CONANT STREET • '• 0 MCONDII'��'�
City of Salem, Massachusetts
A� q Board of Health
120 Washington Street, 4th Floor, Salem, PII><blicHealth
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-15-52
DATE ISSUED: 4/30/2015
Property Located at: 7-9 CONANT STREET UNIT#1
Owner/Agent: Jenny Dominguez
Address: 47 Collins Street#1
City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone:(978) 406-7206
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
i
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°i FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
1\1AYOR L.RANIDIN&ALEM.COM
LARRY RAMDIN,RS/RIJ IS,CHQ,CP-FS
H F AI;n I AG ISN,r
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: $510.00 /,
PROPERTY LOCATED AT E ��[!'�� 1) %1�_UNIT#�_
IS THIS UNIT ISIGNATED AS RIGH LEFT RONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
NO P.O. BOX
ADDRESS 4E (���19.9 S� � ADDRESS
CITY, STATE, ZIP I O/) dlk( n RO,� CITY, STATE, ZIP
RESIDENCE PHONE� -'/04- BUSINESS PHONE(24HRS)
BUSINESS PHONE (�yy/I`gtIL7.i IN Q✓YIQ:l ��
TOTAL NUMBER OF ROOMS:—
ROOM
OOMS:ROOM USE: 1. G R 2. 1 3. (3R 4. 5.
6 /�� 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 c�
Inspectors use only
Date on initial inspection: Ci Date of reinspection:
Date of issuance of certificate: Date fee paid: Waf tj
Type of unit: Dwelling Other Check# Check date:!1 a9lls
Notes: Q94)Cgu ,n .r M 5-N6v�e 50 calf bLOUIIl tAv ,C��j�& r fftn cQ(
Code Enforc ent Inspector 131,15
SIS- 5 a
00
.. y A City of Salem, Massachusetts
a Board of Health
120 Washington Street, 4th Floor, Salem,
y Pttacnt.P[bIDOit.Psoxecx.
ttb
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-17-246
DATE ISSUED: 8110/2017
f Property Located at: 9 CONANT STREET UNIT#2
Owner/Agent: Jenny Dominguez
Address: 47 Collins Street#1
City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone:(978)406.7206
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, REHS, CHO
HEALTH AGENT SANITARIAN
` - CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREhT,4"'FLOOR
TEL(978)741-1800
KIMBERI EY D'RISCOLL FAX(978)745-0343
MAYOR
LARRY RAMDIN,RS/RF.HS,CHO,CP-PS
HEALTH AGhNT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'
(FyE�E: $50.00
PROPERTY LOCATED AT Q n St UNTT#�
IS THIS UNIT DIRGNATSD AS LWT FRONT OR sA MEASE CMCLS ONE
OWNER/LESSER TP,n/I I MANAGER/AGENT
NO Y.O.sax { • /�'''
ADDRESS Q� ADDRESS_ _ _ IL41S-4 —
C1TY,STATE,ZIP `��Ieocl��G/ �I �C1TY,STATE,21P
RESIDENCE PHONE,(q� �BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: t./
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FII:TTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TWE OF INSPECTION
APPLICANT'S SIGNATURE 7 fka,C- DATE—��
_� —
Inspectors use only
Date on initial inspection: Date of nemspection
Date of issuance of certificate: Date fee paid
Type of unit: Dwelling.,.,._„__Other Check#.—Check date:
Notes:
Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
• ` BOARD OF HEALTFI
120 WASHINGTON STREET,4`"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1N1ANC1N1@SNA3i\1.CUM
JANE;r MANCIN1
ACTING HIi;V..TFI A<;FN'r
CERTIFICATE OF FITNESS
CERTIFICATE# 104-09
DATE ISSUED: 3/3/2009
Property Located at: 9 Conant Street UNIT#9
Owner/Agent: Jenny Dominquez
Address: 7 Conant Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-3477
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
`IN�uLCute I
NET MAN
NET MANCINI
ACTING HEALTH AGENT CODE ENFORCEMEN SPECTOR
G (] ( C�
h CITY OF SALEM, :NLAsSACHUSEJl"I'S
BOAmot� I-II ALTH
120 WASHING IDN S RLM,4°'FLOOR
T uf. (978)741-1800
ItINIBERLEY DRISCOLL FwY(978)745-0343
il'IAYOR JDIONNE&SALEM.COAT
JANtsl DIONNF ,
SENIOR SANITARL),N
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 AT2 I ,n vin 0 '5 / ` )QAA1. ✓G//
019 W UNIT#
IS THIS LNIT DISIGNATED A IGH LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER ° MANAGER/AGENT
NO P.O.BOX
ADDRESS ADDRESS
CITY, STATE,ZIP R kV, UA 010/ CITY,STATE,ZIP
RESIDENCE PHONE �� P� �00�o BUSINESS PHONE(24HRS)
BUSINESS PHONE�q �R� N�ln— 76,12
TOTAL NUMBER OF ROOMS:
ROOM USE: L . Z 2. 3. , 4. 7 7�65_2"j
6. LL&L,4 l7. 1 8. 9. 10.
THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS P. YABLE AT HE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use ]v
Date on initial inspection: 3 3 ' G 9 Date of reinspection:
Date of issuance of certificate: 3 ' _a 9 Date fee paid: 3)1 0s
Type of unit: Dwelling Other Check# �J 1 Check date: 5)'34M
Notes:
A
Code Enforcement Inspe
b�
C.I'I`Y OF SALI✓M, 1VIASS.ACHLSIJI"I'S
h 4r1
` c
Bomm O]t I II A7]1-I
120 WAS]IIINC LOV STREET,
TI'J'. (978) 741-1800
Kill BERLFY DRISCOLL FAx(978)745-0343
ANYOR IDIONNE�(! S.v.n:na COM
JANFIIDIONNE,
SENIOR SANITARLAN
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.
