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COLLINS STREET -Nvrr� adclr�� Saw, mac,,_ aPm duns Postal VI CERTIFIEDIMAIL. r. r 1:1- IAL Ln Postage $ ru Certified Fee IR Postmark C3 Return Receipt Fee Here 0 (Endorsement Required). Restricted Delivery Fee (Endorsement Required) ttI 0 Total Postage&Fees $ M fU ent To - 11IIr�11 pp^^ -� __.. p §ireeG Apr. o;yryry(m1M1 1.i1�'C //"" E- arPO Box No.. colt Lic.+ . . 1.�:.. 1l .t✓--YZ.l"' PS Form :r. Certified Mail Provides: ■ A mailing receipt ' ■ A unique identifier for your mailpiece • j ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mail®. is Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. rt For an additional fee,a Return Receipt maybe requested toprovide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ' ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agant.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ' ■ If a postmark on the Certified Mail receipt is desired,pleasa present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.,Satre this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530.02.000-9047 Connect with RISO... o 'a facebook.com/risoprinter y twitter.com/risoprinter Learn More! rube youtube.com/user/risoprinter Two-minute video! linkedin.com/company/riso-inc Katherine Coleman OQPO Manager,Human Resois'ces.- - RISO, INC. 800 District Avenue,Suite 390 Burlington,MA 01803-5007 P:978-739-3530 C:978-330-8526 F.978-762-8852 E kcoleman®riso.com ` http://u .ri$O.COM/ I USPS 1RACKPIG# 1 ;C3Y Yr First-Class Mail ! Postage&Fees Paid '�'Ipt III USPS I II II III II . �I VIII Permit No.G-10 9590 9402 y6 �1{I16�115311I999�114632 68 United Star •Sender:Please print your name,address,and ZIP+4®in this box- Postal Se I w 14iCity of Salem 1.4z 'Board o£Health n o 120 Washington Street 4th Floor I 01970 i x (Salem, MA I SENDER: COMPLETE THIS SECTIOM COMPLETE THIS SECTION ON DELI'VEPY ■ Complete kerns 1,2,and 3. A. 5kjnatuie ■ Pdnt your name and address on the reverse X: .; + 13 Agent so that we can return the card to you. 0 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 17 13 If YES,enter delivery address below: ❑No �M -DINC+AQ,'r)hN IIIII II II II I I II II I III I IIII I I I III I I I I III 3. Service TYPa ❑Priority Mail ® ❑Adult Signature ❑Regsered Mail- 0 Adult Signature ReeMcted Delivery 0 Reeggistered Mail Restricted rtlfled Melt® DelNery 9590 9402 1660 6053 4632 68 o CeNflad Mall Restricted Delivery ❑Ream Receipt for 0 Collect on Delivery Merchandise 2_GMirlu.nl-m -frk--MIfmmsasv rn.Uhan 111 Collect on Delivery ReeMcted Delivery D Signature Confirmation^^ Signature Confinna 7012 3050 3001 2959 6088 i Restricted Delivery 11RestrictedDel erydon PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, rPubllic�HAlth MA 01970 Kimberley Driscoll Tel. (978)741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-280 DATE ISSUED: 91112017 Property Located at: 7 COLLINS STREET UNIT#1 Owner/Agent: Katherine Coleman Address: 36 Buena Vista Avenue City[Town: Salem , MA Zip Code: 01970 24 Hour Phone:(978)745-1395 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 11"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only If there is a valid Certificate of Occupancy, Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, RENS, CHO 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 LRAM DIN@SAI EM.COM LARizy RAMDIN,RS/RENS,CFIO,(:P-1--5 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 6 11zl7S 511teel IS THIS UNI D�TEEDAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER pYn �` 7�✓ _L U -/x!2 MANAGER/AGENT NO P.O.BOX ADDRESS 3G l 614 -S�iG I�l�� / ADDRESS CITY,STATE,ZIPS a l>!{'t f'yI/� 16-0 CITY,STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) MPHONE_01.