COLUMBUS AVENUE v�
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: 03/25/96 - Fax:(508)740-9705
M S H Realty Trust, Peter Haywood, Trustee
3 Columbus Square _
Salem, MA 01970
� PROPERTY LOCATED AT 3 Columbus Avenue UNIT # 3
Dear Sir/Madam:
I 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 accordancewithChapter 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
Si
CERT.# 814-97
R
FEE $25.00
DATE: 12/05/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO: NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 75 Columbus Avenue UNIT #: 3
OWNER/AGENT: Frank J. Pierce
ADDRESS: 75 Columbus Avenue
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 745-1645
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
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNEHEALTH AGENT PH,RS,CHO NINE NORTH STREET
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 HABBITATION".
PROPERTY LOCATED AT 7�ie>'v�c/�Ur UNIT #
OWNERJLESSER 7�/Llg"V l �/ �I ! t j2CJ� MANAGER/AGENT
ADDRESS 75- Cy ADDRESS
CITY CITY _
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE --
TOTAL NUMBER OF ROOMS: -
ROOM USE: 1, A6IL: 2. �3 . t�, 3. 4. f-t V / o ytl
5, 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEi' HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE . - G'I ca DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:2= � � 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIJF�ICATE: 7_DATE FEE PAID: /
TYPE OF UNIT: DWELLING y OTH7E`R"�`'
NOTES: �C^
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 12/02/97 Fax:(978)740-9705
Frank & Claire Pierce
75 Columbus Avenue
Salem, MA 01970
PROPERTY LOCATED AT 75 Columbus Avenue UNIT # 3
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
qa,"Clt�tt /11't�Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
A
CITY OF SALEM, MASSACHUSETTS
+ BOARD OF HEALTH j
/ 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#321-06
DATE ISSUED: 612012006
Property Located at: 97A Columbus Avenue UNIT#A
Owner/Agent: Sam Allen
Address: 97 Columbus Avenue
Citytrown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1580
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FO THE BOARD OF HEALTH
l � V
JOANNE SCOTT, MPH, RS, GHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
` CITY OF SALEM, MASSACHUSETTS I�
BOARD OF HEALTH-
• 120 WASHINGTON STREET, 4TH FLOOR JV
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 Lv b s l0✓,S �' UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER � MANAGER/AGENT
No P.O. Box / No P.O. Box
ADDRESS ���,Q l/i�" ✓�/uA t� ADDRESS
CITY CITY
RESIDENCE PHONE '?23 — BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 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 HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. C
APPLICANTS SIGNATURE I '—� _._ _DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ! _DATE OF,REINSPECTIONN
DATE OF ISSUANCE OF CERTIFICATE --/C(-y A DATE FEE PAID:_( ' / 7 G _46
TYPE OF UNIT: DWELLIN _OTHER_ CHECK# 7 CHECK DATE -_/ 7 '
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
f
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
qqG TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#: 441-03
DATE ISSUED: 8/25/2003
Property Located at:: 97A Columbus Avenue UNIT#: Back
Owner/Agent: Sam Allen
Address: 97 Columbus Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1580
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.
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.
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 CBOARD�H
Joanne Scott, MPH, RS, CHO
Health Agent CODE ENFORCEMENT INSPECTOR
Feb 19 02 11 : 32a Joanne SootL Salem BOH 978 740 9705 P. 2
81�
CITY OF SALEM, MASSACHUSETTS
BOARO OF HEALTH
0 120 WASHINGTON STREET, 4TH FLOUR
SALEM, MA 01970
TEL, 978-741•1800
Fax 978-745-0343
STANLEY USOVICZ, JH. JOANNE SCOTT, MPH, RS. CHO
MAYOR 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
ABI
PROPERTY LOCATED AT ?TIO-AL L
�____VNIT#_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER f'1 l�- MANAGER/ACFNT
No P.O. Box � ^ No P.O.Box
I' ADDRESS �' �S -,,.._-_ADDRESS. ,
CITY__, ._CITY0G �o
RESIDENCE PHONE f)S J �5 � EUSINESC PHONF (?4 NRS.)
BUSINESS PHONE-_
TOTAL NUMBER OF ROOMS:
ROOM USE:
THERE IS 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 --DATE
IN,9PECTORS USE 0�1LY
DATE OF INITIAL INSPECTION d .7 Z0 / ,--_DATE OF REINSPECTION.- —
DATE OF ISSUANCE OF CERTIFICATE: j�.i � DATE FEE PAID:_,., 2
TYPE OF UNIT: DWELLINGI/_ OTHER_ CHECK# -73 CHECK DATE _
NOTES:. _ .. .....CODE ENFORCEMENT INSPECTOR 9128198