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CROSS STREET �DND City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PPURh revent. Promote. MA 01970 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-16-418 DATE ISSUED: 10/25/2016 Property Located at: 3 CROSS STREET COURT UNIT#2 Owner/Agent: Anthony Mirabito Address: 8 Nichols Lane City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone:(978) 777-2122 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. J y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARJAZ 1 - CITY OF SALEM, MASSACHUSETTS ' • BOARD OF HEALTH 120 WASHINGTON S'IRFET,4O'FLOOR TFL (978) 741-1800 KIMBERLF:Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN anv SALPM.CDM LARRY RAMDIN,RS/REIAS,CIAO,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��? 3,3 J j1 C7'• UNIT# IS THIS UN//rrnF DISIGNAT[/ED AS RIGHT LEFP FRONT OR BAC PLEASE CMCLE ONE OWNER/LESSER i? 0 (i/l /�S/� MANAGER/AGENT ADDRESS A4 C,� rJ l.(' J 4n/,0�� ADDRESS CITY, STATE,ZIP /✓(i d([.�Q 7U /yVT CITY, STATE,ZIP RESIDENCE PHONE / 7� ' -7 7 z 1 Z Z BUSINESS PHONE(24HRS) g r ? - BUSINESS PHONE TOTAL NUMBER OF ROOMS: c� ROOM USE: 1. IOPe 2. 094 3. D-Pd 4. lc. tL ) 5. p, 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 e DATE /DZZ mm Inspectors use only q Date on initial inspection: 1 DALA 1201-e, Date of reinspection: Date of issuance of certificate:'l V-20-016 Date fee paid: q Type of unit: Dwelling V Other rr Check#Check date:�2�/2/9 Notes: CSte/ } ec� �'yye��etA *ecement I ector Inspecton of�A GCYN? Date —Time .- / 1 Name ff Address ?(—Of,5-S/ b P�' 'l_Loclr7 Owner A-n 1, //�ir q(��-�-�1 t— Tel. No. �1���'t�L /p'"�g75 Type of Inspection Cz �'I A-I'c-a , as-ri"i+hGSS Inspector ✓dZjr v P41"rW ( ' ) Remarks and Violations are listed below: W eY SaS VI 0 W, dArgr Lf r G� d f n CS (y1 /I AWer . L4 .__gylE 1 jPart�d f P, SG/e?fn LjU -} fPyGr I t 4 9e. E S n 1hg�oS S 1 l e4"IaL4.11f r 'r,"Ont t OWner /avl pn"is corrvr I��O_�r� 1p �(=mer//Ul , c+G 4P, a Iern Boa of gen i 'h �o SGkv u. )e rAe-111S twy,o)�,'Diis are cor a V w ` f10 to o. ore, forre41tOl1S Gc� rnr� _Jli_a-4-itme.1y matinetse NO lectA 1'4�1 Er J'a A Report Received by: CITY OF SALEM, MASSACHUSEITS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PublicHC8lth r.e.om.romom.rroi«r. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL. lramdin(a)salem.com - L,ARIiI'1L\MD1N,RS/REI-IS,CI-10,(:I'-ISS MAYOR Hum:PFI Ac;INT CERTIFICATE OF FITNESS ---- DATE ISSUED: 8/26/2013 Property Located at: 8 Cross Street UNIT# 1 st Right Owner/Agent: Robert Conrad Address: 82 North Street City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: 508-641-6979 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 ALTH l LARRY RAMDIN HEALTH AGENT SANITARIAN n m I[ � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J 120 WASHINGTON STREET,47 FLOOR PublicHeaith rrc.mi.Promom.Pmite. TEL. (978) 741-1800 FA1(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LAltlty RA h1DIN,RS/KIFIS,CFIO,Cl'-FS MAYOR HCiAM 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" FEE: $50.00 XLI PROPERTY LOCATED AT SS UNIT#� U�f IS THIS UNIT DISIGNATED AS RIG EFT FRONT OR BACK PLEASE CIRCLE ONE OWNERLESS MANAGER/AGENT NO P.O. BO ADDRESS Y }�f ADDRESS CITY, STATE, ZIP 7`7//L ��/�P/( / �QAC Y, STATE,ZIP_���d E E PHONE �6 3 a 1J HONE(24HRS) k_ r e L (1/ HONE 6_ TOTAL NUMBER OFZ27__� :ROOM USE: 1 ' 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 SIGNATUft — DATE 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: C i rcement Inspector � Lf CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHealth 120 WASHINGTON STREET,4. FLOOR TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salein.com salem.com LARRY 1LAMIJIN,RS/REIIS,CHO,C11-PS MAYOR - - Hu'AMI-I AG INT CERTIFICATE OF FITNESS DATE ISSUED: 8/26/2013 Property Located at: 8 Cross Street UNIT#2nd right Owner/Agent: Robert Conrad Address: 82 North Street City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: 508-641-6979 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 G LARRY RAMDIN HEALTH AGENT SANITARIAN m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4ui FLOORPubhcHealth Prevent,Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY RAD�IDIN,RS/R7i;FIS,CHU,CP-PS HF.AI.II I AGFNf 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 P ( C C y;S THIS UNIT DISIGNATED AS RIGHT LEFT F oNT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX XM ADDRESS ADDRESS CITY, STATE,ZIP p 6Dl�� , STATE,ZIP /� S ENCE PHONE`C�0140/F3-a©_2e �J PHONE(24HRS) (f(f_ C� HONE62 I � W 7o?. R3 TOTAL NUMBER OF ROOMS: ROOM USE: Ck 2X 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 ISP YAB AT THE TIME OF INSPECTION APPLICANT'S SIGNA DATE2� Inspectors use only Date on initial inspection: 'R I A61[13 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Cf66ernent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR OCRcaNBAUM@.SAI.rM.COM DAVID GREENBAum,RS ACTING HEAL'T'H AGENT CERTIFICATE OF FITNESS CERTIFICATE#106-11 DATE ISSUED:4/8/2011 Property Located at: 8 Cross Street UNIT##3 first left Owner/Agent: Robert Conrad Address: 82 North Street City/Town: Andover, MA Zip Code: 01810 24 Hour Phone: 508-641-6979 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 DAVID &UM, RS ACTING HEALTH AGENT CODEF RCEMENT INSPECTOR ' CITY OF SALEM, MASSACHUSETTS r i BOARD OF HEALTH 120 WASH] STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGJA; NBAU169@SALEW.COM DA\rID GREENBAum,RS 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 � p Qom/ J PROPERTY LOCATED AT � li,�-�S <� ��.1�7-"�1�I / ' � UNIT#�\/___��I IS IS UNIT D,/I�GAN,AT�JE,Dy�AS RIGHT LEFT FRONT OR BACK,PLEASE CIJRCLE OWNER/LESSE is (i%//tl l� M ) � /l�/ OPJ jlrC15� NO P.O. BOX p� / ADDRESS_ _ ✓(/ �/ ✓ y}�yy�� ADDRES _ CITY, STATE, ZIP7,�f Dap/ /�//7 0� CITY, STATE RESIDENCE PHONE nnT/ppsQQ'(p t�f 3' r�� BEI7SYF7�FON E &KL-ng-/-��7 p TOTAL NUMBER OF ROOMS:: � 10-1 ROOM USE: zzw1�1rlwt1 6. 7. 9. 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 t C� C 'Y DATE ate/ Inspectors use only Date on initial inspection:_ Date of reinspection: Date of issuance of certificate: I' I I Date fee paid: %/I I Type of unit: Dwelling--I/Other-Check# 3 8 I Check date: Notes: Code En rcel ent Inspector .oCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �PSo SALEM, MA 01970 = y� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT July 9 2003 Richard Turner 30 Crescent Avenue Beverly, MA 01915 PROPERTY LOCATED 10 Cross Street Unit# 1 It has come to our attention that you may be considering renting a dwelling unit at the above Y Y 9 9 9 address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Hea h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS o k BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Fax 978-745-0343 W WW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayo( HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#97-07 DATE ISSUED: 3/812007 Property Located at: 10 Cross Street UNIT# 1F Owner/Agent: Richard Turner Address: 30 Crescent Avenue Cityrrown: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-979-9695 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 y�yz-vr�- J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ��yy BOARD OF HEALTH n xr• 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 l Ij ,••C�_..�\ j/ 40) TEL. 978-741-1800 FAX 978-74S-0343 JOANNE SCOTT, MPH, HS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". ({ } j �IrezJ_ _UNIT k_ PROPERTY LOCATED AT 1 l> � �....,_ IS THIS UNIT DESIGNATED AS RIGHT LEFT -RON BACK PLEASE CIRCLE ONE yam,., .- OWNERILESSER 1` 1C �-��vJti, -- MANAGER/AGENT -. No P.O. Box No P.O.Box ADDRESS Q C� ZYG'� Ave, _ADDRESS_ __ CITY J _.._CITY_ -- G RESIDENCE.PHONE�77L1 r Z? ?Ii�fd BUSINESS PHONE (24 HRS.) q76 BUSINESS PHONE �u �_-7q(�Z TOTAL NUMBER OF ROOMS: _- ROOM USE'. 1. 2 -._+ 3._( �Jt�_ 4 _ G.-!t/j�_ THERE 1S A TWENTY-FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEAi TH DEPARTMENT THIS FEE IS PAYABLE AT 1HE TIME OF INSPECTION. APPLICANTS SIGNATURE ___ tt_ _ __ ______---__—._.DATE_ ,�/_ ?1 INSPECTORS USE ONLY DATE OF fNiTfAL it1PECTIG'N ' --w 7 DATL OF REINSPEC110N DATE OF ISSUANCE OF CERTIFICATE 3-9` 7 DATE FEE PAID 3 y 7 TYPE OF UNIT DV:'ELLIt OTHER CHECK ;: CHECK D^,TL 3 J p NOTES: CODE ENFOI' CCMENI INSPECTOR I 3. CERT.# 362-95 FEE $25.00 DATE: 06/13/95 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: 10 Cross Street UNIT #: 1st Rear OWNER/AGENT: John Laforme 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 ,OOFF .HEALTH qvivx�I �Q JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT - CODE ENFORCEMENT INSPECTOR OFFICE USE, ONLY • _ • CERT. # 7,..7 DATE: CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(506)741-1800 APPLICATION FOR CERTIFICATE 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 ATlV cloSS UNIT / OWNER/LESSER —,h#10 1�FUR/V(F MANAGER/AGENT ADDRESS yT Z-,eoq b #V6, ADDRESS CITY RoLUL `( tT S , (�� � �' CITY RESIDENCE PHOIiE�3�© G/t{�j^.2�z{o BUSINESS PHONE (24 HRS.) T BUSINESS NB TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2._Fpp?to/L 3. FXQ1Z00nM 4. 5. 6. 7. B. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE(-- ' 1` Yo- Tyr.. �., DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ���3� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: / 'r(J DATE FEE PAID: TYPE OF UNIT: DWELLING' OTHER _ NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL.978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 10/18/05 Richard Turner 30 Crescent Avenue Beverly, MA 01915 PROPERTY LOCATED AT 10 Cross 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 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 q"'x oanne Scott MPH, R Pablo Valdez Health Agent Code Enforcement Inspector 0 CITY OF SALEM, MASSACHUSETTS ' �� '� BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR ` SALEM, MA 01970 CERT.# 407-02 ' , FEE $25 .00 g���M1ll� TEL. 978-741-1800 FAX 978-745-0343 DATE: 08/05/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Cross Street UNIT #: 2 OWNER/AGENT: Richard Turner ADDRESS: 30 Crescent Avenue CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 857-9090 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 . OR THE BOARD HEALTH HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR _ CITY OF SALEM, MASSACHUSETTS co • I-4F BOARD OF HEALTH O^�d� 120 WASHINGTON STREET, 4TH FLOOR / M SALEM, MA 01970 9 . TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I 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". PROPERTY LOCATED AT UNIT#Z I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /` (C)W V'J U✓`^P/ MANAGER/AGENT - e No P.O. Box ��yy No P.O. Box. ADDRESS �Ci✓��K ADDRESS CITYCITY RESIDENCE PHONE T2 7 3SO BUSINESS PHONE (24 HRS.) .978 8f-7 7o,7o BUSINESS PHONE TOTAL NUMBER /OOF BROOMS: / ' ROOM USE: 1. 2. 3. ,j 5. 6. J 7. 8.# ' THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE'SY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS-PAYABLE.AT THE TIME OF INSPECTION. A//( / /,wI ` 1I APPLICANTS SIGNATURE �///� ,.CVF- DATE y � Z- j INSPECTORS USE ONLY ;I DATE OF INITIAL INSPECTION A ' v DATE OF REINSPECTION t DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:Sr' TYPE OF UNIT: DWELLINQ OTHER CHECK#--�'-? 2 CHECK DATE NOTES: a A CODE ENFORCEMENT INSPECTOR _ 9/28/98 . r • r L yY1¢� L. j C SSb7A Fi , CITY OF SALEM, NLASSACHUSETTS BOARD OIC HEALTH 120 WASHINGTON STREET,4'°FLOOR PublicHeat4h TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL liamdin@salem.com LARRY ILVMI)1N,Rti/Rlaa IS,CFI(?,C11-PS bIAOR HI?A1:n I AG 1 SNI' CERTIFICATE OF FITNESS CERTIFICATE#238-12 DATE ISSUED: 6/15/2012 Property Located at: 10 Cross Street UNIT#3 Owner/Agent: Richard &Elaine Turner Address: 30 Crescent Avenue City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 857-9090 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 LA RAMDIN HEALTH AGENT SANITARIAN Y CITY OF SALEM, MASSACHUSETTS M I! � BO<1RD OF HEr17.:PH �S,41 120WASHIN�ON-STREET 401 FLOOR 78) 741-1800 7 -)9TE KIMBERLEY DRISCOLL RA 9 11 MAYOR LaAMIANeSALE LCOM LARRY RAMOIN,RS/REI IS,CHO,CP-FS HHAI,III 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 St S nj Penn AWA OI ci 70 UNIT# .3 A,&- IS THIS UNIT DISIGNATED AS RIGHTL F FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER R FCh ��GLI hr me f MANAGER/AGENT 7 — NO P.O. BOX ADDRESS :30 Cr-e-scz4i ADDRESS CITY, STATE,ZIP 13y.� 04A CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) _ BUSINESS PHONE 7 2L R: —q6r TOTAL NUMBER OF ROOMS:_ 3 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE (I L Inspectors use only r Date on initial inspection: 6 1 1 I I a Date of reinspection: D S Date of issuance of certificate: Date fee paid:_ Type of unit: Dwelling Other Check Al M 9 Check date: Notes: ���IOUI� fl�Q IY1 (��� 0 d&d--j{S -t wove �P �Ul 0 ()Y,A 'bTY) 125k1 DAZU l ��UIVt�f_O� -Cczo�� C utsc� zyj c� �cQ�ace, c�41 0 � n Uji lXtn15, Coe cement Inspector q, pec ia) -Ct 0 UrO 1 L-A16, f C01 ifC��-'41k- f-�:• . .. - co.v, .. CERT-6 760-93 • t s a FEE: ..$ 25.00 -- _ 'Z a DATE: 9/23/93 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT ' SM-741-1800 . CERTIFICATE OF FITNESS PROPERTY LOCATED AT 14 Cross Street UNIT I 1 OWNER/AGENT V Paaalardo ADDRESS 6 Dearborn Lane CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 745-1156 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 ROBERT E. BLENKHORN, C.H.O. HEALTH AGENT CODE NF RCEMET INSPECTOFV J�` f t0RWt4 •• OFFICE USE ONLY CERT._.-# "•o4rrvs N"� DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 -RO9EAT-E,8L-ENKHORN4 - 9 NORTH STREET HEALTH AGENT 508-741-1800 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—/// � G�IZt UNIT OWNS /LESSER Il• PLS p MANAGER/AGENT ADDRESS (o ::DP,J"waboeio ) ADDRESS CITY S! l 14�>jr1 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: d 01- ROOM USE: 1 . � kttehpit'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 UPON UPON COMPLIANCE AND ISSUANCE OF CERTIFIICCATE. m APPLICANTS SIGNATURE 11?f/(T J✓>iA �11d � DATE f�p�TlS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ?j 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: — f TYPE OF UNIT: DWELLING_ OTHER NOTES: CODE ENFORCEMENT INSPECTOR ,a�rdlNMi�� CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508.741.1800 DATE: September 8, 1993 Victoria Papalardo 6 Dearborn Lane Salem MA 01970 PROPERTY LOCATED AT 14 Cross Street UNIT A 1 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 S ELECTRICITY Very ttuly yours, FOR THE BOARD OF HEALTH REPLY TO: Robert E. Blenkhorn, C.H.O. PABLO VALDEZ Health Agent Code Enforcement Inspector ��CONUIT��Q CERT.# 434-00 r a f e FEE $25.00- DATE: 07/05/2000 �9BcMrrie pot+' 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: 17 Cross Street UNIT #: 1 OWNER/AGENT: Stephen T. Wright ADDRESS: 15 Cross Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0451 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 BOTH 1 (l7/yJJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR # rr n � MINB 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 1 -7 C �''� S T UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SWLeAr Yh)ee /M MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS +�� 5' S° ADDRESS CITY /J l m_ CITY RESIDENCE PHONE Z Vntl— qS'/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE '7L/4,(—" )s /4> TOTAL NUMBER OF ROOMS: ^�, A ROOM USE: 1. 1''�' a 2. �eVt . a�4lad. GK-c 5. &D & 6 C_D7. ika8H1 Jl k^fi 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 - ,le0A INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONLfC`k,36 DATE OF REINSPECTION v DATE OF ISSUANCE OF CERTIFICATE: ?--,757- 0 GbATE FEE PAID: D_:2— b TYPE OF UNIT: DWELLINGV OTHER_ CHECK#_ LCHECK DATE U `� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 3 ^W,y�fB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/27/99 Tel:(978)741-1800 Fax:(978)740-9705 William Attridge 15 Cross Street Salem, MA 01970 PROPERTY LOCATED AT 17 Cross 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 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. FOR THE BOARD OF HEALTH REPLY TO oanne Sco t, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i •-'­Nr IMPORTANT MESSAGE FOR— [DATE OR DATE s` TIME /S-P.M. OF PHONE AREA COOE NUMBER EMENSION O FAX ©� ❑ MOBILE AREA CODE OUM'JER TIME TO CALL TELEPHONED P EASE CALL CAME TO SEE YOUWILL.CALL AGAIN WANTS TO SEE YDU RUSH RETURNED YOUR hZ WILL FAX TO YOU. MESSAGE I / s.� 5 T. SIGNED WrWraps. FORM 4009 V��7. MADE IN U.S.A. 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 04/04/2001 Sophia Whalen & c/o Norman Walczak 28 Baldwin Street Peabody, MA 01960 PROPERTY LOCATED AT 19 Cross Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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. E - THE BOARD OF EALTH REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR r • CERT. 428-94 FEE: $ 25.00 DATE: 6/8/94 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTr'MP'RS`CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 19 Cross Street UNIT 1 1 OWNER/AGENT Emily Wbalen ADDRESS 19 Cross Street CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 524-5335 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 / \// Jy COCO E�MENT INSPE 7 R �— HEALTH AGENT � , . 0050 OFFICE USE ONLY CERT. # �jpq �J� —�— f ' 1 p o ATE: CITY OF SALEM HEALTH DEPAg T G9 BOARD OF HEALTH 1' Salem, Massachusetts 01970 ��� 7 199 CITY OF SALEM 9 NORTH STREET 508-741-1800 APPLICATION FOR CERTIFICATE OF FIiMb"TH DEPT. IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". t 5 C� 1 PROPERTY LOCATED AT UNIT S $,.T/, OWNER/LESSERE/11Ly (,tel-ffflAF j MA3=0 Nboi040 V_2At ADDRESS I -\ CfLosSij ADDRESS F1 Lb WIN S i CITY 5 CITY RESIDENCE PHONE >_3 ?,-2-Jo3o BUSINESS PHONE (24 HRS.)S 33, BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 . Kj�r2� 2. �(iU Ae_ U 3. �/L�—,I_p11� 4 . GsID 5. (a S l 6. 1�X17 7. `' 1 1� 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICAHiS SIGNATURE �` INSPECTORS // USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: h �( TYPE OF -UNIT: DWELLING4 OTHER NOTES: CODE ENFORCEMENT INSPECTOR y CITY OF SALEM HEALTH DEPARTMENT BOARD_..OF_ HEALTH_ •, Salem, Massachusetti"0`1970` ' 9 NORTH STREET 508-741-1800 RELEASE In accordance with Massachusetts General Laws Chapter Ill ; Code of Massachusetts .Regulations 4-10.000 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 d'escri'ption 'occasioned by my/our absence during said inspection. TENANT/LESSEE OWNER/LESSOR 15C,� Si ADDRESS ADDRESS I I Gi CC ADDRESS OF UNIT TO BE INSPECTE Y DATE .c' _ - - . To ❑ Oate�Time l ,52--30 &A MN YOU WERE OU"� T M / of d, Phone U Area Code mbar Exten TELEPHONED PLEASE CALL ICALLEDTOSEEYOUl I WILLCALLAGAIN WANTS TO SEE YOU URGENT RETUR D YOUR CALL Message Operator � AMPAD REORDER ®EFFICIENCY® e23-000 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: 06/03/96 Fax:(508)740-9705 Anna & Edward Jaglowski 18 Symonds Street Salem, MA 01970 PROPERTY LOCATED AT 20 Cross Street UNIT # House 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. SEF ENCLOSED SECTION 105 CMR 410 ,354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR A� 07;, CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/12/99 Fax:(978)740-9705 Libby Realty & Investment Trust, Nancy Jean Patrie, Trustee 26 Cross Street Salem, MA 01970 PROPERTY LOCATED AT 26 Cross Street UNIT # I 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. li 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 8:06 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 foreach 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. F;r:T7E BOARD OF HEA—LT-H REPLY TO �Ibanne. Scott, MPH,RS,CHO PABLO. VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR G� � � ��' -� ' ����a ��� �/� �/�� • M1 R 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT _ Tel:(508)741-1800 Date: 06/20/96 Fax:(508)740-9705 Libby Realty & Investment Trust, Nancy Jean Patrie, Trustee 26 Cross Street Salem, MA 01970 PROPERTY LOCATED AT 26 Cross Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General 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 OFHEALTHREPLY TO - Joanne Scott, MPH,RS,CHO PA13LO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + + BOARD OF HL-'ALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR llGABI?N6AUM(Cr)SALC M.COM DAVID GRF.ENBAUM ACTING HI.AI.,TFI AGENT CERTIFICATE OF FITNESS CERTIFICATE#646-09 DATE ISSUED:12/23/2009 Property Located at: 26 Cross Street UNIT#.2 Owner/Agent: Wendy Samuels Address: 4137 Duquesne Avenue City/Town: Culver City, CA Zip Code: 92032 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 DAVID GREENBAUM ACTING HEALTH AGENT CODE E F CEMENT INSPECTOR HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dec 23 2009 5:02pm Last Fax Date Time I= Identification Duration Result Dec 23 5:02pm Sent 919784539150 0:35 2 OK Result: OK - black and white fax poo yly 1,1 qp� LOW W7 8TQ 0 lul mfoR Ey vol • CITY OF SALEM, MASSACHUSE"T"TS BOARD OF HEA1,TH 120 WASHINGTON STREET,4tn FLOOR TEL. (478)741-1800 KIMBERL.EY DRISCOLL &1x(478) 745-0343 MAYOR DC'3LF'PNIihUM,( SU Fit t'()M DAVID GREENBAUM ACTING HEAL T1 I AGENT Facsimile Transmittal TO: almti(rr tA- .Fax# 4/� RE: Date : / �/.'���� I Page(s): including this cover# G- Message: Board of Health News ---------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON S� i /Xv)c v CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASI-IINGTON STREET,4'"FLOOR � 1l�JY TEL. (978) 741-1800 KIMBERL EY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUN12SALIN 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 #� II'S THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE T O WNER/LES .R t/V 4L �'V S C�M�t � S MANAGER/AGENT ��C7 II E, " ''� NO P.O. BOX ADDRESS L1 1 3 Ll �2 S c. DRESS 6 Cross )T CITY, STATE,ZIP l (�`ye,r C.I ' V\ 1CIT, STATE, ZIP S 0.203 _L , O 19-6 RESIDENCE PHONE 3I 0 -�5 03 "1Z 3 5 BUSINESS PHONE(24HRS) BUSINESS PHONE [J TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BYgffhqK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE T TH IME- F INSPECTION APPLICANT'S SIGNATURE DATE Ins ors use only Date on initial inspection: lah00, Date of reinspection: �^ Date of issuance of certificate: 1, ��� lDate fee paid: Type of unit: Dwelling ✓Other �`Check# aLl Check date: Notes: C ' / 1r) GV Cod of rcement Inspector �►, �N City of Salem, Massachusetts U'S 0 4 n Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 Prevent. Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16386 DATE ISSUED: 10/7/2016 Property Located at: 26 CROSS STREET UNIT#3 Owner/Agent: Wendy Samuels Address: 24 Winthrop Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(310) 503-9255 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. e.-t-� e re $ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN M CITY OF SALEM, MASSACHUSETTS �t BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR LRAMD1NgSMEM.CDnt LARRY RAMDIN,RS/REHS,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:: $550.00 PROPERTY LOCATED ATy6C `1S S J 1 - UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Wt,t-" &hm-Ji?' -S MANAGER/AGENT NO P.O.BoxI ADDRESS ZN "V-0 P S` ADDRESS CITY,STATE,ZIPSP<�1r� �A CITY,STATE,ZIP 011'10 RESIDENCE PHONE BUSINESS PHONE(24HRS) 3 1-1,55 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: I. Llv, RPI, 2. f2dt�Q 3. Vhf 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 FEEPSS AY LE T TIME OF INSPECTION APPLICANT'S SIGNATURE /I,L�l DATE to -) ' 110 Lectors use only Date on initial inspection: 10/0�{�.2a1 Date of reinspection: Date of issuance of certificate: Date fee paid:9042% Type of unit: Dwe ' Other Check#,2.j2 Check date: ( 9V_2Q P r Notes: 1c`'_..snfl e4c Is rn 4L pnpcz5f &,,aqyi 14. reement I pector - ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN&SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. e ant/Le se Owner/Lesso a(a CAMS S-t - ay w < N-PV-() P ST, Address Address ,� '7c0 cess - Address on unit to be inspected /0 �• 1 Date updated 5/23/1I