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DERBY STREET 101-135 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 156-03 SALEM, MA 01970 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 04/17/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 101 Derby Street UNIT #: 1 OWNER/AGENT: Albert Mieli ADDRESS: 13 Lemon Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7706 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH s � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA O1970 G/ TEL. 978-74 1-1800 - 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 AT /0/ DPrb�-/ 64-gelL UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER FY�/l�l� /i/;P,�, MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS on , Z ADDRESS CITY ��e,M� 1�1.aOV'1-7 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) Z BUSINESS PHONE / TOTAL NUMBER OF ROOMS: `7- ll. � ROOM USE; 1. IJ� 2.�_3. Nt 4. ikl 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 SIGNATURE r?4TP I SPECTORS USE ONLY DATE OF INITIAL INSPECTIONN-1 7-83 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:V 47 9 ; DATE FEE PAID: �( —( 7 0 3 TYPE OF UNIT: DWELLING�_OTHER_ CHECK# /:�D CHECK DATE V -(7-d 3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v`bt"C4 CERT.# 53-01 ' a FEE $25.00 '➢& DATE: 02/05/2001 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: 102 Derby Street UNIT #: 2 OWNER/AGENT: Stephen Cotty ADDRESS: 102 Derby Street - CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1530 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 ARD 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 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". F n PROPERTY LOCATED AT �r)-- l6�( Sf UNIT# i IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERt��l�j 9'fV MANAGER/AGENT No P.O. Box ` No P.O. Box ADDRESS �� lD2r/iy S ADDRESS c CITY )�Lleplh CITY RESIDENCE PHONE /530 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 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 SIGNATURE DATE 0 1NSPE TORS USE ONLY DATE OF INITIAL INSPECTION ,2 ' 6'--O / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -6 / DATE FEE PAID: -2 TYPE OF UNIT: DWELLING OTHER_ CHECK# /a' 93 CHECK DATE ,2 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 'h 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, AS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(978)741-1800 01/29/2001 Fax:(978)740-9705 Stephen Cotty 102 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 102 Derby 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. i Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. our office hours are Monday thru Wednesday from .8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD OF HEALTH REPLY TO Joanne Sc HO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR , h 3 1)t I[E s /PIRB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET Date NEflTATMT Tel:(978)741-1800 Fax:(978)740-9705 Richard & Lois Yukins 113 Water Street Apt. 70 Beverly, MA 01915 PROPERTY LOCATED AT 105 Rear Derby Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection- Inspection will not be performed without .receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a-m. - 4:00 p.m. Thursday 8:00 a-m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. 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 CERT.# 557-96 FEE $25.00 DATE: 08/16/96 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: 105 Derby Street UNIT #: F OWNER/AGENT: Mrs. J.J. Byrne ADDRESS: 117 Clifton Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-6321 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 PITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH.RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(506)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Far:(508)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR 'HUNAN HABITATION". PROPERTY LOCATED AT UNIT /... —.— OWNERJLESSE MANAGER/AGENT ADDRESS 1 ) ADDRESS CITY / Q 1,j CITY _ RESIDENCE PHONE 'BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: �p - ROOM USE: 1. G 2. 3.-� 4.� 5. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEH'BEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIRE OF INSPECTION APPLICAXI-S SIGNATURE ^ { un �tv -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /f� 'l� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.: ��<!s � DATE FEE PAID: TYPE OF UNIT- DWELLING JL OTHER NOTES: CODE ENFORCEMENT INSPECTOR vv .l 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 09/06/95 Fax:(508)740-9705 Richard & Lois Yukins 143 West Street Beverly, MA 01915 PROPERTY LOCATED AT 105 Derby Street UNIT # R 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 yV CERT.#, 66-97 FEE $25.00 DATE: 02/'04/97 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: 109 Derby Street UNIT #: 1 OWNER/AGENT: Heidi Milman ADDRESS: 109 Derby Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE:- 744-2661 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/OIL 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 - 91 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 iFax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER 1.I, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT l G C j �a r__ >� DST j f OWNER/LESSER / /�yy, / _ MANAGER/AGENT ADDRESS 0 (1De. `f 7. ADDRESS CITY 5�1r t /4 14 _._ CITY .,RESIDENCE PHONE � � BUSINESS PHONE (24 HRS.) ^- BUSINESS PHONE - z 3( TOTAL NUMBER OF ROOMS:- ROOM USE: I .. L j 2._4/R__3. 4 . 5.� !'C�c�6. '� 7. 8'• THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TUE CITY OF SALEM' HEALTH DEPARTMENT THIS_FE.E IS PAYABLE AT THE TIKE OF INSPECTION APPLICANTS SIGNATURE DATE j INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: - / 7� DATE OF REINSPECTION-- DAT DATE OF ISSUANCE OF CERTIFICATE: 7 DATE FEE PAID:_��Lf 7 TYPE OF UNIT; DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR a 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 03/18/2002 Wayne Nelson c/o Harbor Realty Management 111 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 111 Derby 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 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 Jthat 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. OR THE BOARD #F HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR �v��coxo;T,�i n ,R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 06/03/99 Tel:(978)741-1800 John Nunnelly Fax:(978)740-9705 P.O. Box 900 Belchertown, MA 01007 PROPERTY LOCATED AT 111 Derby Street UNIT # 3rd Floor 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. lo R THE BOARD HEAL H REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 871-94 FEE $25.00 DATE: 10/06/94 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 111 Derby Street UNIT # : 3rd Floor OWNER/AGENT: John Nunnelly ADDRESS: P-O. Box 900 CITY/TOWN: Belchertown. 'MA ZIP CODE: 01007 24 HOUR PHONE: 323-5528 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 O/F� HEALTH JOANNE SCOTT, MPH,RS,CHO --------------- -- HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��.COeWj4 1 . e � OFFICE USE ONLY � � �' • CER' . f � �� DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Satem, Massachusetts 01970 •ROBERT-E.-WANKHORN- - 9 NORTH STREEC HEALTH AGENT . 50a-1aff8o0 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 LOCATE�D- AT I JI 0,6'1 13,y 57' Q4-/ UtIIT f '_7 F�2 OWNER/LESSER 4%NAGER/AGEN1 ADDRESS (J. fG ,9o0 ADDRESS CITY 13eZcwF- r CITY SZ40G -fl? .,RESIDENCE PHONE Al ,j23 3-5"2 BUSINESS PHONE (24 HRS.) 7'411--03&9 BUSINESS PHONE — TOTAL NUMBER OF ROOMS: ROOM USE: I. 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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE_ /yg�, !%�� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:/O '� �' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/6 -6 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR � .co•�I CERT.11 654-92 FEE: ..$ 25.00.. DATE: 8/24/92 C_LTY. OF SALEM, HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 - CERTIFICATE OF FITNESS PROPERTY LOCATED AT 111 Derby Street UNIT # 3 OWNER/AGENT John Nunnelly c/o Jana Stone, Harbor Realty 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 ROERT E. BLENKHORN, C.H.O. HEALTH AGENT CO E ENFORCEMENT IN ECTOR i .COX orr4 OFFICE USE a` RESIDENCE CODE a CITYOF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT (617) 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". —s� C 3 O PROPERTY LOCATED AT ` De r6 q <7vneeT UNIT S �--� CAICe O � t1df60f �� OWNER/LESSERl� e-1I L4 MANAGER/AGENT Q�n1A ADDRESS ADDRESS 1%j C�ertNj CITY CITYLm RESIDENCE PHONE BUSINESS PHONE (24 HRS. )7 -Q C61 BUSINESS PHONE TOTAL NUMBER OF ROOMS: `( ROOM USE: 1 . 2. �eUrt9prh 3. 4 . 5. �e�Conrr, 6. lU� 7. 8. FEE: $25.00 PAYABLE TO - CITY OF SALEM HEALTH DEPARTMENT OFFICE USE TOTAL SQUARE FOOTAGE: SQ. FT. TOTAL SQUARE FOOTAGE FOR SLEEPING PURPOSES: SQ. FT. DATE OF INITIAL INSPECTION: © iC) y �/ Z DATE OF REINSPECTION; DATE OF ISSUANCE OF CERTIFICATE: 2, DATE FEE PAID: -t TYPE OF UNIT: DWELLING ROOMING OTHER NOTES: CODE ENFORCEMENT INSPECTOR ICANTS SIGNATURE CERT.A y t � FEE $ 25.00 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. ■LENKHORN 9 NORTH STREET HEALTH AGENT (617) 741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT__ZZ _Z Al b S J UNIT i OWNER/AGENT / U ADDRESS <;Z S CITY/TOWN;�p�� . 2IP CODE 24 HOUR PHONE AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIAECE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMIM STANDARDS OF FITNESS FOR HUMAN BABITATION". 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 CHR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", SECTION 410.400 ( B ) : DWELLING UNIT . V AND 410.400 ( C ) ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: 1 NOTE THIS APPROVAL DOES NOT INCLUDE A LEAD PAINT TEST FOR ANY OCCUPANTS UNDER SEVEN (7) YHARS OF AGE. FOR THE BOARD OF HEALTH ROBERT E. BLENRHORN, C.H.O. ) HEALTH AGENT CODE ENFORCEMENT INSPECWR co.wi OFFICE USE a RESIDENCE CODE 0 � ,e�owna� CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKNORN 9 NORTH STREET HEALTH AGENT 16171 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 UNIT IF OWNER/LESSE a NLA MANAGER/AGENT �� N(A64„43/4 ADDRESS ADDRESS ti ';h 15 5�.��.. :125' So fit, M�,A�A� CITY 8C_je �e�jMLJ^ MIT CITY I�GI[�Qn iwM M!f RESIDENCE PHONE�" 32 y " SS2Sf BUSINESS PHONE (24 HRS. ) BUSINESS PHONE `5J 5919-n-V06 V06 TOTAL NUMBER OF ROOMS: ROOM USE: 1 . jj6e` 2. 3. �y 4. 5. 6. T 7. 8. FEE: $25.00 PAYABLE TO - CITY OF SALEM HEALTH DEPARTMENT OFFICE USE TOTAL SQUARE FOOTAGE: SQ. FT. TOTAL SQUARE FOOTAGE FOR SLEEPING PURPOSES: SQ. FT. DATE OF INITIAL INSPECTION: �� _ Y/ DATE OF REINSPECTION: DATE OF ISSUANCE OF CERTIFICATE: 6 - a l- `J DATE FEE PAID: TYPE OF UNIT: DWELLING ROOMING OTHER NOTES: CODE ENFORCEMENT INSPECTOR APPLICANTS SIGNATURE DATE , CO i °W CERT.# 200-01 - a FEE $25.00 DATE: 04/30/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO . NINE NORTH STREET - HEALTH AGENT Tel:(978)741-1800 Fac:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 112 Derby Street UNIT #: 1 OWNER/AGENT: Daniel Fox ADDRESS: 110 Derby Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0997 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS - BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE -- SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . ' z y THEREFORE, -THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE y SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . j SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR tiv 0 / 4 O ��EM1N6W�. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax:(978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 119, UNIT#- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER i✓ Ay) 11 / r V J MANAGER/AGENT No P.O. BoxNo P.O. Box ADDRESS 110 Urhw Sf1L_ ADDRESS CITY c a,,X rVI CITY RESIDENCE PHONE (1T fl7gS-0"7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE ( 4178 )80$ - 90q TOTAL NUMBER OF ROOMS: 3 ROOM USE: di'vl'A 2. IC4 Wve� 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 SIGNATURE / `-/ L �-�� DATE_qj 3j INSPECTORS USE ONLY DATE OF INITIAL INSPECTION !j� 3 0 -o i DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y -36 -o/ DATE FEE PAID: Y -3 0 'o TYPE OF UNIT: DWELLING 11�_OTHER— CHECK# /l`l3 CHECK DATE rf -3 0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH . Salem, Massachusetts 01970 ROBERT E.BLENKHORN - 9 NORTH STREET HEALTH AGENT 508-741-18M G 1 DATE: `7 IJ'--fd" A2 SQl�1�t �tR • Dig � a PROPERTY LOCATED AT—_/ L h,2�� S� S y UNIT 6 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 HealthDepartment to apply for a Certificate of Fitness before any vacant .dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. Failure to comply with this procedure, will resulE 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 6 ELECTRICITY Very rtuly'yours, FOR THE BOARD OF HEALTH REPLY TO: Robert E. Blenkhorn, C.H.O. Health Agent Code Enforcement Inspe for �r « CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1-20-WASHINGTON STREET,4`"-FLIDOR_.. 1PRt1.1C$881th. . . Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 _ KIMBERLEY DRISCOLL Iramdin o salem.com LARRY RAMOW,RS/REI-IS,C1 10,C11-FS MAYOR HEAI:1'I-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#20-15 DATE ISSUED: 1/2/2015 Property Located at: 118 Derby Street UNIT#2nd floor Owner/Agent: Robert Burkinshaw Address: 119 Autran Avenue City/Town: North Andover, MA Zip Code: 01845 24 Hour Phone: 978-557-1011 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. F4R THE BOAR OF HE TH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS � 7 BOARIYOF HEALTH Cy 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FA%(978) 745-0343 MAYOR LRAMDINO-SrU.EMA;OM LARRY RAMDIN,RS/RENS,CHO,Cl'-FS HEAI.:PH AGENP 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 DISIGNATR6 AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Z /� � �4 t/ &,) MANAGER/AGENT NO P.O.BOX ADDRESS /V9 ve1_4:r/A) zF ADDRESS J/ CITY,STATE,ZIP v�f1 __60 ,p CITY,STATE,ZIP RESIDENCE PHONE� – 9�S aoZW�BUSINESS PHONE(24HRS) BUSINESS PHONE,eL – c �D-y 7,l TOTAL NUMBER OF ROOMS: ROOM USE: lAilwiq 2 9,� 3.4�C!i�'.t� 44idi.�'i.QiVa 6. 7. 8.1 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 I TIME OF SPECTION APPLICANT'S SIGNATURE DATE InVectors use only Date on initial inspection:(a Jl S Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check# (Check date: / Notes: Code lrnfbkment Inspector Y3v� CERT.# 841-94 3 FEE $25.00 DATE: 09/28/94 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: 125 Derby Street UNIT #: 1 OWNER/AGENT: Edward Mahlum ADDRESS: 125 Derby Stret CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 898-0080 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 <O.Wt4 OFFICE USE ONLY 4 fi ? CERT.. / DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 -ROBERT-E-GLENKHORN 9 NORTH STREET HEALTH AGENT 50e•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 /Zs- De t r&-jG i, UNIT I2 OWNER/LESSER G MANAGER/AGENT ADDRESS ADDRESS CITY i . CITY RESIDENCE PHONE &3- m-oobok- BUSINESS PRONE (24 MRS.) BUSINESS PHONE 60 TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2. LQ 3. 10U*1 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 DEPARTME UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION a DATE OF ISSUANCE OF CERTIF,ICCATE:— __DATE FEE PAID: TYPE OF UNIT: DWELLING // OTHER —� NOTES: = t\ o LC—OD—EENFORCEMENT INSPECTOR CERT.# 266-95 ° °• FEE $25.00 1� fP DATE: 05/04/95 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 125 Derby Street UNIT #: C OWNER/AGENT: Joseph J. Byrne ADDRESS: 117 Clifton Avenue CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-6321 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 - ylv Levy JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 14 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 FORHUMANHABITATION". PROPERTY LOCATED AT J of� Q �.�—y�j - UNIT C _ OWNER/LESSER zss MANAGER/AGENT �✓Q/YYt ADDRESS �/ - Q Jam_ ADDRESS CITY /I.Yj ��n P/I, �! CITY — RESIDENCE PHONE /7- :`3�' .lJd 02 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7 4 TOTAL NUMBER OF ROOMS: ROOM USE: ] . L-,d?, 2. D_d , JR- 3. Kt-r 4 , Bid 5.�HJ_ _b.—be7, 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 C. ,1� res �t ' 1� DATE 61 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ,^y '� ! ) DATE OF REINSPECTION L� DATE OF ISSUANCE OF CERTIFICATE: =� 3 _DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR i .r _.— � , • r (J'��.�lL �� f&t/c-�-� ftp-�._ � - �r se rw ,1 * � �� r�-�-- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 _ TEL. 978-741-1800 FAx 978-745-0343 www.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#61-06 DATE ISSUED: 2/15/06 Property Located at: 126 Derby Street UNIT# 1 Owner/Agent: Peter& Mary Sholds Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4721 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 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH / f t 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 970-741-1800 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT �:: (, L7e ��. , - � ' UNIT>l_ IS THIS UNIT DESIGNATED AS AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE Nd/ j OWNERILESSER1_ _�__ –MANAGER/AGENT -- No P.O. Box No P.O. Box ADDRESS_. ? _f I S -_ADDRESS___ CITY 541 - CC ^CITY_ RESIDENCE PHONE L7 `71.1 7g/_BUSINESS PHONE (24 HRS.) BUSINESS PHONE _2.7 7 ? Yk-O._..—_ TOTAL NUMBER OF ROOMS:.__ ROOM USE: 1- 5._6_-T -5. 6_ T THERE IS A TWENTY-FIVE(525.00) 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 ;/Zf _.y .—_DATE�-/ 5/_ 6 INSPECTORS USENL _OY DATE OF INITIAL INSPECTION -'Lj�7- _DATE OF REINSPECTION________.__ DATE OF ISSUANCE OF CERTIFICATE "_�:l_�.r O.�-__DATE FEE PAID:_ TYPE OF UNIT: DWELLINA OTHER _. CHECK N_ t I-5 .7 - CHECK [)ATE ,)-/ > L: NOTES CODE ENFORCEMENT INSPECTOR 91281) I! CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH .s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 _ TEL. 978-741-1800 FAX 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 2/8/06 Peter& Mary Sholds 47 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 126 Derby Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 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 ealth Reply to v Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector a ro CITY OF SALEM, MASSACHUSETTS ��6 '� .5�, BOARD OF HEALTH 5' 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,�, TEL. 978-741-1800 Cip� FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 08/05/2002 Peter & Mary Sholds 47 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 126 Derby 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; 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 HEA TH REPLY TO jo�R anne Scott, M�O PABLO VALDEZ Health Agent 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 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT 4/4/06 Peter& Mary Frances Sholds 47 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 126 Derby 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. or the Board of HgpIth Reply to �d ;Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector � R v��COWIT �IMINg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street 4"Floor HEALTH AGENT Tel: (978)741-1800 06/27/2001 Fax 978-745-0343 Peter & Mary Frances Sholds 47 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 126 Derby 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; 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 ,91V HEALTH REPLY TO Joanne Sc t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 3 v /HIPS 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: 04/23/97 - Fax:(508)740-9705 James & Jill Hanson 1725 Orrington Avenue #718 Evanston, IL 60201 PROPERTY LOCATED AT 127 Derby Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department - to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2,-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the..time of inspection. Inspection will not be performed without receipt of payment- Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 CERTJI 579-93 3 FEE: .,$ 25.00 .. DATE: 8/5/93 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT - 508-7A 1-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 127 Derby Street UNIT / 3 OWNER/AGENT Julie Tache ADDRESS 221 Derby Street CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE-745-2004 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", SECTION 410.400 (B) : DWELLING UNIT X AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH ROBERT E. BLENKHORN, C.H.O. L� ti�<7 i" HEALTH AGENT CO ENFORCEMENT INSPECVR �y.cormt�4! - � OFFICE USE ONLY CERT. i CITY OF SALEM HEALTH DEPART 4022V BOARD OF HEALTH ZVE Salem, Massachusetts 01970 1993 -ROBERT E.At=ENKNORN - 9 NORTH STREET HEALTH AGENT CITY OF SALEM 508-741-1800 APPLICATION FOR CERTIFICATE OF FITNESSEA,TH DEPT. IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ra 7 UNIT i 'J OWIiER/LES . MANAGER/AGENT ADDRESS ADDRESS CITY Vil�VI�YY/ CITY RESIDENCE� �cc�� J BUSINESS PHONE (24 HRS. ) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 . L �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 COMPLIANCE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGHEALTHNT DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: i DATE ,OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _G _DATE FEE PAID: Z 3 TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 'J^�OIMML �J CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 RORERT E. OLENKHORN - 9 NORTH STREET HEALTH AGENT 508-741-1800 DATE: .JUIN 1cl �C�U3 _ 71 Q ate, f� eti lJ j q � PROPERTY LOCATED AT 2� De.Yio Ai +. UNIT # 3 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 III , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334 , Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of' this notice. (508) 741- 1800 Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY Very truly yours, FORTHEBOARD OF HEALTH REPLY TO: Robert E. Blenkhorn, C.H.O. r��)n 1�(, t (Y07 Health Agent Code Enforcement Inspector ` o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 251-03 SALEM, MA 01970 FEE $25.00 TEL. 978-74 1-1800 DATE: 05/29/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 131 DerbV Street UNIT #: 1 Front OWNER/AGENT: Patricia LeBoeuf ADDRESS: 22 Broad Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 744-7038 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 I1, "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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. OR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ., CITY OF SALEM, MASSACHUSETTS r1 +� BOARD OF HEALTH o p 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 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. 01 p OQ RIV f UNIT#�T IS THIS UNIT DESIGNATED AS RIGHT LEFT FRO BACK PLEASE CIRCLE ONE OWNERILESSER u±-= V-LAZ �OtZ7 r—MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS cG _Q O © 1 ADDRESS--- CITY DDRESS —CITYCITY RESIDENCE PHONE`t7 �� 63�BUSINESS PHONE (24 HRS.) BUSINESS PHONE - TOTAL NUMBER OF ROOMS: -1;_ ROOM USE: 1. K__2_4_4 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 1 APPLICANTS SIGNATURE` �'�'�� DATE4a f 3 INSPECTORS USE ONLY DATE OF INITIAL INSPEOT-105`�"I'� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,!2- DATE FEE PAID: 5- �. �? 02 TYPE OF UNIT: DWELLINS uTHERJ CHECK# -el—P CHECK DATE `a"y y NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PIl}�liCHe8lth f Prevent Promote:Protect. TSL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL Iramdinnsalem.com MAYOR L.1RRY RAMDIN,RS/IiEFIS,CHO,CP-FS HEALTHAGENT CERTIFICATE OF FITNESS CERTIFICATE# 120-14 DATE ISSUED: 4/9/2014 Property Located at: 131 Derby Street UNIT# 1 Rear Owner/Agent: Akram Elouche Address: 180 Gold Street Unitl City/Town: Boston, MA Zip Code: 02127 24 Hour Phone: 978-335-3467 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B RD OF EALTH LARRY RAMDINy� �. HEALTH AGENT SANITARIAN Ax CITY OF SALEM, MASSACHUSETTS BOARD OF HE-uTH ✓�I/�// - 120 W ASHNGTON STREET,e FLOOR �- TEL.(978)741-1800 I INIBERLEY DRISCOLL FAx(978)745-0343 IYLAYOR �RaamrN�wAi Fat coat LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AG3N r Applicatiau_for�CerlRcate of.Eitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 IVIN I_MUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.40 PROPERTY LOCATED AT i3l barb Sk So1or MA Oig4� UNIT# i is THIS IA1PP DISIGNATED AS RIGHT LEFT FRONTO LEASE CIRQ.E ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS !PD O,a 1A t A u:t ) ADDRESS CITY,STATE,'Z1P Qos-k c, , MQ c,2l'L-t _ CITY,STATE,ZIP RESIDENCEPHONE_C (A49)3`35-3464 BUSINESS PHONE(24HRS) ' BUSINESS PHONE �Sn' TOTAL NUMBER.OF ROOMS: v7 t�a 0 ,1-3t, ROOM USE: I.. 2. 3_ 4. /5 \ v I 6 .7 8. 9. 0. ^Vvctt i w e y THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE w DATE 3 Zt i Inspectors use only Date on initial inspection-.4 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of it: Dwelling---Other Check# Check date. L// Notes: t C Code 6 orcement Inspector �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ' = TEL. 978-741-1800 gyp' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR . HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 404-03 DATE ISSUED: 8/6/2003 Property Located at:: 131 Derby Street UNIT#: 2 Front Owner/Agent: Larwrence & Pat Leboeuf Address: 22 Broad Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-7038 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. 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. 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 OH r /f Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR l 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 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". r Q PROPERTY LOCATED AT/ 3. I_�� ST UNIT# IS THIS UNIT DESIGNATED AS_RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER �I�I PrMANAGER/AGENT No P.O. Box n No P.O. Box ADDRESS4 11,P�O�� ADDRESS CITY ;piewy >p;Yips 'fm j�.�y CITY RESIDENCE PHONE /�0 �77 766 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: -�� ROOM USE: 1. KAT 2.8� 6 6-3. 73C� 4. � 5.Z-#A� 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 DATE7��`�' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 -3� 6 3OF INITIAL INSPECTION 7 -3� 6 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 2-1, -Q-3 DATE FEE PAID: 7- 36 0 3 TYPE OF UNIT: DWELLING OTHER_ CHECK#69-& CHECK DATE 73d 6,3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �ca�o1T CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR s 33 CERT.# 259-02 SALEM, MA 01970 FEE $25.00 gBCi, rpt+" TEL. 978-741-1800 DATE: 05/15/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 131 Derby Street UNIT #: 2 Rear OWNER/AGENT: Lawrence & Patricia LeBoeuf ADDRESS: 22 Broad Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-7038 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 s JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4. ( CITY OF SALEM 1MASSACHUSETTS r: 9 3 .,' .. BOARD OF HEALTH. v` • • 120 WASHINGTON STREET, 4TH FLOOR t ° SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - - "' MAYOR HEALTH AGENT <. . .K 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 /3/ JQO a6�4 UNIT# D_ iL IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 30WNER/LESSER oVaK* PA-T leoo�ze MANAGER/AGENT f s a> 7} No PO Box.k No PA';:Box +ADDRESS, S ADDRESS ' CITY i 5 (-t23 CITY E. 1 Syr ;RESIDENCE PHONE BUSINESS PHONE.(24 HRS.) F r &yes ,A ",t Y Y ,a�`'in t „ „ TOTAL NUMBER OF ROOMS:-' 3 rc 'IT ; � ," ROOMUSE ✓'r �` �� kgs ! ' ,.r ' • 5i3f_L�6 7 8 ;_ya. 1 THERE IS ATWENTY FIVE($25:00)DOLLAR FEE;PAYABLE BY CHECK OR MONEY * * ',:ORDER TO.THE CITY OF SALEM HEALTH DEPARTMENT THISFE_E IS PAYABLE AT THE .��,�TIMEOF£INBPECTION= ' I a APPLICANTS SIGNATURE DATE /3 t�Z is INSPECTORS USE ONLY tt DATE OF INITIAL INSPECTION—/S-o'Z- DATE OF REINSPECTION 1 DATE OF ISSUANCE OF CERTIFICATE:_6_1 5-J 2— DATE FEE PAID: 5- 3 ;k a�R 4TYPE OF UNIT: DWELLINGt OTHER_ CHECK 4t: /.�` : : CHECK DATEc�z r x NOTES:, , i �:£jx CODE ENFORCEMENTINSPECTOR ',1} I 19/28/98, ,; ,z a 4 4 3 1d 1� #q Lxp ,� kp y A 1}q -(+� SX t +'&g 'a 4 _ s J , +ear M+�F •x� 7Ft �s tflip , 04t .s : a I + v, Y3r'#,,s,y- }F:4i51: F55 yxy 7J ' i : a $F1 aT :_ . - 1 Ytt�s tta df n` y�stir�{ r ��ktft '* i� .#' 3 , ' fa its4�q r 9 i 3 a - r r -flu ;;1 1. .., 5 a� .. ; a'ak ark h . -�� ¢o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 yap FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 403-03 DATE ISSUED: 8/6/2003 Property Located at:: 131 Derby Street UNIT#: 3 Front Owner/Agent: Lawrence & Patricia LeBoeuf Address: 22 Broad Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 774-7038 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. 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. 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 OF HEALTH ) / Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS .♦ - BOARD OF HEALTH • i 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 , T. 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 13 J PE72 q3l>,/ S 7- UNIT#_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER eA�(e//� �Y-�� NAGER/AGENT No P.O. Box No P.O. Box ADDRESS � 6ROlkp ADDRESS CITY In A I /CITY RESIDENCE PONE 7�3� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 16 � IF 12. 0� 3.��4._ � 5.Z ,A/lpo 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 L DATE 36 i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7- 3 0 -0 3 DATE OF REINSPECTION 9,- - DATE OF ISSUANCE OF CERTIFICATE: R 603 DATE FEE PAID: 7 -5U -a 3 TYPE OF UNIT: DWELLING 4ZOTHER CHECK#O V CHECK DATE 7, 3c?-;o3 NOTES: 'Tills p— to "j ^ ,kev,�Eeat — CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH " n 120 WASHINGTON STREET, 4TH FLOOR CERT.# 250-03 c SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/29/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 131 Derby Street UNIT #: 3 Rear OWNER/AGENT: Patricia LeBoeuf ADDRESS: 22 Broad Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-7038 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . OR THE BOARD F HEALTH / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � J� • i 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 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". p PROPERTY LOCATED AT J 3 1 DEP�q� y :S'—( , UNIT#_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERVjg� IC I N LL)�O NAGER/AGENT No P.O. Box No P.O.Box ADDRESS 6 Y--(-D SD ADDRESS CITY n) U f -M(� n g __� CITY RESIDENCE PHONE97 77y70 USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._1:1Z` 2. 3. 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. APPLICANTS SIGNATURE DATE h/� >53 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: a-f % DATE FEE PAID: _ ti 3 TYPE OF UNIT: DWELLINC,��OTHER_ CHECK# 0? �o CHECK DATQ!�:L`��_' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 198-01 - FEE $25.00 DATE: 04/26/2001 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: 132 Derby Street UNIT #: 4 OWNER/AGENT: Suzanne Cheverie ADDRESS: One Strawberry Hill Court CITY/TOWN: Stamford, CT ZIP CODE: 06902 24 HOUR PHONE: 801-0703 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 AGENT CODE ENFORCEMENT INSPECTOR lax W-41 �c K 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 1�1 PROPERTY LOCATED AT I 2 �)'iU S-I-t St�l�1'1 H UNIT#9 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERZITZ_ WNNf_ NEMS MANAGER/AGENT NA No P.O. Box No P.O. Box ADDRESS ONE ST(UIUberlm pill CW(+ ADDRESS Jr� CITY-3f0ffi-17Xb CITY a Doc),oa- RESIDENCE PHONE 203 , -i( .'I USINESS PHONE (24 HRS.) D5 O,bM1 D_103 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOMUSE: 1. IIV_ini 2. Att .� (Oal 5. kbfVtM6._bAi-h(q 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. r APPLICANTS SIGNATURE0 /4O DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION!1 -d"�v —D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:q.- DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK#- J4, 37 CHECK DATE a o NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 SEP 1 2 1994 CITY OF SALEM CITY OF SALEM BOARD OF HEALTH HEALTH DEPT. Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO _ NINE NORTH STREET HEALTH AGENT ..t'1/ - Tel:(508)741-1800 WWW Fax:(508)740-9705 Date: 9/6/94 XV Andrew S. Macalaster RFD Box Greenfield, NH 03047 PROPERTY LOCATED AT 132 Derby Street UNIT # 5 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 -dwell"ing`unitt 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 l: 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 rt FOR THE BOARD'OF HEALTH -" Po "' " REPL`Y TO a•` '-•- A-4�_ Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR e CONDI CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 06/16/99 TeI:(978)741-1800 Robert Dana c/o D & P Properties, Inc. Fax:(978)740-9705 P.O. Box 1225 Marblehead, MA 01945 PROPERTY LOCATED AT 135 Derby Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8 :00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20), dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. _ A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has._ billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F THE BOARD OF EALT11 REPLY TO nnnexSco t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 3 S1 MIrB 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: 06/11/97 Fax:(508)740-9705 Robert Dana c/o D & P Properties, Inc. P.O. Box 1225 Marblehead, MA 01945 PROPERTY LOCATED AT 135 Derby Street UNIT # 1 Dear Sir/Madam: - It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection- Inspection will not be performed without receipt of payment- Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 4:00 .m. Thursday 8:00 a.m. - 7 :00 .m. or Monday thru Wednesday from 8:00 a.m. p y P 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 3 CERT.# 590-95 3 FEE $25.00 ��'• IF- DATE: 08/28/95 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 135 Derby Street UNIT #: 1 OWNER/AGENT: D & P Properties, Inc. ADDRESS: P.O. Box 1225 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 639-8113 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 �/ 0 V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFICE USE ONLY s 1 CERT: i DATE: CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tel.(506)741-1600 APPLICATION FOR CERTIFICATE OF FITNESS x:(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 '135 D 'g.( C UNIT If OWNER/LESSER h t V p-RiE ttf mc - MANAGER/AGENT . ADDRESS -C , 7P, . ,7-215 ADDRESS CITY 1IuR�}, q� NAik S CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE��(y TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. L—t7Gftr t 2. 1�g. qg2 ._3.j 4�t 4 Ilk _5. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAY BY CHECK OR MONEY ORDER TO TEE CITY OF SALEM HEALTH DEP IIPO CO IAN ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: So _fDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'fit 4 DATE FEE PAID: } TYPE OF UNIT: DWELLING,.,.,, OTHER NOTES: ��— CODE ENFORCEMENT INSPECTOR a s� 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: 03/13/95 Fax:(508)740-9705 Robert A. Dana D & P Properties Inc. P.O. Box 1225 Marblehead, MA 01945 PROPERTY LOCATED AT 135 Derby Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior toallowingoccupancy 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 { fi 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: 04/02/98 Fax:(978)740-9705 D & P Properties, Inc. P.O. Box 1225 Marblehead, MA 01945 PROPERTY LOCATED AT 135 Derby 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 Arrnrrlanre t.rith Chapter 111 , Rertiong 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11 : Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection- Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 589-95 3 2 FEE $25.00 1�'• - �p, DATE: 08/28/95 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 135 DerbyStreet UNIT #: 2 _ OWNER/AGENT: D & P Properties, Inc. ADDRESS: P.O. Box 1225 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 639-8113 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. F R THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFICE_ VSE. O�NLLYY, ' 1 CERT: DATE: 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 CERTIFICATE OF FITNESS Fax:(5W)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT {� s �( UNIT 1 ' 4WNER/LESSER� �� rRl tF �n1 r_ MANAGER/AGENT {: I+UDRESSg� innZ //�� ADDRESS CITY sb Q.�LV tib I h1 66`f-S- CITY RESIDENCE PHONE BUSINESS PHONE (24 RES.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I.- ^4 -2' ��r_�'XJ _ .�. 7. 8. THERE IS A TWENTY-FIVE (25.00 DOLLAR FEE, P ABLE BY CHECK OR MONEY ORDER TO TUE CITY OF SALEM HEALTH7;U COMPL C AND ISSUANCE OF CERTIFICATE, APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: y -qY' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ✓�"� '�r"ar DATE FEE PAID: 7r TYPE OF UNIT: DWELLIN� OTHER NOTES: CODE ENFORCEMENT INSPECTOR CERTA 256-93 FEE: .,$ 25.00 .. DATE: 3/29/93 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT - 508-741-1800 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 135 Derby Street UNIT / 2 OWNER/AGENT Estate of Ted Wlodyka/Robert Picone ADDRESS 6 Senness Street CITY/TOWN Beverly. MA ZIP CODE 01915 24 HOUR PHONE 922-3660 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", SECTION 410.400 (B): DWELLING UNIT X AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW. FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH ROBERT E. BLENKHORN, C.H.O. HEALTH AGENT CODE ENFORCEMENT INSPECTQV OFFICE USE ONLY �! CERT,'-1 \J"C�NININC+ a DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ^ROBERT-E.'$L-ENKHOflN- 9 NORTH STREET HEALTH AGENT - - - 508-741-1800 - - APPLICATION -FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY' CODE, ,CHAPTER II, 105 CMR 410:000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". a PROPERTY LOCATED AT 135 .Derby St. UNIT # 2 OWNER/LESSER Estate of Ted tVlodyka MANAGER/AGENT Robert Picone, Adminis�rR ADDRESS ADDRESS 6 J enness St, CITY CITY. Beverly, , MA 01915 RESIDENGE PHONE BUSINESS PHONE (24 HRS.) None h BUHome with disability922-3660 SINESS PRbME _ Y . TOTAL NUMBER OF ROOMS: ROOM USE: 1. Kitchen 2. Living 3, Bathroom 4, Bedroom 5. 6. 7. 8, THERE IS A TWEENTY—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 Robert Picone J � r DATE 311X93 Administrator of Estate of Ted Wlodyka INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:3 -J-f' - 7e DATE OF REINSPECTION DATE OF 'ISSUANCE OF CERTIFICATE:� ATE FEE PAID: TYPE OF UNIT: DWELLING OTHER — NOTES: CODE ENFORCEMENT INSPECTOR IMPORTANT MESSAGE -=-- FOR A.M. DATE TIME P.M. M OF PHONE AREA CODE NUMBER EXTENSION ❑FAX ❑MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE.CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE SIGNED TOPS 47 FORM 74800 100%RECYCLED LITHO IN U.S.A. �,P,� �� r �,� , a��`ed � ,�- , 40 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH .` Salem, Massachusetts 01970 ROBERT E. BLENK14ORN 9 NORTH STREET HEALTH AGENT 508.741-1800 DATE: February 25, 1993 Thaddeus G. Wlodyka c/o Robert Picone 6 Jenness Street Beverly,, MA ;01915 PROPERTY;LOCATED' AT 135 Derby Street UNIT 0 2 DEAR- SIP/MADAM:, It has come ta.our attention ;'that you are about`to allow°rental of a dwelling unit at. he; aboge'-address. It`isinct�beat upon you as owner(s) to contact the City of Salem Health Department t&, applyrfor- -a•Certificate of Fitness before, any.vacant dwelling unit is rented or occupied Each dwelhng:zunt must be inspected and certified` by. the Salem Health Department prior ,to..ahowing.:occupancy in accordance with Chapter I11, Sections 127A and 127B, of- the Massacbusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General'Administrative Procedures and 105 CMR 41:0.000: State Sanitary Code, Chap- ter' 11: 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 withiti .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 CHR 410.354 METERING OF GAS & ELECTRICITY Very' 6iuly,yisui?s`; FORTHE INTHE BOAQRD,, OF HEALTH REPLY TO: Prv.L„t Robert E. Blenkhorn, C.H.O. PABLO VALDEZ Health Agent Code Enforcement Inspector 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 04/02/96 Fax:(508)740-9705 Robert Dana c/o D & P Properties Inc. P.O. Box 1225 Marblehead, MA 01945 PROPERTY LOCATED AT 135 Derby 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. 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