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CONGRESS STREET CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i , CERTIFICATE OF FITNESS CERTIFICATE#331-04 DATE ISSUED: 07/16/2004 Property Located at: 56 Congress Street UNIT# 1 Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-592-8858 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 If'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 oneY ear 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 `1 ✓`Cd�u��— HEALTH AGENT CODE ENFORCEMENT INSPECTOR la { • / /� k � 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 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT t>'-p S�s`z C UNIT # OWNER/LESSER j2 s ��7. MANAGER/AGENT Q I . "�0\. ADDRESS 4'�Q, �OV (P n ADDRESS �; s bob '(Al C� CITY G - q!� �v1 b CITY C ,p�S(_b-CI�Uk, D (' (b_j Q RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. �\ 2. . rl tb_4. 1. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM*HEALTH D T THI �FEE� I®S PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7 belo yDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /6 DATE FEE PAID: 7 i TYPE OF UNIT: DWELL I NGIZOTHE R_ CAW_- y /z Z-7 Thoh NOTES: 0�J9,0o,'O//JC- .$-G1,dr6Ms .k'V1E4A4_ I O&tyP ALPMA- Ort [h1 jpt0OW j;,/ t4.F - f?,c0Aoc)A4 CODE ENFORCEMENT INSPECTOR .¢o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH x 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 p• TEL. 978-741-1800 FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#500-05 DATE ISSUED: 08/03/2005 Property Located at: 61 Congress Street UNIT# 1 Owner/Agent: Rosita Visone Address: 643 Broadway#241 City/Town: Saugus, MA Zip Code: 01906 24 Hour Phone: 781-389-0712 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 Cade 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. R THE BOARD Ob HEALTH /�� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR `r CITY OF SALEM, MASSACHUSE ll S BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741.1800 FAX 978-745-0343 STANLEY USOVICZ,JR. JQANNE SCOTT, MPH, R5, 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 HABITATION". PROPERTY LOCATED AT `/ C(�I ✓eUNIT#— IS THIS UNIT DESIGNATED AS RIGHT LEFT BACK PLEASE IRCLE ONE OWNERILESSER ! VI Sufic MvANAGER/ACZEN �RA�µ1Pr / 611 QJZ No P.O.Bo #�,// No P.O.Box /U ADDRE 7 ADDRESS CITY !/ /lot U �o CITY Cff� 5e_* fu RESIDENCE PHON d-1 3W0�BUlSIINNFSS PHONE(24 HRS.) BUSINESS PHONE �7 293�S�7J TOTAL NUMBER OF ROOMS: ROOM USE: 1._ 2. S. 4. 5__6._7._8, THERE IS A TWENTY-FIVE($25.00)DOLL E,PAYABLE BY CHECK OR M E ORDER TO THECITY OF EM HEAL ARTMENT THIS FEE IS PAY AB E T THE TIME OF INSPECT{ON. APPLICANTS SIGNATURE , DAT INSPECTORS USE ONLY QAIEOF INITIAL INSPECTION !� -DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_.--.. - . DATE FEE PAID: TYPE OF UNIT: DWELLINGLOTHER_ CHECK#-WI,Y CHECK DATE NOTES: n CODE ENFORCEMENT INSPECTOR 9/28/98 �o j-3-0 Z0 mdd 1009Z6918LI ii:40 5002/91/Z0 f CERT.# 246-97 n 52 FEE $25.00 DATE: 0 04/23/4/23/ 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: 61 Congress Street UNIT #: A2 OWNER/AGENT: Congress Realty Trust ADDRESS: 1 Centre Street CITY/TOWN: Wakefield. MA ZIP CODE: 01880 24 HOUR PHONE: 246-4647 AN INSPECTION OF YOUR VACANT DWELLING/ROOMINGUNIT 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 7 q � 511 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 Al. Ila 571 -- Mir I � Yf�t�1 OWNER/LESSER t`1 � r n (` `v MANAGER/AGENT C ADDRESS OL ADDRESS CITY � / CITY C( RESIDENCE PHONEEr{j `fj - 1 C BUSINESS PHONE (24 HRS.) BUSINESS PHONE_fc Y y� TOTAL NUMBER OF ROOMS: 7 ROOM USE: I. /p4f JL 2. 3. �P 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 HEALTHDEP FEE IS PAYABLE AT THE TIME OF INSPECTI N APPLICANTS SIGNATURE DATE �y- ��» INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: L' )DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: q_�- ,j ""Gl -7 _DATE FEE PAID: 4/ 3 � 7 TYPE OF/rUNIT: DWELLING OTHER NOTES: CODE FNFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a e. BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 9/14/2006 Rosita Visone c/o Croom Property Service P.O. Box 505626 Chelsea, MA 02150 PROPERTY LOCATED AT 61 Congress Street Unit 2R 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. For the Board of Heal Reply to dann�e Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS B0,1RD OF HEALTH 120 WASHINGTON STREET',41"FLOOR TEL. (978) 741-1800 F,:x(978) 745-0343 KIMBERLEY DRISCOLL liamdin@salem.com MAYOR LARRY1LIMUIN,RS/R13HS,C,110,C11-1-N, AGISNT CERTIFICATE OF FITNESS CERTIFICATE#95-14 DATE ISSUED: 3/1412014 Property Located at: 61 Congress Street UNIT#3 Owner/Agent: Dan Botwinik Address: P.O.Box 55071 #49220 City/Town: Boston, MA Zip Code: 02205 24 Hour Phone: 617.649-6948 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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 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. �RTHE \BOARD OF HEALTH f'%r tll \j 1 LARRY RAMDINy HEALTH AGENT SANITARIAN lu CITY OF SALEM, MASSACHUSETTS 9�) BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubUcHealth rrcveor.rromm�.rromn. TEL. (978) 741-1800 FA1(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com MAYOR LNt1tY RAMDIN,RS�R13115,CHO,Cl'-FS HIi.AI:ni AGHNr 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 ` J UNIT# IS UGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �G �� V-_ MANAGER/AGENT NO P.O. BOX ADDRESS 90 ZC:5X SSo cl ZZ�ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. L 3. 4. ixa--A5.6-Q=�' 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY qHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS 7LE A THE E OF INSPECTION APPLICANT'S SIGNATURE DATE 3 Z� Inspectors use only Date on initial inspection: 3` �'1`� Date of reinspection: Date of issuance of certificate: Date fee paid: 3' Z-7'1 Type of unit: Dwelling ✓ Other Check# /9 Check date: e� Notes: Code Enforcement Inspector i Co DI City of Salem, Massachusetts IV3 m Board of Health s 9 A ` 120 Washington Street, 4th Floor, Salem, PubliCHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor lramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-34 DATE ISSUED: 4/22/2015 Property Located at: 69 CONGRESS STREET UNIT# Owner/Agent: 69 Congress St LLC Address: 117 Wallace Street City/Town: Newton, MA Zip Code: 02461 24 Hour Phone:(617) 284-2150 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 S ld-,E I, NIASS ACIIL'SF1 I'S 1 1 1 BO 1Ri)of HEAIATI 120�k'�srnw�'O� S I Rrr I,4 11 FLOOR TF.[.. (978) 741-1800 KIMBERLEY DRISCOLL Fix (978) 45-0343 MAYOR LRAMD1NQ)sALr:N2.(70,N I..ntuT R,0MIN,RS/RLI-Ll',Cl 10,CP-FS I-n:,�L:rrl_1crNr 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 G)n %refs SY/'C c r UNIT# / IS THIS UNIT DISIGNA D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE/ / OWNER/LESSER 179 Cotijrc5S 5Y. CGC MANAGER/AGENT 5co7T TWo-delle NO P.O. BOX I ADDRESS [0 Wgllace V, A ADDRESS �79 .S2mer0illr 670 zh° ? 7. 3 CITY, STATE,ZIP lyfeti/Td / l Oo?,4( CITY, STATE,ZIP y.,)IL/3 RESIDENCE PHONE [[ BUSINESS PHONE(24HRS) 6 �- 5 9a-6� -70BUSINESS PHONE &7" ��I oC1 S O TOTAL NUMBER OF ROOMS: 3 vl��,t,t ce.Lfihere. ROOM USE: 1. 2. 3. 4. 5. 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 THE TIME OFTION (� APPLICANT'S SIGNATURE �f%! �i��/ �s�'Y DATE ( �5 Inspectors use only Date on initial inspection: l IIS IIJ Date of reinspection: Date of issuance of certificate: Date fee paid: .3 -r Type of unit: Dwelling Other Check# I C1 oZCj Check date: Notes: Code crAcAentlnspector coin City of Salem, Massachusetts { e i. m Board of Health 120 Washington Street, 4th Floor, Salem, PII>IbliCHeatth MA 01970 Prevent. Promote, Protect. 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-17-332 DATE ISSUED: 10/10/2017 Property Located at: 73 CONGRESS STREET UNIT#1 Owner/Agent: 69 Congress St LLC Address: 117 Wallace Street CityfTown: Newton, MA Zip Code: 02461 24 Hour Phone:(617) 284-2150 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, REHS, CHO HEALTH AGENT SANITARIAN CI'T'Y OF SALEM, MASSAmusET TS� BOARD OF HEALTH 120 WASHINGTON STREuT,4`FLOOR TEr_(978)741-1800 KTivIEIMLF;Y DRISCOLL FAX(978)745-0343 MAYOR LRAMt)rN(a Ar.m t(�> LARRY RAmDK RS/RRHS,CHO,CP-FS . HEALTH AGra1T Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,eHATTER 11, 105 CMR 410.000 "2vIINAz1i)M STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50-00 j PROPERTY LOCATED AT '72 Cohtl rc,,� �X I7NTSIk 19TIM UNT IMSIGNAT0 AS HIGOT LEFT FRONT OR BA PLUeSE CI�RCLE ONE OWNER/MSER MANAGER/AGENT' CIC NOP.O. ADDRESS if 7 A/af/ace sY ADDRESS CITY,STATE ZIP (AI eW-iU- 4 /,11/1 CCUY,STATE,ZIP `/ RESIIlENCE PHONE_ pt 7 ��' [J BUSINESS PHONE(24M) &7-52,2-11 � 7— ,(' ,2--fes(? ?CJ BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 3. 4. 5. 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 FEES PAY TftTF ON APPLICANT'S SIGNATURE /t DATE l ! ( 7 Inspectors use only Date on initial inspection: Date of reinspection Date of issuance of certificate: Date fee paid: Type of unit: Dweffing_„__,_Other Check#.-' � Check date: Notes: Code Enforcement Inspector - co CITY OF SALEM, MASSACHUSETTS 6 BOARD OF HEALTH �v & 120 WASHINGTON STREET, 4TH FLOOR ._ SALEM, MA 01970 CERT.# 268-02 FEE $25 .00 TEL. 978-741-1800 DATE: 05/20/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 73 Congress Street UNIT #: 1 2R OWNER/AGENT: Marion Soper ADDRESS: 16 Victory Road CITY/TOWN: Lynn, MA ZIP CODE: 01902 24 HOUR PHONE: 599-1890 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. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR : o CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 3 a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 - FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 7_M C vse UNIT#A Cao I 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 f6, V"Aq aW ADDRESS CITY 111Lq, O i 10;- CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5 L 6. T-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. APPLICANTS SIGNATURE ZY4Y,��I DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S'D"G DATE FEE PAID: 5- TYPE TYPE OF UNIT: DWELLING OTHER_ CHECK# 0 1f CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ' u CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq . ; State Si.n.itary Code Charter II and Article %IIT of ehe 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 the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/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 agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. ti.. TE4IANT/LirS3�E O'vINER/""c�snR ADDRESS --- --- ADDRESS ADDRESS 0FU R I T T0 BE INSPECTED D-AiE-A a�rr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/13/2002 Marion LeClerc c/o Marion Soper 16 Victory Road Lynn, MA 01902 PROPERTY LOCATED AT 73 Congress Street UNIT # 2R 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 Codeof 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 I: General Administrative Procedures and 105 CMR 410.000; 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 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) 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 . qOR THE BOARD O HEALTH REPLY TO anne Scot1f, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ' o ? CI'T'Y Or SALEM, MASSACHUSETTS BOARD OF Hr ALM 120 WASHINGTON STREET,401 Ft,OOR PublicHea I'th T171,. (978) 741-1800 FAs (978) 745-0343 KIM131 RL.I.Y DRISCOL;L, 1ramdln@)saletn.com 1:,-�ala��R,tnrnlN,Is/Ri;i IS,ci io,cis-i \YOR CERTIFICATE OF FITNESS CERTIFICATE #317-12 DATE ISSUED: 8/1/2012 Property Located at: 73 Congress Street UNIT#2 Owner/Agent: 69-75 Congress Street Realty Trust Address: 6 Victoria Street City/Town: Everett, MA Zip Code: 02149 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 If' 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. FSR THE BOAR?OF HE Y _V LARRY RAMDIN HEALTH AGENT SANITARIAN 08/01!2012 09:27 6173890010 STATE LINE GRAPHICS PAGE 01 CITY OF SALEM, MASSACHUSETTSBOARD OF HEALTH l 20 WASHINGTON STREET,41 Tt FLOOR TFiL. (978) 741-1800 ICIMBERLEY TDRISC;OLL FAx(978)745-0343 Ml1Y0R IRAMLIJ(s� -IV[.coM .LARRY RANIDIN,1tS/R1S11N,(110.(T-PS . r-Ir,;Ua?r;�cl:nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FL^E: $50.00 PROPERTY LOCATED AT 73 �dH/G/l-�� tTNIT4—;::_,_ I is THIS UNIT UISIGNATEI) S RIGH LEFT FROM OR BACK PLEASE CIRCLE ONE OWNER/LESSER 9 7Y' G c,4 fr 6 MANAGER/AGENT /7/r C�E72rf JPv� NO P.O.BOX ADDRESS_ rt�d U � ADDRESS CITY, STATE,ZIP1��a / -CITY, STATE, ZIP RESIDENCE PHONE b,'� 09 ' 7 ys/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOT.+M,NUM.BTROFLROOMS: nn ROOM USE: 1. )L 2. ZZ 3. y� 4. 9/t 5. 6.� 7T 5. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECIC OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Imeotoirs use only Date on initial inspection:_7 � I I a Date of reinspection: Date of issuance of certificate: Date fee paid: a Type of unit: Dwelling Other Check# 11_2_LZ ___Check date: 71 Notes: . a — _�n 1C� d Q,>„t� jC1-&b, 5MO�'e 044- 1 A+ I " -a,(( viol cnfi'� �cere bum CID C& Azdement Inspector CITY OF SALEM, MASSACHUSETTS r a BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRC?['.NRAUM(Cf�,SALI:?M.C;OM DAVID GRFENBAOM Ac'I7NG Hiw,fl-I A(i13,NT CERTIFICATE OF FITNESS CERTIFICATE#324-10 DATE ISSUED: 7/14/2010 Property Located at: 73 Congress Street UNIT#3(2L) Owner/Agent: 69-75 Congress Street Address: 6 Victoria Street City/Town: Everett, MA Zip Code: 02149 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 OARD HEALTH I DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR (P/>` �� oaa�9,, ( t CITY OF SALEM, MASSACHUSETTS . a BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGRLUNDAUtu@a,StL.EM.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 .OPERTY LOCATED AT C `� 1 le3 (zt- UNIT'# 3 IS THIS UNIT DISIGNATED AS RIVHT LEFT FRO OR BACK,,PLEASE CIRCLE ONE j VNER/LESSER �' �� } 2T MANAGER/AGENT JNL ��"'�,^^'' . P.O.BOX )DRESS— 4, aN++v ,Sl',A�1,�� 1/ ADDRESS CY, STATE,ZIP_ Yeru el 't L�yl� CITY, STATE,ZIP SIDENCE PHONE BUSINESS PHONE(24HRS) SINESS PHONE TAL NUMBER OF ROOMS: DM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. RRE IS A FIFTY($50)DOLLAR FEE YABLE BYWOR MONEY ORDER TO THE CITY OF SALEM �,RD OF HEALTH THIS FEE IS OF INSPECTION 11CANT'S SIGNATURE DATE ! // Inspectors use only on initial inspection: !/ U Date of reinspection: of issuance of certificate: Date fee paid: :of unit: Dwelling ✓ Other Check# Check date: O j s A �R — tell- 3& �— 00.10 Enfbrccnt�nspector TRANSMISSION VERIFICATION REPORT TIME 07/14/2010 22:16 NAME FAX 9787450343 TEL 9787411800 SER.N 000BON341991 DATEJIME 07/14 22:15 FAX N0./NAME 916173890010 PAGE(S) DURATION 00:00:27 RESULT OK MODE STANDARD ECM ' CITY OF SALEM, IVLASSACHUSE7-n'S BOARD or HEALTH 120 WASHINGTON STREET,4 FI0OJR KIMBEItL.LY DRSSCOLL TEL. {x)78}741-1800 Fax {)78) 745-0343 MAYOR �AY OR lram(Eti salem.com LARRY RANIDIN,its/RENS,CHH,('13-FS I-IG:AUFfi Ai.;I;NT CERTIFICATE OF FITNESS CERTIFICATE#515-11 DATE ISSUED: 12!7!2011 Property Located at: 73 Congress Street UNIT#4 Owner/Agent: 69-75 Congress Street Realty Trust Address: 6 Victoria Street City/Town: Everett, MA Zip Code: 02149 24 Hour Phone: 978-886-1152 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. J FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CODE E GEMENT INSPECTOR 12/a6/2011 12:11 6173890010 STATE LINE GRAPHICS PAGE 01 CITY OF SALEM, MASSACHUSETTS 130ARD OF HE ALtX 120 WAMINGTO? STREET;4:' FLOOR Tit, (978)741-1800 ICIMBER =1 DRISCOLI; FAx(978)745-0343 MAYOR ltnmtu'tr Ca�snt,usu:r 01 t � L��! P.'j LARRY RL1M17tN,R3/Rruls,t:HO,CP-FS HBALTH MFNT . Application for Ct:rlfricate.of Finless IN ACCORDANCE WrM STATE SANi'FARY CODE,•CHAPTER.1 1, 105 CMR 410.000 "MINIMUM STANDARDS ( FITNEs FOR kNMAN HA:BI'rmiow FEE:$50:00 c PROk`ERTY LOCATED AT � UNIT#�'; ' IS THIS UNIT'DISIGNATED AS AUGHT=PItONT OR H CK,PLE'A9L CIRCLE ONE n p ry OWNEWLESSER �7f�x)2M44 .r'rrN�ST MANAGER/AGENT NO P.O.BOX // '/ y� ADDRESS. l/7' �l ��rti 4 � ADDRESS CITE',STATE,Z]PCITY,STATE,Zll' RESIDENCE HONE�7 6-y7ys--9 nvEss HONi (z 7 a IN llrz- BUSINESS PHONE TOTAL NUMBER OF /ROOMS: pi ROOM USE: I !�- 2. LA3. +L 4:` .13/L S..dQ-+ 6. 7. THERE I5 A FIFTY($50)DOLLAR FEE, A Y R MONEY ODDER TO THE Cl'1"Y OF S , ' BOARD OF HEALTH THIS FEE IST EAT F r SPECTION APPLICANT'S SIGNATUREAq(' // ItsDoctors use only Date on initial inspection: ]A l� I Date of reinspection: Date of issuanLe of certificate: I bate fee paid: Type of unii: Dwelling �Otriet Check# a s 3 y Check date: �� t Notes; s Code Enf ement Inspector `OND'N City of Salem, Massachusetts On Board of Health 120 Washington Street, 4th Floor, Salem, PublicFIealth MA 01970 P111"M, Promote. P,wem. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHo Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE* GHL-15-304 DATE ISSUED: 9/25/2015 Property Located at: 79 CONGRESS STREET UNIT#1111 Owner/Agent: Gloria LeClerc Address: 77 Congress Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7443281 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 F-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARI CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH ]20 WAISHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMDIN $AA bjMM LARRY RAMI-AN,RSJREHS,(:HO,(T-FS HFALTItAGt N`I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" r, FEE: $5500..0 C 0 PROPERTY LOCATED AT 9 .lam UNIT# IS THIS UTI DT ISIGN W AS RIG H3 LEL FRO OR BACY.PLEASE CIRCLE ONE OWNERJLESSER MANAGER/AGENT NO P.O.BOX ADDRESS 77if ADDRESS CITY, STATE,ZIP ----CITY, STATE,ZII' !T f T RESIDENCE PHQNE�� " '7f s�rA/ BUSINESS PHONE(24HRS) BL*RC-9S~E TOTAL NUMBER OF ROOMS: -- ROOM USE: 1 /1 tct �� r �� 5. 6 7 8. 9. Z 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 SIGNATURES c '�itL/2G"' DATE 9eY Inspectors use only Date on initial inspection: C591 1 7n —.. Date of reinspection: Date of issuance of certificate: 7£1 Date fee paid: 09I2,212t�.�S" Type of unit: Dwelling Other Check#_J�� .,,Check date: (2V7 W,2D -E Notes: C .nf cement In ector 3 MRB 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 Fax:(978) Date: 01/27/99 Gloria Riley 79 Congress Street Salem, MA 01970 PROPERTY LOCATED AT 79 Congress 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. 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. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICTY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR p o CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR 1 M. SALEM, MA 01970 qqQ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 167-04 DATE ISSUED: 04/26/2004 Property Located at: 81 Congress Street UNIT# 1 Owner/Agent: 81 Congress Street LLC Address: 31 Milk Street City/Town: Boston, MA Zip Code: 02208 24 Hour Phone: 617-721-6985 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 If'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. F R THE BOARD OF HEALTH ,/ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '(lJ • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 a"cu'GS G i UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER S-1 60w41Q.Fef-5 ST (LC MANAGER/AGENT No P.O. Box LG/5a/ No P.O. Box ADDRESS sAiLtc T- ADDRESS CITY Qi�T� M4 CITY RESIDENCE PHONE _BUSINESS PHONE (24 HRS.) (e t7 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. B2 2. 62 3. 6(2- 4. 1--i f 5_0 vi " 6._3At1 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. APPLICANTS SIGNATURE DATE ZQ CS Y. NSPE RS USE ONLY DATE OF INITIAL INSPECTION Lp_) 4ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y - ) G -Z5u DATE FEE PAID: Y- L- v `r/ TYPE OF UNIT: DWELLINGXOTHER_ CHECK#_Il( 7 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 -- , . i � �� <=��,9.��.. .5 ,..r.��zi�"w-�� 1�r��-" �,�� yc n� �� ,..,,�. L coNn��o City of Salem, Massachusetts Board of Health . 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 Pr"cnt. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-82 DATE ISSUED: 3/8/2016 Property Located at: 81 CONGRESS STREET UNIT#F1 Owner/Agent: Jason Bugg Address: 100 Cummings Center ste. 434JJ City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 501-7931 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, REHS, CHO HEALTH AGENT SANITARIAN o x CITY OF SALEM, MASSACHUSETTS Ii BOARD OP HEALI I I 120 WASHINGTON IINGTON STREET, 4t°FLOOR T>;L. (9 t8) 741-1800 KIhIBEM.EY DRISCOLL FAx(978) 745-0343 MAYOR Llty ulNnn c,u,r. t.cciaa LARRY R,ANfDIN,RS/RF1-1S,CI fo,C;P-I=ti I-II'.,\1:1'1 I A(:;1?N'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" CFEE: $50.00 PROPERTY LOCATED AT D Gv1,q reSS J} UNIT# F� IS THIS UNIT DIS14NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER jG•Sovl Rcac —MANAGER/AGENT A 1 /OI /I4v Se�ect NO P.O.BOX ADDRESS3`I r_d�owl5 a� t Av< ADDRESS 100 (_c iM +ate �vr{r c�3Nd✓ CITY, STATE,ZIP LYnn, MA o %OZ- CITY, STATE, ZIPS RESIDENCE PHONEro l-T S-U 1 . 