salem.com CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-251 DATE ISSUED: 8/21/2017 Plubiicsealth Prevent. Promote, Prorect, Larry Ramdin, MPH, REHS, CHO Health Agent Property Located at: 22 CHASE STREET UNIT #1 Owner/Agent: Michael LeBlanc Address: P.O, Box 541 City/Town: East Wareham, MA Zip Code: 02538 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 02"11" _� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4:m FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Iramdin@salem.com V PublicHealth Prevent. Promote. Protect. LARRY RAMDIN, RS/REIIS, CI 10, CP-I;S HEAL"PH 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 t7`G IS THIS UNIT NO P.O. BOX ADDRESS_ OX TED AS RIGHT LEFT FRONT OR BACK. PLEASE CIRCLE ONE C - ke I -PR km ' I . U 3� I CITY, STATE, ZIP /�S-7� Ci e CITY, STATE, ZIP Gn S Cry M4 02SS8' RESIDENCE PHONEy �—/7 L/��( 2(r BUSINESS PHONE (24HRS) ��7 6a C) 7 � BUSINESS PHONE l L U 7? 0336 TOTAL NUMBER OF ROOMS: ROOM USE: L, 6Qe - s. f�ed 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 T OF INSPECTION Q APPLICANT'S SIGNATURE DATE f Inspectors use only only Date on initial inspection: Date of reinspection: C Date of issuance of certificate: ` Date fee paid: C Type of unit: Dwelling Other Check # 1 I _Check date: Code Enforcement Inspector KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 Itamdin@salem.com Release PublicHealth Prcvcn[. Promote. Prorccl. LARRY RANIDIN, RS/RENIS, 0110, CP -FS HEALTH AGENT 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. Tenant/Lessee Address Date Updated 523/11 Owner/Lessor Address Address on unit to be inspected Inspection Owner Type ( * ) Remarks and Violations are listed below: Date Addr( Tel. N Inspe T Y )/.t t P rn n n4- — Report Received by: x�c,.A Report Received by: CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 6 N_ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 321-05 DATE ISSUED: 5/18/05 Property Located at: 22 Chase Street UNIT # 2 Owner/Agent: Diane L. Poskus Address: 22 Chase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO 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'. q PROPERTY LOCATED AT rtis�' C� ° UNIT # IS THIS UNIT DESIGNATED AS RIGHT /JLEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �l/�A�L L ��Sl�ceS MANAGER/AGENT No P.O. Box� 1/ No P.O. Box ADDRESS - ADDRESS CITY CITY RESIDENCE PHONE-3AJ-2VL-,4 /Y76USINESS PHONE (24 HRS.) BUSINESS PHONE�`�O d TOTAL NUMBER OF ROOMS: ROOM USE: (/,7//)6-_3V1_41:t� 8. Da- APPLICATION a THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE INSPECTORS USE ONLY. DATE OF INITIAL INSPECTION G 'z J _ DATE OF REINSPECTION_____ DATE OF ISSUANCE OF CERTIFICATE�d DATE FEE PAID:_? / G_— v TYPE OF UNIT: DWELLING OTHERCHECK ;L. -J1 ?/ bCHECK DATE CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX -978-745-0343 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT RF LFASF. In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts R.!gulatior.s 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/cur absence during said inspection. OWN'R i.SSSOp- nl)D!ic SS ',DDRHSS P.DI?F.ESS or UVI"!' T') gr. Tyq?grTcD r CERTIFICATE OF FITNESS CERTIFICATE # 309-06 DATE ISSUED: 6/13/2006 Property Located at: 22 Chase Street UNIT # 3 Owner/Agent: Diane Poskus Address: 22 Chase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3945 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 �� JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 309-06 DATE ISSUED: 6/13/2006 Property Located at: 22 Chase Street UNIT # 3 Owner/Agent: Diane Poskus Address: 22 Chase Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3945 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 �� JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT C -// . _UNIT #,3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 4l7>�j CPS MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ,�,� (,LY /TSL ADDRESS pp CITY '::Q& I- CITY—//-)) RESIDENCE PHONES 2 ` ! SBUSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION D ("DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE D> DATE FEE PAID:__=�� TYPE OF UNIT: DWELLIK _OTHER CHECK # CHECK DATE_ G CODE ENFORCEMENT INSPECTOR 9/28/98 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERT.# 670-97 FEE $25.00 DATE: 09/26/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 24 Chase Street OWNER/AGENT: Roser Lausier ADDRESS: 7 Glover Street CITY/TOWN: Salem, MA ZIP CODE: 01970 UNIT #: 2 24 HOUR PHONE: 744-1195 NINE NORTH STREET Tel: (978) 741-1800 Fax: (978) 740-9705 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 le ,CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 6647 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 �7 Si C�a� c� S� UNIT f_s�—_ OWNER/LESSER /�oC e r-� �Gc uSi �sv MANAGER/AGENT ADDRESS 7 CrAQVz-r 17": ADDRESS CITY 14 /ems RESIDENCE PHONE BUSINESS PHONE S`.S'.i' '] TOTAL NUMBER OF ROOMS: CITY BUSINESS PHONE (24 HRS.) ROOM USE: t.� 2 _ L.Y/, c(�s. 3. J�)i.,.,, k 4.�lS. frnev 7. THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIMB OF INSPECTION APPLICANTS SIGNATURE . DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ty2 DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: DATE DATE FEE PAID: TYPE OF UNIT- DWELLING OTHER y NOTES: CODE ENFORCEMENT INSPECTOR