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DANIELS STREET c xa CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 Fax 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#277-08 DATE ISSUED:6/10/2008 Property Located at: 4 Daniels Street UNIT# 1 Owner/Agent: William S. Kaull, Jr. Address: 42 Cloutmans Lane City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 639-1572 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 JOANNE SCOTT, MPH, RS, CHO / HEALTH AGENT CODE EN 1EMEN INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRIP ,OIL FAX(978) 745-0343 MAYOR . )sco,rrla SA1,EM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT UNIT#—]— IS THIS UNIT DISIG(N�A-�TED�AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER I o�, �U S Lti ZrwX1 MANAGER/AGENT ti CA NO P.O. BOX ^ ' ADDRESS (A 4'a` V"L� Lit ADDRESS CITY,STATE,ZIP AAAL&" jkN b nV5' CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE q-7r- 6 19 TOTAL NUMBER OF ROOMS: ROOM USE: 1.47e�� 2. LV S �' 3. ti Ctc> " 4.6� 5.3 6. 7. 8. 9. 10. THERE IS A TWENTY-FIVE($25)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH (THIS FEE ISP ABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE (� I DATE Inspectors use only Date on initial inspection: G- Iv -o r Date of reinspection: Date of issuance of certificate: 6 -Io -0G Datefeepaid: (e-10 -<( Type of unit: Dwelling—V' Other Check# y 2n Check-date: A. - 10- 38 Notes: j j Qv.) Code Enforcement ector CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,461 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SCOT 1 t�i SALEM.COM JOANNE SCOTT, 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. 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/Les ee Owner/Lessor A(ldress Address Address on unit to be inspected 6'6 -6-3 Date CI'1 Y OF SALEM, MASSACHUSETTS BoARI7 of HEALTH 120 WASHINGTON S'1"REFr,4"'FLOOR TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOI.L lramdin@salem.com MAYORLARRY R,-A6Il)IN,RS/RCsII:+,CIiO,CP-FS Hijm: ttr1C 13,N'I' CERTIFICATE OF FITNESS CERTIFICATE#275-14 DATE ISSUED: 8/1 812 01 4 Property Located at: 4 Daniels Street UNIT#2 Owner/Agent: William S. Kaull, Jr. Address: 42 Cloutmans Lane City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 639-1572 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. �.�. OR THE BOARD OF HEALTH LARRY MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"{FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRIMDIN( SALEM.CnM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEAL11-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" ,,// "� c� FEE: $50.00 PROPERTY LOCATED AT t'�d v .t�� S-1 UNIT# �- IS THIS UNI DISIGNNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER W N(k a-VA S 3 MANAGER/AGENT kk NO P.O.BOX L ADDRESS 4'2, OOu-1'1'wccx �3 L,,, ADDRESS 1� CITY, STATE,ZIP M A,A t� x� , MA b(li CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHONE 1-7C-6lC-g4j9 fes) TOTAL NUMBER OF ROOMS: 5- ROOM USE: 1. 2. Pjvi1A 3.Uj P41 4. IC;tcA.v, 5. Ptv) �t ` 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 IA'T THE TIME OF INSPECTION APPLICANT'S SIGNATURE V AY� A41111 ' DATE Inspectors use only Date on initial inspection: I�._�CI I Date of reinspection: Date of issuance of certificate: T� Date fee paid: cy Type of unit: Dwelling Other Check# Check date:_U Notes: Code'ffnkp6ement Inspector CERT.# 673-97 n rv, FEE $25.00 DATE: 09/30/97 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: 6 Daniels Street UNIT #: 1F OWNER/AGENT: S. Alexander Stephens, III ADDRESS: P.O. Box 8067 CITY/TOWN: Salem. MA ZIP CODE: 01971 24 HOUR PHONE: 592-9001 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. MAXIMUMNUMBER 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 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 6 NotW UNIT 1— OWNER/LESSER At GA�ny/iZ�i/I STrioll* Z MANAGER/AGENT ADDRESS ADDRESS CITY SA4,91 Ala- g0/47I CITY 066 _ 'RESIDENCE PHONE 617 gqG� 1001 BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE &7?1 P? S'10 i TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1 . RQ 2. d9j0 Yj _ 3. BEQQfZ1I •4 .L ///1/G 5. ,TeR4!ti 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D TME I FEE S PAYABLE AT THE THIE OF INSPECTION APPLICANTS SIGNATURE _ _ DATE-- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7 DATE 01' REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 6 — �e 7 DATE FEE PAID-: TYPE OFF UNIT: DWELLIN9K OTHER NOTES��ryjp/.� _-- CODE ENFORCEMENT INSFECTOR _ �titp yt CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE 1 In accordance with Massachusetts General Laws Chapter lll ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. i T.EN,kt'L/LESSE"F" R LESS 71 ADDRESS ADDRESS A41VIu5 /7 _54c.ff� MA. o 1970 ADDRESS OF UNIT TO BE INSPECTED D— DA3E aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/06/2002 i � Justin Gross & Heather Beschorner 6 Daniels Street U 2F Salem, MA 01970 - PROPERTY .LOCATED AT 6 Daniels Street UNIT # 1R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. � 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. qoFRTHE BOARD O� REPLY TOanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I ij r ��coxorr �9 Bg� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/28/2000 Fax:(978)740-9705 Alexander S. Stephens, III P.O. Box 8067 Salem, MA 01970 PROPERTY LOCATED AT 6 Daniels Street UNIT # 2F 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. 4ORARD HEALTH REPLY TO anne Sco , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 751-96 3 FEE $25.00 DATE: 10/24/10/24!96 �1B 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: 7 Daniels Street UNIT #: 1 OWNER/AGENT: Richard ✓r Eleanor Jastrzembski ADDRESS: 21 Mason Street CITY/TOWN: Beverly. MA ZIP CODE: 01915 24 HOUR PHONE: 927-2973 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 Jep/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR F .X CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE S.ANiTARV CODE, CHAPTER II, 105 CMR 414:000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". (1 '/ PROPERTY LOCATED AT. z Dj1/t l d- �5 } r UNIT I L�` Z OWNER/LESSER t l J a e I7 ^F-jF/B Vv1r- ,J q V-fZ.2 e; g5�ANAGER/AGENT ADDRESS SCJ ADDRESS CITY 3r}ec/e x- o r } /a CITY RESIDENCE PHONE DC7 } .'_ a ? 3 BUSINESS PHONE (24 NRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2 t) 2. 1�- I`.T!'he /3. 4. 5. j3 (-^ D 6, L Lr /ISi/'i7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEX-HEALTH DEPART'/jM,EjNT1THIS FEES IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE DATE 8 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �7/' ilto DATE OF REINSPECTION DATE 4F ISSUANCE OF CERTIFICATE: DATEFEEPAID: TYPE OF UNIT: DWELLING OTHER NOTES: -� GtI- CODE ENFORCEMENT INSPECTOR Tom �L U [VjAM Date /1-/8-46 Time B'oS O PM WHILE YOU WERE OUT M -'-�-G of Phone Area Code Number Extension 7 J,,- -gyp / TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message et. ��F iv-2 y-gro c�t�-e9 eevrLe.Gefe� c�r�ec� . Ope or Oq7p AMPAD REORDER EFFICIENCY® #23-000 ry CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(506)741-1800 Date: 11/14/96 Fax:(508)740-9705 Richard & Eleanor Jastrzembski 21 Mason Street Beverly, MA 01915 PROPERTY LOCATED AT 7 Daniels Street UNIT # Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of ,the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, - FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 Richard & Eleanor Jastrzembski 21 Mason Street Beverly, MA 01915 PROPERTY LOCATED AT 7 Daniels Street UNIT # 3rd 