1". " : 2 Q
Tenant/Lessee Owner essor
q C017a,1I7- xr MA i9'Y0 Y l 4Y7/. a �7Z
Address Address
9 (20� , / s5Z SQ/ mo o
Address on unit to be inspected
�a 9
Date
.r
u CITY OF SALEM, MASSACHUSETTS
�� '� BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,pBq
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
05/01/2002
Arthur Godjikian
11 1/2 Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 11 Conant Street UNIT # 1F
Dear Sir/Madam:
z
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.
FO THE OF HEALTH REPLY TO
anne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
h
3
V
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: 05/18/98 Fax:(978)740-9705
Arthur Godjikian
11 1/2 Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 11 Conant Street UNIT # 1st floor
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
9V_V_1Gz-f1"
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
z
3 9i
�11IF
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: 08/21/96 Fax:(508)740-9705
Arthur & Estelle Godjikian -
11 Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 11 Conant Street UNIT # 1F
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
C'y
'J
CERT.# 437-97
" FEE $25.00
�11. rF DATE: 07/16/97
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: 11 Conant Street UNIT #: 1st floor
OWNER/AGENT: Arthur Godiikian
ADDRESS: 11 1/2 Conant Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4473
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 CODE ENFORCEMENT INSPECTOR
�.4
K 6
ter s '
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, IOS CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /� (�/. UNIT IL
OWNER/LESSER MANAGER/AGENT _. .
ADDRESS / ADDRESS
CITYrc � CITY �G(...Q� ' r
RESIDENCE PHONE ���7% BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS: �~
ROOM USE: I. � �,.7 2��%��f�1� 3. 4•�x�.�.c�G./"
5 >r 7. 8.
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DE TMENT THIS FEE IS
PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SICNA CJd / \ DATE 7 /
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION /-7
DATE OF ISSUANCE OF CERTIFICATE:2-f ! �l(.�Z DATE FEE PAID: '7--/� f {
TYPE OF UNIT: DWELLING OTHER
NOTES: --
LCODE 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 DG2F?8NBAUM@SA1.EM CCM
DAVID GRu.ENBAUM
ACTING HEAl.SH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #60-10
DATE ISSUED: 2/3/2010
Property Located at: 11 1/2 Conant Street UNIT# 1
Owner/Agent: Arthur Godjikian
Address: 11 1/2 Conant 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 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 D1�
AVI/�D REL
ACTING HEALTH AGENT CODE E ORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
•' '
BOARD OF I-I&V.TH
120 WASHINGTON STREET,4°i FLOOR
TEL. (978) 741-1800
ICIMBERLEY DRISCOII'., Fax(978)745-0343
MAYOR DGRF.F,NBAtJtN1@SALGM.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 // �� ( / �,I I �FRONT
�1 UNIT#_ —
IS THIS U T DISI ri A' ED AS RIGHT LE RBACK,PLEASE CIRCLE ONE
OWNERLESS ;�MANAGER/AGENT
NO P.O.BOX , p
ADDRESS%/ �a_ i L 1� �/ ADDRESS
CITY, STATE,ZIP �� 1 CITY, S'I ATE,ZIP�fYI U
RESIDENCE PHONEBUSINESS PHONE(24HRS)
BUSINESS PIIONE
TOTAL NUMBER OF ROOMS: 15r
ROOM USE: 1. 2. 3. 4. 5.
6 7. 8. 4. 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 7THETE OF INSPECTION
APPLICANT'S SIGNATURE DATE q1GI
l�
Inspectors use only
Date on initial inspection: 13 h() I Date of reinspection: -y—
Date of issuance of certificate: U Date fee paid: `C
Type of unit: Dwelling Other Check# ! 3 y Check date: 0243110
Notes: r bli l U D n row Pl
lol
U *oor in blqS + hc4
j� iNe�- 0+
Code EnTbFkment Inspector ��
3 gj
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: 07/16/97 Fax:(508)740-9705
Christopher Murtaugh
12 Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 12 Conant Street UNIT #
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
q0anne 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 IDIONNI°,l7QSA1.IiM.COM
JAN1:.:T DIONNE
A(;r1NG HlsA1;TN AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#458-08
DATE ISSUED: 9/16/2008
Property Located at: 12 Conant Street UNIT#2
Owner/Agent: William &Susan Murphy
Address: 36 Woodland Avenue
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-741-5557
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 BO OF HEALTH
*JANEDIONN
ACTING HEALTH AGENT CODE EN R EMEN INSPECTOR
09/16/2008 16:04 FAX 16001
{
I
CITY OF SALEM, MASSACHUSETTS
BOARD car FIBAL'rta
120 WASIENG ON STREET,47 FLOOR
TEL.(978)741-1800
KIMBERLEY DRISCOLL FAX(979)745-0343
MAYOR IDIONNE 6 LU.COM
JANET DIONNE,
SENTOR SANITARIAN
Application for Certificate of Fitlless,�
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMtM HABITATION"
FEE:$5//0''.70
PROPERTY LOCATED AT �� LAI,I"�f ..5t SI'746ge7"'7 UNIT#
// '' IS THIS UNIT DISIGNATED-A& OF WI&M MVA SECIIWIE ONE
OWNERILESSERU)Z" Y- 9V-Sq-A) U _MA NAG,EBIAgLt�� & ' 6 .
