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CHERRY STREET CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR PublicHea ith e Prevent.Promote.Protest. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com - LARRY&\bIDIN,RS/RI 3[IS,CHO,CP-PS MAYOR HI?AL'n r AGEN'r CERTIFICATE OF FITNESS CERTIFICATE#356-14 DATE ISSUED: 10/6/2014 Property Located at: 7 Cherry Street UNIT#1 Owner/Agent: Rudy Nazaire Address: 24 Evans Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-979-8289 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 LARRY RAMDIN 4�j HEALTH AGENT SANITARIAN 1J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J 120 WASHINGTON STREET,4:`FLOOR p11�1HcHeealt$ TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL 1ramdin@salem.com LARRY RnmrolN,RS/ItI3FIS,CI 10,C11-FS MAYOR - - HEALTI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FEE: $50.00 B� PROPERTY LOCATED AT �M X d (j /J� UNIT#1_ IS THIS UNIT DISIGNATED AS RIGHT LEFT ONT 6R BACK PLEASE CIRCLE ONE OWNER/LESSER ` R L03 &2A2 A-1 T MANAGER/AGENT NO P.O.BOX � (� ADDRESS >L�V /1�5 f�� ADDRESS I 1 `� a CITY, STATE,ZIP ��-� qb o�-1 'E ITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 3. 4. 5.1/ 6. 7. 8. 9. 10. THERE IS A FIFTY($50)D AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TH EE IS PAY LE AT TIME OF INSPECTION APPLICANT'S SIGNATURE nl DATE � I ectors use o Date on initial inspection: b- to, Date of reinspection: Date of issuance of certificate: o-(0-1 Date fee paid: /� l Type of unit: Dwelling t/Other Check# j S�Check date: /d Notes: Code Enforc ent Inspector q . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ---- - - - - - - - - - — - 120 WASHINGTON-STREET,4"'FLOOR - -PIith - TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY R;\FIDIN,RS/BILI IS,CHO,CP-F-5 MAYOR I-IP::\I;LH AGENT CERTIFICATE OF FITNESS CERTIFICATE#003-15 DATE ISSUED: 1/12/2015 Property Located at: 7 Cherry Street UNIT#2 Owner/Agent: Rudy Nazaire Address: 7 Cherry Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-2110 Pursuant to the requirements of Ci of Salem ordinance Chapter 2 Article IV Division3 Section 9 City P 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 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, yQR THE BOAR OF HE TH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS * A BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1.RAMD N&,v.cm (0111 LARRY RAMDIN,RS/REH.ti,CIAO,CP-I5 _ HLAs;rrI AGf.xr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" r FEE: $50.00! f� PROPERTY LOCATED AT C—L Sit A �rJC O � UNIT# "Z.. �!IS�THIS UNIT DISIGNATED AS RRI HT L FT FRONT OR B. ACI( PLEASE CIRCLE ONE OWNER/LESSER " ' ��t( \ MANAGER/AGENT_ NO P.O.BOX ADDRESS `Z-%A GUC,-A-S QjS ADDRESS CITY; STATE,ZIPC�"je-�.-(t- PA c>,-b�CITY, STATE,ZIP RESIDENCE PHONE —^�Z`3� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: l ROOM USE: 1. 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 S PAY E AT THE TIME OF INSPECTION i APPLICANT'S SIGNATURE _ DATE qf L 5 (/ t Inspectors use only Date on initial inspection: lr 5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of "t: Dw++elling Other Check# 5 Check date: I Notes: UUi(T7�" t� j Code sn ement Inspector VCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a-i ,�. 120 WASHINGTON STREET,4..FLOOR n.F�.v�omnu�th TEL. (978)741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL health@salem.COm MAYOR LARRY RdMDIN,AS/REHS,C1 10,CV-PS I1EALM AGENT 8.10 Cherry Street Salem, LLC 7/21/16 44 Prince Street Beverly, MA 01915 RE: 8.10 Cherry Street Unit 2L Dear 8-10 Cherry Street Salem, LLC: It has carne to our attention that you are renting units at the above address and our records indicate you have not obtained a Certificate of Fitness for these units. 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 through 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$50.00 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 bilis 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: Larry Ramdin Stephanie Holinko Health Agent Sanitarian CC: David Carnevale, dcinc_99@hotmail.com File I o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c e � 120 WASHINGTON STREET, 4TH FLOOR .ry„ SALEM, MA 01 970 qqq TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 11/22/04 David Carnevale 24 Prince Street Beverly, MA 01915 PROPERTY LOCATED AT 8 Cherry Street Unit 2L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection! Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For Board of Health Reply to ztvu�t, Joa ne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 _TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/25/05 8-10 Cherry Street Salem LLC 24 Prince Street Beverly, MA 01915 PROPERTY LOCATED AT 8 Cherry Street Unit 3L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For a Board of HealthReply to Jo ne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS o 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#446-06 DATE ISSUED: 9/15/2006 Property Located at: 8-10 Cherry Street UNIT# 1 Owner/Agent: 12-14-16 Cherry Street Realty Tr Address: 44 Prince Street City/Town: Beverly, MA Zip Code: 01915 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 Cfry OF SALEM, MASSACHUSE` rS E�JCS j BOARD OF HEALTH • IZO WASHINGTON STREET, 4TH FLOOR SALEM, MA o!970 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATh> IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK( PLEASE CIRCLE ONE OWNER/LESSER_T-10 , { _54_�_i.I w.MANAGER/AGENT_.ffi-yd-6-X-_^af004XJi ! No P.O. Box No P.O.Box ADDRESS-L#A-_,_p'1ns _—ADDRESS___ -,---- RESIDENCE PHONE`gl2r-J'&2�4j-_BUSINESS PHONE (24 HRS)-____-_�_ BUSINESS PHONE _ __-. ---- TOTAL NUNIBER OF ROOMS:--A---t ►► .- ROOMUSE: 1._,UAPM2f 3. "-- THERE 1S A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION, APPLICANTS SIGNATUR -_ -_?t)- ----._ _----_-.---DATE9l�✓�Ar-_.__. INSPECTORS USE ONLY DATE OF INITIAL_ INSPECTION - /D-".o r� DAZE OF REINSPECTION _ DATE OF ISSUANCE" OF CERTIFICATEgi-/5' 6 DA E FFE PAID. TYPE OF UNIT. DWE1_I_INX OTHER, CHFCK :i 9)9 CHECK DATE �' NOTES CODE FNFORCLMENI IN'WEC:T 01 1 `?)B, 1H CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH - 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE(@SALEM.COM JANET DIONNE SENIOR SANITARIAN CERTIFICATE OF FITNESS CERTIFICATE#415-08 DATE ISSUED: 8/25/2008 Property Located at: 8-10 Cherry Street UNIT#2 Right Owner/Agent: David Carnevale Address: 44 Prince Street City/Town: Beverly, MA Zip Code: 01915 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" - `-` ` Inlmum tandards—o 'Fitness-for Hum�iabltation'. '-- - - 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 OFRHEALTH *ANEONNE SENIOR SANITARIAN CODE ENFORCEMENT INS ECTOR CITY OF SALEM, MASSACHUSETFS * BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 A �� MAYOR ISCOTE&ALEM.COM y auu 25� JOANNE SCOTT, tI 1N HEAL'T'H 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 VI f\( S Y 0,0 Z UNTr# Z IS TRIS UNIT DISIGNATEID S RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER ,1C Aflyn� ({ MANAGER/AGENT t1 A ' N Y\aV�t NO P.O.BOX � �t �q. S ADDRESS `" �Q II�t�P ADDRESS CITY,STATE,ZIP CITY, STATE,Zlp " 1\ .� � RESIDENCE PHONE ZL- O6� BUSINESS PHONE(24HRS) 92S- 335-c(g Q BUSINESS PHONE . /_- TOTAL NUMBER OF ROOMS:___ ROOM USE: 2 "ViU� GQQ�?i >'`S• 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 pAyOWIV THE TIME OF INSPECTION ` I APPLICANT'S SIGNATURE DATE 8 f-'5 l a,8 Inspectors use only Date on initial inspection: g--L'S"0 Date of reinspection: Date of issuance of certificate: 8-2.; f K Date fee paid: ff'12-5 -0& Type of unit: Dwelling �Other Check# .� _Check date: Notes: Y- �fl �.Code Enforcement Inspec CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x e, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,yam TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 8-10 Cherry Street Salem LLC 24 Prince Street Beverly, MA 01915 PROPERTY LOCATED AT 8-10 Cherry Street Unit 3 Left 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 crass-metering has been proven to exist. Fgj the Board of Health Reply to I , Y6anne Scott MPH, RS, CHO' Pablo Valdez Health Agent Code Enforcement Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH r' 120 WASHINGTON STREET, 4TH FLOOR a 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# 116-05 DATE ISSUED: 2/18/05 Property Located at: 8-10 Cherry Street UNIT#5Right Owner/Agent: David Cernevale Address: 24 Prince Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-927-7065 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 THEE�B/OpARD OF]GHEALTH v� -14 1L "+Mil JE SCOTT, MPH, RS, CHO HEALTH AGENT R P OR CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH • e 120 WASHINGTON STREET, 4TH FLOOR ,rte SALEM, MA 01970 ' TEL. 978-741-1800 / v 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT - I0 C\, UNIT N S IS THIS UNIT DESIGNATED A RIGHT LEFT FRQ _SAC PLEASE CIRCLE ONE OWNERiLESSERL ,:,LCwl*eu4 tl _MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS LI _I�t:.e- � ADDRESS_ CITY \'JC✓u��^ 1 pl i CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 2. 1�el\ 2 3. � t !n-4. c6cd,,a 56.--7-8.- THERE . 6. 7. 8.THERE IS A TWENTY-FIVE($25.00) DOLLA EE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF LEM H TH E ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE SPECTORS USE ONLY DATE OF INITIAL INSPECTION ) f ' DATE OF REINSPECTION__—,_. r DATE OF ISSUANCE OF CERTIFICATE: Z -_V? ti"S DATE FEE PAID-) _ i -7 TYPE OF UNIT DWELLIN;C'/ / OTHER___ CHECK #_2 _ CHECK DATE Z--(7-.'6 3 NOTES:V,:tL- CODE ENFORCEMENT INSPECTOR 9/28/98 • Sa« CITY OF SALEM, MASSACHUSETTS BOARD OF FIFALTH 120 WASHINGTON STREET 4".FLOOR Pab11CH@81th , rrewm.rrmmom.wmem. TFL. (978) 741-1800 Fax (978) 745-0343 KIMBERLEY DRISCOLL lramdin@salcin.com L..\RR1'R;\,ti1D1N,RS/RN IS,CI 10,CP-ISS MAYOR I v,\I;n I A(;kN'I' CERTIFICATE OF FITNESS CERTIFICATE#228-14 DATE ISSUED: 6/30/2014 Property Located at: 9 Cherry Street UNIT#1 Owner/Agent: Rudy Nazaire Address: 24 Evans Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-979-8289 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF ALTH E l LARRY RAMDIN HEALTH AGENT SANITARIAN - - CYNTHIA CARR, Federd Housing Auunnr SALEM HOUSING A U 1' -H 0 'R i T Y 27 CHARTER STREET SALEM.MA 01970-3699 _ 978.744.4431 EXT. 107 FAX:978.744.9614 EMAIL:ccarr@salemh...' CITY OF SALEM, MASSACHUSETTS Lei BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublicHealth > Prevent Prnmore.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdingsalem.com MAYOR Lmuzy RANIDIN,RS/REttS,C1 10,CP-FS H['.AI.n I A(;FNf Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �JY"-'p ,� �, ,Q pF,E,E: $50.00 �, , p q� PROPERTY LOCATED AT w - —,J gh _ I �'VM '✓` A UNITP 1 ,r-jS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC 1Z PLEASE CIRCLE ONE OWNER/LESS��If6lt��°es' n V'� MANAGER/AGENT NO P.O. BOX S ADDRESS p ADDRESS CITY, STATE,ZIPT��"Q-0 ✓ kA Q-0 k&aTY, STATE,ZIP v� �J Ip RESIDENCE PHONE );-7 9 _T 9 �p 223 13USIINIESS PHONE(24HRS) Q J �a 9� a 9 2- Cs q BUSINESS PHONE " � `- J 2S 2-� 9 TOTAL NUMBER OF ROOMS: T ROOM USE: 1. � ' 2. BL 3. 4.� . 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ` yh Inspectors use only Date on initial inspection: 11 -42)4q Date of reinspection: Date of issuance of certificate: Date fee paid:A`lt�i: Type of unit: Dwelling Other Check# / r✓5 � Check date:Notes: n 1 1 y Code of c ment Inspector tl CITY OF SALEM, MASSACHUSETTS BOaRD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PIIt1I1CI�CAIth Prevml.Promme Pro1nA. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL kamdin saIem.com MAYORLARR1`lUvMDIN,RS{RIsI IS,(1110,CP-I'S HI ,u:TH AG EN'I' CERTIFICATE OF FITNESS POLICY 1. A Certificate of Fitness inspection is required for all rental units older than 5 years,per City of Salem ordinance; 2. A Certificate of Fitness is good for 1 year or the life of the tenant, whichever is longer; 3. A Certificate of Fitness inspection may be obtained by calling or coming into the Health Department and requesting an appointment; 4. Appointments must be requested at least 24 hours in advance pending an open appointment; 5. No "same day" appointments will be granted; 6. All appointments are subject to the schedule of the inspector; 7. A rental unit will be considered occupied when either the previous tenant or the current tenant has belongings in the unit. In the case of an occupied unit, either the tenant whose belongings are in the unit must be present at the time of inspection, OR have signed a release statement allowing the Board of Health to inspect the unit. 8. Please allow at least one week turnaround time for the Certificate to be issued, especially at the end of the month; 9. A Certificate of Fitness will be granted when: a. .An inspection has been conducted by a Health Department employee b. An application has been filled out and a check or money order has been received 10. If you have any questions, please contact the Health Department t , ' i m ffLf J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOORPub11CxCAlth rrevmt.Ihrmo¢.i'rotvc�. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL, Iramdigigs,dem.com Lmun,RANI DIN,RS/RVI IS,CI 10,CP-FS MAYOR HCAl:n I AGL'NI, Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Le's or Address Address Address on unit to be inspected Date Updated 523/11 TRANSMISSION VERIFICATION REPORT TIME 07/15/2014 22: 08 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 07/15 22: 08 FAX N0./NAME 919787449614 DURATION 00:00:19 PAGE(S) 01 RESULT OK MODE STANDARD ECM S", u CITY OF SALEM, MASSACHUSETTS t BOARD OF 1IFALTH 120 WASHINGTON SLREFT,4'"FLOOR r.< CHC81 1 TRi.. (978)741-1800 FAx(978)745-0343 I IMBERLEY DRISC:OLL ]xamdin a salCm.com LARRY RAIDIN,16/1WHS,CF[O,CI 1 S MAYOR H IA ;ntA(;FNr i CERTIFICATE OF FITNESS CERTIFICATE#395-14 DATE ISSUED: 10/30/2014 Property Located at: 9 Cherry Street UNIT#2 Owner/Agent: Rudy Nazaire Address: 24 Evans Road#2 City/Town: Peabody, MA Zip Code: 01980 24 Hour Phone: 978-979-2889 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of. Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA aDIN y HEALTH AGENT ISANITARIAN CITY OF SALEM, MASSACHUSETTS 1/ R BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 1 :J MAYOR I.RAMDIN Cni SA1 IALCOM LARRY RAMDIN,RS/RF1IS,CHO,(:P-FS 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 (:1�2 v/ Jr l/ f UNIT# 2, ISTHIS UNIT DISIGNATED AS RIGUT LEFT'FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER (G.L 4® t/ /JA Z,,4 It'--Q _ MANAGER/AGENT NO P.O. BOX ADDRESS.) y E�'Ajj 5 b ADDRESS CITY, STATE,ZIP � 4 61 / 0 CITY, STATE, ZIP RESIDENCE PHONE 7� �17°Y 52Z'_J7 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. 2. 4. 5. 6. 7. i'S 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FER461 E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE O $ Inspectors use only Date on initial inspection: iU-3z� ' �I Date of reinspection: Date of issuance of certificate: b,-',) - N Date fee paid: Type of unit: DwellingL�Other Check# /-S Check date: Notes: y"l Code Enforcement Inspector t CITY OF SALEM, MASSACHUSETTS BOARD OF H&-1LTH 120 WASHINGTON STREET 4`"FLOOR PabIICHeaAllth > TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com MAYOR LARIZ_l'RA<tiDIN,RS/RIi.I-IS,(;HO,CP-1;S MAYOR AGENT Release V 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. ielddAo — �" Tenant/Lessee Owner/Lessor Address Address 43Wz^ r�(tA of la Address on unit to be inspected Date Updated 523/11 r i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4' FLOOR PllblicHealth r.even.womnre.e.omce. - TEL. (978) 741-1800 PAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY 1tAMDIN,RS/REsFIS,CHO,CP-FS MAYOR HEN.TR AG.FNT CERTIFICATE OF FITNESS CERTIFICATE#390-13 DATE ISSUED: 10/28/2013 Property Located at: 11 Cherry Street UNIT# 1 Owner/Agent: Real Estate Clearing Address: 20 Locust Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-360-0269 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 BOARDOF�H 1 _ LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET;4`FLOOR PublicHealth rromm�. TEL. (978) 741-1800 FAx(978)745-0343 P11-1. woiecr. KIMBERLEY DRISCOLL Iramdin@saletn.com LARRY"RANHAN,Rs/REI tS,CF[O,(1P-FS MAYOR H1,'AI.TI-I AGEN T a 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 l CkP\E��N 31- IS THIS UNIT DISIGNATLeD AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �G�CTuXTC CLea&nNe MANAGER/AGENT 'hgo,� A SAuA)C)1 RS' NO P.O. BOX ADDRESS 00 SOC V S I S T ADDRESS CITY, STATE,ZIP Q A N V QZ S YAA D It a3 CITY, STATE, ZIP RESIDENCE PHONEUSINESS PHONE(24HRS) 2y;?-- (,5 -b; G 9 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ,S ROOM USE: 1. 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 APPLICANT'S SIGNATURE�� I. n DATES Inspectors use only Date on initial inspection: 1&— S' 13 Date of reinspection: Date of issuance of certificate: lo' .k-� Date fee paid: b' &13 Type of unit: Dwelling✓ Other Check# Check date: Notes: Code Enforcement Inspector City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-267 DATE ISSUED: 7/26/2016 Property Located at: 11 CHERRY STREET UNIT#2 Owner/Agent: Realty Estate Clearing Address: 235 Newbury Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 360-0269 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 2vLoejk / Veyro Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN t • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR11CH e. th TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com MAYOR Ltamdin@salem.com IUMDIN,RSAEFIS,C1 10,CP-I'S HEALTHAGENT 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 {( UNIT# Z IS THIS UNIT DISIGNATED AS IGHT FT RONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER E& i, A'f'f� C'1(�Af1tN� MANAGER/AGENT _RWef, A S�AuAIOC✓IL NO P.O. BOX ADDRESS 35 A}�Ru&q S k ADDRESS CITY, STATE,ZIP CITY, STATE, ZIP YV\ RESIDENCE PHONE L S 360 6C BUSINESS PHONE(24HRS) L4 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 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 APPLICANT'S SIGNATURE DATE Inspectors use only Date on ininspection: 6V IOD.1 C Date of reinspection: Date of issuance of certificate: �2 Date fee paid: 0 Type of unit: Dwelling Other Check#_Check date: Notes: C e fo ement Inspee r f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"t FLOOR PublifCHealth > Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinksalem.com MAYOR LARRY RA1,IllIN,RS/RL;1-IS,CMO,CP-ISS HE Ani AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date updated 5/23/11 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 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#445-06 DATE ISSUED: 9/15/2006 Property Located at: 12 Cherry Street UNIT# 1 Owner/Agent: 12-14-16 Cherry Street Realty Tr Address: 44 Prince Street City/Town: Beverly, MA Zip Code: 01915 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 JOA JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CrFY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 41970 TEL, 978-741-1800 0 FAX 978-745-0949 JOANNE SCOTT, MPH, RS, CHC) Kimberley Driscoll HEALTH AGENT Mayor 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 JLE—._-__—__ UNIT #__( IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERRESSER IZ 14-1+.