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 t:1at the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO VP Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 382-96 3 FEE $25.00 DATE: 06/24/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF OF FIT�SS PROPERTY LOCATED AT: 7 Daniels Street UNIT #: 3 OWNER/AGENT: Richard & Eleanor Jastrzembski ADDRESS: 21 Mason Street CITY/TOWN: Beverly. MA ZIP CODE: 01915 24 HOUR PHONE: 927-2973 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 i K 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". . I PROPERTY LOCATED AT AflffS UNIT I ' OWNER/LESSER K'IN/Qr2�V E/ j -ole ZP&Jt�)(JMANAGER/AGENT ADDRESS IV SOV ADDRESS CITY #,*gcJeref ��1 31// CITY ' SORESIDENCE PHONE O _ 7-2972 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. Oe—D 2. 3. 5, b. 7. �- 8. THERE IS A TWENTY—FIDE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'HEALTH DEfPA�RTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE (�. DATE fC�1 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF.: ATE FEE PAID:- - 7b TYPE OF UNIT: DWELLING OTHER 4 NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS y BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR t c SALEM, MA 01970 TEL. 978-741-1800 �g FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/28/05 William H. Pitman Jr. 32 Riverview Avenue Danvers, MA 01923 PROPERTY LOCATED AT 8 1/2 Daniels Street Unit 3 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 JcUnne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT May 7, 2003 Henry Kobialka 10 Daniels Street Salem, MA 01970 PROPERTY LOCATED AT 10 Daniels Street Unit# 1 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 405 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 Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector -.Sfr,• v��CONDIT CERT.# 740-00 FEE $25.00 DATE: 11/20/2000 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: 10Daniels Street UNIT #: 1L OWNER/AGENT: Henry Xobialka ADDRESS: 10 Daniels Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7482 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH ��PaA z4dn'1-__ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR n 46 - 07) 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 Tec(978)741-1800 Fax:(978)7.40-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER —_-1 _MANAGER/AGENT No P.O. Box �� No P.O. Box ADDRESS_ d am y �f_ __ADDRESS_, _ CITY-�f k4 M /,rt �l CITY _ RESIDENCE PHONE?YJ " BUSINESS PHONE (24 HRS.) . BUSINESS PHONE__ TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. p APPLICANTS SIGNATUREDATE INSPICTORS USE ONLY DATE OF INITIAL INSPECTION // 2 D O 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE DATE FEE PAID:.// TYPE OF UNIT: DWELLING HER CHECK# Ea2 & CHECK DATE�:. t NOTES:-- CODE ENFORCEMENT INSPECTOR 9/28/98 r r v m11 4 R 1�1 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with tt:e 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 ahcn s from any loss or injury sustained of whatever nature and description occasioned by my/our- )absence during said inspection. TENANT/LESSEE OWNER/LESS ADDPiESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH Z _ 120 WASHINGTON STREET, 4TH FLOOR �e 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#006-08 DATE ISSUED: 1/9/2008 Property Located at: 12 1/2 Daniels Street UNIT# 1 Owner/Agent: Joel Foster Address: 43 Forest Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-0595 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. F RTHE BOA ,RD OF HEALTH JOANNE SCOTT MPH, RS, CHO HEALTH AGENT C DE ENFORCEMENT INSPECTOR V� - CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 -/^� KIMBERLEY DRISCOLL FAX(978)745-0343 /)O&/ v� MAYOR JSCO'rjasw.rnT.COM ll// JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." /J FEE: .00 PROPERTY LACATED AT I) f+I r7i— 5 UNIT# ' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE eE�EssERa/�L I{/ j o S! q MANAGER/AGENT _ y ADDRESS r'5 / 5I ADDRESS CITY,STATE,ZIP PhAI!