� 3,3� " d J�o2 TOTAL NUMBER OF ROOMS: ROOM USE: 1. kiYkhi3C2. IVJyInl WA, be ✓AV.074. S.UC�/dd/x 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE WECTION APPLICANT'S SIGNATU DATE 4/ Inspectors use only Date on initial inspection: Date of reinspection: 11L Date of issuance of certificate: Daze fee paid: l Type of unit: Dwelhnp Other Check# Check date: Notes: Qk2=bS20 Code Enforcem t Vsktor Inspection of Caw l L e. l 1 U' Date TY,'s- 11 Time �I P)Name /'y�� Address -i St I Ow � / f � nerC. , _VTel. No. r —S Type of Inspection Inspector -, ( ' ) Remarks and Violations are listed below: 1/ r - Tl ('OP J I�C�LP�y�t�7inr�la,17 � Qhi-ua1-p -ex na tyL ck776 yup 7ffif &7T r)n.S c,i, 6u n > p / _i- �`. Qrr&M.P n# -) wd-� ux (x L i Report Received by: r CITY OF SALEM, NLASSACHUSE I"1 S BOARD Or Hr79LTii "q 120 W ASI HNGTON STREET,4'"F..1,OOR KIMBF,RLF_'Y DRISCOI I, TEL. (978) 741-1800 FAx(978) 745-0343 MAYOR Iramdiii@salem.com L.UORY 10AIDIN,RS/REI-IS,CAO,CP-FS HEALTH AGENT February 2, 2017 Katherine Coleman 800 District Avenue Suite 390 Burlington, Ma. 01803-5007 RE: 7 Collins Street Certified Mail: 7012 3050 0001 2959 6088 Dear Ms. Coleman, It has been almost two months since the initial inspection at 7 Collins Street Salem, MA. 01970. We agreed that you will contact me with a correction plan and a date for a re-inspection and I have not heard from you since. A re-inspection on your property is required in accordance with Chapter III, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00: State Sanitary Code, Chapter 1, General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. A re-inspection must be scheduled or a plan of action submitted within the next 7 days. Failure to comply and allow the Board of Health to re-inspect the units located at 7 Collins Street will result in further action by this department which includes, but is not limited to, monetary fines and a complaint being sought against you in Salem District Court. Please contact the Board of Health office for confirmation of the scheduled date for re- inspection. Janice Orta Larry Ramdin Sanitarian Health Agent City of Salem, Massachusetts SUM Board of Health 120 Washington Street, 4th Floor, Salem, PIIil> Health PRVent.Promote. FroteeL MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-281 DATE ISSUED: 911/2017 Property Located at: 7 COLLINS STREET UNIT#2 Owner/Agent: Katherine Coleman Address: 36 Buena Vista Avenue Cityrrown: Salem , MA Zip Code: 01970 24 Hour Phone:(978)745-1395 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BoAItD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMMN SAMACOM LARRY RAMDIN,RS/REBS,Cl IO,CP4S HEAun-1 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" n FEE: $50.//00 PROPERTY LOCATED AT y ( D/�/r S 7�r�e UNIT# 1 IS THIS DN[T DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CHICLE ONE OWNER/LESSER X MANAGER/AGENT NO P.O.BOX ADDRESSADDRESS CITY STATE ZIP L° ; D > CITY,STATE,ZIP RESIDENCE PHONE 9T0' BUSINESS PHONE(24HRS) $H 4m PHONE (.5076 q7�' - .33Q TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2, i r' 3' Doin 4. / m 5. ,E�1tpn l r.�/rayrn. h°c% �.°i✓rdJ 1t`L 6. 7. tJ 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 PAY LE AT THE T WEPF INSPECTION APPLICANT'S SIGNAT DATE 6 inspectors use only Date on initial inspection: Date of reinspectiioon: Date of issuance of certificate: Date fee paid: D ,� Type of unit: Dwelling—Other—Check# Check date: Notes: V 9 Code Enforcement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PabliCHea[th MA 01970 Prevent. Promote. P otect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-282 DATE ISSUED: 9/1/2017 Property Located.at: 7 COLLINS STREET UNIT#3 Owner/Agent: Katherine Coleman Address: 36 Buena Vista Avenue City/Town: Salem , MA Zip Code: 01970 24 Hour Phone:(978) 745-1395 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • ' BOARD OF HEAcrH 120 W1SHINGTON STREET,41"FLOOR TEL(978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMDIN SAL:M.COM LARRY RAMDIN,RS/111,1-IS,CI70,CI'-F.S . HFr\LTII 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: $50.0.J00 PROPERTY LOCATED AT 7 e=' s S � UNIT# IS THIS UNrF DISIGNATRIGHT LEFFFRONT OR BACK,PLEASE CHICLE ONE OWNER/LESSER & v%/� Pdn17/1,111 MANAGER/AGENT NO P.O.BOX ADDRESS G3Lo L Jj,-V& 5�l'yd�( /�yZ ADDRESS CITY,STATE,zip—, !/FlN CITY,STATE,ZIP RESIDENCE PHONE " yS MI5 BUSINESS PHONE(24HRS) UR r S PHONE TOTAL NUMBER OF ROOMS: V� ROOM USE: Lk�-hew 2. &Vg�. he6� ,rA4. 5. 6. 7. v 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB E AT THE TIM1,Fj INSPECTION . APPLICANT'S SIGNATU DATE_4/cx'r5 Inspectors use only �� Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector �NDr " City of Salem, Massachusettslu ! i q Board of Health A 120 Washington Street, 4th Floor, Salem, PublicHealth 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-15-56 DATE ISSUED: 5/4/2015 Property Located at: 11 COLLINS STREET UNIT# Owner/Agent: Michael Lowe Address: 49 Dearborn Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)979-9924 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one,year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN EE vv p 1 tet' —1 int tE 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 ��` l h 5 UNIT# S� urn 1� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CH2CLE ONE OWNER/LESSER H ebael Lo W< MANAGER/AGENT NO P.O.BOX ADDRESS 'V5 ADDRESS CITY, STATE, ZIP Sa letn HA 6 /970 CITY, STATE, ZIP RESIDENCE PHONE `I7 8 —a179 — �/ `/Z `� BUSINESS PHONE(24HRS) \BUSINESS PHONE 9 7 6— 77'S' ,Sa/ a TOTAL NUMBER OF ROOMS: 7 ROOMUSE: ,. 2`-34+h 3. _b)v%m3 4. Liyon9 5 3¢�tvcK>M 6,_Z�cA+ -fn 7. be-l. orn 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 SIGNATUREv —2_ DATE 27h 6,; Inspectors use only Date on initial inspection: 4"(aZ1 15 Date of reinspection: Date of issuance of certificate: Date fee paid: is Type of unit: Dwelling Other Check# Check date: Notes: Code or nent inspector t(5 -56 Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H 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. Uwe 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. TenandLessee Owner/Lessor I ) Co 1 I i vta 51- SQ I ern y 9 D e c.vb c rh 5s� 501 errs Address Address /I Collins 5� Saleyn Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 10/22/2007 Thoams & Lisa Doran 15 Collins Street Salem, MA 01970 PROPERTY LOCATED AT 13 Collins 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 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. or the Board of H I�p th Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGRFENBAUMQSALEM.COM DAVID GREENBAum ACTING HEALTTI AGENT CERTIFICATE OF FITNESS CERTIFICATE#516-09 DATE ISSUED: 10/14/2009 Property Located at: 13 Collins Street UNIT# Left Own r e /Agent Richard Newburg Address: 6 Palmer Road Cityrrown: Swampscott, MA Zip Code: 01907 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 . klDG' AN AUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS �� r/ BOARD OF HEALTH �Y 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUNI((�1�,SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 3 GUGL1 S UNIT# IS THIS UNIT DISIGNATED AS RIGH LEFT ONT OR BACK PLEASE CIRCLE ONE KI OWNER/LESSER c-(f.Aeb W54yCiUIZG MANAGER/AGENT X/lu NO P.O. BOX ., ADDRESS P%Ik& rC b ITADDRESS G CY, STATE,ZIP_SN/ LL15-6dW CITY, STATE, ZIP /��" e9tf! e/7 RESIDENCE PHONE7e/ IT:f4 BUSINESS PHONE(24HRS) 7F/-.trdk'#rFle. BUSINESS PHONE --- TOTAL NUMBER OF ROOMS: ROOM USE: Lk5r6tlbff 2. 156;D wC 3./35egm_ 4. i_W 5.!?,P(N Ok 6. 7. 8. 9. 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 TTIVIME Oy INSPECTION APPLICANT'S SIGNATURE DATE Ins cct\orslse onl Date on initial inspection: -I /d Date of reinspection: Date of issuance of certificate: G Date fee paid: lofivlo Type of unit: Dwelling Other Check# A Check date: (l 9 Notes: Code Enfor ent Inspector CITY OF SALEM9 MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#544-07 DATE ISSUED: 11/5/2007 Property Located at: 13 Collins Street UNIT#2 Owner/Agent: Newburg Family Holdings Address: 6 Palmer Street City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4THFLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /_3 C LL) $IV. UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Y &AgSMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS PA)- PA)-1A,5e 9.P! ADDRESS CITY ? tun S oDTr. A4. x/9011 CITY & RESIDENCE PHONE lel -,4% 'fir kUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OFIROOMS: 5— ROOM USE: 1./ 7JR {W 2. L1 ga eSP4 4.��i�VN 5.-PEI6._7._& THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE / _DATE &- 5r7-v7 INSPECTORS U L DATE OF INITIAL INSPECTION //- S - D 7 _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE -S__DATE FEE PAID:_/L1 '07 TYPE OF UNIT: DWELLING ,,VOTHER_ CHECK #_CHECK DATE NOTES: -. CODE ENFORCEMENT INSPECTOR 9/28/98 r, CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 5, 9t 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 5, 2003 Thomas Doran 15 Collins Street Salem, MA 01970 PROPERTY LOCATED AT 15 Collins Street Unit 1 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply 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 tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector J CERT.# 770-97 3 " FEE $25.00 DATE: 11/12/97 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: 15 Collins Street UNIT #: .1 OWNER/AGENT: Thomas Doran ADDRESS: 13 Collins Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 745-4572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE., CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR - - OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT COD ENFORCEMENT INSPECTOR a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 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 AT�u f t p2 UNIT I OWNER/LESSER I�iOAa S �r c4 MANAGER/AGENT Qm 01-Of ADDRESS ` /3 Coll ADDRESS � CITY lQ CITY --RESIDENCE PHONE Z5'.:-- Y5 / r�j BUSINESS PHONE (24 HRS.);7 55_1 "eS 2. BUSINESS PHONE YJ X5 7 -- TOTAL NUMBER OF ROOMS=9�} ROOM USE: 1. 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25,00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM" HEALTH DEPARTMENT THIS FERE IS PAYABLE AT THE TINE OF INSPECTION APPLICANTS SIGNATURE / 3 DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:�LE DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICCA/PP:�r�f,.2.- ' ? _DATE FEE PAIDZ TYPE OF UNIT: DWELLING tOTHER tp�s/ NOTES: �� d 141rbsr-s �rne�- GY7 rP � r ., e u itisrr��/ hrrn� U/2AE CODE ORCEMENT INSPECTOR' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR CERT.# 208-03 o SALEM, MA 01970 FEE $25.00 yq® TEL. 978-741-1800 DATE: 05/15/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 15 Collins Street UNIT #: 1 Right Front OWNER/AGENT: Thomas Doran ADDRESS: 13 Collins Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Q � • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978.741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER It. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". IT PROPERTY LOCATED AT li I') 7 �`� �S Ar UNIT#! IS THIS UNIT D�SIIGNATED tS R GH LEFT FRO BACK PLEASE CIRCLE ONE OWNERA_ESOSER- tC7�t'il 13O(L �A MANAGERlAGENT No P.O. Box No P.O.Box ADDRESS \ �t��1�S _ADDRESS CIN ':7�PA ezn CITY RESIDENCE PHONa3%l T S 1d_[.BUSINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: l tfi$ _ 21 3b_ek ^ 4. Y00 n THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT DEPARTMENT THIS FEE IS PAYABLE AT TIME OF INSPECTION. APPLICANTS SIGNATURE ry, Ll 0AAJ DATE5_� X 1NSP CTORS USE ONLY DATE OF INITIAL INSPECTION S- } DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S-L/ ` 33 DATE FEE PAID:5'd 3 TYPE OF UNIT: DWELLING,4:�6THER_ CHECK# a, a 7 CHECK DATE_. NOTES:. _- CODE ENFORCEMENT INSPECTOR 912'