CROMBIE STREET ��CON01T
• w � s
�MM6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
01/22/2001 Fax:(978)740-9705
G. Kinney-Karin
15 Crombie Street
Salem, MA 01970
PROPERTY LOCATED AT 15 Crombie Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
i for Human Habitation.
Please notify us if you do not intend to rent the unit.
! Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
EOR THE OF HEALTH REPLY TO
I lI
Joanne Scott, MPH,RS,CHO PA13LO VALDEZ
HEALTH AGENT , CODE ENFORCEMENT INSPECTOR
3
7i
�1X lF?
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 11/29/99 Tel:(978)741-1800
Fax:(978)740-9705
G. Kinney-Karin
15 Crombie Street
Salem, MA 01970
PROPERTY LOCATED AT 15 Crombie Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m.- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
isnot a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
4OR
oanne_4t D REPLY TO
Scott, MPH,RS,CH0 PABLO VALDEZ
I ; HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 720-94
FEE $25.00
3
DATE: 08/24/94
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970
JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 15 Cronhie Street UNIT #: 1
OWNER/AGENT: Edward J Govette, Jr.
ADDRESS: 15 Crombie Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 743-6609
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE. IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANT.`: BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
mINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOS THE BOARD OF HEALTH /
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�y.Co.uq� e ..
e OFFICE USE ONLY
CERT.—I aZD!
a
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
9 NORTH STREEL
soa-Tat-teoo APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, ,CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ��� L �; s — .UNIT # _
OWNE LESSE MANAGER/AGENT /f/Oif'/Yl,¢ 77
ADDRESS is �ra Yh it i S7� - ADDRESS
��
CITY ��c�cl `» /y/QS$ 6 / ��GI CITY //,/7,�j2!/Lfil
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)o2CJ�G(o69
BUSINESS PHONE ? —
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. > £ 2- 82-lyoodm 3•
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 UPON CO LANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE DATE_ 2-
INSPECTORS
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: k '� `( 1 p� DATE .OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING_. OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
Uri 1 1190,4
CITY OF SALEM
LIEALTH DEPT-
s' COPN,�
a
'u°�a�+m+c 00"8'1 �P¢ ,� �✓�si}�� �I
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH AUG 1 j 1994
Salem, Massachusetts 01970 gg
CITY OF SALLNAORTH STREET
508-741-18'00 IIFALTII DEPT.
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 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, I/we
expressly authorize the .same and for my/our successors and assigns hereby release
and discharge the City of Salem, Salem Board of Health and its authorized agents
from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TENANT/LESSEE OWNER ESSOR
ADDRESS ADDRESS
l� erc) 'Ind��
ADDRESS OF UNIT TO BE INSPECTED
2-
DATE
DATE
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HIAGENT Tel:(978)741-1800
Date: 0 6/01 198
98 Fax:(978)740-9705
Matthew Power
17 Carlton Street
Salem, MA 01970
PROPERTY LOCATED AT 15 Crombie Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH, RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
• CERT.II 136,94
FEE: ,-$ 25.00 -.
DATE: 3/8/94
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN - 9 NORTH STREET
HEALTH AGENT
508-741-1800 -
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT 15 Crombie Street UNIT 1 2
OWNER/AGENT I.O.M.H: Trust
ADDRESS 15 Crombie Street
CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 745-7929
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
I%�J\ - -
ROBERT E. BLENKHORN, C.H.O.
HEALTH AGENT CODE ENFORCEMENT INSPECT
V.
v f . OFFIg8 USE ONLY
✓ �'-� yyt „fit ` t ' � f � t +�r�,>. ..
J
ti ' 4K.:. ^.OATH:
CITYOF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
-: 4ME HORM 9 NORTH STREEL
HEALTH AGENT
508.7tt-1800 APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUNAN HABITATION". (��j
PROPERTY LOCATED AT �//��� �J / UNIT i
OWNWLESSER.0-4, /7 CIZb0W47 ��4/�T NANAGER/AGENT 7
ODDNESS l �hUJy/ ?®_ �J ADDRESS
CITY CITY
RESIDENCE PHONE �577�i14 BUSINESS PHONE (24 HRS.) TJ /
-.-BUSINESS PHONE —
TOTAL NUMBER OF ROOMS: / 4.
ROOM USE: 1 . 10_ 169eu 2: Lj/�{
Q 5. 6. 7. 8.
THEME IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT UPON COMPI CE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE 4ciyl� DATE
INSPECTORS A ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION r�
DATE OF ISSUANCE OF CERTIFICATE: yj ' g DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
• - - - COpoI{�
. Y 4
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT I- BLENKHORN - 9 NORTH STREET
HEALTH AGENT
508-741-1800
DATE: February 25, 1994
Crombie Street Realty Trust
Norma A. Smigowski et ali Trustee
4 Hylo Drive
Danbury, CT 06811
PROPERTY LOCATED AT 15 Crombie Street UNIT 0 2
DEAR SIR/MADAM:
It has come to our attention, that you are about to allow rental of 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.
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 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, 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 upon issuance of Certificate.
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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY
Very tt(ily'yours,
FOR THE BOARD OF HEALTH REPLY TO:
.0 E
�It
Robert E. Blenkhorn, C.H.O. PABLO VALDE•Z
Health Agent Code Enforcement Inspector