�r>~ts} �m1�IANAGEFVAGENT_ t/S CGiflll No P.O. Box No P.O. Box ADDRESS Yl.jn,cp ��_`._--ADDRESS-----^----- CITY_ RESIDENCE PHONE gv),-Q.1?-4c6:�r-BUSINESS PHONE (24 HRS)._—_____,, BUSINESS PHONE----,------ TOTAL HONE_„--_ ___TOTAL NUMBER ddO��+FR,,OOMS:::--<,__-- J `� �� ROOM USE: 1..:_A !' 2 6140M-3.-A4 AV 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 -61�* --- - -.DATE_gi1L .6_ INSPECTQRS USE ONl Y DATE OF INITIAL IN EL TIC f, r Jq” 4�1 A PATE OF RUNSPECTIONN DATE OF ISSUANCE OF CERTIFICATE 'DATE FEE PAID !. TYPE OF UNIT_ DWEI_LING�OTHL=.R C iECK + D GHECK OATF - NOTES CODU FNFORCI-MCN 1 tN f C 1011 91}'ti.' 1ki k epNDlT,t City of Salem, Massachusetts Board of Health ` 120 Washington Street, 4th Floor, Salem, PlublicHEtalth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-260 DATE ISSUED: 8/28/2015 Property Located at: 12 CHERRY STREET UNIT#1 R Owner/Agent: DAVID CARNEVALE Address: 44 PRINCE STREET City/Town: BEVERLY, MA Zip Code: 01915 24 Hour Phone:(978)922-4065 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0 zu Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT RIAN CITY OF SALEM, MASSACHUSETTS ` • BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SAI RM.COM LARRY RANIDIN,R.S/RIA IS,c1lo,CP-IS HEAI.'n i AGIiN1' 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-1-2G/l &I -Y<t J UNIT# IS THIS UNIT DISIGNATED/AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER /a`/z/-4 e exp y lj7' .lt // MANAGER/AGENT NO P.O. .� L'Ss�k 5t //�� ADDRESS CITY, STATE,ZB'� .�l( IZ � UI%/S� CITY, STATE,ZIP RESIDENCE PHONE�r / BUSINESS PHONE(24HRS) BUSINESS PHONE_-/7 of-4 i4� —4 q/99 TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 6� 2. e ] 3. 4 KIf 5 KVV j 6. 7. 8. 9. 10. THERE 1S A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /i/G%G� DATE L, Inspectors use only Date on initial inspection:_N Z2&Z 1Z5- Date of reinspection: Date of issuance of certificate- Date fee paid: W2-Yl2 IJ— Type of unit: Dwellm Other Check# 1 f 3 n 5 Check date:06&tfZ2n1S Notes:aee� a-f&Lb C nfoement Inspect r CITY OfJ' SALE M, MASSACIAUSNE T CS 11 ,A nu Cir T'1'I-:A;XI I 130 WADI rINGTON S"il FJ•'T,4111 hl,t;>(:))'t. ' TI IT. (978)741-18(7(3 K1MI31',RI..L(Y' l�1tISCOLI. G.AX(978)745-0343 MAv()rL .nl MMTSAT.F.M.C.nr1 LAn.TIY R.AAtUIN,ILS/RR'I ',*10,(T-P6 R ALTKAUNT �C/�I 1,9f'tol Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter ff and Article XIII of the City of Salem Ordinance, undersigned owneTlfessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly audtoi i:.ed the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of H4alth and its authorized agents from any lose or injury sustained of whatever nature and description occasionecby mylout absence during said inspection. r•..i �.� ��y - (�. �1 epi y T nt/Lessee Owner/Lessor o2 "s -erg Address Address Address on unit to be inspected 1 Date 1 Updntui�t23Jll I 10 Mild £0£0GPL8L6 ZO:EZ SSOZ/LS/90 Inspection of a4 -Lmei7,l Date DY I�yl..F Time .LDi 00 0-M Name Address ..((Z�nerr • -F Owner �IQ(/; 11 Tel. No. Type of Inspection C cG^ho r+`r- r *,noS$ Inspector )P4)Pf4g,v eLr cSV ( ' ) Remarks andAViolaatt'ions are listed below: e / r- 1} i rrJ-r- P S c f n SVJ�o waS Coy�yc�'ed c�ndfAe o O SerePr� nn �i✓Idnws m jst�� tp +fir �e ^npvn S , �<i�ctien, aol Lylrn_� r_oQm A/o cac n nn)(je d o, e-c-fors were w"-11_I_>1-_7� n "o-A7 ✓4tle.e_ nee& LA one- w;4A i rl �� fen ��eef Paul broo�?m "' WirinrA �or p1,�Ie-�S-11'1 �i�' a�.��—l�nerma� hP�frr�nrvi � — lid 'she-9,L 1111 S i p0.�o Ging riz LA C�Yovr � LAnv'-anl Or V^rj,�jc CVy6er IS 4o kiiofi y 1 cl)✓ w[enCQrlMCboPU Loll ct11v;&/Q ;6P1y AOIVP, �efjl - MaJQ / ��ni-�- ✓iarl Report Received by: CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 8' 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 f CERTIFICATE OF FITNESS CERTIFICATE#224-06 DATE ISSUED: 5/2/06 Property Located at: 12 Cherry Street UNIT#2Right Front Owner/Agent: Cherry Street Realty Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 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, with 105 CMR 410.000. o p ants must comply y Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH �Y;! JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR b:. C1TY OF'SALEM, MASSACHIJSEiTS BOARD OFHEALTH S • 120 WASHINGTON STREET"4TH FLOOR SALEM, MA 01974 TEL. 978-741-1800 FAX 978.745.0343 _ STANLEY USOYICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS J,F�O,�R HUMAN HABITATION". PROPERTY LOCATED AT �a C1l T vyST '' _UNIT IS THIS UNIT DESIGNATED AS IGH LEFT FRON BACK PLEASE CIRCLE ONE OWNER(LESSER L- f �/tZ� MANAGERfAGENT r� No P.O. Box �/�^ No P.O. Box ADDRESS//�le >__ck' �f _ADDRESS CITY_ RESIDENCE PHONE __BUSINESS PHONE (24 HRS.)_,_ BUSINESS PHONE 7� TOTAL NUMBER OF ROOMS -6-- ROOM OOMSGROOM USE: 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 SlGNA7UREC'! _DATE_----- INSPECTORS-USE �INSPECTORSUSE ONLY DATE OF INITIAL INSPECTIONDAT"E OF REINSPFCTION, _. d' -22a� DATE OF ISSUANCE OF GERTIFIGAT FS-), - 06 DATE (=EE PAID3. 7 TYPE OF UNIT DWELLIN OTHER CHECK P /�b� CHECK DATE l �� NOTES -��— 2- W��3 • CODE ENFORCEMI=NT INSPECTOR w<ttil�.�Ii CITY OF SALEM BOARD OF HEALTH Establishment Name: / C ele r,L�_/ 57 , Date: 3 — o'�- Page: of Item Code c-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red Item -- Verified _. :. PLEASE PRINT CLEARLY S12 c P 7_ N u/ v - F a wM i CIJ Le VJ r w A Iz r to d o A.) - C A u t✓ "t2 2 C nl G r} n�4 , / oL ace do w F44P4 G Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance L] Employee Restriction/ Exclusion violations before the next inspection, to observe all conditions as described, and to ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. ❑ Voluntary Disposal ❑ Other: -7-501 14(C') PHFs Received at"l emperaturesr Violations Related to Foodborne Illness Interventions and Risk According to Iaw Cooled to Factors(items 1-22) (Cont.) 41°F/45°F Within 4 Homs- PROTECTION FROM CHEMICALS 3-501.15 Cooling Methods for PHFs 14 Food or Color Additives 19 PHF Hot and Cold Holding -- 3-202.12 Ad(httves'r 3-50t.16(B) Cold PHFs Maintained at or below 590.004(F) 410145°Fx 3-30Y2.14 Protection from Unapproved Additives* 3-501.16(A) ]-lot PHFs Maintained at or above IS Poisonous or Toxic Substances 14W 7-101.11 Identifying Information-Or 3-501,16(A) Roasts Held at or above 130°F. Ccuttaincrs" 7-102.11. Common Name-Working Containers* 20 - Time as a Public Health Control 7-201.11 Separation-Stora e" 3-501.19 Time as a Public Health Control* 7-20111 Restriction-Presence and Use* 590.004(H) Variance Requirement 7-202.12 Conditions Of Use* 7-203.11 Toxic Containers-Prohibitions* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-204.11. Sanitizers.Criteria-Chemicals* _ POPULATIONS(HSP) _ 7-204.12 Chemicals for Washi112 Produce,Criteria" 21 3-8011 I(A) Unpasteurized Pre-packaged Jukes and 7-204.14 Dtvin eats.Criteria* .Beverages with Warnine labels* 7-205.11 Incidental Food Contact.Lubricants* 3-801.11(13) Use of Fasteurized Eees* 7-206.11. Restricted Ilse Pesticides, Criteria" 3-801A I(D) Raw or Partially Cooked Animal Food and 7-206.12 1 Rodent Bait Stations* Raw SeedS)routs Not Served. 'r 3-80 L I I(C) Unopened Food Package Not Re-served. 7-206.13I Tracking Powders,Pest Control and Monitoring* CONSUMER ADVISORY _ TIME/TEMPERATURE CONTROLS 22 3-603.11 Consumer Advisory Posted for Consumption of 16 Proper Cooking Temperatures for Animal Foods"That are Raw,Undercooked or PRFs Not Otherwise Processed to Eliminate Pathogens.* rrecraE rroat 3-401.11A(1)(2) Eggs- 155'F 15 Sec. E Ls-hrmree iate Service 145°.F15sec* 3_302.13 Pasteunzed Eggs Substitute for Raw Shell 3-401.1 I(A)(2) Comminuted Fish,Meats &Game Eggs* Anirrials es*- Animals- 155°F 15 sec. * 3 40 1.11(13)(1)(2) Porkand Beef Roast- 130'F 121 min* SPECIAL REQUIREMENTS 3-401.11(A)(2) Ratites, injected Meats 155°F 15 590.009(A)-(D) Violations of Section 590.009(A)-(f3)in sea ; catering,mobile food, temporary and 3-401..11(.x)(3) Poultry,Wild Game,Shifted PHFs, residential kitchen operations should be Stuffing Containing Fish,Meat, debited under the appropriate sections Ponitr or Ratites-1650F 15 sec. * above if related to foodborne illness 3-401.11(C)(3) Whale-musele,'hrsol Beef Steaks interventions and risk factors. Other 145°F* 590.009 violations relating to goad retail 3-401.12 Raw Animal Foods Cooked in a practices should be debited under#f29- Microwave 165`F* Special Requirements. 3-401.11(A)(1)(1)) All Other PHFs- 145°F 15 sec. * - 17 Reheating for Hot Holding VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-403.11(A)&(D) PHFs 165°F 15 sec.* (Items 23-30) 3403.11(B) Microwave- 165°F 2 Minute Standing Ci ideal avid non-critical violations, which do not relate to the Time* ,foodborne illness interventions and risk fhctors listed above, can be 3-403.11(C) Commercially Processed RTE Food- ,found in the following sections of the Food Code and 105 CMR ].40°F* 590.0.0.0. 3-403.11(E) Remaining Unsiiced Portions of Beef2It3Management em Good Retail Practices FC 59Q.000 e rs, Roasts' -Pe and onnei FO .003 m . ..___ - 18 Proper Cooling of PHFs24. Food and Food Protection FC-3 .004 25 _ Equipment and Ut©nslls _ FC-4__.005_ 3-SOI14(A) Cooling Coked PHFs from 140°F to 26 Water,Piumbinq and Waste FC S .006 70°F Within 2 Hours and From 70"F 27. Ph sisal Facility FC-6 r .007 to 41`'F/45°1`Within 4 Hours. * 28. Poisonous or"Toxic kAatedals 3-501.14(B) Coaling PHFs Made From Ambient 29. S ester Re uirements .009 Temperature Ingredients to 41°F/45°F 30----- -Other _J Within 4 flours„ Denotes crines]item in 1110 Federal 1999 Food Code or 10S CMR 590.000. HP Fax $eries 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Mar 23-2006 9:34am Ust Fax Date Time Twe Identification Duration —Pvu Result Mar 23 9:33am Sent 919785241918 1:03 1 OK Result- OK - esult:OK'- black and white fax CITY OF SALEM, MASSACHUSE77S • BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Fax 978-745-0343 Kimberley Driscoll WWWSALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4/11/06 12-14-16 Cherry St. Salem Trust 20 Prince Street Beverly, MA 01915 PROPERTY LOCATED AT 12 Cherry Street Unit 2 Dear Sir/Madam: It has came to our attention,that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board ofHeal�� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM BOARD OF HEALTH `= Establishment Name: C-wee k y 57 a Date: 3 — _2 a — °� Page: of Item Code C-Critical Item DESCRIPTION OF VIO iATION/PLAN OF CORRECTION Date No. Reference R-Red Item " - - Verified -r PLE SE PRINT CLEARLY t } 1 \ / Szdd@ GOA eOt0 / 2 ® PO C - - FP0AlT dW - Mid rit)JZ)W kc, 'P ,Ae`h_�^ <for2o4 uiinada Gl0A.) _ AuwtC 2 ('AU _ /✓ .AG AC AfeoAt to ( v M mcalikAI.149 G l (Ai CID U/ /'/ H?F 4 u2 6 C. d de-2 C. ,- 'U Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion p ❑ Re-inspection Scheduled ❑ Emergency Suspension r comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. ❑ Voluntary Disposal ❑ Other: 3-561.14(0) PHFs Received at Tempcfatures Violations Related to Foodborne Illness Interventions and Risk According to Law Cooled to Factors(Items 1-22) (Cont) 41`F/45`.;Within 4 Homs. PROTECTION FROM CHEMICALS 3-501.15 Cooling Methods for PHFs 14 Food or Color Additives I9 PHF Hot and Cold Holding 3-20.12 Additives* 3-50'1.16(1t) Cold PHfti Maintained at or below 590.004(F) 41°I450F- 3 302.14 Protection from Una roved Additives* 3-501.16(A) lint PHFs Maintained at or above 15 Poisonous or Toxic Substances 140'P " 7-101..11 Identifying Information-Orifi nal 3-501,16(A) Roasts Held at or above I30°F Caxnainers* 7-1.02.11 Common Name-Working Containers* F-2oil Time as a Public Health Control 7-201.1 I I Separation-Slot it e* 3-501.19 Time as a Pubhe Health Conh'ol* 7-202.11 Restriction-Presence and Use* 590.004('H) Variance Re uirament 7-202.12 Conditions of Use' 7-203.11 Toxic Containers-Prohibitions* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-204.11. Saidtizeis,Criteria-Chemicals* POPULATIONS(HSP) 7-204.1.2 Chemicals for Washin¢Pmdnce,G�iteria': 21 3-80'L11(A) Unpasteurized Pre-packaged Juices and 7-204.14 Dr•in r eats.Criteria* Beverages with Warning, I nbels* 7-205.11 Incidental Food Contact.Lubricants* 3-80t.i i(B) Use of Pasteurized ins* 7-206.11 Restricted Use Pesticides.Criteria* 3-301,11(I3) ,Raw or Partially Cooked Animal Food and Raw Seed Sprouts Not Served.'r 7-206.12 1 Rodent Bait Stations* 801 11(C} Uno cued Foud i?acka�e Not Re-served. 7-206.13 Tracking Powders,Pest Control and Monrtarin�* CONSUMER ADVISORY TIME/TEMPERATURE CONTROLS 22 3-603.11 Consumer Advisory Posted for Consumption of ,kniutal Foods That etre Raw, Undercooked or 3-b Proper Cooking Temperatures for. PHFs Not Otherwise Processed to Eliminate _ 3-401.11 A(1)(2) Eggs- 755`F 1.5 Sec: Patho*ws E cs-Hnnaedtaa-Service 145°FlSsec* 3-302.13 Pasteurized Eggs Substitute for flaw Shell 3-401.11(AI(2) Comminuted Fish,Meats&Came Ee,fix Animals- 155°P 15 sec. * 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 mrn* SPECIAL REQUIREMENTS 3-401.11(A)(2) Ratites, lnjec[ed Meats- 155°F 15 590.009(A}(D) Voolalions of Section 590.009(A)-(D)in sec. s catering, mobile food, temporary and 3-401.11(A)(3) Poultry, Wild Game,Stuffed PRFs, residential kitchen operations should be Stuffing Containing Fish,Meat, debited under Clic appropriate sections Poultry or Ratites-165°F 15 sec. * above if related to foodborne illness 3-401.11(C)(3) Whole muscle,Intact Beef Steaks interventions and risk factors. Other 145°F* 590.009 violations relating to good retail 3-401.12 Raw Animal Foods Cooked in a practices should be debited under 1129-- Microwave 165'F* Special Requirements, 3-401.11(A)(1)(b) All Other PHFs-145°F'15sec * 17 Reheating for Hot Holding VIOLATIONS RELATER TO GOOD RETAIL PRACTICES 3-403.11(A)&(D) PFIFs 165°F I5 sec.* (items 23-30) 3-403.11(B) Microwave-165°F 2 Minute Standing Ciitica]and non-critical violations, which do not relate to the Time* ,foodborne illness inrerventiom and risk factum listed above, can be 3-403.11(C) Commercially Processed RTF.Food- found ill the/allowing sections of the Food Code and 105 CMR '140°F* 590.000. 3-40311(E) Remaining Unshced Portions of Beef item Good Retail Practices FC 590.0.00 Roasts* 23. Mena ement and Personnel_ FC-2 .003 Proper Cooling of PHFs 24. Food and Food Protection FC-3 .004 25. Equipment and Utensils FC 4 1 .005_ 3-501.14(A) Cooling Cooked PHFs from 140°F to 26 Water Plumbin and Waste FC 5 006 �____ 700P Within 2 Hours and From 70°F 27. Ph slcal FacifitY_. FC-0 007 _ to 4I-F/45°F Within 4 Hours. ' 28. Poisonous or Toxic Materials FC-7 ' .008 3-501.14(B) Cooling PHFs Made From Ambient 29. Special Requirements _ .009 Temperature Ingredients to 4101--/45F 30. Other Within 4 Hours* `---.....------ Denotes critical iteisi in file federal 1999 Food Code or 105 CMR 590 000. CITY OF SALEM, MASSACHUSETTS BOARD or HEALTH l 120 WASHINGTON STREET,4'.'FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR UGRRENI3AUM�SAI.HM.CONl DAVID GREENBAUM,RS ACTING HEALiH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 118-11 DATE ISSUED: 4/19/2011 Property Located at: 13 Cherry Street UNIT# 1 Owner/Agent: Realty EstateClearing/Bruce Saunders Address: 20 Locust Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 750-1033 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 D I�I EN�, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS R41 BOARD OF HEAUM 120 WASH]NGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DOWENBAUNi&ALENT.COM DAVID GREENBAum,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT C Wert S-T UNIT# IS THIS UNIT DISIGNATED Ag RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER PLGq I I , CS fhTt5 0 LEA,2 L iu e MANAGER/AGENT 13zu r c, A SAow nnn P NO P.O. BOX ADDRESS 20 Loc_.)gt ST j� ADDRESS CITY, STATE,ZIP 'DnN%(CmR m1,�, 0 I'IL 3 CITY, STATE,ZIP RESIDENCE PHONE 24? T- L) /L)33 BUSINESS PHONE(24HRS) BUSINESS PHONE gj�y 360 0169 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 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 APPLICANT'S SIGNATURE' S� ,uz.a �0 S m DATE-19 , 1 Inspectors use only Date on initial inspection: G pate of reinspection: Date of issuance of certificate: Date fee paid: �} Type of unit: Dwelling Other Check# ?04 Check date: —1 1101/11 Notes: G W u- Vl Wtgdrjl1 in ion I room . rn r�r v, �: iron I- goo orlc c✓bor� Att— I I Code nforce ent Inspector L CITY OF SALEM, MASSACHUSETTS • by l2 BOARD OF HFSLum 120 WASHINGTON STRFE'I',4"'FLOOR TFL. (978) 741-1800 KINIBERLEY DRISCOLl. FAX(978) 745-0343 MAYOR Ixa11;1;Nm1AUM((ZSAI,l:Na.cona DAVID GRI;I fN 6A Wo,RS AC"PING HvA1a'11.ACI.CN'I' CERTIFICATE OF FITNESS CERTIFICATE#533-10 DATE ISSUED: 11/16/2010 Property Located at: 13 Cherry Street UNIT#2nd Floor Owner/Agent: Shawn Shea Address: 20 Locust Street City/Town: Danvers Zip Code: 01923 24 Hour Phone: 978-750-1033 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 [[" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I DAVI GBA✓�UM;RS ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS y{ BOARD OF HEALTH 120 WASHINGTON STREEP,4°1 FLOOR TEL. (978) 741-1800 2 3—/O KIMBLRI_EY DRISCOLL FAX(978) 745-0343 J J MAYOR COM DAVID GREENBAum,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT t'3 C� emiu 3T UNIT#aun F12 IS THIS UNIT DISIGNAT D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER SNww,,j S NCA MANAGER/AGENT /R2JCG ✓a NO P.O. BOX ADDRESS )o Laevs# ST ADDRESS Oa Locus- .3-F CITY, STATE, ZIP 0ANycw4 +hra 01113 CITY, STATE,ZIP �A 1,)V Y611� 2 o�� 3 RESIDENCE PHONE BUSINESS PHONE (24HRS) TA .Q 66 roa b ci BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 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 APPLICANT'S SIGNATURE ' l_ Jl� >� �"c� DATE ,Y-Vbyy Inspectors use only Date on initial inspection: i iJ O Date of reinspection: Date of issuance of certificate:_ �{ I�'�I�0 Date fee paid: Type of unit: Dwellilng^^ ✓Other Check# Check date: Notes: YV C�/') �f Vl bn ( jC 6v d/t7h ( (11 f kS I S �� J (j l ,-6tf(4or ?14-Ks 0/-1 a^ Ccs1 NO ,. t(ul 5 Code Enfo emen Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1)GW;J;NI3AUM f(�l SA1.EN1 COM DAVID GREENBAUM,RS ACTING HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS HEALTH AGENT ` w 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 07970 TEL. 978.741-1800 FAX 978.745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#446-07 DATE ISSUED: 9/10/2007 Property Located at: 14 Cherry Street UNIT# 1L Owner/Agent: Cherry Street Realty Address: 452 Essex Street City/Town: Bevely, MAZip Code: 01915 24 Hour Phone: 978-423-6919 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 r D=I�'K.ir L. ��(c.�C�L JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • � 120 WASHINGTON STREET, 4TH FLOOR -" 7y(l7n SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEATH 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". i �l PROPERTY LOCATED AT ` P UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK PLEASE CIRCLE ONE J OWNER/LESSER �U� r°� MANAGER/AGENT No P.O. Box �i No P.O..Box ADDRESS �I�o� � ADDRESS CITY X�`V { 4. jjl�}`S —CITY— RESIDENCE PHONE BUSINESS PHONE (24 HRS) S� P BUSINESS PHONE_/__76-_q,)S-0l,/_ TOTAL NUMBER OF ROOMS:__ ROOMUSE 1. 3 4. 5, 6 8. THERE IS A TWENTY-FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANT'tSIGNATURE _ DATE INSPECTORS USE ONLY �f DATE OF INITIAL INSPECTIONg-p -{y 7 DATE OF REINSPECTION ` I 0 _ 017 DATE OF ISSUANCE OF CERTIFICATE,.---.-,, _- __ DATE FEE PAID ___1�_' y._ TYPE OF UNIT. DWELLING OTHER -- CHECK id_ CHECK DATE r NOTE(/q// ""-- 7_4Jea�l/\ ll// h/ CODE ENFORCEMENT INSPECTOR 9/28/98 i _ '� r r.. . ,i ;� . .� � —. _ ,.. � 1 a • CITY OF SALEM, MASSACHUSETTS BOARD OF HEkLTH .. 120 WASHINGTON STREET 4"t FLOOR PIt h Prevent.Promote.rrn,cm. TEL. (978)741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL lramdin c@salem.com LARRY RdMDIN,RS/RI3HS,CIiO,CP-PS MAYOR Hli,iVLI7-1 AGI?N'C CERTIFICATE OF FITNESS CERTIFICATE#67-14 DATE ISSUED:2/25/2014 Property Located at: 14 Cherry Street UNIT#2-L Owner/Agent: Cherry Street Realty Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 4236919 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 LARRY DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR 1PIIbl1CHC8Ith Crevenr,vromom.Prermr. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salcin.com LARRY RAMDIN,RS/REFIS,CHQ CT-FS MAYOR HFA1,1'H AGIENI Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" l FEE: $50.00 PROPERTY LOCATED AT N 6/!fl/'cK S f d -4 UNIT# IS THIS UNIT DISIGNATED/A,SLRIGHT LEFT FRONT OR BACK PLEASE CIRCJLE ONE OWNERILESSER 6 ,�,. Wl 5r11&fI / `� MANAGER/AGENT �(J NO P.O. BOX ADDRESS'/ ES S e>r 5' �t°l/ SIG ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OFF ROOMS:— / J ROOM USE: 1. Y,d 2. � �' 4. 1 C . /J�%f/t 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 � � DATE ,2– -2-?Vel Inspectors use only q Date on initial inspection: °�Ias��q Date of reinspection: a - (4 All U10lmt, '0 Date of issuance of certificate: Date fee paid: Type of rut: Dwelling Other Check# Check date: 1 Notes: G:zVr ,f cwHy I ,)i4d ,c A) nw+ s64� �qv i )p Zs) 3— Q 'N IhCC1r0" 'rylV��CelC C) (UrCIL.�I&re(: ( � � Vr IQ o'n Ar Coe o en1Inspector '' � (. �r sty, 1 (j CJ� lh a ttifir , -2 i�� ws�ts�O IOCK On 'e , ✓ CITY OF SALEM, MASSACHUSETTS * / BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIN MERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRE17NBAUM@SAJ,EM.00M DAVID GRL ENBA UM,RS ACTING H 13A1.:n I AG HNT CERTIFICATE OF FITNESS CERTIFICATE # 112-11 DATE ISSUED: 4/11/2011 Property Located at: 14 Cher Street UNIT#3-L P Y Cherry Owner/Agent: 12-14-16 Cherry Street Realty/Ed Quill Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 4236919 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 GREENB M, RS ACTING HEALTH AGENT CODE EN ORCEMENT INSPECTOR e y ' 00• + CITY OF SALEM, MASSACHUSETTS 'I BOARD OF HEALTH 120 WASHINGTON STREET,4.°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F,At(978) 745-0343 MAYOR COM DAVID GREENBAUM,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �7/� �A�(—Ie,� �r 3` UNIT# S 9 --L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER/Z -/9'/dL4��^�y $-r MANAGER/AGENT -4V 4cli1 r' NO P.O. BOX �` r ADDRESS ADDRESS .ZSS Z/ CITY, STATE,ZIP -5-V ew 0W, CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. kt,I// t 3. Tv J 4. 4'ed 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 ��e DATE Inspectors use only Date on initial inspection: Ll I Idn Date of reinspection: Date of issuance of certificate: I I Date fee paid:ht it Type of unit: Dwelling—ALOther Check#—o 6 Check date: )I Notes: Nv\� � wticlow jo= Up nu 'Sir2vLx , L�Jr - 8f- snrb- aud.s bay- tc � I� niteds kcx)lt- bcldf/\/�ni +uh , L F1- woda � � I) i Hume-�k PIVD Gnykkw- 40 I,�Ork Co Enfor ementInspectorn(Ak( roa-� h W cal i In A GukSI dt U"", adfi� jtSh) -Ibs LA l� 4SPrvtp� . - g , ap CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR P1i1111C�P,81t11 TFL. (978) 741-1800 FAx(978) 745-0343 HIMBE-RLEY DIUSCOLL kamdin ,salem.a>m LARRY lU B1UlN,RS/RV1I IS,C FIO,CP-t'S MAYOR i AGI?N'f CERTIFICATE OF FITNESS CERTIFICATE #245-12 DATE ISSUED: 6/12/2012 Property Located at: 16 Cherry Street UNIT# 1 Owner/Agent: 12-14-16 Cherry St. Salem Trust Address: 44 Prince Street City/Town: Beverly, MA Zip Code: 01915 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 UEALTH LARRY RAMDIN HEALTH AGENT RAN CITY OF SALEM, MASSACHUSETTS . a BOARD OF HFALTH ,yam 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IAUMI N&ALENLCOM LARRY RAMI)IN,RS/RN IS,010,CP-FS H1 mxi IA(;uN'C 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 M, � i �rY s'r 15 r�/czar UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNEWLESSER�N A Aeke? MANAGER/AGENT NO P.O. BOX ADDRESS y�Ll)dHJ146P 5� / .(/�/� 01,915- ADDRESS CITY, STATE,ZIP CITY, STATE, ZIP RESIDENCE PHONEBUSINESS PHONE (24HRS D ) BUSINESS PHONE / 71��✓✓6 �! 1 TOTAL NUMBER OF ROOMS: J ROOM USE: lZi 14' 2. 3. Aeir -7 4./.ty 5 6af� 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 DATE 6- 6-)2 // Inspectors use only Date on initial inspection: LP/6�5� Date of reinspection: Date of issuance of certificate: rr^_ Date fee paid: Type of unit: Dwelling Other Check# �L1�Check date: Co— Notes: Co c ent Inspector 1. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#370-06 DATE ISSUED: 7/26/2006 Property Located at: 16 Cherry Street UNIT# 1 Front Owner/Agent: 12-14-16 Cherry St. Salem Trust Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 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. FOH� CARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH , �� 220 WASHINGTON STREET, 4TH FLOOR e 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 ll, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ld &yy '45r UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT RdNT ACK PLEASE CIRCLE /ONE OWNER/LESSERA 4 <AtS ��1'G{t�l� MANAGER/AGENT_. BOX ADDRESS '�/�/A .0 C-$ N ADDRESS CITYV__Yi .Oft RESIDENCE PHONE_G _/BUSINESS PHONE (24 HRS.) __ BUSINESS PHONE 7,;* Z�"` O) TOTAL NUMBER OF//r►ROOOMS: / .�L l ROOM USE: 1. u*'� 2. A V_3. 4 �/ h 5IT-6. T7(17.8 ._ . THERE IS A TWENTY-FIVE (525.00) 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.00 � DATE _ INSPECTORS USE ONLY DATE OF INITIAL iNSPECTION��y�. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _ DATE FEE PAID:__ r '� ""�� TYPE OF UNIT: DWELLING/,/'OTHER CHECK # 1771__ CHECK DATE NOTES -----_- . i CODE ENFORCEMENT INSPECTOR 9/28/98 i i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DG12GfSNBAUM([e!),SALEM.COM DAVID GREENBAUM,RS ACTING HEAL;ni AGENT CERTIFICATE OF FITNESS CERTIFICATE# 103-11 DATE ISSUED: 4/7/2011 Property Located at: 16 Cherry Street UNIT# 1 Left Owner/Agent: 12-14-16 Cherry St. Salem Trust Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 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 ��/�+�.. DAVID &AUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOAvRD OF HEALTH 120 WASHINGTON SrREF,r,4"' FLOOR TEL. (978) 741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRUNBAUM(Da SALEM.COM DAVID GREENBAum,RS ACTING HF,ALTH 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." (Atr6) FEE: $50.00 PROPERTY LOCATED AT &y 5/ l S //oor UNIT# IS THIS/UNIT JJDISIGNATED AS RIG C � ONT OR BACKPLEASECIRCLE ONEFMNAGOWNER/LESSER hAER/AGENT.fC NO P.O. BOX ADDRESS 4S-2 ADDRESS CITY, STATE,ZIP ge 'V e)f l-S CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 9W - �/As- &19 TOTAL NUMBER OF,,ROOMS:A/ ROOM USE: 1. 'Iy 2. 06 (C 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 APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: J) l Date of reinspection: Date of issuance of certificate: l( Date fee paid: LihIll Type of unit: Dwelling ✓ Other Check# 3N0Check date: 1-7111 Notes: 1( c, k On (Aividu,)-enr affl Q sr,o 1n belce— U,cuv �u►�� it/ 6k A- b1c,c�- 4 . b A Of C e En rcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#440-06 DATE ISSUED: 9/7/2006 Property Located at: 16 Cherry Street UNIT#213ack Owner/Agent: 12-14-16 Cherry St. Salem Trust Address: 452 Essex Street City/Town: Beverly, MA Zip Code: 01915 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 ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Crrr OF SALEM* MASBACHUSE I TS BOARD OF HEALTH 120 WASH4NGTON STREET. 4T4 FLOOR SALEM. MA 01970 TEL. 978-741-1800 1 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 It. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS OR HUMAN HABITATION J / Y9�V 6( r/ f - - UNITu o20n �1ool� PROPERTY LOCATED AT_/4 t6 r .-Y IS THIS UNIT DESIGNATED AS RIGHT LEFT EFRONT BAC ,PLEASE CIRCLE ONE / OWNEFULESSER i"+ _� Cr! �� _!MAA AGEEN�T Gt i t l No P.O. Bax G/ t; �k r N ADDRESS!) ADDRESS 1 V — CITY _____ --CITY------- RESIDENCE _CITY`-_e- ,RESIDENCE PHONE-____.`___BUSSIIN/ESS PHONE (24 HRS.).___`___ BUSINESS PHONE_�7 ��_°�j� QL 5 l TOTAL NUMBER OF ROOMS:_`C c ROOM USE: 1._K-y1' lc 2.__14iV 3__2_m 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. (1 APPLICANTS SIGNATURE _____ DFlTE__ _ - INSPECTORS USE ONLY DATE OE INITf_AL INSPECTION 3�, -7�� DATE OF REINS P' -GTIO(N3 i DATE OF ISSUANCE OF CERTIFICATEf� ` - b dvDAI E FEE PAID: TYPE OF UNIT`. DWELLING<61 H6R CHECK I� J ��9 C"'-dLCK DAI I I / \ NOTE /-/OVA P*W-t 7"4"1 k, CODE CNFORCEME'.Nl IiVSV'Et;TOH 2719 i ----------------------- CERT.# 578-97 FEE $25.00 DATE: 08/26/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 22 Cherry Street UNIT #: I OWNER/AGENT: James P. Saunders ADDRESS: P.O. Box 931 CITY/TOWN: York Beach, ME ZIP CODE: 03910 24 HOUR PHONE: 741-1360 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OF CITY OF SALEM BOARD OF HEALTH KEAI ZH u,}ld Salem, Massachusetts 01970-3928 5_71f_Y, . JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED T - 22 Cherry St. , Salem, Ma 01970 UNIT t ' 1 OWNER/LESS MANAGER/AGENT any-\\(�` ADDRESS�G(� ADDRESS `�-�I CITY �OLr1 (�0�1_ Q ; CITY �dYt � RESIDENCE PHONE _�P Q4NE (24HRtS )—t BUSINESS PHONE too TOTAL NUMBER OF ROOMS: ROOM USE: r 5.VM� 6. 7. 8. THERE ISTWENTY-F 25.00) DOLLAR PEEYABLE BY CHECK OR-MONEY-ORDER TO_THE_, CITY O —St HEALTH DEPARTMENT THIS FEE I AYA$LE AT THE TIME OF INSPECTION APPLICANTS SIGMA DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE �'Z uDATE FEE PAID: z TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR t v r�rn Cha ck FO a�5� /oa.cla 6kl- 7V r�i dF I(alel-ll) , aAl fs �crq a�eKA,�ye�' <o• t �• 3 T CITY OF SALEM. HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 1" 9 NORTH STREET 508-741-1800 DATE: AUGUST 4 , 1997 JANE WILSON 69 LONG BEACH ROAD YORK,. MAINE 0� 07o9 _. .. PROPERTY LOCATED AT 22 Cherry Street UNIT 0 1 Left DEAR /MADAM: allowed It has come to our attention, that you - 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. theMassachusettsGeneral 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 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 8a-m. - 4p.m. , Thursday Sa .m. - 7p.m. , or Friday 8a .m. Co noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS S ELECTRICITY Very rtiily yours, FOR THE BOARD OF HEALTH REPLY TO: CITY OF SALEM, MASSACHUSETTS + J ` BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 K NIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRF'I NL4AM@q SN,I3M.COM DAVID GRIi:F,NBAUM ACTING HEALTH.A(,I3N"I' CERTIFICATE OF FITNESS CERTIFICATE# 13-10 DATE ISSUED: 1/11/2010 Property Located at: 24 Cherry Street UNIT# Right Owner/Agent: William J Sarnowski Address: 1003 Ferncroft Towers City/Town: Danvers, MA Zip Code: 01923 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 BOAPD OF HEALTH Ate" ) d� DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORttMENT INSPECTOR 3 CITY OF SALEM, MASSACHUSETTS �� I $ BOARD OF HFvAUI'H r 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KfNIBERLEY DRISCOLL FAZ(978) 745-0343 MAYOR DG1k F3NBJNUNJ0g AIJ§;m.COM DAVID GREINBAUM, 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." q�/ n�/ FEE: $50.00 PROPERTY LOCATED AT 0� CkEt c3r UNIT# IS THIS UNIT DISICNATED AykIGH1j LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 101111,40 i MANAGER/AGENT NO P.O.BOX ADDRESS 164.3 FE/Z/UG�QOFT r16lJP/PJ ADDRESS CITY, STATE, ZIP �� 1611• U/9 `�/G � CITY, STATE, ZIP RESIDENCE PHONE 9�� 7�/�Z�l� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: I. Xor4en 2. D.R 3. 4. :& #01 5. 84402 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 IISSS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /�!/ DATE dlll/D Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ! �� Date fee paid: Type of unit: Dwelling Other Check#.__::NV Check date: I 11 /U Notes: jU(O OF {'10+ JA04' f i/ Code Enforceme Spector