2C131 BUSINESS PHONE(24HRS) of zS- �?O I_ S ZOO BUSINESS PHONE TOTAL NUMBER OF ROOMS: 67 3 "� ROOM USE: 1. 2. 4. 5. 6. 7. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PA LE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT HE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE (b Inspectors use only Date on initial inspection: 3�2)I(k Date of reinspection: / Date of issuance of certificate: Date fee paid: ) 3 1D Type of unit: Dwelling Other Check# 3 gQ Check date: a Notes: Co n cement Inspector �ONDl�yd City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent Promoto. 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-16-45 DATE ISSUED: 2/12/2016 Property Located at: 81 CONGRESS STREET UNIT#R1 Owner/Agent: Jason Bugg Address: 100 Cummings Center ste.434JJ City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 501-7931 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 0�-A4Lk--, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Ith 120 WASHINGTON STREET,4"'FLOOR ��nt.Prvmot FrotecC TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com salem.com LARRY 1L\MUTN,RS/REBS,CI 10,CP-ISS MAYOR HEAI:rl1 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" S'FEE: $50.//00 PROPERTY LOCATED AT �tla it S f /� S44.17 _ UNIT#_PL1 IS THIS UNIT DISIdNATED AS RIGHT LEFT FRONT OFQjjja PLEASE CIRCLE ONE OWNER/LESSER SUtpv1f.c G MANAGER/AGENT Itr� C /cnic�n NO P.O. BOX L�.3N ADDRESS 100 Cvy,u�,i.at c C�� )r EJ ADDRESS CITY, STATE, Zip M/1` O� I __CITY, STATE, ZIP RESIDENCE PHONEfD��-BLa-&`�'� 1 BUSINESSPHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: G ROOM USE: 1. 2. 3. 4. 5. 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 FEr AY E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1114,114 Inspectors use only Date on initial inspection:014lt a Date of reinspection: 6-2-Z � Z 0 Date of issuance of certificate 02-4641016 - Date fee paid: 02/1812026 Type of unit. Dwelling_y�' _Other Check# 325,Check date: 0 2/,D/2D14 Notes: a + h� v �em a aF `� r ��. 1' L M k o ta_41'ons (;orreGQ r7 CIOAO&JenienApector "ND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeaIth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.84 DATE ISSUED: 3/8/2016 Property Located at: 81 CONGRESS STREET UNIT#F2 Owner/Agent: Jason Bugg Address: 100 Cummings Center ste. 434JJ City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 501-7931 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 tell !u Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN y3 CITY OF SALEM, MASSACHUSETTS �I Bo-1RD(-)F HEALTH �aQ 120 WASHINGTON � RFFi 4'° FLOOR Tri- (978) 7/41-1800 I INtBERLEY DRISC0I1 F-1x(978) 745-0343 MAYOR I AjN[1)IN/n1)cv,na.(;oyI L.Aizn R.Ami)IN,16/10;1 IS,CI 10,CP-15 f 11i V1,1,1111G1'.NT 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 Np Ie s s S�- UNITJZ IS THIS UNIT DISI NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J MANAGER/AGENT 411 (Gvil Se ({c l NO P.O.BOX ,( G ^{ ADDRESS 3 `1 `tl/vy11�J 1M0.� oadl ADDRESS [ 0 C m-�nS CITY, STATE, ZIP 01967 CITY, STATE,ZIP a�v�� /LI4 OM6' RESIDENCE PHONE 107. 5-01- ?131 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: G 3 &4 ROOM USE: 1 2. 4. 5. 6. 7. 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 PA B E T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE—o? aq Inspectors use only Date on initial inspection: ��)11U Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# - OI IRCheck date: VI Notes: P @l JII JMO( 6 U4, I -" ,1 Yl `illi k u Cod fo menpector Ib d"ND's" City of Salem, Massachusetts " 9 Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHPalth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.46 DATE ISSUED: 2/12/2016 Property Located at: 81 CONGRESS STREET UNIT#R2 Owner/Agent: Jason Bugg Address: 100 Cummings Center ste. 434JJ City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(617) 501-7931 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, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR P11b1iCIiC81th Proznt.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salerii.com LARRY RAMll M,RS/I2SHS,CFIO,CP-PS MAYOR HEtU; j I 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" GFEE: $50.00 Q PROPERTY LOCATED AT t7( COn r#SS 5f- UNIT# IS THIS UNIT D14IGNATFD AS RIGHT LEFT FRONTO AC LEASE CIRCLE ONE OWNER/LESSER a.,Son �� MANAGER/AGENT.� m C Ql NO P.O. BOX ADDRESS 100 �„y"�.� .,� C S�►�le �(3�h?TADDRESS CITY, STATE,ZIP �Clrir� /VIS (AS CITY, STATE,ZIP RESIDENCE PHONE Q ZO-4 `�'�i BUSINESS PHONE(24HRS) 9� �_kt ct� BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. 2. 3. 4. 5. 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 PA T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE VI!?//P— Inspectors use only Date on initial inspection: Q L,1912-Q.A Date of reinspection: Date of issuance of certificate: Qu2�12CIL6 Date fee paid: 02/7 Type of unit: Dwelling Other Check# 31.2—Check date:_ DV2212-01� Notes: Nof Wa4w leer �v .11u, 230"Er yoo S," r C d rcement Spector P t CERT.# 298-97 3` g) FEE $25.00 DATE: 05/14/97 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: 81 1/2 Congress Street UNIT #: 1 OWNER/AGENT: Luis Lara ADDRESS: 81 Conaress Street CITY/TOWN: Sales. MA ZIP CODE: 01970 24 HOUR PHONE: 744-0072 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. FO�R THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO bb// HEALTH AGENT CODE ENFORCEMENT INSPECTOR I ? TO r DATE TIME AM 7 .S s PM P " FRO AREA CODE ' NO. !�! OFA . EXT" FAX# E M g �'!�z "SU EA G eoF E SIGNED z '. ._ PHONED ML ❑ CALL RNEO ❑ WEEYW ❑ WAS IN ❑ GAINS ❑ UFlGENT❑ 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 (� c�5 UNIT { j OWNER/LESSER [7C5 C3 MANAGER/AGENT ADDRESS ] rr ADDRESS CITY CITY .,RESIDENCE PHON&( BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOOMS: . ROOM USE: 1 . /� 2. 3. / 7� 4 . "I 5. 6. 1. 8. T 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 A THE TDW OF INSPECTION APPLICANTS SIGNATURE / / �-�y J� DATE `C INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:—�L + �17DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:5, �i/ DATE FEE PAID TYPE OF UNIT: DWELLING/y OTHER (NOTE): CODE ENFORCEMENT INSPECTOR v4� qy� l V I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 _...,_e: 07/0i/97 Fax:(508)740-9705 Luis B. Lara 81 Congress Street Salem, MA 01970 I I � PROPERTY LOCATED AT 81 Congress Street UNIT # IR 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 prier 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 strative 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 oL- 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 En,torcement 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 F: =dz:y 8:00 a.m. to noon to schedule an appointment for an inspection. SEE EN-CLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. truly yours, P JF. THE BOARD OF HEALTH REPLY TO Jcann: Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ToOfL@1 —� �MDate 3-27-77 Time .x.75 WHILE YOU WER OUT M , KZ._ C2-� of / / J'- Phone L_) Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message -IqQ7 4% AMPAD REORDER EFFICENCYO a23-000 1 'A s 1 h 3 r � 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: 03/26/97 Fax:(508)740-9705 Luis B. Lara 81 Congress Street Salem, MA 01970 PROPERTY LOCATED AT 81 Congress Street UNIT # 1R 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 l y CITY OF SAILEM9 MASSACHUSETTS y BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 00 SALEM, MA 01970 v TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#63407 DATE ISSUED: 12/31/2007 Property Located at: 81 1/2 Congress Street UNIT#2R Owner/Agent: John Gorman Address: 11 James Road City/Town: Reading, MA Zip Code: 01867 24 Hour Phone: 978-882-2062 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 / JOANNEq%A-XW-Xt' SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Dec 31 . 2001 1 :32PM4CeivSALEM GLASS Dec 31 07 12:35 Dec 31 2007 11.)9am N0 56$¢ P, 2/2 - P Joanne Seoct Salem HON 978 795 0393 DEC-31-2007 WN ID:38 AN SAO GLASS COI2PRNY FAX N0. 978 0 4 5 P• Z P. 01 AeTFissd. Dec 11 100? t0.06% Otc 31 07 =) :20a Joanne Scott Salem BOH 979 74S 0343 P. i / /J ��•••��}}} �{7Y'OP SALEM, MASSACNUSETYS .1 bOAPD OF HEALYN 120 W1s"f.GTO4 ST+'6a1.47M I,.00• SA�E� -A 015,7a Tcy216"AI-1800 FAT OTB-TAS Osw:) JOAANt SGOYT MPH PS CMO KimOeficy Dnscou NeA'f"AG.NT Map) APPLICATION FOR CGRTILtCRTF Or PITNESS M ACCORDANCE WITH STATE SANITARY COOS.CHAPTER 0, 105 CMR 410.000 "M/NIMUM sYANDAUO&OF FITNESS FOR MUMAN HAP(TATION• a /�� ,, PROPERTY LOCATED AT `" "`•"<-��. „ —UNIT M.,.;-K 1S THIS UN)T DESIGNATED AS N)Q"j» , LEFT EQM LEASE CIRCLE ONE OvyNEWLfsSERy�I.(�Q,. MANAGERIAG6dT IY11�___� No P„O.be% NO P.O BOP ADDRESS,[ _ _. „�AOOHEss `i`?_ , RESIDENCE PHONE, 0,9_,,,,Ri1StNESS PHONE fYa HRS-) _? Z• Z.00A2.- tJOiInI'y C'Er� BUSINESS PHUNE.,-!�DB-$ 3'.3,1�.','Q_. A0.){caySZxt.>v Gti...�.. TOTAL NUMBER OF ROOMS. _ RWM USE. I&—!W4O 2 QWa!'.3 fW$ATA_a.,,.Ic ••� 5.Wt!!!-6 T.. VA)O*%. THERE IS A TWENTY-FIVE(s2SAO)DOLLAR FEE,PAYABLE BY CHECK OR MONEY OADER TO THE CITY Of SALE HEAL DEPARTMENT THIS FEE IS PAYABLE AT THE TORE OF INSPECTION. /�"// APPLICANTS SIGNATURE DATE_- rJ-li 0�' 1I p�C U Q&X 9.67 qF IN1TIAt tNS DATE OF REINSPECTION— — DATE 0K ISSUANCE OF CERT}FICATE: �E 3jATE FEE PAID �'� I__,� n TYPE OF UNIT- OWEI I ING_ OTHE CHECK M_ >✓8?�CHECK DATE NOTES iCODiE ENFORC MENT I TOR 9128190 i 'r I i @a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'�FLOOR pllb�iCHC8Ith > Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Ixamdinia7salem.com L;\RRY R;IMDIN,RS/RF,1f5,CI 10,CP-PS MAYOR CERTIFICATE OF FITNESS CERTIFICATE#83-14 DATE ISSUED: 3/25/2014 Property Located at: 83 Congress Street UNIT#2 Owner/Agent: Yoleny D. Yona Address: 83 Congress Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-741-9239 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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 A HEALTH AGENT SANITARIAN luJ e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH V 120 WASHINGTON STREET,4"'FLOOR PabliCHealth Prevent.Yromole.Prof<n. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY RrADTDIN,RS/RE[rs,CNO,CP-FS HI'sAL. I i 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" G FEE: $50.00 PROPERTY LOCATED AT D 3 Cd Al rr- S S 5 /. I UNIT# Z IS THIS UNIT DISIGNNATED IkS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE /S OWNER/LESSER /moi ry',g PC//4 MANAGER/AGENT NO P.O. BOX ADDRESS CCUAoor /7'S S ADDRESS CITY, STATE,ZIP S9.4,E M 1, MA? O/ 9 CITY, STATE ZIP RESIDENCE PHONESte- /�Y y BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. Q 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 DATE 3117"V3 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: J Type of unit: Dwelling Other Check# Check date: L' Notes: PCz'VIP.I fI YOnYI( yole-17 y� GV�A) COW\ Code or� Inspector M b CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREBNBAUM&SALEM CONI DAvID Gltl_GNRAUM ACTING,HE?AVrH AGGN"P CERTIFICATE OF FITNESS CERTIFICATE #378-10 DATE ISSUED: 8/9/2010 Property Located at: 83 Congress Street UNIT# 3 Owner/Agent: Yoleny Ynoa Address: 85 Congress Street#1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 758-1644 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 VA DAIDNA ACTING HEALTH AGENT CO NFORCE T INSPECTOR CITY OF SALEM, MASSACHUSETTS NNO BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR 'TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREHNBAUM&N:L'M.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 CO r✓SI YESS S UNIT# \/IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER J 01COu l Z`✓D 2 MANAGER/AGENT NO P.O. BOX ADDRESSgS lraevca LADDRESS CITY, STATE,ZIP Sa/� CITY, STATE, ZIP fvt , b /9 ;?'d RESIDENCE PHONE y/-9 Z 3 BUSINESS PHONE (24HRS)�� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: /00 C/D 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 P YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE t Inspectors use only Date on initial inspection::q I� 0 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# I I S6 Check date: Notes: n Co "E ! rcementInspector * ��coNwr CERT.# 800-00 < eO FEE $25.00 s DATE: 12/19/2000 '�pj�11NB . 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: 83-85 Congress Street UNIT #: 1 OWNER/AGENT: Patricia Laforme ADDRESS: 111 Derby Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0389 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. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS ITI FOR HUMAN HABITATION". / PROPERTY LOCATED AT 8� 0 l/(a/ISfr �S � �t'eM UNIT# lu IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERKA[C-1ArA ' 1. 5p-MC-MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS ADDRESS CITY haler, MP�_ CITY �boL RESIDENCE PHONE BUSINESS PHONE (24 HRS.) -O BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. IT5. 2.((��I� 3. _4. 5.�6. S 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. I APPLICANTS SIGNATURE �L `J 4y�c DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /ahYZoo DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ZjkV60 DATE FEE PAID: 42 0 TYPE OF UNIT: DWELLING_OTHER_ CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT,# 205-01 3 FEE $25.00 DATE: 05/01/2001 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: 83-85 Congress Street UNIT #: 3rd floor OWNER/AGENT: Yolenv Ynoa ADDRESS: 83-85 Congress Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-9239 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 . FOR THE BOARD DOOF�HEALTH J�TT, MPH,RS,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR • �oNo1r " 01 n � ��4DNBVp CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 'S3 --gS CotV5/-esS S1 UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 5�0 /Fn/yyry B MANAGER/AGENT 5a fifF No P.O. Box F5T Q- No P.O. Box ADDRESS S1 ADDRESS CITY Sa c—M CITY RESIDENCE PHONE�75J?—q/-? 23 9 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 5. 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. APPLICANTS SIGNATURE ic9A DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION'5i . I -b C DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE - ' o I DATE FEE PAID: S' I ` 0 / TYPE OF UNIT: DWELLING�'OTHER CHECK# CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 eND CERT.# 205-01 FEE $25.00 .. DATE: 05/01/2001 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: 83-85 Congress Street UNIT #: 3rd floor OWNER/AGENT: Yoleny Ynoa ADDRESS: 83-85 Congress Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-9239 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 . FOR THE BOARD OF HEALTH JOE SC MPH,RS,CH0 _ --HEALTH AGENT CODE ENFORCEMENT INSPECTOR JUN 1120011 - CITY 32001 -CITY OF SALEM HEALTH DEPT. v� 5� Y CERT.# 752-99 31�, QIP M. FEE $25.00 yep DATE: 12/15/99 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: 83-85 Congress Street UNIT #: 3rd floor OWNER/AGENT: John Leforme ADDRESS: 23 Long Meadow Road CITY/TOWN: Chelmsford, MA ZIP CODE: 01824 24 HOUR PHONE: 948-3943 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 ISSUEDBYTHE 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. FOR THE BOARD OF HEALTH ,J JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 752-99 3 � R FEE $25.00 DATE: 12/15/99 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: 83-85 Congress Street UNIT #: 3rd floor OWNER/AGENT: John Le£orme ADDRESS: 47 Railroad Avenue CITY/TOWN: Rowley, MA ZIP CODE: 01969 24 HOUR PHONE: 948-3943 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. FOR THE BOARD OF HEALTH J ,J ANNE SCOTT, MPH,RS CHO V HEALTH AGENT CODE ENFORCEMENT INSPECTOR . 99. o n � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT AJiX�Ss JUNIT#3k� RcnA� IS THIS UNIT DESIGNATED AS RIGHT LEFT t FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '9 r'i AtC(A LA-Lg t—MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS y7 �ro �l��bnhJ G4�� ADDRESS CITY o wJ�, /``��/� �'�/�� CITY RESIDENCE PHONE�7F CI7� 35 3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� ROOM USE: 1. I<IbC ,Q! // 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-HE LTH DEPART ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION:// APPLICANTS SIGNAT DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f.2 �/'S- I f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/J-/f- f'1 DATE FEE PAID: /,2 -/f- 9Y TYPE OF.UNIT: DWELLING /�—OTHER— CHECK#/J2/_CHECK DATEIoZ /S''I t NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 sig 31j /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 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit, 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 the aforementioned statutes, regulations and ordinances. Lt the event it is necessary that said inspection be done in my/our absence, 1/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 agent5 from any loss or injury sustained of whatever nature and description occasioned - by my/our absence during said inspection. U - T_ 1 ESSEE OWNER/LES(S� - 1 --------- oil 7C) --- ADURESS -- -- - ADDRESS ADDRESS OF UNIT TO BE IivSPECTED DATE A. CERT.# 194-98 3FEE $25.00 DATE: 04/08/98 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: 83-85 Congress Street UNIT #:' 3rd floor OWNER/AGENT: John Leforme ADDRESS: 47 Railroad Avenue CITY/TOWN: Rowley, MA ZIP CODE: 01969 24 HOUR PHONE: 948-2026 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 q. � CITY OF SALEWBOARD OF HEALTH Salem, Massachusetts 01976-3928 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, .CRAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ,,A``T 85 -05 CoN G/Z�S S 5.? VNIT R IL € ' 3 e� OWNER/ ESSER aB/7N �7 ; //��a/2/�l F MANAGER/AGENT ADDRESS y-7 wl�1661z) AVF, ADDRESS CITY 120 y I�fp�S/l�(� o/�/� 9 CITY RESIDENCE PHONE . C�2�� :G 7�/ zOZ {� BUSINESS PRONE (24 HRS.) BUBINSss PHONE TOTAL NUMBER OFF ROOMS: - ROOM USE:. I. 2. kl/r6llj,�7t/ 3./)ViGL'CfGYVM4 . BrN0171 5.P F—A) 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CRECR OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEP NT THIS IS PAYABLE AT THE TIME OF INSPECTIONAPPLICANTS SIGNATURE r--- DATE y e5p `6 INSPECTORS USE ONLY DATE OF INITIAL. INSPECTION : DATE OF RELNSPECTION DATE OF ISSUANCE OF CERTIFICATE : -DATE FEE PAID: TYPE OF UNIT: D1IELLINC � 01'NER NOTES : 7°c 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 DCREIiNBAUM@SALBM.COM DAVID GRFENBAUM - ACTING HEAI.I'1-I AGFN`I' CERTIFICATE OF FITNESS CERTIFICATE# 15-10 DATE ISSUED: 1/12/2010 Property Located at: 86 Congress Street UNIT#3 Owner/Agent: Celine Mata Address: 86 Congress 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 DA I�ENBAU ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR �� J /I • CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ucea:rNisAUM(a.SAir:M.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." S(0 / FEE: $50.00 PROPERTY LOCATED AT S( l 01QM7A S+ t,(h(t�-.3 SJ,f ecvl AR O p�) UNIT# IS 7,1ey- S UNIT DISIG ATEI� D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �� V, 6 MANAGER/AGENT NO P.O. BOX n // - ADDRESS �'^ GLS' 12LOI K.. ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE q!7 .�SqLKJ BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. L Dom 2. mmcfn 3. tQAC" 4.`-W NWY) 5. 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 FES 11LE A E OF INSPECTION APPLICANT'S SIGNATURE DATE —A0) Inspectors use only Date on initial inspection: a U Date of rein specti n: Date of issuance of certificate:/ a U Date fee paid: J�0 ` Type of unit: Dwelling V Other Check#Check date: Notes:�G1/� (�/lX/i X�lr �lPG�G(JMs �') �,�/I�I�GI/ I SS M (A) , U Code En rce ent InspiCMr ��. CERT.# 308-96 3 FEE $25.00 DATE: 05/23/96 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: 86-88 Congress Street UNIT #: 1st floor OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett. MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 �OANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 �i�� ( y��/�'S( S-T UNIT fti OWNER/LESSER o4erI d &q 5ce MANAGER/AGENT ADDRESS q f /k Co& $T rJ ADDRESS CITY (iP/l j �� O�� t �/ % CITY _ RESIDENCE PHONE 17 BUSINESS PHONE (24 HRS.) BUSINESS PHONE b( TOTAL NUMBER OF ROOMS:__ ROOM USE: I. 2. 3. 4 .$ 5. . 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 TIRE OF INSPECTION APPLICANTS SIGNATURE _jA,&f Dz ,y� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION � ?� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: j 3 yJ, DATE FEE PAID: TYPE OF UNIT: DWELLING/ -OTHER NOTES Qac_,.—AIJ 1 CODE ENFORCEMENT INSPECTOR 3 � CERT.# 310-96 FEE $25.00 �1v l(, DATE: 05/23/96 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: 86-88 Congress Street UNIT #: 2nd Floor Left OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett. MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 J JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i a �y Ifo - CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT TO(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 a�q je s; UNIT t hd 61461F 47- OWNER/LESSER fOWNERJLESSERIf 0,(3) ra e- MANAGER/AGENT ADDRESS ADDRESS CITY --v/ Z ! �_g (�� Iy CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 07- 3 7 % TOTAL NUMBER OF ROOMS: }}�� ROOM USE: 1._ 2. 3. 4 . J 5. —,� 6. 7. 8 THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THS CITY OF SALEM'UMTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE _RA4cy j w� y �. _ DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ` 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: G DATE FEE PAID: TYPE OF UNIT- DWELLING OTHER __ NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 309-96 ry. FEE $25.00 3 A DATE: 05/23/96 �Yryp,B 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: 86-88 Congress Street UNIT #: 2nd F1. Riaht OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 ,Zane..- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR joCl y tag GlTY 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". r- PROPERTY LOCATED AT � �� Ccasl�iflS S ?/ UNIT 13 OWNER/LESSER . 1 y t b. �cQb-e MANAGER/AGENT ADDRESS g� tu460G� �I ` ADDRESS CITYG PL+r LI ��, t cl ( CITY - 'RESIDENCE PHONE [ Lam!3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE f 3 - 0201 --- TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1 ._ K� 2. 3. _ _ _4. 5. J 6. 7. 8. THERE IS A TUENLY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEK HEALTH DEPARTMENT THIS FEE IS IS PAYABLE AT THE TIME OF INSPECTION` APPLICANTS SIGNATURE ,�GA I }raj = DATE��9 --- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: t,57 ��/ 6 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER___ NOTES: THER _- NOTES: CODE ENFORCEMENT INSPECTOR �v fn CERT.# 315-98 ,.. FEE $25.00 3 DATE: 05/22/98 �NII�B 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: 86-88 Conaress Street UNIT # : 3rd Floor Back OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett, MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 LAA FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 yj �Mll� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FO HUMAN HABITATION". PROPERTY LOCATED AT h fl Cov?rj SSS S/ UNIT# 3 IS THIS UNIT DESIGNATED_�AS RIGHT 2 �LEF T FRONT i)PLEASE CIRCLE ONE OWNER/LESS�EjR_-Cob-e ,Ui Q 1yIANAGER/AGENT ADDRESS 2� 12 7 kq I nCK SG�� ADDRESS CITY AA 0) CITY RESIDENCE PHONEk/ _qI l, (BUSINESS PHONE (24 HRS.) BUSINESS PHONE 301 TOTAL NUMBER OF ROOMS: 3 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 APPLICANTS SIGNATURE IN DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ' "�1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE' -d--`WDATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET IR H N Tel:(978)741-1800 Date: 0 5/07/9 8� Fax:(978)740-9705 Robert DiBiase 81 Hancock Street Everett, MA 02149 PROPERTY LOCATED. AT 86-88 Congress Street UNIT # 3R 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 .5� CERT.# 734-97 3 � Y+. FEE $25.00 DATE: 10/29/97 PIRB 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: 86-88 Congress Street UNIT #: 3rd Front OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett. MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 MMPP/A,,RSS,,CCHHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR n 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 9' 6 gq COr,�4s � �('.� TWIT 1J3—&2n OWNER/LESSER I•fANAGER/AGENT ADDRESS oju rpaw ADDRESS CITY CITY -RESIDENCEPHONE f ? L BUSINESS PHONE (24 HRS.) Bvsix ss pHoxs t.. -3 t� TOTAL NUMBER OF ROOMS: ROOM USE: 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 FEE/ IS PAYABLE AT THE TIRE OF INSPECTION APPLICANTS SIGNATURE X �G+�fe�- DATE_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:_ ? �AfE OF REINSpEC1'ION _� DATE OF ISSUANCE OF CERTIFICATE: 71 �_ -" �7_DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES:NOTES: S / CODE ENFORCEMENT INSPECTOR vet. CERT.# 311-96 3 FEE $25.00 DATE: 05/23/96 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: 86-88 Congress Street UNIT #: 3rd Floor Right OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett, MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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 Ng 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)7409705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR //.HUMAN HABITATION"_ PROPERTY LOCATED AT �p t y��T 57-- UNIT t r OWNER/LESSER �h J [� Q5e MANAGER/AGENT ADDRESS 7L( ^' ADDRESS CITY �j/e/ /X-t ©)- C/`L CITY _ RESIDENCE PHONE 17 --2,22,-177-3 BUSINESS PHONE (24 HRS.) BUSINESS PHONEtl l 1 �( TOTAL NUMBER OF ROOMS: Y ROOM USE: 1.�� 2._ -J3. 13 4 . _D __ 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'HFALTH DEPARTMENT �THIS jFEE PIS PAYABLE AT THE TIKE OF INSPECTION APPLICANTS SIGNATURE J4, —« �",3 _ DATE Q -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ` DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE;,'5--!a 3 1 b DATE FEE PAID: TYPE OF UNIT: UWELLINC_Z OTHER NOTES : CODE ENFORCEMENT INSPECTOR CERT.# 312-96 FEE $25.00 DATE: 05/23/96 �MIrB 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: 86-88 Congress Street UNIT #: 3rd Floor Left OWNER/AGENT: Robert DiBiase ADDRESS: 81 Hancock Street CITY/TOWN: Everett- MA ZIP CODE: 02149 24 HOUR PHONE: 389-4773 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. FO/R THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 gC�a 01re-3 s 5 OWNER/LESSERs_� � C� rj� MANAGER/AGENT ADDRESS Qr jhoq (:I S7 ADDRESS CITY Ji pq;z: 0'c ' Q CITY RESIDENCE PHO 16(7) 5 Q`-'y773_ BUSINESS PHONE (24 HRS.) BUSINESS PHONE wz2 TOTAL NUMBER OF ROOMS_ y ROOM USE: I.,- _—__2V_4, 5, b. 7 . 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE17HFALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF, INSPECTION APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION,- -1?h' — DATE OF REINSPECTION DATE OF ISSUANCE OF CERTI,FIICATE:5--,?�6 DAT£ FEE PAID: _- ,�3 TYPE OF UNIT: DWELLING ;y OTHER_�� NOTES: -�c- CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'�"FLOOR PI1b1icHC8lth Prevent.Pmmom.Pr tett. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Itanadin e saletn.com LARRY RAMDIN,RS/RVI IS,CIIO,CI34S MAYOR HEAMI-1 A(i 13NT CERTIFICATE OF FITNESS CERTIFICATE#76-13 DATE ISSUED:2/21/2013 Property Located at: 90 Congress Street UNIT#2R Owner/Agent: William Sherman Address: 21 Pinehurst Drive City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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. 44t�� LTH LARRY RAMDIN HEALTH AGENT RIAN e y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH p11�11ICHealt}l 120 WASHINGTON STREET,4'm FLOOR rrcvcna.Promme.Prm<m. TEL.. (978)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL Iramdin@salein.com MAYOR _ L(\RRY IL1b�IllIN,RS/1tEFIS,CFIO,(T-FS . HrALM 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 UNIT#� I THIS UNIT DISI T S RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER / I"J rl-79 MANAGER/AGENT < 1�-2 NO P.O.BOX /- ADDRESS r� 1 �� h u IrST I r`! U ADDRESS CITY, STATE,ZIP_Z /VTC J t N�/CITY, STATE,ZIP RESIDENCE PHONE Q7 fi� BUSINESS PHONE(241IRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. v 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABL CHEC R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE LE THE INSPECTION APPLICANT'S Sl GNA DATE /�J 3 /J IWectors use only Date on initial inspection: U Date of reinspection: Date of issuance of certificate: , Date fee paid: Type of 't: ellingOther Check# /J Check date: Notes: Codir ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OI{HEALTH ' 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 114ANCINI&SALrrnI.COM JANET MANCINI ACTING HE:ALTII AGEN'I, CERTIFICATE OF FITNESS CERTIFICATE#209-09 DATE ISSUED: 5/6/2009 Property Located at: 90-92 Congress Street UNIT#3R Owner/Agent: William A. Sherman Address: 21 Pinehurst Drive City/Town: Boxford, MA Zip Code: 0192124 Hour Phone: 887-9558 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 If' 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 JAN T MANCINI ACTING HEALTH AGENT COOE ENFORCEWNT INSPECTOR CITY OF SALEM, TVASSACHUSEITS Bo kRD OF11FIALTH 1.20 4r-FLOOR 1114)78) 741-1800 KIMBERLEYDRISCOLL F_�-x.(97 8) 7145-0343 MAYOR JMAN(TN[1ZSA1J`,.'V[.CUNT JANET N- LANCINI, ACTING HLAL-ni 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 V__90 00 V7"IV`1e5_S C'-7L— UNIT# IS THIS UNIT DISIGNATED AS,91GHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER WI) 11aglLl 24- S�er1tj,?k /r1_/�/,MANAGER/AGENT NO P.O.BOX ADDRESS ;� j 71'V\C- Lr.5-t &I've ADDRESS CITY, STATE,ZIP &JY_�J � 1/j/4 ol?!7 CITY, STATE, ZIP RESIDENCE PHONES—g��7— -BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_SC'VE YJ 1.7 'ge��ok�,5. ROOM USE: 4. Ki�fc4em 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAY BY JCHEK OR MONEY ORDER TO THE CITY OF SALEM THIS OF HEALTH TS FE I P BLE T OF INSPECTION APPLICANT'S DATE l 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: oww `Check hf n dat�=t -0 �P Igeo t,ede EnforcenrCht Ins ctor CITY OF S-:'U-ENl, ,i\l.--\SS-ACHUSET-fS sf BOARD OF FII I rx 120 WAST otic,1'ON S-nuE'T'41"FLOOR -11-u- (978) 741-1800 KINIBERLEYDRISCOU Fix(978) 745-0343 MAYOR PMANCJNICQ�)SALPM.COINI JANETFNbNCINI, Ac'i'ING HEAUM AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter Il 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. 0L Tenant/I essee U Owner/Lessor 2 Address Address Address on it to be inspected 7 Date V r• x CITY OF SALEM, MASSACHUSETTS 6 • BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR DGRF.r.NBAUMQSALV M.CQM DAVID GREENBAUM - ACIING HF:ALH-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE#647-09 DATE ISSUED: 12/23/2009 Property Located at: 92 Congress Street UNIT#2R Owner/Agent: William A Sherman III Address: 21 Pinehurst Drive City/Town: Boxford, MA Zip Code: 01921 24 Hour Phone: 978-985-6088 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 �r J AVID GREENBAUM ACTING HEALTH AGENT CODE NF RCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR D<,REH:NBAunt@SAJ EM.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." n FEE: $50.00 PROPERTY LOCATED AT �a 1 Dnq'Y�'SS ✓�C'E� UNIT# a�'t IS THIS UNIT DISIGNATt])AS RIGHT L FT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 17141� V'k' q;1 1 AGER/AGENT L,C3S I C� ;79 e�� - he ADDRESS 1'h�' v,rST �rl ADDRESS �OXfV � A 0/9a I CITY, STATE,ZIP p �3CITY, STATE,ZIP RESIDENCE PHONE 7, 52�&Busmss PHONE(24HRs) /q 7F, 9 g5. BUSINESS PHONE TOTAL NUMBER OF ROOMS: `1S ROOM USE: IV;4-j Ph 2. FeCJV'Wx,1t 3.7eJrz:v/'-i 4. & dvv0M 5.Z1 V/NR 6. 7. 8. 9. 10. V THERE IS A FIFTY($50)DOLLAR FEE,PAYAB BY H MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE A E THE E SPECTION APPLICANT'S SIGNA — DATE J' Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: o o �/ �I Date fee paid: Type of unit: Dwelling_j/,**'Other Check# Check date: J �� 9 Notes: SM( II 61 �� Iodzr k l Lkw/1 SVIL Code Enfo'lk4ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH $ 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Gordon Sargent 231 Oak Street Wakefield, MA 01880 PROPERTY LOCATED AT 96 Congress Street Unit 1L 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. For the Board of Health Reply to 7 oanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#41-07 DATE ISSUED: 1/30/07 Property Located at: 96 Congress Street UNIT# 1 Right Owner/Agent: Gordon E. Sargent Address: 231 Oak Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 246-3009 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 If' 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. FORs� D OF HEA TH i~ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 019703928 JOANNE SCOTT,MPH,RS,CHO NINE NORM STREET HEALTH AGENT APPLICATION FOR CERTIRCATE OF FTTNESS Tet(979)741-1800 Fmc(978)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11. 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. d 2J PROPERTY LOCATED AT 106 CoAj6z l J' J� / IS THIS UNIT DESIGNATED AS - O ! PLEASE CIRCLE ONE f/ OWNEWLESSER6c20o,J ,&XA&, Tr MANAGEWAGENT No P.O.Box No P.O Box ADDRESS �� / O�IK fT• ADDRESS CITY W-4AC/i/E 0 CITY .'464 RESIDE E PHONE7,?f a'/i(, 3- d D 9BUSINESS PHONE(24 HRS.) BUSINESS PHONE - 1 TOTAL NUMBER OF ROOMS---,S— ROOM OOMS:—ROOM USE 1A�✓,wG 2.- &7i'i S_ Q.�- 4 /�. ✓Z - 5 Q•2- THEM IS A TWENTY-FIVE(S M"DOLLAR FEE,PAYABLE BY CHECK OR YONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT TIM FEE M PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGMTURE D"7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z -3 0_0 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -3 d,-.0DATE FEE PAID- f_- 3 a — o 7 TYPE OF UNIT DWELL _OTHER— CHECK#,4.-Y P CHECK DATE NOTES- CODE ENFORCEMENT INSPECTOR grAw CITY OF SALEM, MASSACHUSETTS + + BOARD OF HEALTH 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#345-06 DATE ISSUED: 7!5(2006 Property Located at: 96 Congress Street UNIT#2 Left Owner/Agent: Gordon Sargent Address: 231 Oak Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 781-248-8130 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 Cade, 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. I 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 }� qw- � V JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Safem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Faic(978)740-970.5 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER f1, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT UNIT# IS THIS UNIT DESIGNATED ASn iN FRONT RC PLEASE CIRCLE ONE OWNERILESSEtiUd20u../ ./vJ464A/'r MANAGERIAGENT No P.O.Box NO P.O.BOX ADDRESS OINK J'T ADDRESS CITY CITY 14(14 - RESIDENCE PHONEZV a i4_3 d 0 9BUSINESS PHONE(24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE 1/1'1 Wt- 2.-,<-/L-3 d.12--4. /9- 12 - 5. 8•2• 6& 7. 8. THERE IS A TWENTY-FIVE($26.00)DOLLAR FEE,PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT IS FEE IS PAYABLE AT THE TIME OF INSPECTION. 4 APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 1 -S —o DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFlCATE:7 S • O7 O DATE FEE PAID-7- TYPE AID?TYPE OF UNIT: DWELLING'_JAHER CHECK#3/—OCHECK DATE v (o NOTES: //tel/ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S c 120 WASHINGTON STREET, 4TH FLOOR �. SALEM, MA O 1970 .yep TEL. 978-741-1800 ' FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/9/05 Gordon Sargent 231 Oak Street Wakefield, MA 01880 PROPERTY LOCATED AT 96 Congress Street Unit 2R 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. Fo the Board of Hea/ltt Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector • ` C11 Y OF SA) El i, MASSACHUSETTS Bo>,kRD OF L-IFAL,TH 120 W�vSHINGTON S-11EETx 4:"'FLOOR PublicsHealth Prrvnm.Prmmtr. PmtrcL Thr.. (978)741-1800.FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin a sal, n.coin LARRY RAMIAN,RS/lIN-is,Cl 10,cN-ts MBYOR Hiim:cH AGUN f CERTIFICATE OF FITNESS CERTIFICATE#117-12 DATE ISSUED: 3/26/2012 Property Located at: 96 Congress Street UNIT#4(2-Left) Owner/Agent: Gordon E. Sargent Address: 231 Oak Street j City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 781-248-8130 i 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 Cade, 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. FOR THE BOARD OF HEALTH LARRY A� Z2 r HEALTH AGENT SANITARM CITY OF SALEM, MASSACHUSETTS a s BOARD OF HEALTH 120 WASHINGTON STREI'r,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Dc;RkVNBAUj%QS U 1.M.CONI 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 (. 0;A; G✓teSS S !_X 6tf.r UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER COA,00.J J 4/Z C/i . 7 MANAGER/AGENT NO P.O.BOX ADDRESS X31 0,9,K' S'Tlfjez1 ADDRESS CITY, STATE,ZIP CJAg FL F%iz C�� Ul Fr7 CTI•Y, STATE,ZIP /tM- C e,c( RESIDENCE PHONE .7LFI-�;2 Y& -:3o& j BUSINESS PHONE(24HRS) 78/-02`/g - r130 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.`1'V h(r 2. Xi rUlf,. 3. Q-P 4. J le 5. 6.7e 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABB `,E AT THE TTIME OF INSPECTION APPLICANT'S SIGNATURE � t?-.�' DATE ( Inspectors use only F Date on initial inspection: 31 a.6 I(a Date of reinspection: Date of issuance of certificate: /- Date fee paid:*1w Type of unit: DwellingOther Check# jLL Check date: Notes: OK.Q r4f z_ 9 Code Edo Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4FLOORPt1b�1CHC81th Prevent,Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Ixamdin@saleni.com _ LARRY 1tAMIJIN,RS/REHS,C1-10,CP-FS MAYOR HI�U..TH AGENT CERTIFICATE OF FITNESS CERTIFICATE#425-13 DATE ISSUED: 12/11/2013 Property Located at: 96 Congress Street UNIT#5(3L) Owner/Agent: Gordon E. Sargent Address: 231 Oak Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 781-248-8130 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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 IP'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 LARWRAMDIN AUAJ+ HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH ) 120 WASHINGTON STREET,e'FLOOR L�J TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRI ENBAUM2SALEM.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 /�W (-c1j &,2eSS' .STie 6957— UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 0A0 a.-J MANAGER/AGENT NO P.O.BOX - ADDRESS o23/ o9K1� ADDRESS CITY, STATE, ZIP &)Ag rz F, L- , ;41,4 UI FFO CITY, STATE, ZIP /'yam- RESIDENCE PHONE Y(n -306 9 BUSINESSC PHONE (24HRS) 78/-.2g7- V30 BUSINESS PHONE �J( TOTAL NUMBER OF ROOMS:— ROOM USE: 1.ZIVj),j(r 2. k17UIP,. 3. 4. Q IC 5. A? 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CH K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PLAY �jAT THE T OF INSPECTION APPLICANT'S SIGNATURE,-ISi � DATE Inspectors use only Date on initial inspection: / Z"j "'1,3 Date of reinspection: Date of issuance of certificate: / 2- 0-1'�1 Date fee paid: Type of unit: Dwelling ✓ Other Check# 5.O Check date: / ^�) Notes: i i Code Enforcement Inspector 3 ` CITY OF $AI.,EM, MASSACHUSF;11'S BOARDoF HEAi:rt-j 120 WASHINGTON S'I'RFIT,4"..FLOOR 7`cj_ (978}741-189[1 IiIMBIs'RI,1:?Y 1.)IZ.[SCOL'1, F.1A{1?8)745-(1343 MAYORlrwndin@salein.com I ANWRANUAN,RSlRIsll&,C:I((1,(;Y-h'ti 11 kA]XI I A(;vw-r Facsimile Transmittal To: aD I Fax # S?8 - S"3Z , gbl e RE: 4-s Date Page(s): including this cover# Z (Message: Board of Health News Your Inforrnation 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 . Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#387-05 DATE ISSUED: 6/16/05 Property Located at: 96 Congress Street UNIT#5L Front Owner/Agent: Gordon Sargent Address: 231 Oak Street City/Town: Wakefield, MA Zip Code: 01880 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 _ FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 96 Cent f Ptuj' S7. UNIT, #.,S- IS .SIS THIS UNIT DESIGNATED AS RIGHT LEF RONT BACK PLEASE CIRCLE ONE OWNER/LESSER lJo/tAc,) X66&" r_MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS a3/ o 1,t/G S i- ADDRESS CITY 6ug9 ;ItU6 CITY 0/79-0 RESIDENCE PHONE7F/'-2YG -3909 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S� ROOM USE: 1. �i✓.,>vr 2. K,'TC/A-. 3. 6 -k. 4. 5. 13. ;2 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. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / 5 S DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: E- 3 6 -3 DATE FEE PAID: /� — / 0 TYPE OF UNIT: DWELLIN�OTHER CHECK #-,9'4 _CHECK DATEG��__� ' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 J CITY OF SALEM, MASSACHUSETTS m ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR wW W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#648-05 DATE ISSUED: 10/24/05 Property Located at: 96 Congress Street UNIT#6 (3rd Right) Owner/Agent: Gordon E. Sargent Address: 231 Oak Street City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 246-3009 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 JO1p WH�G� J,,t-E- U NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i •CITY OF SALEM BOARD OF HEALTH `Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO -NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 9(0 60n)6-neJS � UNIT# 6 3-X 447- IS THIS UNIT DESIGNATED A( IG LEFT FRONT BACK PLEASE CIRCLE ONE // OWNER/LESSER (90,200,) fe9�G zr.�/� MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS a3/ U!4/Z- 65 r- ADDRESS CITY CITY RESIDENCE PHONE12I-AY/ - 3009 BUSINESS PHONE (24 HRS.) BUSINESS PHONE r TOTAL NUMBER OF ROOMS: S ROOM USE: 1. L"L"'t 2. Kz°✓-. 3. 4. 12 - - 5. 6- 4 . 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTME THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ` DATE O' INSPECTORS USE ONLY DATE OF INITIAL INSPECTIOfy/ 9_2Lt,bz( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:42 6 DATE FEE PAID: TYPE OF UNIT: DWELLINGOTHER_ CHECK# 3 / CHECKDATE/ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR WW W .SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#679-05 DATE ISSUED: 11/3/05 Property Located at: 100 Congress Street UNIT# 1A Owner/Agent: Lafayette Housing Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 4�0 J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH i 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY UfSOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR - HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". � i �1,� PROPERTY LOCATED AT IdO 11oY1GJY2SS UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSF_R Lafa et Ho"alnT_MANAGER/AGENTSalem Property Managers, No P.O. Box No P.O. Box ADDRESS1o2 rafaVP+i ct ADDRESS102 Lafayette Street CITY-, Salem CITY sat Pm I RESIDENCE PHONE BUSINESS PHONE (24 HRS.p78- 745-4961 BUSINESS PHONE 978 745-4961 TOTAL NUMBER OF ROOMS: ROOM USE: 1.�L 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 j TIME OF INSPECTION. APPLICANTS SIGNATURE DATE l l v`S lapECTO USE ONLY DATED F INITIAL INSPECTION -3 �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: //-3-d DATE FEE PAID:2,/ TYPE OF UNIT: DWELLINGAOTHER_ CHECK#_CHECKDATE��3''� NOTES:__ CODE ENFORCEMENT INSPECTOR 9/28/98 L CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREEN13AUM@SAL13M.00M DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#133-10 DATE ISSUED: 3/24/2010 Property Located at: 100 Congress Street UNIT# 1 B Owner/Agent: Lafayette Housing Address: 102 Lafayette Street Cityffown: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4961 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 T/�A✓�OF HEALTH I DAVID GREENBAUM ACTING HEALTH AGENT CODE ENNTEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS j I BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLI. FAX(978)745-0343 MAYOR QGRE13NUAUMCGZ. ,NI.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 JUO (-9norlos- 6A. 1�& IS THIS UNIT DIS16KATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Lafayette Housing L.P. MANAGER/AGENT Salem Property Managers, INC. NO P.O.BOX ADDRESS 102 Lafayette Street ADDRESS 102 Lafayette Street CITY, STATE,ZIP Salem,-MA 01970 CITY, STATE,ZIP Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS} 978-745-4961 BUSINESS PHONE_978-745-8071 TOTAL NUMBER OF ROOMS: ROOMUSE: 1,&� 1 )&&64A,) 3. 4 5 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 DATE4 �6 /0 Inspectors use only Date on initial inspection: . ��U//d Date of reinspection: _ Date of issuance of certificate:--j b H bo Date£ee paid:.k c( y l o Type of unit: Dwelling! I/Other Check#-k,3-3-.. Check date: 1 o1 h o Notes: bo bbl ivC44-2- Code Enfo ent Inspector J{ i City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, PabllcHeatth MA 01970 Pr"ent."*mote. "`°"" 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-17-117 DATE ISSUED: 4/13/2017 Property Located at: 100 CONGRESS STREET UNIT#2 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 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, REHS, CHO HEALTH AGENT SANITARIAN i CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH 120 WASI-IINGTON STREET,4" FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR c�z tmua{h2snl.A.CoM LARRY RANDIN,RS/REI-IS,CHO,CP-FS 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 100 CONGRESS ST.,SALEM MA 01974 UNIT# 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONE NORTH SHORE COMM. OWNERILESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV.COALITION NO P.O.BOX ADDRESS 106 LAFAYETTE ST. ADDRESS 106 LAFAYETTE ST. CITY,STATE,ZIP SALEM,MA 01970 CITY,STATE,ZIP SALEM MA 01974 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-8254010 TOTAL NUMBER OF ROOMS: 8 ROOM USE: LLIV.ROM 2.KITCHEN 3.BEDRM 4. BEDRM 5. BDRM 6. BDRM 7.BDRM &DINING RM 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CTI-Y OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE l� Inspectors use only Date on initial inspection: WDate of reinspection: ,,'1 Date of issuance of certificate:` 1 )]n- , Date fee paid:, 1 i Type of unit: Dwelling Other Check#MkQ2Check date: Notes: Code Enfo cement Inspector 1.1 City of Salem, Massachusetts m Board of Health D 120 Washington Street, 4th Floor, Salem, PlubliCHealth MA 01970 �<.<Dt.fto,De«. 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-17-380 DATE ISSUED: 11/6/2017 Property Located at: 100 CONGRESS STREET UNIT#3 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 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, REHS, CHO HEALTH AGENT SANITARIAN A CTIN 01F SALTEM, MASS ACH-USETFIS BuARD k)ls HEAL -ITNGTON S'rRF FwoR 120 WASI Tra.. (978j'41-1800 KIMBERLEY DRISCOLL I-Ax(978)745-0343 MAYOR L&LN4 T)N@—SAL E NLLO,j LARRY F-WDIN,RS/RLHS,CHO,CP-FS M-Aixji Ac;r.NT 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:_S50 00 PROPERTY LOCATED AT 100 CdNGRESS ST. SALEM MA 01970 UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE C[RCLEONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED.PARTNERSHIP MANAGER/AGENT DEV.—COALITION NO P.O.BOX ADDRESS 106 LAFAYETTE ST. ADDRESS 106 LAFAYETTE ST. CITY,STATE,ZIP SALEM,MA 01210 —CITY,STATE,ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 6. 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 TTHE TIME OFINSPECTION APPLICANT'S SIGNATURE _DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate; Date fee paid: I PAYAB,EAT Inspectors�use only Type of unit: Dwelling Other _Check# Check date: Notes: Code Enforcement Inspector 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH A 120 WASHINGTON STREET, 4TH FLOOR CERT.# 253-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/28/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 105 Congress Street UNIT #: 1 OWNER/AGENT: Aser Frisch ADDRESS: 80 Blodgett Avenue CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-8858 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 Opp/ HEALTH , Q L63e..., JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR { CITY OF SALEM, MASSACHUSETTS l • BOARD OF HEALTH d • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 f CLr C,,,&.I 5S 97' UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ASM P�4SCP-{ MANAGER/AGENT No P.O. Bogo �� M x -�. No P.O. Box ADDRESS eo ,S�/T p ADDRESS CITY 6!!! 0/57CITY Z. 7 ll RESIDENCE PHONE 2-9!-90 BUSKIN/ESS 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. �✓ ,p APPLICANTS SIGNATURE DATE J �7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION S-" O 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE-5--d- f "°3 DATE FEE PAID: 5 'j4i -e 3 TYPE OF UNIT: DWELLINGVOTHER_ CHECK#-S-01 CHECK DATES a4 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 .:..: \ -�. �i ;; Y"f �� r :'v.ai:��- ^. %' if .. y Vii: t .�l. yJ.t,l .. >i 1a �� ,�yy �t � �*' �`C L'b < a f a \a/ \\\\\\\\ 1 ` �, �+ 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9t 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Jupiter Two LLC 40 Appleton Street Cambridge, MA 02138 PROPERTY LOCATED AT 105 Congress Street Unit 2Rt 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. For the Board of Health Reply to nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD Or Hf,UATf 120 WASFIINGTON SIREET,4`"FLOOR 'FEL. (978) 741-1800 KI�Il3I31tLLY vRISCOLL FAX (978) 745-0343 MAYOR lramdin(@salein.com LARRY IUMIAN,RS/RI?HS,(:I lo,c11-15 H121AI:fl I A(;FM CERTIFICATE OF FITNESS CERTIFICATE #446-11 DATE ISSUED: 11/1/2011 Property Located at: 105 Congress Street UNIT#3 Owner/Agent: Jupiter II LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 An inspection of our vacant Dwelling/Rooming/Roomin Unit at the above address has been approved P Y 9 9 PP 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 HEALl ' CODE E ORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 120 WASHINGTON STREET,4°`FLOOR TFL. (978) 741-1800 KINMERLEY DRISCOLL PAR(978) 745-0343 MAYOR LRAMI)IN&Au:a1.1 7oal LARRY RAMAN,RS/ItISI IS,CI 10,CP-1'S HFAi IiIA(;FNf 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 1 O S QVf&5S 54 UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LENT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER ��/%�� LIrG MANAGER/AGE,NNTZ/t&C ®/I/ ADDRESS U, NO P.O. BOX !Z !W 1 T ADDRESS (� d �✓ G�' �d I t— CITY, STATE,ZIP /1�/�A/"G/ , Yn�t �I Zf J�J CITY, STATE;'ZIP FAQ la>®FfG°� �I/p I1 102 RESIDENCE PHONE BUSINESS PHONE(214 S� �o d�� BUSINESSPHONE TOTAL NUMBER OF ROOMS: . ROOM USE: L 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE , AB CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS ABLE T F INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: /( / Date of reinspection: Date of issuance of certificate: i111111Date fee paid: Type of unit: Dwelling–tg—,o' Other Check#Check date: Notes: Code nforc entInspector Oct 28 11`02:02p Impact Property Managemen 781-595-0100 p.1 10/27/2011 10:32 9785310757 NSCAP PAGE 02/07 ze 74 I ill lr� CITY OF SALEM, MASSACHUSE ITS I i 0A RD OF HF-r'rH 120 W:�s1 nNcroN Srarcr,4'° 1-1.<x 1R TI-;L. (978) 741-1800 I<lNd'Sf(R1.1:Y DRISCOLd� (978) 745-0343 MAYOR trai n di salem.coin LARRY R,AA1UIN, ItS/It1;1 IS,CII(),CI I'S I'II':.AI:1'I I AG14N'1' CERTIFICATE OF FITNESS CERTIFICATE#377-11 DATE ISSUED: 10/7/2011 Property Located at: 105 Congress Street UNIT#4 Owner/Agent: Jupiter Two LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 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 LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ��' S R BOARD OF HEAvrH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR I.R XIDIId&ALENLCOM l.;\mw RAAIDIN,RS/ItH IS,CI I0,C11-FS 1-11 m I xi I A(;F.Nf 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 COAJQ R<.� S� UNIT# lbs`' Y �IS THIS UNITISIGNATED AS RIGHT LEFr FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER JV0jei/tW-/,/ 0 GGc✓ MANAGER/AGENT//0/NC-/ ADDRESS I�- /G i T ADDRESS JP 'AX I�I CITY, STATE,ZIP Me CITY, STATE,zip . �f AV avf02 RESIDENCE PHONE BUSINESS PHONE(24HRS� rJ>P1 BUSINESS PHONE 7F/ �� U TOTAL NUMBER OF ROOMS: . ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE P LE Y C K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LEA INSPECTION APPLICANT'S SIGNATURE DATE Insvectors use only Date on initial inspection: 101-711 ( Date of reinspection: Date of issuance of certificate: I o I.7 /l Date fee paid: Type of unit: Dwelling Other Check# S(J Check date: 9 Lao i ( Notes: 1 Code E orcein .nt Inspector M CITY OF SALEM, MASSACHUSETTS �- BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#219-04 DATE ISSUED: 05/17/2004 Property Located at: 107 Congress Street UNIT# 1 Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-592-8858 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. 0 RTHEBOARD OF HEALTH JOANNE SCOTT, MPH, RS, CH• HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS x:(508)740-8705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CHR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT (Jya�n SS S`JY lrK UNIT I 1 (� MTER/LESSERR kAf Q �$ !QANACER/AGENT ADDRESS wtk ADDP.ESSk O 4D�C (g�,} CITY J�A.V4D��,Lj"t�' 6�`(b� civ �U.AA Is 04 RESIDENCE PHONE rnrn BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 jj p ,� 5.� 1-5. 7. 8. THERE IS A TWENTY FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMEE/ IS FEE IS PATABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE l-_ext- DATE //�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:,- 7j DATE OF REINSPECTION-- DATE EINSPECTION _DATE OF ISSUANCE OF CERTIFICATE: -757--/ 7 0 DATE FEE T7 PAID: TYPE OF UNIT: DWELLING OTHER_` O5 NOTES: CODE ENFORCEMENT INSPECTOR CITY Or SALEM, MASSACHUSET'T'S \LI/ BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR pRtl,1CHC8tt11 Prevent,Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com salem.com MAYOR LARRY RAM)IN,RS�Ri?HS,CHO,CY-FS HF.ALTI-I AGUNT CERTIFICATE OF FITNESS CERTIFICATE#91-13 DATE ISSUED: 3/11/2013 Property Located at: 107 Congress Street UNIT#2 Owner/Agent: Jupiter II LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 592-8858 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, 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 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 LAAR* tJGI� HEALTH AGENT SANITARIAN � • CITY OF SALEM, MASSACHUSET"I'S 7113 F � BOARD OI; KH:m;1'G[ 120 WABNINGTON STREET,4". FLUOR TH:[.. (978) 741-1800 KM1BE1tLEY DRISCOT,I. 1 _At (978) 745-0343 �� MAYOR w,�lum�nsnc.i;n(.(:oni 1,,AItlil'ItAMDIN, I(ti/Rlil IS,Cl IO,CI'-I+S 111•:,\1:1'11 i\GI•:N'I' �1 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 /U,2 c0&�6Af1 r/— UNIT# G�- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONN��E ' LG G MANAGER/AGENT/�' Aei U ~ OWNER/LESSER � Yr!� � r NO P.O. BOX ADDRESS Z jthr pi ADDRESS 1/6 114.k CITY, STATE,ZIP /" " e r N� , m� D2i ff CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE -7fJ�f 41.)&10 TOTAL NUMBER OF ROOMS:— �J� l l/ ROOM USE: 1. /if�!0 2. /J lo'D 3. ;?e6 4 L! fJ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F AB E Y C CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP ABLE. _ T E OF I1:ePECTIOPd APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 31111/3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: C rcement Inspector TRANSMISSION VERIFICATION REPORT TIME 03/14/2013 23: 15 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 03/14 23: 14 FAX NO./NAME 917815937881 DURATION 00: 00:20 PAGE(S) 01 RESULT OK MODE STANDARD ECM o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#217-04 DATE ISSUED: 05/17/2004 Property Located at: 107 Congress Street UNIT#3 Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 592-8858 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, SOF HEALTH I JOANNE SCOTT, MPHH,, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 CNR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT f ' p -... 0`rlt•IER/LESSER �C?�2.�' �S{� v4NAGEF./AGEtiT. ADDRESS , fJ IDK_ ADDRESS ft) t�XfJ , l i/� d t CITY AA G7C� G Rol CITY 3ix,�o-"S�j 14 RESIDENCE PHONE ^ �Q BUSINESS PHONE (24 HRS.),�qx- 6 BUSINESS PHONE TOTAL NUMBER OF (ROOMS: ROOM USE: 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 DEPARTME Is FEE IS ABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE cSr I7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �DDATE OF REINSPECTION 7 _ DATE OF ISSUANCE OF CERTIFICATE:< ` t DATE FEE PATD:�T� TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a « BOARD OF HEALTH 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# 118-07 DATE ISSUED: 3/20/2007 Property Located at: 107 Congress Street UNIT#4 Owner/Agent: Jupiter II LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 592-8858 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. I THE OF JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECT R CnT OF SALEM, MAssACHUSETTS 88ARD OF HEALTH 120 WASNINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0843 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS I IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 ^MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". I PROPERTY LOCATED AT LO� CO-1j�_&0 _ —UNIT IS THIS UNIT DESIGNATED ASIGH LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER7fdL dl 14 �✓ _MANAGER/AGENTf�A No P.O. Box fZ No P.O.Box ADDRESS AD1N S ______.ADDRESS----- CITYj!� �FBA, LA 01/11 _CITY _ ---- --- - RESIDENCE PHONE___ ___._BUSWESS"PHONE (24 HRS.)---,---- 0 BUSINESS PHONE? ro I o 0 �— TOTAL NUMBER OF OF ROOMS _ .` ROOM USE 1)_ 1,74r"2 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM A A TMEeNT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE __ DATE _-1 �-fl --.__. ._ - - !!� . -- j-a� Tti u c4 c. INSF ECTORS QS_-E ONLY DATE O INITIAL-jNSPECTit N',3-':g-V DAE OF REINSPFCTION /y h " I DATE OF ISSUANCE OCERTI( !GATE '�'� 7 DA'1 E FEE PAID ° d F TYPE OF UNIT. DWD t,INt, OTHFR CHECK ii �� J CHECK DATC- NOTF-S. ''\\ GOP(: LNFOfSCGIJEPJI 'ECYL4? c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s :R 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 # 132-08 DATE ISSUED: 3/17/2008 Property Located at: 109 Congress Street UNIT# 1 Owner/Agent: Impact Property Management, Inc. Address: P.O. Box 181 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 onlyif there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH qv-x� t/ 14905,0--- ✓L JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD S / �Y/T'HEALTH 2 _C% � t 120 WASHINGTON STREET, 4TH FLOOR vCJ 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT V I Co96'2 eff S ) j UNIT# / IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE r� A,N OWNER/LESSERJ✓/1r(k_(j. 1i c MANAGER/AGENTZ*Dodfej eW No P.O. Box No P.O. Box l� ADDRESS /z N J N ST ADDRESS j CITY Qb /ID CITY AV, RESIDENCE PHONE7ki J'7("0/00 BUSINESS PHONE (24 HRS.)-7f) �s 0100 BUSINESS PHONE TOTAL NUMBER OF )ROOMS: ROOM USE: 1 G7/" 2. 3 ed n4.NC4A�°�n CI gcr.w 6. 4/L�GiA. 8. THERE IS A TWENTY-FIVE($25.00) DO RF PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM TH D R ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE TI7 Oe INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �` ) O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ODATE FEE PAID:__3 — ) g -0 ,7 TYPE OF UNIT: DWELLIN5/tOTHER_ CHECK# 36 a CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 J�✓e r 3/� CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 HIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR IDIONNE SALEM.COM JANET DIONNE ACTING HEA1:III AGENT CERTIFICATE OF FITNESS CERTIFICATE#545-08 DATE ISSUED: 10/22/2008 Property Located at: 109 Congress Street UNIT#2 Owner/Agent: Jupiter II LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 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 OA F HEALTH NE DIONNE ACTING HEALTH AGENT CODE EN ORCEME PECTOR CITY OF SALEM, MASSACHUSETTS _ • '� BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR `"J1 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 ! C JOANNE SCOTT, MPH, RS, CHO J AGENT Kimberley Driscoll HEALTH 10 n Mayor (V 1 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 / ye�,01j6-/,6_rr S T UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ✓e-'/ ley 11 LGG MANAGER/AGENT Y�7/0ife-T/'AV-0^'I No P.O. Box No P.O. Box ADDRESS/ Z h?p ADDRESS CITY / ",e �b 4 0 ZI CITY RESIDENCE PHONE 7Fl r/s 0 BUSINESS PHONE (24 HRS.) 9f-010 0 BUSINESS PHONE TOTAL NUMBER OF ROOMS: U ROOM USE: 1.16,1/ 2. f- )) 3. �PQ 4. Pd 5. 6 LJtI 7. 8. THERE IS A TWENTY-FIVE($23.00) DOLLA E, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEMH D T ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE / �� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S"Z d1 DATE FEE PAID: 10 - 7 �� TYPE OF UNIT: DWELLING--`6THER CHECK# 31_� e CHECK DATEId 2--1 Q NOTES: C(51) ENF C ENT PECTOR 9/28/98 y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#532-04 DATE ISSUED: 12/1/04 Property Located at: 109 Congress Street UNIT#3 Owner/Agent: Jupiter Two LLC Address: 30 High Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 978-595-0100 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 I I"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 �►- qq CITY OF SALEM, MASSACHUSETTS r �y BOARD OF HEALTH Lt {..' �` • 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 1 1. TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CIAO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER Il, 105 CMR 410.000 MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �G/! �/�6 f/ __UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT =CONT BACK PLEASE CIRCLE ONE j� OWNERILESSEF( jrt/� �w6 L� C _MANAGER/AGENT l /dam/ /"I"n17 A,"' 7 No P.O. Box 7G i,/�� S� No P.O.Box 41- ADDRESS l /r� ADDRESS CITY_ P© o CITY RESIDENCE PHONE?('l f __ /d 0 BUSINESS PHONE (24 HRS-)73� BUSINESS PHONE7d/ -fr al-0 0 TOTAL NUMBER OF ROOMS: S nn ROOM USE: 1.- �� 2- 3 _._4-17 .��J, 5. 6.— s. — THERE IS A TWENTY-FIVE(525.00) FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM I_TH PARHIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR DATE INS! ECTCS USE ONLY DATE OF INITIAL INSPECTION t1" 3� (TAT E OF RONSPi-CI iON DAT1- Of ISAU,AidCF Oi t;Eillli KATE 1�' LAI I- Ilf, PAL) TYPE OF C.1NIT DWELLING oTHEN . CI iECK ;: a 44 (A IF-CK [)Ai I N�)IFti � C( )Ui I NI OIii :I %1I N IWwl I �)II