CHESTNUT STREET 4 CITY OF SALEM, MASSACHUSETTS 10
.BOARD OF HE.�LTH
120 WASHINGTON STREET,4...FLOOR PublicIiea Ith
'fEL. (978) 741-1800 FAZ(978) 745-0343
KIMBERLEY DRISCOLL kamdin@salem.com
L.4RRA'IL\MDIN,RS/RFA IS,CPfO,CP-FS
F.TLTfI CTNT - -
CERTIFICATE OF FITNESS
CERTIFICATE#347-12
DATE ISSUED: 8/24/2012
Property Located at: 24 Chestnut Street UNIT#2
Owner/Agent: Mary M. Murphy
Address: 24 Chestnut 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 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
LAR RAMDIN 49
HEALTH AGENT NIA IA
CITY OF SALEM, MASSACHUSET`T'S
WARD OF HE u;FH
120 WAMINGTON STREET,4"FLOOR
TEL. (978)741-1800 /1 CjI
KTMBF,RLEY DRISCOLL F,�x(978)745-0343
MAYOR at i iN a sn. ,hf.i`.t>mt
1m.t\kRY RdT`41'?IN,RS�RI?I15,(;1 Sp,(:}'-15
I.1 k,W)7 f,AGI{NT
AppHeadon for Certificate of Fitness
IN ACCORDANCE WITH STA'T'E SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
,tJ //�� �le, f}} FEE: $50.00
PROPERTY LOCATED AT Or 1 V t" 3+ &fk m OA UNIT# .2,
IS TRIS UNYF DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER_/Y)A ty) ML- Pk� MANAGER/AGENT
NO P.O.BOX
ADDRESS_ W±_! ADDRESS
cnY,STATE,ZIP / CITY, STATE,ZIP 01A Qaa?y
RESII)ENCEPHONE jP' S94 BI7sIN PHoNE(24HRs) L� (3-�_- 421 _
BUSINESS PHONE_ 91P' j J 0,
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. 2. }g R-- 3. f3 2_ 4. `" �htn tom—/C 1 G�e
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 ✓ ° ^ ^ DATEJ�
CC Inspectors use only
Date on initial inspection:_ O Zy' } ._ Date of reinspection:
Date of issuance of certificate: k: LN ' N—i Date fee paid:
Type of unit: Dwelling ✓ Other Check# 2"2-I Check date: !Y
Notes:
Code Enforcem t Inspector
.00NUIT
6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
01/24/2001 Fax:(978)740-9705
Oscar & Rita Padjen
27 Chestnut Street
Salem, MA 01970
PROPERTY LOCATED AT 27 Chestnut Street UNIT #
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The' Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
4ORARDH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR