CLEVELAND ROAD .pONU1T
CERT.# 368-01
Z FEE $25.00
DATE: 08/01/2001
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
Fax: (978)745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Cleveland Road UNIT #: 2
OWNER/AGENT: Paul Reintctes
ADDRESS: 30 Green Street
CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-3976
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.
OR THE BO�FHEALTH
JOANNE SCOTT, MPH,RS,CHO
V
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
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 S �1 Oc--' I04.d /ed UNIT#--,2
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER?A U &0E / ,V7ta C5 MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY CITY
RESIDENCE PHONE R2r- BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: 1. lk—� 2. 3. __4.
5._� 6.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF-SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREA ATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION0'N 1 —0 I DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: --'6 DATE FEE PAID:
TYPE OF UNIT: DWELLING:OTHER_ CHECK# CHECK DATE
i
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
Ilk
. - CERT.# 228-97
3 5S FEE
DATE: 0 04/16/4/16/
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: 21 Cleveland Road UNIT #: 1st Floor
OWNER/AGENT: (Doris F. Bradford RealtyTrust
ADDRESS: 234 Meadowlark Court - -
CITY/TOWN: Matco Island. FL. ZIP. CODE: 33937 24 HOUR PHONE: 740-9713
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 410400 (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
n
33g37
IL CO CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT z I - Z3 C44ti�rZ q Jj .�-6 inaT /
OWNER/LESSER Ml*t-/l, j w La7L L MANAGER/AGENT
ADDRESS LOP/ ih✓Q R(I ADDRESS
CITY .j%:L jE," � • �I^�9 20 CITY _
--RESIDENCE PHONE 77"0 Q / �� BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1. 2. 3. 4 .
5.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MOHEY ORDER TO THE
CITY OF SALEM HEALTH DETIME OF THIS FEE IS PAY LE AT THE TIOF INSPECTION
Et
APPLICANTS SIGNATUR \ "/ DATE_DIb
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: '� �jr DAFE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:�L=DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES '
CODE ENFORCEMENT INSPECTOR
a
' 3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date: 02/26/97 Fax:(508)740-9705
Doris F. Bradford Realty Trust
234 Meadowlark Court
Marco Island, FL 33937
PROPERTY LOCATED AT 21 Cleveland Road ' UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or -
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice- (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a-m- - 7:00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 229-97
" FEE $25.00
3 �
DATE: 04/16/97
KRB
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: 21 Cleveland Road UNIT #: 2nd Floor
OWNER/AGENT: Doris Bradford
ADDRESS: 234 Meadowlark Court
CITY/TOWN: Marco Island, FL ZIP CODE: 33937 - 24 HOUR PHONE: 740-9713
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
qv-v-1GXt1
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH R
CO S,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 HABIITATIO_�N". A
PROPERTY LOCATED AT 3 r/EL/!�/d q UNIT If 2AI-4 k,
OWNER/LESSER 01/tP,--Z �{jk/FLL MANAGER/AGENT
ADDRESS / NGI��rJ &/�V ADDRESS
CITY �/3'LG/7 „/7i� c 0 Pp 71/ CITY _
RESIDENCE PHONE T � BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOM USE: I . 2. 3. 4 .
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM ITEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE __
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -��j DATE OF REINSPECTION _
DATE OF ISSUANCE OF CERTIFICATE:: DATE FEE PAID:
TYPE OF UNIT: DWELLING // OTHER
NOTES: 7c —
CODE ENFORCEMENT INSPECTOR
t
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CITY OF SALEM BOARD OF HEALTH
Salem, Massachusefrs 019/0-3928
JOANNE SCOTT,MPH,RS,CHO - - - 'NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
RELEASE
in accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article ;III 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 ti:e
aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/aur absence, I/we
expressly authorize the same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized ahen.—s
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE _ OWNER/" SSOR
VsrG�
ADDRESS ADDRESS/�/)�� �
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7 � /y✓�
L���7// 11 7
ADDRESS OF UNIT TO BE INSPECTED
DATE
3 �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO - NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
May 14, 1997
Robert Chapman
21 Cleveland Road Apt. #2
Salem, MA 01970
Dear Mr. Chapman:
On April 16, 1997 my Code Enforcement Inspector Pablo Valdez inspected property at 21
Cleveland Road Apt. #2 and the following violations were found:
- Back Hallway- Smoke detector missing.
- Repair small hole in wall.
If you have any questions please feel free to call my office.
Sincerely,
anne Scott
Health Agent
JS/mfp