/Yfii /A91 OI y), --T CITY,STATE,ZIP RESIDENCE PHONE 77�— ^J 2 9 -0—L� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. IV/ v 3. V /5,0 4. r F l� 5. Grp 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLES AT THE TIME OF INSPECTION APPLICANTS SIGNATURE �A� e/ �t ��" DATE Inspectors use only Date on initial inspection: 11-71r Date of reinspection: Date of issuance of certificate: i�59 /S Date fee paid: //,d /d Ir Type of unit: Dwelling_1�ther Check# 77?Z_ Check date: !>Sr/O y Notes: Nc�r &V/ y o-N\, Pear& C�,Alg- 4m„aT r.,lu eat 3� Code En orcement Inspector r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHe8lth 120 WASHINGTON STREET,4."FLOOR ,,,"m",�.e,ow. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com _,, LARRY RiNIDTN,RS/IY 3I IS,(A 10,(:1 FS MAYOR HErV;ri I AGENT CERTIFICATE OF FITNESS CERTIFICATE#400-14 DATE ISSUED: 11/3/2014 Property Located at: 12 1/2 Daniels Street UNIT#2 Owner/Agent: Ruth Foster Address: 43 Forest Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-0595 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. FORTHE B ARD O HEALTH f LARRY RAMDIN HEALTH AGENT ANITARIAN CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH t 120 WASHINGTON STREET',4"'FLOOR TEL.(978)741-1800 KIMBER.LEY DRISCOLL FAX(978)745-0343 MAYOR r x AMDjN M cM coni LARRY RAMDIN,RS/REIIS,0110,CP-IS - 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 I PROPERTY LOCATED AT �,f � tt U�Qh.( eJ i UNIT#, c�_ /SIS THIS UNIT DISIGNATED AS RIGH FRO LEFT ONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER K.GC�l -jF6 MANAGER/AGENT NO P.O.BOX t 4 ADDRESS Y3 _ON �A, ADDRESS CITY, STATE,ZIP )GYIU 2(-,, M 0195,3 CI Y, STATE,ZIP RESIDENCE PHONI(9_'7 S7q- C9 3 BUSINESS PHONE(24HRs) BUSINESS PHONE TOTAL NUMBER OF ROOMS: j 1 ROOM USE: i.V JuNCn 2. h+2&2-h 3. !�&Q, 4. 6. U 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 PAYABL T THE OF IN ON c ,raj" APPLICANT'S SIGNATURE DATE V41 use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid:_ �iK�---- Type of unit: Dwelling Other Check# Check date:,# ! Notes: Co&RebrcAnt Inspector T CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 K NMERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGEGNBAUM&ALEM.COM DAvro GREe:NBj\UM,RS ACflNG He.Al:ni AGLN'f CERTIFICATE OF FITNESS CERTIFICATE#98-11 DATE ISSUED: 3/24/2011 Property Located at: 12 1/2 Daniel Street UNIT#3 Owner/Agent: Ruth Foster Address: 43 Forest Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-0595 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�O �F HEALTH (rte DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS h , BOARD OF HEALTH 120 WASHINGTON STREET,4:`FLOOR TEL. (978) 741-1800 KIMBERLEY-DRISCOLL – FAX(978) 745-0343 MAYORD i cei r:NiinuaIfiSAi Est.COM DAVID GREENBAum,RS ACTING HF -i AGENT ' ' -- MAR- per 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 11V2 I MJ V&t.S Or UNIT# (� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE �fO OWNER/LESSER \`� �©S� �� MANAGER/AGENT ,)oeIOsT�� �J1Z NO P. — O. BOX � ADDRESS oQ SI �p4Y� ADDRESS �3 ) RF�9T n� CITY, STATE,ZIPj)Cllk Mq £R-3 U� l� 6 19 `d 3 CITY, STATE,ZIP��t>A N-V�-Al lnlq Of�2,3 r ' �i2 elG - C' / 6 7'�l RESIDENCE PHONE V i,T Y T" s 4 PHONE(24HRS) BUSINESS PHONE q1 t 57F r 1'6 93 TOTAL NUMBER OF ROOMS: S p ROOMUSE: L('�thCNEA 2.6R1-w 3.L,\Ii `I e_ 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 SIGNA'T'URE �- -a" DATE Inspectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: 11 Date fee paid:_ l/ Type of unit: Dwelling Other Check#— i Check date: 1 y/ Notes: tUrll_ dnul— hGH Wcrl� ,�gplw- bulb o .hGSoy/ C,r- wodcv-i fp I0CL Code Enf •cei ent Inspector 3 A P CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 09/29/97 Fax:(978)740-9705 Derek Cavanaugh & Ellen Dalton 100 Hart Street Beverly, MA 01915 PROPERTY LOCATED AT 13 Daniels Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be consideringrenting a dwelling unit 9 9 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 4 payment. Failure to comply with. this procedure, will result in a fine of twenty (20) dollars per day foreveryday that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or - Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR y CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PublicHeaith Prevent Promotc,Prolem. TEL. (978)741-1800 FA%(978) 745-0343 KIMBERLEY DRISCOLL ltarndin e salem.com T.AlutY IzAnmlN,Rs/Rears,r.I io,<:r-rs MAYOR HEArrrr AcaaNT CERTIFICATE OF FITNESS CERTIFICATE#85-13 DATE ISSUED: 3/4/2013 Property Located at: 14 Daniels Street UNIT#3 Owner/Agent: Ruth Foster Address: 43 Forest Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-578-1093 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 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. �pR THE BOARJD OF HEALTH LARRY RAMDIN �' HEALTH AGENT UNITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PI1bI1CH88ItI1 �J TM 120 WASHINGTON STREET 4 FLOOR P cc t.Premuw.Protect. re n TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin@saletn.com MAYOR . . _ LARRYIL\hIl)IN,RS/RIsFIS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS UNIT DISIGNATED AS RIG EF FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERJuA OS7EO— MANAGER/AGENT NO P.O.BOX /=y ADDRESS y3 D"e,AES-r sr' ADDRESS CITY, STATE,ZIP �,)AR/t/P-,/LS. CITY, STATE,ZIP 111'7 o fF2 8 RESIDENCE PHONE 979- 777-0 S P S BUSINESS PHONE(24HRS) C& BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 1`�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 Y AT //TIME OF INSPECTION APPLICANT'S SIGNA ffit� DATE y !3 Inspectors use only Date on initial inspection: 2). q 13 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwellin� Other Check# J �Check date_: nCVI� � ) cmateCmNotes�PLoY � l,1v S cDd h CO rcement Inspector CITY OF SALEM, MASSACHUSETTS �- BOARD OF HEALTH gi 120 WASHINGTON STREET, 4TH FLOOR � e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#435-04 DATE ISSUED: 09/22/2004 Property Located at: 16 Daniels Street UNIT#2 Owner/Agent: Stephen Parlato Address: 4 Hickory Drive City/Town: Medway, MA Zip Code: 02053 24 Hour Phone: 533-4659 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 /JOANNE SCOTT, MPH, RS, CHO � (>� HEALTH AGENT CODE ENFORCEMENT INSPECTOR NOTE: Please call when windows are installed. ~� 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, R5, 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 AO ® 7V//GLa1 UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE N� � OWNER/LESSER e G r9 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 2. ADDRESS CITY CITY RESIDENCE PHONE 0r'S �q6�� BUS �V BUSINESS PHONE (24 HRS. x717-9.7 �� BUSINESS PHONE Sd )T-off'/Y �7f'7 TOTAL NUMBER OF F ROOMS " ROOM USE: 1.vim`!�'Luj 2 LQI v1 �yy3��. 0/� 4. 5. 8. 8. THERE IS A TWENTY-FIVE($25.000)) 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 '0 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION T/2-0/0V DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 12_21ely DATE FEE PAID: 9 22 0 TYPE OF UNIT: DWELLING I/OTHER_ CHECK # SY07 CHECK DATE_VLVo`/ NOTES: s'P/Ri 4_ PMe- C4,11&r, t9GfN6R 1 � AOLL- CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 663-99 FEE -$25.00 DATE: 11/04/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 25 Daniels Street UNIT #: 1 OWNER/AGENT: Margaret Fucillo ADDRESS: 25 Daniels Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4933 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT .(X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENTWDE ENFORCEMENT INSPECTOR NOTE: Cracked window in bath needs repair. Insulation or sashcords needed in Living Room Window. 6 2 6 epi ���WM1NB 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". 1 PROPERTY LOCATED AT &5 Dkl&J�_-? S 29'- UNIT# IS THIS UNIT DESIGNED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-KAT WNER/LESSER 1Y�Ih-0-GA U MANAGER/AGENT No P.O. Box oP.O. Box ADDRESS a51/�L1&q ADDRESS CITY LUC CITY_ RESIDENCE PHONE 533 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. ,t2._L3. 7-- 4. _-.2 5. 6.-7.-8._ r 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 �i�1/)_DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: //4 DATE FEE PAID: //Ai, 99 TYPE OF UNIT: DWELLINGb-/0THER_ CHECK# S 6/5 CHECK DATE_,�ZlP NOTES: CrL��k� k o(ead i' /�977s v c/i /J.vo t ��.(ri CATPcr o2 J'9lN Caz�f Ne�e� �•..v. CL;✓r L,. 'G�or 4 � D U F EMENT IlTSPECTOR 9/28/98 0 /yyrL CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH z 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#564-06 DATE ISSUED: 11/13/2006 Property Located at: 25 Daniels Street UNIT#3 Owner/Agent: Carol St. Pierre Address: 208 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE BOARD OF EALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 JOANNE ScoTr, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT S �G�/� ls_�1 ____UNIT # 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER .psi/ _ ' f/F MANAGER/AGENT Y No P.O. Box y- No P.O.Box ADDRESS CITY_ CITY se, q7 I r RESIDENCE PHONE^. BUSINESS PHONE (24 HRS.)---- BUSINESS RS.) ___BUSINESS PHONE 9 7f- S�7 F-.- TOTAL TOTAL NUMBER OF ROOMS:_�_/_ ROOM USE: 1.._G _.2 ___3.- ---4._.._ 5.-----6.___ . 6. 7. fl. 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. q APPLICANTS SIGNATURE INSPECTORS USE NLY RATE OF tNiTIAL ItvSPECTION.Jf-/ '� ., DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE//�-r/�--A DATE FEE PAID TYPE OF UNIT DWELLINK OTHER - CHECK I± 7 D CHECK DATE ��' 1 T'0 NOTES: CODE ENFORCEMENT INSPECTOR 91211'98 v��CONDIT M. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 06/24/2000 Fax:(978)740-9705 Margaret Fucillo P.O. Box 951 Marblehead, MA 01945 PROPERTY LOCATED AT 25 Daniels Street UNIT # 6 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 . OR THE BOARD REPLY TO Joan nye ,S�c/ t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR U5. CERT.# 334-96 FEE $25.00 �11 �P 'I DATE: 05/30/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 26 Daniels Street UNIT #: 2 OWNER/AGENT: Brian Corcoran ADDRESS: 63A Grew Avenue CITY/TOWN: Roslindale. MA ZIP CODE: 02131 24 HOUR PHONE: 323-8261 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 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970.3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 j IN ACCORDANCE WITH STATE SANITARY!CODE, CHAPTER II, 105 CHR 4 !0.000 "MINIMUM STANDARDS OF FITNESS F�O/R/ HUMAN HABITATION". PROPERTY LOCATED AT O{ iP +✓ u [0_ UNIT o� 0"Wc7E LESSER �r/�r// MANAGER/AGENT' ADDRESS Jp�jA G� GJ �j./Si- ADDRESS CITY _ �SL1 D �} CITY RESIDENCE PHONE BUSINESS 2}a. - � � BUSINESS PHONE (24 HRS.) BUSINESS PHONE 01-3 0 - o ool TOTAL NUMBER OF ROOMS: q (J ROOM USE: 1 . �If/{/G Kg0�i1 2• QN/� OrY/ 5. 6, 1. 8, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FETE IS PAYABLE AT THE TIME OF INSPECTIION APPLICANTS SIGNATURE DATE fid"f y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:j-36 '? DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� '_3�_f?i""( DATE FEE PAID: ,— TYPE OF UNIT; DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 3 �1IrB 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: 05/22/96 Fax:(508)740-9705 .Brian Corcoran 63A Grew Avenue Roslindale, MA 02131 PROPERTY LOCATED AT 26 Daniels 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 Procedurr:,s and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice- (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, ( FOR THE BOARD OF HEALTH REPLY TO (Jr Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r oNorr q' n � 4 a � 9q�7MiN6�� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)7411800 07/06/2000 Fax:(978) 740-9705 Sherry L. Bellerose 9029 E. Mississippi Avenue L-102 Denver, CO 80231 PROPERTY LOCATED AT 26 Daniels Street UNIT # 4 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. THE BOARD 0 HEAL H REPLY TO Voet, MPPABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR K 6 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: OS/23/95 Fax:(508)740-9705 Sherry L. Bellerose 26 Daniels Street Salem, MA 01970 PROPERTY LOCATED AT 26 Daniels Street UNIT # 4 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 carte 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 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/13/05 Benny& Lisa Popek 9 Brown Street Beverly, MA 01915 PROPERTY LOCATED AT 27 Daniels 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 Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 804-97 3 � FEE $25.00 DATE: 12/03/97 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: 27 Daniels Street UNIT #: 3 OWNER/AGENT: Toby & Maura Leith c/o Harbor Rental ADDRESS: 111 Derby Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0389 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM 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 4 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)74400--99705 IN ACCORDANCE WITH STATE SANITARY )7 CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM `��'•��-r' STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT cry "- ' y 1 �j� UNIT # OWNER/LESSER ra MANAGER/AGENT L,720- ADDRESS ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) -%-/-p.3 BUSINESS PHONE - TOTAL NUMBER OF ROOMS: ROOM USE: 1, y- 5. —6.-7.-8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEkS HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE t� CDATE_» 7- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:tl _lJ t t DATE OF REINSPECTION--- DATE OF ISSUANCE OF CERTIFICATE: -4�-3-- _DATE FEE PAID' .1,2 _f t 7 TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS .� % 's BOARD OF HEALTH g} 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#372-05 DATE ISSUED: 6/2/05 Property Located at: 45 Daniels Street UNIT# House Owner/Agent: Andrew D. Faden Address: 3 Stoneybrook Road City/Town: Grafton, MA Zip Code: 01536 24 Hour Phone: 839-4906 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH i y� 'DLz.Ci i' F' s JOA E SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH 120 WASHINGTON STR£E7, 47H FLOOR SALEM, MA 01970 TEL. 978-741-1800 Fax 978-745=0343 ' STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED Al UNIT# S� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER / rNNRt5wd 1.� . 5br–_ I MANAGER/AGENT I'69ac . Pe^Lt 7A No t No P.O. Box No P.Q. Box ADDRESS ADDRESS- CITY 5,fL. 'tiJ -CITY-,- RESIDENCE ITYRESIDENCE PHONE <0;a i3�6BUSINESS PHONE (24 HRS.) S414E i BUSINESS PHONES- - _ -__ TOTAL NUMBER OF ROOMS. ROOM USE: 1.KIT-GHrAl2 L _3. 3A 4.9/2i_ — 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 - s __DATE_ 6___ d INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,(" -V S __._DATF OF REINSPECTION__ __.__ _ r � ti DATE OF ISSUANCE OF CERTIf ICATi= � 'T �'_�_._DATE FEE PAID TYPE OF UNIT: DWELLIN.4X_OTHER CHECK P. /. IO S CHECK DATE 6 - � v7 NOTES: CODE ENFORCEMENT INSPECTOR 9128198