Loading...
CYPRESS STREET J CERT.# 187-97 3 9t FEE $25.00 DATE: 03/27/97 MrB 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: 1 Cypress Street UNIT #: 2 OWNER/AGENT: John & Beverly Pasauarello ADDRESS: 1 Cypress Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5261 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 n J nnw- CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTF,MPH,RS,CHU NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE KITH STATE SANITARY'CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT I OWNER/LESSER NAGER/AGENT ADDRESS -__ I:� � ADDRESS — CITY CITY RESIDENCE PHONE 75� �� BUSINESS PHONE (24 HRS.) BUSINESS PHONE / fQ i�- TOTAL NUMBER OF ROOMS:_ ROOM USE: I . ���3.-����. 5. 6. 1? 7, g, 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 DAM _ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: q 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: — p, TYPE OF UNIT: DWELLING �( OTHER NOTES: TSV CODE ENFORCEMENT INSPECTOR h i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 ' ({1u ,t."1 � y JOANNE SCOTT,MPH,RS,CHO ,y, r y t r„: .i p, : . 1 y NINE NORTH STREET HEALTH AGENT •' ` ` °` , ' 'r r Tel:(508j741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts Ceneral Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter;rII and Article XIII of the Cifp" of-Salem Oidinance, .undersigned owner,/lessor and .tenant/lessee of a unit or 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 agE:ais fror,nany loss or injury sustained of whatever nature and descr'iption occa'sirneci by my/our. absence during said inspect -ani mj TE A T/LESSEE OWNER/LESSOR — ----- ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED L� �L'�� DAT CITY OF SALEM BOARD OF HEALTH Sa)em, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET. HEALTH AGENT Tel:(508)741-1800- Date: 03/18/97 Fax:(508)740-9705 John & Beverly Pasquarello 1 Cypress Street Salem, MA 01970 PROPERTY LOCATED AT 1 Cypress 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. of this notice. 508 741-1800 Contact this department within 24 hours of receipt ( ) 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. SFE 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 r lea- CITY a- CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH . Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT - 508-741-1800 DATE: At WE t s X4912 Ic 5_ 0, Alew . w,4 Dlg70 T PROPERTY'LOCATED AT�Q�L UNIT O DEAR SIR/MADAM: Ithascome 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 I11 , 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 withiri 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 ✓k ELECTRICITY Very rimly-yours, FOR THE BBOAQRD,, OF HEALTH REPLY TO: pp Robert E. Blenkhorn, C.H.O. Health Agent Code Enforcement Insp for CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 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# 399-06 DATE ISSUED: 8/15/2006 Property Located at: 4 Cypress Street UNIT# 1 Owner/Agent: Andrea Twomey Address: 40 Barton Road City/Town: Stow, MA Zip Code: 01775 24 Hour Phone: 978-852-0650 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 j JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �: 'h'?. �...�;�{ � t-.r;�"e '" .- f.:.•: Jt-M.+ Pryn- ,., ; , ...,.._., ..,,- '{a� sii CCTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHtNGTON STREET, 4TH FLOOR SALEM. MA 01978 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS S IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT-�� � �i , - r UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 'y7 OWNEAtLESSER _MANAGERtAGENT 1r � . No P.O. Box - No P.O. Box ✓j ADDRESSADDRESS C CITY 6 t)/ . Yl�l� - L t7 CITY--'5 — �/ �s s� RESIDENCE PHONE BUSINESS PHONE (24 HRS.) q, 67),-00p 60 PHONE--- ter""-----.--� BUSINESS PHONE-- TOTAL NUMBER OF ROOMS: / 1 �4tUnQ� ROOM USE: 1: ➢� 2. j r 3 14. � {G� ���� �j U � THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MON ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. /� APPLICANTS SIGNATURE ._. ,__DATE__.J31-JJ S CTOR U ONLY DATE OF INITIAL INSPECTION! '-/_,I._ _ DATE OF REINSPECTION �/ DATE OF ISSUANCE OF CERTIFICATE Z?'_!J DATE FEE PAID:__ TYPE OF UNIT: DWELLING OTHER CHECK H -3 7 -3o?_ CHECK DATE 5 NOTES:, 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 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#291-07 DATE ISSUED: 6/26/2007 Property Located at: 4 Cypress Street UNIT#2 Owner/Agent: Andrea Twomey Address: 40 Barton Road City/Town: Stow, MA Zip Code: 01775 24 Hour Phone: 978-852-0650 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 Cmr OF SALEM, MASSACHUSErrs `• + 80AR0 OF HEALTH 120 WASHINGTON STREET,47H FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0349 ' STANLEY USOVICZ.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 Co P`f�'5 f2- fAft+ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE - OWNER/LESSER yfel (1 _MANAGER/AGENT No P.O. Box No PClea .O.Box A ADDRESS O f- y) ADDRESS.111. R-F{ CITY�- i-- CITY GY✓j RESIDENCE PHONE BUSINESS PHONE (24 HRS�./) ! -0650 BUSINESS PHONE -; 1 ohn �BYV e TOTAL NUMBER OF ROOMS. ROOM USE: 1 2UIrW)l _3.k( _4.&° 7�f THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM LT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ---DATE__,61 1 I E ORS U NL DATE OF INITIAL INSPECTION .a b.. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,/. DATE FEE PAID: TYPE OF UNIT: DWELLINI�I OTHER CHECK k CHECK DATE 6 - 0- 6 `U ? NOTES: CODE ENFORCEMENT INSPECTOR 9/28.+98 City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, PnbliCHealM MA 01970 Prevent Prnmote. 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-16.54 DATE ISSUED: 2/19/2016 Property Located at: 61/2 CYPRESS STREET UNIT#2 Owner/Agent: Bakr Fakhri Address: 6 1/2 Cypress Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(339) 224-2227 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 U BOARD OF HF-1LTH 120 WASHINGTON.STREET,4"FLOORv,.. m Promote.protect, TEL. (978)741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY RA MDIIN,RS/RLIiS,CHO,CP-FS HEAi.Tii 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: $50.0 / 0 PROPERTY LOCATED AT lV /?: (� P-Z ((J\ , UNIT# IS THIS UNItT"DISIGNAT AS RIGHT LEFP FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSS(ER_2�(r 0.pt���r MANAGER/AGENT ADDRESS Vf2 C w (�resbS ADDRESS CITY,STATE,ZIP_ Sn Matic CITY, STATE,ZIP RESIDENCE PHONE 3aj j 2 12 2.. BUSINESS PHONE(24HRS} 2 2 2 BUSINESS PHONE TOTAL NUMBER OF ROOMS:____ 1 p ROOM USE: 1. Li✓i nq 2. _ r 3. K .Ct� — 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 FEEEIIS jP}�AYABLE�AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE U,)` "'-��'�'�'"" DATE 2/1�'r I C. Inspectors use onlX Date on initial inspection: 024 12-016 Date of reinspection: Date of issuance of certificate- /CJ21ir f2nDate fee paid: OZf2�j( Type of unit: Dwelling Al Other Check# Z03 Check date: 0?�.1`,6�ZQ?b Notes: #nf ement ector City of Salem, MassachusettsIV Board of Health 120 Washington Street, 4th Floor, Salem, P1 th 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-15-165 DATE ISSUED: 7/10/2015 Property Located at: 61/2 CYPRESS STREET UNIT#3 Owner/Agent: Bakr Fakhri Address: 6 1/2 Cypress Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(339) 224-2227 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 SANITA IAN CITY OF SALEM, MASSACHUSETTS • / BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINQ[ AJEM.COM LARRY RANIDIN,RS/RHI IS,CHO,CP-FS H EA L PI-I AG I.NI' 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 Vl2° J� �. ' _ UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Tak,r MANAGER/AGENT NO P.O. BOX ADDRESS 4A_ �4 clWDRESS CITY, STATE,ZIP CITY, STATE, ZIP RESIDENCEPHONEUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1. A,;eA 2. Li✓ . 3. 1J✓1j 4. 9,J 5. '3� 6. g4 7. 8. J 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHETIME OF INSPECTION APPLICANT'S SIGNATURE DATEy Inspectors use only Date on initial inspection: ON q-4ar Date of reinspection: Date of issuance of certificate:O7/0g_20 ,37 Date fee paid: 0710Vj�j1 T Type of unit: Dwelling t/ Other Check# =J �' Check date:0 /0V2.D.7 S Notes: 4F 14 Coe nfo ment Inlyfor CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR RAy11)IN(@SA1,I3M.00M LARRY RAMDIN,RS/RGI-IS,CI 10,CP-FS HEALTH AG ENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor ('2 �z Com, Address Address T 6 2 CIS+, APk 3 Address on unit to be inspected Date Updated 523/11 • CERT-1 26-94 FEFfj: _$ 25.00 .. wdc�s DATE: 1/12/94 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT F- BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 11 Cypress Street UNIT f 1 OWNER/AGENT Leonard' Yellin ADDRESS 228 Atlantic Avenue CITY/TOWN Marblehead, MA ZIP CODE 01945 24 HOUR PHONE 617-631-5079 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 RO T E. BLENKHORN, C.H.O. HEALTH AGENT ODE!' ENVORCEM9ft INSPE OR I OFFICE USE ONLY CERA. J'aorne 'A DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 RooER:F-EA16ENKHORN- 9 NORTH STREES 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 / i C X\//�/��SS S UNIT / OWNER/LESSER Z �Z/L�/�hn'� 1 F�L / I tlMANAGER/AGENT ADDRESS r t--' ADDRESS CITY RESIDENCE PHONE p /�� �.?j/ '/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS- ROOM OOMS:ROOM USE: 1 . L/7�-)_V 2. 3. &!)$i�---4. A NIA/' 5. 6. 7. J. — 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 /.' ./�i � ' �Eic DATE V INSPECTORS USE ONLY DATE OF. INITIAL INSPECTION4— / Z ! I DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ 1 TYPE OF UNIT: DWELLING OTHER NOTES: d 1 , CODE ENFORCEMENT INSPECTOR w 1 A Y F{ v�f01MM4 001' CITY OF SALEM HEALTH DEPARTMENT BOARDOF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN - 9 NORTH STREET HEALTH AGENT 508.741.1800 DATE' December 22, 1993 Eric Yellin & T d V&114n 9 228 Atla>zfiic n Marblehead MA 01945 PROPERTY LOCATED AT 11 Cypress Street UNIT 0 I 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 Cade, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Cade, 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 CMA 410.354 METERING OF GAS & ELECTRICITY Very tviuly yours, FOR THE BOA�RJD,, OF HEALTH REPLY TO: /10 6 --Gr Robert E. Blenkhorn, C.H.O. PABLO VALDEZ Health Agent Code Enforcement Inspector vQ�Co� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 4"Floor Tel: (978)741-1800 06/27/2001 Fax: 978-745-0343 134 Canal Street Realty Trust c/o Anthony Gattineri 134 Canal Street Salem, MA 01970 PROPERTY LOCATED AT 11 Cypress Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit Y Y g 4 9 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 theirtenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. THEBO> I n� - REPLY TO qoaOR nne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR