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CROSS STREET COURT CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 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#469-07 DATE ISSUED: 9/25/2007 Property Located at: 3 Cross Street Court UNIT# 1 Owner/Agent: A. J. Mirabito Address: 82 Constitutional Way City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 927-2542 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 J ANN�T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF :SALEM, MA,.SSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR 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 av, IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HION". PROPERTY LOCATED AT 31-C UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER ��� �� MANAGERIAGENT S.9nz No P.O. Box No P.O. Box ADDRESS _4�1'_ADDRESS /DO CITY . .rv�s CITY RESIDENCE PHONE_ BUSINESS PHONE (24 HRS.) fid' 77 -Z/L ti BUSINESS PHONE TOTAL NUMBER OF ROOMS: G+r 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 SIGNATUR .*;r � -DATE----- INSPECTORS ATEINSPECTORS USE ONLY DATE OF 'I`dITIAL INSPECTION �'a S '� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE _S D 7 DATE FEE PAID:-." Y-o TYPE OF UNIT: DWELL I�/I*— CHECK DATE a NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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 May 8, 2003 Anne Pecewicz 3 Cross Street Salem, MA 01970 PROPERTY LOCATED AT 3 Cross Street Ct Unit#2 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 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$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants'entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of of H� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT J 345-94 3 FEE: ..$ 25.00 .. . '�° •�s DATE: 5/5/94 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 9 NORTH STREET 508-741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 3 Cross Street Court UNIT 1 2 OWNER/AGENT Eddie Moura ADDRESS 12 Brentwood Drive CITY/TOWN -Peabody, MA ZIP CODE 01960 24 HOUR PHONE 532-9341 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 CODE ENFORCEMENT INSPECTOR HEALTH AGENT ,,�'•;� � - OFFICE USE ONLY UTZaL ' _ : �.. C1TY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 aoa� 9 NORTH STRFE= NFI.LTH AGEHT 5087tH-1800 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE KITH STATE SANITARY:CODE, ]CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT � st UNIT t OWNE$/LESSER �� ,^1/�OA MANAGER/AGENT ADDRESS �� K 121 ADDRESS CITY- CITY CITY RESIDENCE PHONE� BUSINESS PHONE (24 HRS.) -BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4 . 5. 6. 7. 8. THERE IS A 1WF,HTY-ME (25.00) DO P_4rLE BY CBECR OR HOHEY ORDER TO THE CITY OF SALEM HEALTH DUN COfO'L AHD ISSIIANCE OF CERTIFICATE APPLICANTS SIGNATURE DATE �S rP INSPECTORS A ONLY DATE OF- INITIAL INSPECTION: �—S �� DATE .OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S��S DATE FEE PAID: TYPE OF UNIT: DUELLING OTHER NOTES '/-- S� W«-d n �9 J q�� '"'1'",T �i x to A-c � Q�•�,..�ov4�t -" � CODE ENFORCEMENT INSPECTOR Rntr v CERT.# 647-00 ^g FEE $25.00 DATE: 10/11/2000 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: 3 Cross Street Court UNIT #: 2 OWNER/AGENT: Anthony Mirabito ADDRESS: 2 Enon Street, 2nd floor CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 232-0055 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 BOA,RJD�OIFHE:A.LTH )� 4JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR AP v CONDtT,(i Q if 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 ,: e,,t©SS `,(_ 74 - UNIT#_12 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE v MANAGER/AGENT No P.O. Box , L7 No P.O. Box ADDR/ES�S� ADDRESS / CITY �%/-L',Llia CITY /& RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONEQ-3,2- 0 0 SS 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. I d APPLICANTS SIGNATURE ` 2' ��� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ID -0 -CO DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE —0 -09 6 DATE FEE PAID:/6 / / 'CP TYPE OF UNIT: DWELLING OTHER_ CHECK# lio6 CHECK DATE J-/ v� NOTES: -/4 v a ti P CODE ENFORCEMENT INSPECTOR 9/28/98 i CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH 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 CERTIFICATE OF FITNESS CERTIFICATE#660-05 DATE ISSUED: 10/31/05 Property Located at: 10 Cross Street UNIT# 1 R Owner/Agent: Richard Turner Address: 30 Crescent Avenue City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-857-9192 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 JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ` CITY OF SALEM, MASSACHUSETTS / BOARD OF HEALTH 2 120 WASHINGTON STREET, 4TH FLOOR r/V0 ^J '\Y/► SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, 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 t( Ci✓OSJ 41194�_ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�fC(nr.✓! ( w 11 c/ MANAGER/AGENT No P.O. Box_ / I No P.O. Box ADDRESS -3 0 0/'4? ^r iT✓Lt ADDRESS CITY IYC`%�/ �� A- CITY g RESIDENCE PHONEOe /Z� 3 Fry BUSINESS PHONE (24 HRS.) 978' 80 q(qZ- BUSINESS PHONE L TOTAL NUMBER OF ROOMS: ROOM USE: 1_ 13 2 2. LK 3. I`I4. 13c 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 SIGNATUREP DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS— DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/b -ajL-jv 4_DATE FEE PAID: /D TYPE OF UNIT: DWELLINGk-`OTHER_ CHECK# / S' 3 CHECK DATE rb 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 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts R. !gulations 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 , !/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 a.�en:s from any less or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TET9ANT/LESSEE OWNER/iFSSOR 3u Ove Ove . 't�li . ADDRESS -- — --- - - - ADDRESS— --- ------- ADTIRESS OF UNIT TO BE INSPECTED (417 - -"-- CITY OF SALEM, MASSACHUSETTS ;. BOARD OF HEALTH a 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 CERTIFICATE OF FITNESS CERTIFICATE#659-05 DATE ISSUED: 10/31/05 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, 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 HHEALTH, JOi SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / n 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ^✓l ...••VVV��1 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT eWSS ��✓�V UNIT#2 ob00�'_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER*TiCL✓0 '/K-e.-" MANAGER/AGENT No P.O. Boer I No P.O. Box ADDRESS J� �C&,4- A✓e� - ADDRESS CITY Stvv`' CITY RESIDENCE PHONE476 927 39aBUSINESS PHONE (24 HRS.) 76 f-) 9/ r9 Z BUSINESS PHONE TOTAL NUMBER OF ROOMS: 7_ ROOM USE: 1_6 e 2. 3. i3� 4. L� 5. Icr � 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 �� Z INSPECTORS USE ONLY DATE OF INITIAL OF INITIAL INSPECTION/D�b'-U)L 'y d-_DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/D -� -o�DATE FEE PAID: /D - I-Y - o z� TYPE OF UNIT: DWELLING<OTHER_ CHECK # (-5_3 _CHECK DATE /0 'yY �a' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 f'CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 2 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY LISOVICZ, 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 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 expresEly 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 less or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TENANT/LESSEE 0' ER/LESSOR. -- - 0 V"QS(�vf It � RVQ ADD E,5 ADDRESS -ADDRESS OF UNIT TO BE INSPECTED F - -10 z