NO P.O.BOX / / / y UE ADDRESS
ADDRESS 3G 4 ),00 L j/f 41 ,gyp/
CITY,STATE,ZIP, ;F/i D19/.9 CTfY,STATE,ZIP4t`�
: 11 �4
RESWENCE PHONF ! 7 '-91 —ZJ Z6/ BUSINESS PHONE(24HRS)
BUSINESS PHONE—_ pp�
TOTAL NIAnER OF ROOMS:__.__
ROOM USE: 1ktn 1 �1��14 3. 1rK�/7" 4 0, 5 S.9i1try
6f/ h1 1 S� 8-6 4 10
THERE IS A FIFTY($50)DOLLARFEE,PAYAURBY CHECK-ORMONEY ORDER-TO THE CITY OF SALEM
BOARD OF HEALTH THIS FF YABLE AT THE T OF INSPECTION
APPLICANT'SSIGNATUk __ DATE-.f/ D4
Inspeclols use only
Date on initial inspection: „ t'l i -y Date of reinspection:
Date of issuance of oedifwaW C'I-14 -O k Date fee paid: 9-0v
v o 5
Type of unit: Dwellin _Othu Check# / S 0 Check date:
Notes:
i
ACode
Enfo eat lnspecto
vg,corwr CITY OF SALEM9 MASSACHUSETTS
�-% BOARD OF HEALTH
q9 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
' Ng TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
Facsimile
Transmittal
To: 6 ) M C41-r--56-11
1 Lf 1 5 6/1
Fax # 47 s 7y67 b V50
RE: qC-,&,A ✓1-� JS
Date -1�f>L/
Page(s): including this cover#
Message:
Board of Health News ----------------------------------------------------------------For Your Information
OFFICE HOURS:
Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM
Thursday 8:00 AM to 7:00 PM
Friday 8:00 AM to 12:00 NOON
HP Fax Series 900 Fax History Report for
P1ain.Daper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Sep 17 2008 3:54pm
Last Fax
Date Time Twe Identification DurationBW Result
Sep 17 3:53pm Sent 919787450450 0:35 2 OK
Result:
OK - black and white fax
T TO r DATE TIME AM
AREA CODE
O, OF NO
EXT.
FAX 0
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( SIGNED +[
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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: 07/09/97 Fax:(508)740-9705
Nathalie & James Crowley, Jr.
Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 18 Conant Street 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
.ciministrative 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
I>er 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
h:iondav thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8: 00 a.m. - 7 :00 p.m. or
Iriday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEF' ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY
Very truly yours,
E")R THE BOARD OF HEALTH REPLY TO
'icanne Scott, MPH, RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c e
120 WASHINGTON STREET, 4TH FLOOR
�P SALEM, MA 07970
TEL. 978-741-7600
FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
3/21/05
Chad Bennett
21 Conant Street
Salem, MA 01970
PROPERTY LOCATED AT 21 Conant Street Unit 1
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 Health Reply to
oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
q 6
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; 02/13/95 Fax:(508)740-9705
Stanley & Monica Kluska c/o Dolores Geras
35 Twinbrook Avenue
Salem, N.H. 03079
PROPERTY LOCATED AT 21 Conant Street 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 reh'ted 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
A
3
l�l p
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: 09/27/95 Fax:(508)740-9705
Monica & Standley Kluska c/o Dolores Geras
35 Twinbrook Avenue
Salem, NH 03079
PROPERTY LOCATED AT 21 Conant Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may beconsideringrenting a dwelling unit
at the above address. f
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
4 6
1jrP
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: 04/27/95 Fax:(508)740-9705
Monica & Standley Kluska c/o Dolores Geras
35 Twinbrook Avenue
Salem, NH 03079
PROPERTY LOCATED AT 21 Conant Street UNIT # 2
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 105SEE ENCLOSED SECTION 105 C�410.354 METERING OF GAS & ELECTRICITY 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
i M1
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: 02/13/95 Fax:(508)740-9705
Stanley & Monica Kluska c/o Dolores Geras
35 Twinbrook Avenue
Salem, N.H 03079
PROPERTY LOCATED AT 21 Conant Street 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
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR